Title
Evaluation of root resorption following orthodontic intrusion: A systematic review and meta-analysis
Date Issued
01 January 2021
Access level
open access
Resource Type
review
Author(s)
Bellini-Pereira S.A.
Almeida J.
dos Santos C.C.O.
Henriques J.F.C.
Janson G.
University of São Paulo
Publisher(s)
Oxford University Press
Abstract
Background/Objective: To quantify the expected amount of orthodontically induced root resorption (OIRR) after orthodontic intrusion and assess the treatment-related factors. Search methods and eligibility criteria: Six electronic databases and partial grey literature were searched without limitations regarding language or publication year until April 2020. Randomized clinical trials and non-randomized prospective and retrospective studies evaluating root resorption after orthodontic intrusion were included. Data collection and analysis: Risk of bias (RoB) assessment was performed with the Cochrane Collaboration's RoB Tool 2.0 and ROBINS-I tool for the randomized and non-randomized studies, respectively. The data were combined into two random-effects meta-analyses estimating OIRR following orthodontic intrusion. One evaluated OIRR in the anterior region, while the other assessed OIRR in the posterior region. Sub-group analyses regarding the type of mechanics applied, duration of intrusion, amount of force, and sensitivity analysis of the study design and imaging examinations were also performed. The certainty of the evidence was assessed through the Grade of Recommendation, Assessment, Development, and Evaluation (GRADE) approach. Results: The qualitative analysis included 14 studies; however, the meta-analysis was performed with 7 records. The random-effects model assumes that 0.72 mm [95% confidence interval (CI): 0.16 to 1.28] and 0.41 mm (95% CI: −0.24 to 1.07) of OIRR should be expected in the incisors and the molars, respectively. Sub-group analyses showed that the assessed treatment-related factors presented minimum impact in OIRR after orthodontic intrusion. The GRADE resulted in moderate and low certainty regarding the meta-analysis. Limitations: The major limitation of the present meta-analysis is that OIRR can be affected by several factors, some of which are assessed in this review. Conclusions: Orthodontic intrusion, evaluated as an isolated mechanic, caused less than 1 mm of OIRR, which is within the acceptable limits for clinical implication.Treatment-related factors did not show a significant influence on OIRR.
Start page
432
End page
441
Volume
43
Issue
4
Language
English
OCDE Knowledge area
Odontología, Cirugía oral, Medicina oral
Scopus EID
2-s2.0-85111428363
PubMed ID
Source
European Journal of Orthodontics
ISSN of the container
01415387
Sponsor(s)
This study was financed in part by the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - Brasil (CAPES) - Finance Code 001.
Sources of information: Directorio de Producción Científica Scopus