Root resorption in Orthodontics : A review
DOI:
https://doi.org/10.61841/n05kfq78Keywords:
Root resorption, orthodontic treatment, fixed appliance, alignersAbstract
Root resorption is an unavoidable pathologic consequence of orthodontic tooth movement. Force application initiates a sequential cellular process. The onset and progression of root resorption are associated with risk factors related to the orthodontic treatment such as the duration of treatment, the magnitude of the force applied, the direction of the tooth movement, the method of force application during orthodontic treatment. This review aims to find root resorption in patients who had orthodontic tooth movement based on the currently used advances in orthodontic brackets and aligners and knowledge of the mechanical ,biological aspects and ways to prevent root resorption in orthodontic tooth movement among general practitioners .
Downloads
References
[1] Abuabara A (2007) Biomechanical aspects of external root resorption in orthodontic therapy. Medicina oral, patologia oral y cirugiabucal 12(8). SciELOEspana: E610–3.
[2] Adachi H, Igarashi K, Mitani H, et al. (1994) Effects of topical administration of a bisphosphonate (risedronate) on orthodontic tooth movements in rats. Journal of dental research 73(8). journals.sagepub.com: 1478–1486.
[3] Aras B, Cheng LL, Turk T, et al. (2012) Physical properties of root cementum: part 23. Effects of 2 or 3 weekly reactivated continuous or intermittent orthodontic forces on root resorption and tooth movement: a microcomputed tomography study. American journal of orthodontics and dentofacialorthopedics: official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics 141(2): e29–37.
[4] Barbagallo LJ, Jones AS, Petocz P, et al. (2008) Physical properties of root cementum: Part 10. Comparison of the effects of invisible removable thermoplastic appliances with light and heavy orthodontic forces on premolar cementum. A microcomputed-tomography study. American journal of orthodontics and dentofacialorthopedics: official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics 133(2). Elsevier: 218–227.
[5] Bartley N, Türk T, Colak C, et al. (2011) Physical properties of root cementum: Part 17. Root resorption after the application of 2.5° and 15° of buccal root torque for 4 weeks: a microcomputed tomography study. American journal of orthodontics and dentofacialorthopedics: official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics 139(4): e353–60.
[6] Baumrind S, Korn EL and Boyd RL (1996) Apical root resorption in orthodontically treated adults. American journal of orthodontics and dentofacialorthopedics: official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics 110(3). ajodo.org: 311–320.
[7] Brezniak N and Wasserstein A (1993) Root resorption after orthodontic treatment: Part 2. Literature review. American journal of orthodontics and dentofacialorthopedics: official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics 103(2). ajodo.org: 138–146.
[8] Brezniak N and Wasserstein A (2002) Orthodontically induced inflammatory root resorption. Part II: The clinical aspects. The Angle orthodontist 72(2). meridian.allenpress.com: 180–184.
[9] Brin I, Tulloch JFC, Koroluk L, et al. (2003) External apical root resorption in Class II malocclusion: a retrospective review of 1- versus 2-phase treatment. American journal of orthodontics and dentofacialorthopedics: official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics 124(2). Elsevier: 151–156.
[10] Chan EKM and Darendeliler MA (2004) Exploring the third dimension in root resorption. Orthodontics & craniofacial research 7(2). Wiley Online Library: 64–70.
[11] Charles A, Ramani P, Sherlin HJ, et al. (2018) Evaluation of dermatoglyphic patterns using digital scanner technique in skeletal malocclusion: A descriptive study. Indian journal of dental research: official publication of Indian Society for Dental Research 29(6): 711–715.
[12] Cheng LL, Türk T, Elekdağ-Türk S, et al. (2009) Physical properties of root cementum: Part 13. Repair of root resorption 4 and 8 weeks after the application of continuous light and heavy forces for 4 weeks: A microcomputed-tomography study. American journal of orthodontics and dentofacialorthopedics: official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics 136(3). Elsevier: 320.e1–320.e10.
[13] Chinnasamy A, Ramalingam K, Chopra P, et al. (2019) Chronic nail biting, orthodontic treatment and Enterobacteriaceae in the oral cavity. Journal of clinical and experimental dentistry 11(12): e1157–e1162.
[14] Copeland S and Green LJ (1986) Root resorption in maxillary central incisors following active orthodontic treatment. American journal of orthodontics 89(1). Elsevier: 51–55.
