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Apical root resorption after orthodontic treatment in patients with unilateral cleft lip and palate

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Abstract

Objectives

The aims of this retrospective longitudinal study were to present the incidence of external apical root resorption (EARR) in the maxillary anterior teeth of patients with complete unilateral cleft lip and palate (CUCLP) and to evaluate the influence of orthodontic treatment variables on the development of EARR.

Material and methods

Forty-one patients with CUCLP participated in the study. Orthopantomograms (OPGs), taken before (T2) treatment with multiband orthodontic appliances (MBA), and periapical radiographs (PAs) of the maxillary anterior teeth taken at the end (T3) of orthodontic treatment (OT) were assessed for EARR.

Results

The incidence of EARR at T3 (97.6%) was considerably higher than at T2 (51.2%). Central incisors and canines on the cleft side showed a significantly higher score (p < 0.01, p < 0.05 respectively) of EARR in comparison to the same group of teeth on the non-cleft side. Preexisting EARR and abnormal root morphology were identified as predisposing factors for EARR.

Conclusions

Patients with CUCLP treated with MBA have higher incidence of EARR on the maxillary anterior teeth of the cleft side. Severe EARR is rather rare but more often seen on central incisors of the cleft side.

Clinical relevance

As most of the patients with cleft lip and palate undergo a challenging and long-term OT with MBA, it is of importance to identify the predisposing factors related to the special anatomical features of the bone and teeth located in the cleft area, as well as the special OT needs of these patients.

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Author notes

  1. Maria Mang de la Rosa and Kristina Wolf contributed equally to this work.

Authors and Affiliations

  1. Charité - Universitätsmedizin Berlin, CC03 Department of Orthodontics, Dentofacial Orthopedics and Pedodontics, Berlin, Germany

    Theodosia N. Bartzela, Maria R. Mang de la Rosa & Charlotte Opitz

  2. Wolf K Private practice, Hamburg, Germany

    Kristina Wolf

  3. Schmidt Anke Private practice, Berlin, Germany

    Anke Schmidt

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  1. Theodosia N. Bartzela
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  2. Maria R. Mang de la Rosa
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  3. Kristina Wolf
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  4. Anke Schmidt
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  5. Charlotte Opitz
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Correspondence to Theodosia N. Bartzela.

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Bartzela, T.N., Mang de la Rosa, M., Wolf, K. et al. Apical root resorption after orthodontic treatment in patients with unilateral cleft lip and palate. Clin Oral Invest 24, 1807–1819 (2020). https://doi.org/10.1007/s00784-019-03044-2

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