Impact of orthognathic surgery on root resorption: A systematic review - 29/09/22
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Abstract |
Objective |
This systematic review was performed to assess the potential influence of orthognathic surgery on root resorption (RR).
Material and Methods |
An electronic search was conducted using PubMed, Web of Science, Cochrane Central and Embase for articles published up to April 2022. Following inclusion and exclusion criteria, a total of six articles were selected that reported on RR following orthognathic surgery. Risk of bias assessment was performed according to the ROBINS-1 and ROB-2 tools.
Results |
The design of five studies was retrospective and one randomized clinical trial was included, with a follow-up period ranging between six months and ten years. The assessment methodologies mostly relied on two-dimensional imaging modalities where only one study used cone-beam computed tomography (CBCT) for objective quantification via linear measurements. The percentage of teeth affected by RR varied between approximately 1 and 36%, where surgically assisted rapid maxillary expansion (SARME) and Le Fort I osteotomy showed the highest percentage of RR followed by bilateral sagittal split osteotomy.
Conclusions |
The present data tend to indicate that specific orthognathic procedures such as SARME and Le Fort I osteotomy may induce or reinforce RR. Yet, considering lack of evidence related to objective quantification of RR following orthodontic and/or orthognathic treatment, further CBCT-based prospective studies are required for an improved understanding of RR following different surgical procedures.
Le texte complet de cet article est disponible en PDF.Keywords : Root resorption, Orthognathic surgery, Systematic review
Plan
Vol 123 - N° 5
P. e260-e267 - octobre 2022 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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