[15] Costopoulos G and Nanda R (1996) An evaluation of root resorption incident to orthodontic intrusion. American journal of orthodontics and dentofacialorthopedics: official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics 109(5). Elsevier: 543–548.
[16] DeShields RW (1969) A study of root resorption in treated Class II, Division I malocclusions. The Angle orthodontist. meridian.allenpress.com. Available at: https://meridian.allenpress.com/angleorthodontist/article-abstract/39/4/231/56086.
[17] Dindaroğlu F and Doğan S (2016) Evaluation and comparison of root resorption between tooth-borne and tooth-tissue borne rapid maxillary expansion appliances: A CBCT study. The Angle orthodontist 86(1). meridian.allenpress.com: 46–52.
[18] Dudic A, Giannopoulou C, Leuzinger M, et al. (2009) Detection of apical root resorption after orthodontic treatment by using panoramic radiography and cone-beam computed tomography of super-high resolution. American journal of orthodontics and dentofacialorthopedics: official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics 135(4). Elsevier: 434–437.
[19] Ekizer A, Uysal T, Güray E, et al. (2015) Effect of LED-mediated-photobiomodulation therapy on orthodontic tooth movement and root resorption in rats. Lasers in medical science 30(2). Springer: 779–785.
[20] El-Bialy T, El-Shamy I and Graber TM (2004) Repair of orthodontically induced root resorption by ultrasound in humans. American journal of orthodontics and dentofacialorthopedics: official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics 126(2). Elsevier: 186–193.
[21] Fowler B (2010) A Comparison of Root Resorption between Invisalign Treatment and Contemporary Orthodontic Treatment. University of Southern California.
[22] Fried KH (1976) Emotional stress during retention and its effect on tooth position. The Angle orthodontist 46(1). meridian.allenpress.com: 77–85.
[23] Fritz U, Diedrich P and Wiechmann D (2003) Apical root resorption after lingual orthodontic therapy. Journal of orofacialorthopedics = Fortschritte der Kieferorthopadie: Organ/official journal Deutschem Gesellschaft fur Kieferorthopadie 64(6). Springer: 434–442.
[24] Gay G, Ravera S, Castroflorio T, et al. (2017) Root resorption during orthodontic treatment with Invisalign®: a radiometric study. Progress in orthodontics 18(1). Springer: 12.
[25] Giannopoulou C, Dudic A, Montet X, et al. (2008) Periodontal parameters and cervical root resorption during orthodontic tooth movement. Journal of clinical periodontology 35(6). Wiley Online Library: 501–506.
[26] Gupta G, Singh RK, Relhan A, et al. (2016) Comparison of Apical Root Resorption encountered during Maxillary Incisor retraction using Stainless Steel Boot Loop and TMA Boot Loop--A Case Series. Orthodontic Journal of Nepal 6(1). nepjol.info: 45–48.
[27] Han G, Huang S, Von den Hoff JW, et al. (2005) Root resorption after orthodontic intrusion and extrusion: an intraindividual study. The Angle orthodontist 75(6): 912–918.
[28] Harris DA, Jones AS and Darendeliler MA (2006) Physical properties of root cementum: Part 8.
Volumetric analysis of root resorption craters after application of controlled intrusive light and heavy
orthodontic forces: A microcomputed tomography scan study. American journal of orthodontics and
dentofacialorthopedics: official publication of the American Association of Orthodontists, its constituent
societies, and the American Board of Orthodontics 130(5). Elsevier: 639–647.
[29] Hartsfield JK Jr and Everett ET (2004) Genetic factors in external apical root resorption and orthodontic
treatment. Critical Reviews in. journals.sagepub.com. Available at:
https://journals.sagepub.com/doi/abs/10.1177/154411130401500205.
[30] Iglesias-Linares A, Sonnenberg B, Solano B, et al. (2017) Orthodontically induced external apical root
resorption in patients treated with fixed appliances vs removable aligners. The Angle orthodontist 87(1).
meridian.allenpress.com: 3–10.
[31] Janson GR, De Luca Canto G, Martins DR, et al. (2000) A radiographic comparison of apical root
resorption after orthodontic treatment with 3 different fixed appliance techniques. American journal of
orthodontics and dentofacialorthopedics: official publication of the American Association of
Orthodontists, its constituent societies, and the American Board of Orthodontics 118(3): 262–273.
