Orthodontic aligners and root resorption: A systematic review

Elhaddaoui, Rajae; Qoraich, Halima Saadia; Bahije, Loubna; Zaoui, Fatima

doi:10.1016/j.ortho.2016.12.019

Cited by 32 publications

(27 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…14 Several studies evaluated OIIRR using periapical radiographs, orthopantomogram and lateral cephalogram which could have possibly influenced the findings. 9,14,15,17 Meanwhile, milestones in the threedimensional imaging technology were accomplished and, hence, 3D imaging was implemented in the dental practice. 1563 group which had root resorption five times than the control group with a mean of 26.182 pixels (SE = 1.786).…”

Section: Resultsmentioning

confidence: 99%

“…These papers varied between in vivo studies, 25 case reports, 26 clinical trials, 15,16 and systematic reviews. 9,17 In a study published in 2010 by Fowler, it was reported examination before treatment. Data analysis was examined for any errors in methods or data presentation.…”

Section: Discussionmentioning

confidence: 99%

“…In 2017, Elhaddaoui et al reported that the occurrence of OIIRR was less among patients treated with clear aligners than those treated with fixed appliances. 17 However, these systematic reviews included studies that used two-dimensional measurements, which were reported to be inaccurate and inferior to threedimensional measurements. 18 The current study aims to assess the available evidence in the literature about OIIRR in treatment with orthodontic clear aligners using stringent inclusion criteria addressing this concern.…”

Section: Association Of Orthodontic Clear Aligners With Root Resorptimentioning

confidence: 99%

See 2 more Smart Citations

Association of Orthodontic Clear Aligners with Root Resorption Using Three-dimension Measurements: A Systematic Review

Aldeeri

Alhammad

Alduham

et al. 2018

The Journal of Contemporary Dental Practice

View full text Add to dashboard Cite

Aim: This paper aims to assess the evidence in the literature reporting orthodontically induced inflammatory root resorption (OIIRR) in treatment with orthodontic clear aligners using 3D measurements. Materials and methods: Following preferred reporting Items for systematic reviews (PRISMA) statement, eight electronic databases were searched for relevant published and unpublished records. Data collected according to restricted inclusion and exclusion criteria. Results: A total of 236 articles were identified as relevant to our topic. Duplicates were excluded resulting in 226 papers, out of which 31 papers were relevant after screening titles and abstracts. Only 2 high-level evidence papers out of the 31 met the inclusion criteria for the qualitative synthesis. Conclusion: Based on the available studies with high level of evidence in the literature, we conclude that orthodontic clear aligners are non-inferior to light-force fixed orthodontic appliances, and superior to heavy-force fixed orthodontic appliances in terms of the risk for developing apical root resorption. Clinical significance: Orthodontists can be more assured about the low-risk of OIIRR associated with clear aligners compared to other orthodontic treatment modalities, and it remains up to the practitioner's assessment to select the appropriate treatment on a case by case basis.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Association Of Orthodontic Clear Aligners With Root Resorptimentioning

confidence: 99%

See 1 more Smart Citation

Association of Orthodontic Clear Aligners with Root Resorption Using Three-dimension Measurements: A Systematic Review

Aldeeri

Alhammad

Alduham

et al. 2018

The Journal of Contemporary Dental Practice

View full text Add to dashboard Cite

show abstract

“…So, it would be of interest to study whether there is difference between CAT and FAT in ERR. A published systematic review has been performed on CAT and ERR, but the inclusion criteria were not strict enough because the investigation comprised meta‐analyses and descriptive studies. Quantitative analysis was not performed in the former study due to insufficient samples .…”

Section: Introductionmentioning

confidence: 99%

“…A published systematic review has been performed on CAT and ERR, but the inclusion criteria were not strict enough because the investigation comprised meta‐analyses and descriptive studies. Quantitative analysis was not performed in the former study due to insufficient samples . In addition, the past studies mainly used panoramic radiographs to measure both root length or crown length, and then the root‐crown ratio (RCR) were calculated and recorded instead of root or tooth length in order to eliminate the effect on length because of different magnifications in different panoramic radiographs.…”

Section: Introductionmentioning

confidence: 99%

Root resorption in orthodontic treatment with clear aligners: A systematic review and meta‐analysis

Fang

Rui

Liu

2019

Orthod Craniofacial Res

View full text Add to dashboard Cite

The aim of this study was to investigate the external root resorption in participants receiving clear aligners and compare it with those treated with fixed appliances. Systematic review with meta‐analysis. Electronic and manual search were performed, and specific inclusion and exclusion criteria were used. Data extraction and analysis were conducted by two investigators independently. The original outcome underwent statistical pooling by Review Manager 5. The quality of studies was assessed by ROBINS‐I tool. A total of 11 studies were included for qualitative analysis (six in moderate risk of bias while another five in serious risk of bias), and three of them were statistically pooled in meta‐analysis. The external root resorption in treatment with clear aligners was significantly lower than that with fixed appliances (SMD = −0.65, 95% CI [−0.74, −0.55], P < .01). Subgroup analysis on each quadrant of incisors was consistent with the former result. Current evidences suggest that clear aligners might not avoid root resorption, but the incidence and severity of resorption could both be lower compared with results reported by treatment with fixed appliances.

show abstract