Evidence map›Paper›PMID 39899339›Full record

Trial reportOrthodontics & craniofacial research2025

Evaluation of External Apical Root Resorption and the Relevance of Intermediate Radiography in Non-Extraction Treatment With Fixed Appliances for Adolescents With Crowding: A Multicenter Randomised Controlled Trial Using CBCT.

Kristina Johansson, Helena Christell, Anna Brechter, Liselotte Paulsson

Registry-linked trialAbstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Orthodontics & craniofacial research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05664282 (Orthodontic Treatment in Adolescents With Crowding and Displaced Teeth From the Clinical, the Patients' and Economic Perspectives), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05664282 naactive not recruitingnot on this map

Orthodontic Treatment in Adolescents With Crowding and Displaced Teeth From the Clinical, the Patients' and Economic Perspectives

TypeinterventionalSponsorMalmö UniversityRan2016 to 2027Enrolled131ConditionsCrowding, Tooth, OrthodonticArmsDamon self-ligating brackets, Victory self-ligating brackets
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Kristina JohanssonFaculty of Odontology, Malmö University, Malmö, Sweden.ORCID https://orcid.org/0000-0001-7240-1776
Helena ChristellFaculty of Odontology, Malmö University, Malmö, Sweden.
Anna BrechterPrivate Orthodontic Practice, Bernhold Ortodonti, Helsingborg, Sweden.
Liselotte PaulssonFaculty of Odontology, Malmö University, Malmö, Sweden.

Funding

Oral Health Related Research, Region Skåne, Sweden OFRS512901Region Dalarna LD 18/04572Region Dalarna RD 20/03073Unit of Research, Education and Development, Region Jämtland Härjedalen, Sweden 940048Unit of Research, Education and Development, Region Jämtland Härjedalen, Sweden 968460
6 · The paper itself

Abstract

objectivesThe objectives are to assess the severity and frequency of clinically relevant external apical root resorption (EARR) ≥ 2 mm during orthodontic treatment with Damon passive self-ligating and Victory conventional standardised fixed appliance systems and to evaluate the relevance of intermediate radiographic examinations for early detection and prevention of severe EARR. MATERIALS AND

methodsAdolescents aged 12-17 years with crowded and displaced teeth planned for non-extraction treatment were recruited from three orthodontic clinics. Participants were randomly allocated in a 1:1 ratio to treatment with either Damon Q (n = 35) or Victory (n = 40) using stratified blocks, with allocation concealed. EARR was assessed for all roots from incisors to molars using multiplanar reconstruction in cone beam computed tomography (CBCT) images acquired from various CBCT machines before, during and after treatment.

resultsSixty-two patients were included in the EARR analysis. The upper incisors were the most affected tooth group, with mean EARR values of 0.20 mm for Damon and 0.51 mm for Victory (NS, alpha 1%). The frequency of clinically relevant EARR in this tooth group was 5.0% for Damon and 7.2% for Victory (NS, alpha 5%). Only one case with clinically relevant EARR after treatment was identified in the intermediate radiographic examinations.

conclusionsThe overall severity and frequency of EARR were below clinically relevant levels in both treatment groups. The results strengthen the evidence that routine intermediate radiography appears to be of limited relevance for early detection and prevention of severe EARR in non-extraction treatments for adolescents with crowded teeth.

trial registrationClinicalTrials.gov: NCT05664282.

Indexed as

Cone-Beam Computed TomographyMalocclusionOrthodontic Appliances, FixedRoot ResorptionAdolescentChildFemaleHumansMaleTooth Apexadolescentcone beam computed tomographyfixed orthodontic appliancesrandomised clinical trialsroot shortening

Identifiers

PMID39899339
PMCPMC12056475

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.