[32] Jerome J, Brunson T, Takeoka G, et al. (2005) Celebrex offers a small protection from root resorption
associated with orthodontic movement. Journal - California Dental Association 33(12): 951–959.
[33] Jiang R-P, McDonald JP and Fu M-K (2010) Root resorption before and after orthodontic treatment: a
clinical study of contributory factors. European journal of orthodontics 32(6). academic.oup.com: 693–
697.
[34] Katz A, Redlich M, Rapoport L, et al. (2006) Self-lubricating coatings containing fullerene-like WS 2
nanoparticles for orthodontic wires and other possible medical applications. Tribology letters 21(2).
Springer: 135–139.
[35] Ketcham AH (1927) A preliminary report of an investigation of apical root resorption of permanent teeth.
International Journal of Orthodontia, Oral Surgery and. Elsevier. Available at:
https://www.sciencedirect.com/science/article/pii/S0099696327903160.
[36] Korath AV, Padmanabhan R and Parameswaran A (2017) The Cortical Boundary Line as a Guide for
Incisor Re-positioning with Anterior Segmental Osteotomies. Journal of maxillofacial and oral surgery
16(2): 248–252.
[37] Kravitz LH, Tyndall DA, Bagnell CP, et al. (1992) Assessment of external root resorption using digital
subtraction radiography. Journal of endodontia 18(6). Elsevier: 275–284.
[38] Krieger E, Drechsler T, Schmidtmann I, et al. (2013) Apical root resorption during orthodontic treatment
with aligners? A retrospective radiometric study. Head & face medicine 9: 21.
[39] Krishnan S, Pandian S and Kumar S A (2015) Effect of bisphosphonates on orthodontic tooth movementan update. Journal of clinical and diagnostic research: JCDR 9(4): ZE01–5.
[40] Krishnan S, Pandian S and Rajagopal R (2017) Six-month bracket failure rate with a flowable composite:
A split-mouth randomized controlled trial. Dental press journal of orthodontics 22(2): 69–76.
[41] Leite V, Conti AC, Navarro R, et al. (2012) Comparison of root resorption between self-ligating and
conventional preadjusted brackets using cone beam computed tomography. The Angle orthodontist 82(6).
meridian.allenpress.com: 1078–1082.
[42] Levander E, Malmgren O and Eliasson S (1994) Evaluation of root resorption in relation to two
orthodontic treatment regimes. A clinical experimental study. European journal of orthodontics 16(3).
academic.oup.com: 223–228.
[43] Linge BO and Linge L (1983) Apical root resorption in upper anterior teeth. European journal of
orthodontics 5(3). academic.oup.com: 173–183.
[44] Linge L and Linge BO (1991) Patient characteristics and treatment variables associated with apical root
resorption during orthodontic treatment. American journal of orthodontics and dentofacialorthopedics:
official publication of the American Association of Orthodontists, its constituent societies, and the
American Board of Orthodontics 99(1). ajodo.org: 35–43.
[45] Llamas-Carreras JM, Amarilla A, Solano E, et al. (2010) Study of external root resorption during
orthodontic treatment in root filled teeth compared with their contralateral teeth with vital pulps.
International endodontic journal 43(8): 654–662.
[46] Lupi JE, Handelman CS and Sadowsky C (1996) Prevalence and severity of apical root resorption and
alveolar bone loss in orthodontically treated adults. American journal of orthodontics and
dentofacialorthopedics: official publication of the American Association of Orthodontists, its constituent
societies, and the American Board of Orthodontics 109(1). Elsevier: 28–37.
[47] Luther F, Dominguez-Gonzalez S and Fayle SA (2005) Teamwork in orthodontics: limiting the risks of
root resorption. British dental journal 198(7). nature.com: 407–411.
[48] Maués CPR, do Nascimento RR and Vilella O de V (2015) Severe root resorption resulting from
orthodontic treatment: prevalence and risk factors. Dental press journal of orthodontics 20(1).
SciELOBrasil: 52–58.
[49] Mavragani M, Bøe OE, Wisth PJ, et al. (2002) Changes in root length during orthodontic treatment: advantages for immature teeth. European journal of orthodontics 24(1). academic.oup.com: 91–97.
