Background: Orthodontic treatment usually involves usage of light continuous forces but when heavy forces are used it leads to apical root resorption. External apical root resorption refers to reduction in root structure involving the apices. This resorption is of transient inflammatory type. 2D images are commonly used for diagnostic purposes in orthodontics but it cannot detect root resorption on lingual or buccal surfaces thus cannot measure the volume of root loss. Cone beam computed tomography which can provide 3D images was introduced in late 1990s. Images provided by CBCT are more more accurate than panoramic and periapical radiographs . Therefore in this study , CBCT is used to evaluate lateral root resorption in maxillary teeth after after space closure among first premolar extraction cases . Materials and Methods: CBCTs of 20 patients fulfilling inclusion and exclusion criteria were taken before the start of orthodontic treatment and after space closure. Post treatment root width was substracted from the pre treatment root width at three levels from CEJ (3mm,6mm,9mm). The normality test (Shapiro-Wilk Test) was performed to analyze the data, and the results were expressed as frequency with percentage and mean with standard deviation. Difference between means were assessed using paired t test for before and after the procedure. All the statistical analyses were carried out at a 5% level of significance, and results with a P value < 0.05 were considered statistically significant. Results: Considering all the three levels the least tooth resorption was observed in the case of central incisor (0.1750 ± 0.0444, p <0.001) and highest in the canine tooth (5.900± 0.0000, p <0.001) . Conclusion: When root resorption is detected, it is recommended to pause the treatment for about 6 months to allow for root repair. Intermittent forces, which provide rest periods between applications, are more tissuefriendly and can help reduce the risk of further resorption
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