Comparative analysis of apical root resorption induced by different intrusion mechanics: A scanning electron microscopy study

TL;DR

This study compares how different orthodontic techniques affect root resorption using scanning electron microscopy.

Contribution

The study provides new empirical evidence on the relative impact of mini-screws, bite turbos, and box loops on apical root resorption.

Findings

Mini-screws and bite turbos caused more pronounced root resorption compared to box loops.

Scanning electron microscopy revealed detailed differences in resorption patterns among the techniques.

Abstract

Root resorption is a frequent iatrogenic consequence of orthodontic tooth movement and this study aims to compare the extent of root
resorption induced by different intrusion mechanics, including mini-screws, bite turbos and box loops, using scanning electron microscopy
(SEM). The sample included 18 maxillary first premolars extracted from nine orthodontic patients undergoing first premolar extractions.
Subjects were randomly assigned to three groups (n = 6 teeth per group). Following extraction, one-third of the root was embedded in
acrylic, while epoxy resin replicas of the apical two-thirds were prepared using silicone impressions. The samples were electroplated with
silver and examined under SEM (JEOL Ltd., Tokyo, Japan) at 20 kV, with magnifications ranging from x35 to x1000. Within the study
limitations, mini-screws and turbos produced more pronounced root resorption than box loop mechanics.