[50] McFadden WM, Engstrom C, Engstrom H, et al. (1989) A study of the relationship between incisor
intrusion and root shortening. American journal of orthodontics and dentofacialorthopedics: official
publication of the American Association of Orthodontists, its constituent societies, and the American
Board of Orthodontics 96(5). Elsevier: 390–396.
[51] McNab S, Battistutta D, Taverne A, et al. (2000) External apical root resorption following orthodontic
treatment. The Angle orthodontist 70(3). meridian.allenpress.com: 227–232.
[52] Mohandesan H, Ravanmehr H and Valaei N (2007) A radiographic analysis of external apical root
resorption of maxillary incisors during active orthodontic treatment. European journal of orthodontics
29(2): 134–139.
[53] Motokawa M, Terao A, Kaku M, et al. (2013) Open bite as a risk factor for orthodontic root resorption.
European journal of orthodontics 35(6). academic.oup.com: 790–795.
[54] Murata N, Ioi H, Ouchi M, et al. (2013) Effect of allergen sensitization on external root resorption.
Journal of dental research 92(7). SAGE Publications Sage CA: Los Angeles, CA: 641–647.
[55] Nassif CE, Cotrim-Ferreira A, Conti ACCF, et al. (2017) Comparative study of root resorption of
maxillary incisors in patients treated with lingual and buccal orthodontics. The Angle orthodontist 87(6).
meridian.allenpress.com: 795–800.
[56] Nimeri G, Kau CH, Corona R, et al. (2014) The effect of photobiomodulation on root resorption during
orthodontic treatment. Clinical, cosmetic and investigational dentistry 6. ncbi.nlm.nih.gov: 1–8.
[57] Nishioka M, Ioi H and Nakata S (2006) Root resorption and immune system factors in the Japanese. The
Angle orthodontist. meridian.allenpress.com. Available at: https://meridian.allenpress.com/angleorthodontist/article-abstract/76/1/103/131990.
[58] Odenrick L and Brattström V (1985) Nailbiting: frequency and association with root resorption during
orthodontic treatment. British journal of orthodontics 12(2). Taylor & Francis: 78–81.
[59] Ong CK, Walsh LJ, Harbrow D, et al. (2000) Orthodontic tooth movement in the prednisolone-treated rat.
The Angle orthodontist 70(2). meridian.allenpress.com: 118–125.
[60] Owman-Moll P (1995) Orthodontic tooth movement and root resorption with special reference to force
magnitude and duration. A clinical and histological investigation in adolescents. Swedish dental journal.
Supplement 105: 1–45.
[61] Owman-Moll P, Kurol J and Lundgren D (1995) Repair of orthodontically induced root resorption in
adolescents. The Angle orthodontist 65(6). meridian.allenpress.com: 403–8; discussion 409–10.
[62] Owmann-Moll P and Kurol J (2000) Root resorption after orthodontic treatment in high- and low-risk
patients: analysis of allergy as a possible predisposing factor. European journal of orthodontics 22(6).
Oxford Academic: 657–663.
[63] Paetyangkul A, Türk T, Elekdağ-Türk S, et al. (2009) Physical properties of root cementum: Part 14. The
amount of root resorption after force application for 12 weeks on maxillary and mandibular premolars: A
microcomputed-tomography study. American Journal of Orthodontics and DentofacialOrthopedics. DOI:
10.1016/j.ajodo.2009.03.008.
[64] Pandian KS, Krishnan S and Kumar SA (2018) Angular photogrammetric analysis of the soft-tissue facial
profile of Indian adults. Indian journal of dental research: official publication of Indian Society for
Dental Research 29(2): 137–143.
[65] Phillips JR (1955) Apical Root Resorption Under Orthodontic Therapy. The Angle orthodontist 25(1).
Allen Press: 1–22.
[66] Reddy AK, Kambalyal PB, Shanmugasundaram K, et al. (2018) Comparative Evaluation of Antimicrobial
Efficacy of Silver, Titanium Dioxide and Zinc Oxide Nanoparticles against Streptococcus mutans.
Pesquisabrasileiraemodontopediatria e clinicaintegrada 18(1): e4150.
[67] Reitan K (1985) Biological principles and reactions. Orthodontics, current orthodontic concepts and
techniques. The CV Mosby Co.: 141–142.
