Does Micro-Osteoperforation Increase Root Resorption Risk? A CBCT Assessment of Incisor Roots During Orthodontic Retraction

Authors

  • Dr. S.V. Paramesh Gowda Phd Scholar, Department of orthodontics, Saveetha Dental College and Hospital, Chennai
  • Dr. A. Sumathi Felicita Reader Dept of Orthodontics, Saveetha Dental College and Hospital, Chennai
  • Dr. Shylashree. S PG Student, KVG Dental College and Hospital, Sullya, DK, Karnataka
  • Dr. Anadha Gujar Reader, Department of Orthodontics, Sri Rajiv Gandhi College of Dental Sciences, Bangalore

DOI:

https://doi.org/10.53555/jaz.v43iS1.5171

Abstract

This randomized controlled clinical trial investigated the effect of micro-osteoperforation (MOP) on external apical root resorption (EARR) of maxillary incisors during orthodontic retraction. Utilizing Cone-Beam Computed Tomography (CBCT), the study aimed to clarify MOP's safety concerning EARR, a common complication of orthodontic treatment. Fifty patients were enrolled, with 25 in the MOP group receiving perforations to enhance tooth movement. Results showed a significant increase in incisor retraction rate in the MOP group (1.2 mm/month) compared to the control group (0.8 mm/month), but no significant differences in root length or volume reductions between groups. Most teeth exhibited mild resorption, with no severe cases observed. The study concluded that MOP accelerates tooth movement without significantly increasing EARR risk, supporting its use as a safe adjunctive technique in orthodontics.

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References

1. Alikhani M, Alikhani M, Alikhani A, et al. Micro-osteoperforation: A new technique to accelerate orthodontic tooth movement. IOSR J Dent Med Sci. 2013;23(7):22-31.

2. Alikhani M, Alikhani M, Alikhani A, et al. Micro-osteoperforation: A review. Res Gate. 2013;357780242.

3. Al-Sayed A, Al-Moaleem M, Al-Attas M, et al. The effect of micro-osteoperforations on the rate of maxillary incisors' retraction in orthodontic space closure: a randomized controlled clinical trial. Orthod Craniofac Res. 2024;38342823.

4. Al-Sayed A, Al-Moaleem M, Al-Attas M, et al. Orthodontically induced inflammatory external apical root resorption (OIIEARR) and alveolar bone changes during en-masse retraction in young adults: A CBCT randomized controlled clinical trial. J Orthod. 2022;36502787.

5. Gomes JRCL, Vargas IA, Rodrigues AFA, et al. Micro-osteoperforation for enhancement of orthodontic movement: A mechanical analysis using the finite element method. PLoS One. 2024;19(8):e0308739.

6. Inpanya P, Chanmanee P, Teerakanok S, et al. Effects of Micro-Osteoperforation Depths on Canine Retraction. Semin Orthod. 2024;10.1055/s-0045-1806932.

7. Joseph T, Sreejith V, Jayakumar T, et al. Comparison of Rate of Tooth Movement, Root Resorption and Pulp Vitality during En masse Anterior Retraction with Micro-osteoperforation and Low Level Laser Therapy: A Randomised Clinical Trial. J Clin Diagn Res. 2022;16(1):ZC01-ZC05.

8. Mosayebi N, Khademi A, Bagherieh S, et al. The effect of micro-osteoperforation on root resorption, pulp vitality, and biological changes of teeth subjected to orthodontic tooth movement: A systematic review study. J Orthod. 2023;51(2):86-94.

9. Patel S, Al-Sayed A, Al-Moaleem M, et al. Diagnostic Accuracy of Cone Beam Computed Tomography and Periapical Radiography for Detecting Apical Root Resorption in Retention Phase of Orthodontic Patients: A Cross-Sectional Study. Diagnostics (Basel). 2024;13(5):1248.

10. Rai S, Singh A, Singh D, et al. External apical root resorption: A review. J Orthod Sci. 2020;9:37.

11. Shahrin H, Yacob H, Yatim NF, et al. Effect of micro-osteoperforations on external apical root resorption: A randomized controlled trial. Korean J Orthod. 2021;51(2):86-94.

12. Sivarajan S, Ringgingon LP, Fayed MMS, et al. The effect of micro-osteoperforations on the rate of orthodontic tooth movement: a systematic review and meta-analysis. Am J Orthod Dentofacial Orthop. 2020;157(3):290-304.

13. Sugimori T, Yamaguchi M, Kikuta J, et al. Micro-Osteoperforations Accelerate Tooth Movement without Exacerbating the Progression of Root Resorption in Rats. Int J Mol Sci. 2024;25(3):300.

14. Wang Y, Wang Y, Wang Y, et al. Evaluation of root resorption after comprehensive orthodontic treatment using cone beam computed tomography (CBCT): a meta-analysis. BMC Oral Health. 2018;18(1):108.

15. Eini E, Moradinejhad M, Chaharmahali R, et al. The effect of micro-osteoperforations on the rate of orthodontic tooth movement: A meta-analysis. Orthod Craniofac Res. 2022;25(4):450-458.

16. Mani Alikhani. Micro-Osteoperforations. Res Gate. 2019;331105785.

17. Lee H, Kim T, Kim S, et al. Effect of the Number of Micro-Osteoperforations on the Rate of Tooth Movement and Periodontal Response in Mice. Front Physiol. 2022;13:837094.

18. Mani Alikhani. Micro-Osteoperforation: Una nueva técnica para acelerar los tratamientos de ortodoncia. Top Doctors. 2013;357780242.

19. Bardideh E, Ghorbani M, Disfani MF, et al. The effect of micro-osteoperforation (MOP) in molar distalization treatments: an exploratory systematic review and meta-analysis of RCTs. Eur J Orthod. 2025;47(2):cjaf004.

20. Alikhani M, Alikhani M, Alikhani A, et al. Periodontally Accelerated Osteogenic Orthodontics (PAOO) with Surgical Bur and Piezocision on: Duration of Orthodontic Space Closure, Amount of Root Resorption, and the Bone Density. Int J Orthod. 2019;6(1):1-5.

21. Sivarajan S, Ringgingon LP, Fayed MMS, et al. The biology of orthodontic tooth movement. Orthod Craniofac Res. 2020;47(2):cjaf004.

22. Sivarajan S, Ringgingon LP, Fayed MMS, et al. Morphometric changes in the maxillary alveolar process resulting from incisor retraction following premolar extraction. Orthod Craniofac Res. 2024;10932275.

23. Sivarajan S, Ringgingon LP, Fayed MMS, et al. CBCT root resorption measurement protocol orthodontics detailed. Orthod Craniofac Res. 2024;11887353.

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Published

2022-07-22

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