An Assessment and Comparison of Root Resorption With Two Different Corticotomy Techniques During Anterior Teeth Retraction: A Split Mouth Prospective Clinical Study.

Abstract

Aim The aim of this prospective split-mouth clinical study is to determine the apical root resorption of anterior teeth in patients with two different methods of corticotomy namely indentation and vertical corticotomy techniques. Methods Sixteen adult patients with bimaxillary protrusion requiring the need for extraction of the first premolars were included in the study. For each patient, the particular method of corticotomy technique was assigned randomly along with the side and the procedure was performed following which retraction forces were applied with the help of a closed coil Niti spring. The root resorption was recorded during the stage of space closure for which two cone beam computed tomography (CBCT) were taken, one before the retraction forces could be applied (T1) and one CBCT (T2) after the space closure had occurred. The apical root resorption was assessed and analyzed both linearly and volumetrically using the CBCT taken at T1 and T2. Results There was root resorption present after the space closure was complete in both the maxillary and mandibular arches. The amount of root resorption that occurred in the indentation technique was slightly lesser as compared to the vertical corticotomy technique. Conclusion Indentation corticotomy cuts for accelerated tooth movement are considered to be a much safer, more effective method, lesser invasive to the surrounding tissues, technique sensitive, and goodregional acceleratory phenomenon (RAP), with a Rapid healing process compared to the vertical corticotomy technique.