[68] Remington DN, Joondeph DR, Artun J, et al. (1989) Long-term evaluation of root resorption occurring
during orthodontic treatment. American journal of orthodontics and dentofacialorthopedics: official
publication of the American Association of Orthodontists, its constituent societies, and the American
Board of Orthodontics 96(1). ajodo.org: 43–46.
[69] Reukers EAJ, Sanderink GCH, Kuijpers-Jagtmah AM, et al. (1998) Radiographic evaluation of apical root
resorption with 2 different types of edgewise appliances. Journal of orofacialorthopedics = Fortschritte
der Kieferorthopadie: Organ/official journal Deutsche Gesellschaft fur Kieferorthopadie 59(2). Springer:
100–109.
[70] Ribeiro GLU and Jacob HB (2016) Understanding the basis of space closure in Orthodontics for a more efficient orthodontic treatment. Dental press journal of orthodontics 21(2). SciELOBrasil: 115–125.
[71] Rudolph CE (1936) A comparative study in root resorption in permanent teeth. The Journal of the American Dental Association (1922) 23(5). Elsevier: 822–826.
[72] Sameshima GT and Asgarifar KO (2001) Assessment of root resorption and root shape: periapicalvs panoramic films. The Angle orthodontist 71(3). meridian.allenpress.com: 185–189.
[73] Sameshima GT and Sinclair PM (2001) Predicting and preventing root resorption: Part I. Diagnostic factors. American journal of orthodontics and dentofacialorthopedics: official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics 119(5). Elsevier: 505–510.
[74] Scarfe WC, Farman AG and Sukovic P (2006) Clinical applications of cone-beam computed tomography in dental practice. Journal 72(1). cda-adc.ca: 75–80.
[75] Scott P, DiBiase AT, Sherriff M, et al. (2008) Alignment efficiency of Damon3 self-ligating and conventional orthodontic bracket systems: a randomized clinical trial. American journal of orthodontics and dentofacialorthopedics: official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics 134(4). Elsevier: 470.e1–8.
[76] Sebbar M and Bourzgui F (2011) Root resorption and orthodontic treatment. Odontostomatologietropicale= Tropical dental journal 34(135). europepmc.org: 43–50.
[77] Segal GR, Schiffman PH and Tuncay OC (2004) Meta analysis of the treatment-related factors of external apical root resorption. Orthodontics and Craniofacial Research. DOI: 10.1111/j.1601-6343.2004.00286.x.
[78] Spurrier SW, Hall SH, Joondeph DR, et al. (1990) A comparison of apical root resorption during orthodontic treatment in endodontically treated and vital teeth. American journal of orthodontics and dentofacialorthopedics: official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics 97(2). ajodo.org: 130–134.
[79] Ten Hoeve A and Mulie RM (1976) The effect of antero-postero incisor repositioning on the palatal cortex as studied with laminagraphy. Journal of clinical orthodontics: JCO 10(11): 804–822.
[80] Thongudomporn U and Freer TJ (1998) Anomalous dental morphology and root resorption during orthodontic treatment: a pilot study. Australian orthodontic journal 15(3). Citeseer: 162–167.
[81] Verna C, Dalstra M and Melsen B (2003) Bone turnover rate in rats does not influence root resorption induced by orthodontic treatment. European journal of orthodontics 25(4). academic.oup.com: 359–363.
[82] Vlaskalic V and Boyd RL (2001) Root resorptions and tissue changes during orthodontic treatment. Textbook of Orthodontics: Saunders: 463–475.
[83] Vlaskalic V, Boyd RL and Baumrind S (1998) Etiology and sequelae of root resorption. Seminars in orthodontics 4(2). Elsevier: 124–131.
[84] Walker S (2010) Root resorption during orthodontic treatment. Evidence-based dentistry.
[85] ZahedZahedani S, Oshagh M, MomeniDanaei S, et al. (2013) A Comparison of pical Root Resorption in Incisors after Fixed Orthodontic Treatment with Standard Edgewise and Straight Wire (MBT) Method. Journal of dentistry 14(3). ncbi.nlm.nih.gov: 103–110.
Downloads
Published
Issue
Section
License
Copyright (c) 2020 AUTHOR

This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format for any purpose, even commercially.
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
- The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
- Attribution — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
Notices:
You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation .
No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.