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Risk assessment of external apical root resorption associated with orthodontic treatment using computed tomography texture analysis

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Abstract

Objectives

This study aimed to quantitatively assess maxillary central incisor roots using pre-orthodontics computed tomography (CT) texture analysis as part of a radiomics quantitative analysis.

Methods

This retrospective case–control study included 16 patients with external apical root resorption (EARR) and 16 age- and sex-matched patients without EARR, after orthodontic treatment who underwent pre-orthodontics CT for jaw deformities. All patients were treated with a fixed orthodontic appliance before and after surgical orthodontic treatment. EARR was defined as root resorption ≥ 2 mm of the left and right maxillary central incisors on CT images more than 2 years after the start of orthodontic treatment. Texture features of the maxillary central incisor with and without EARR after orthodontic treatment were analyzed using the open-access software, MaZda Ver. 3.3. Ten texture features were selected using the Fisher method in MaZda from 279 original parameters, which were calculated for each of the maxillary central incisors with and without EARR. The results were tested using the Student’s t test, Welch’s t test, or Mann–Whitney U test.

Results

Four gray-level run length matrix features and six gray-level co-occurrence matrix features displayed significant differences between both the groups (p < 0.01).

Conclusions

CT texture analysis was able to quantitatively assess maxillary central incisor roots and distinguish between maxillary central incisor roots with and without EARR. CT texture analysis may be a useful method for predicting EARR after orthodontic treatment.

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Acknowledgements

This work was supported by JSPS KAKENHI (Grant Number JP21K17101).

Funding

This work was supported by JSPS KAKENHI Grant Number JP21K17101.

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Authors and Affiliations

  1. Department of Radiology, Nihon University School of Dentistry at Matsudo, 2-870-1 Sakaecho-Nishi, Matsudo, Chiba, 271-8587, Japan

    Kotaro Ito, Hirotaka Muraoka, Naohisa Hirahara, Eri Sawada & Takashi Kaneda

  2. Department of Orthodontics, Nihon University School of Dentistry at Matsudo, Chiba, Japan

    Mayu Kurasawa, Tadasu Sugimori, Shinichi Negishi & Kazutaka Kasai

Authors
  1. Kotaro Ito
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  2. Mayu Kurasawa
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  3. Tadasu Sugimori
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  4. Hirotaka Muraoka
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  5. Naohisa Hirahara
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  6. Eri Sawada
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  7. Shinichi Negishi
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  8. Kazutaka Kasai
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  9. Takashi Kaneda
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Corresponding author

Correspondence to Kotaro Ito.

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Conflict of interest

Not applicable.

Ethics approval

This study was approved by the Ethics Committee of the University School of Dentistry (No. EC15-12–009-1).

Informed consent

The requirement to obtain written informed consent was waived for this retrospective study. All the procedures followed the guidelines of the Declaration of Helsinki, Ethical Principles for Medical Research Involving Human Subjects.

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This article does not contain any studies with animal subjects performed by the any of the authors.

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Ito, K., Kurasawa, M., Sugimori, T. et al. Risk assessment of external apical root resorption associated with orthodontic treatment using computed tomography texture analysis. Oral Radiol 39, 75–82 (2023). https://doi.org/10.1007/s11282-022-00604-3

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  • DOI: https://doi.org/10.1007/s11282-022-00604-3

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