The Influence of Bracket Torque on External Apical Root Resorption in Bimaxillary Protrusion Patients: A Retrospective Study

Abstract Objectives: To evaluate the difference in root resorption between standard torque self-ligating brackets and high torque self-ligating brackets in bimaxillary protrusion patients after orthodontic treatment.Materials and Methods: Pre-treatment and post-treatment CBCT of 32 patients (16 treated with the high torque DamonQ 0.022” bracket and 16 with the 0.022” standard torque self-ligating bracket) were selected. The first premolars were extracted from all patients before treatment. After mini-screw implants were inserted into the buccal region between the second premolar and first molar, 150 g of force was applied to retract the upper and lower anterior teeth to close the extraction space on each side. CBCT images of all patients were taken before and after treatment. Three-dimensional reconstruction of the maxillary central incisor, lateral incisor and canine was conducted with Mimics 20.0 software. The volumes of the roots were calculated using Gomagics Studio 12.0 software. The differences between the pre-treatment and post-treatment root volumes were statistically evaluated with a paired-samples t-test.Results: There was no statistically significant difference in root resorption degree between the two kinds of torque brackets. The patient’s degree of root resorption in the high torque self-ligating group was greater than that in the standard torque group.Conclusions: There was no significant difference in root external apical resorption between the high torque self-ligating brackets and the standard torque self-ligating brackets in bimaxillary protrusion patients.Clinical Relevance: A comparison of the effects of different torque brackets on root resorption can provide some guidance for bracket selection in clinical work.