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Table 2 Summary of the data from included studies

From: Allergies/asthma and root resorption: a systematic review

1. Authorship

2. Material

3. Exposure

4. Methodology

5. Results

6. Conclusions

Author, year

Study design

Risk factor/outcome

M/F (n)

Mean age ± SD (years)

Malocclusion (Mocl)

Orthodontic device

Mean treatment time of orthodontic treatment

± SD (years)

Asthma or allergies

Evaluated teeth

Evaluation method

Incidence of root resorption (%)/prevalence of risk factors (%)

Odds ratio (OR) (IC 95%)

p value

Control

Exposed

Control

Exposed

Control

Exposed

McNab et al. [14], 1999

Retrospective cohort

Patients without asthma

38M/59F

13.9 ± 1.8 years

Patients with asthma

18M/26F

14.5 ± 3.2 years

Mocl: N.I

Fixed appliance, with or without headgear

1.9 ± 0.5 years

Mocl: NI

Fixed appliance, with or without headgear

1.8 ± 0.4 years

Asthma

PM’s, mesio-buccal and disto-buccal roots of the upper 1st M, mesial and distal roots of the lower 1st M

Panoramic radiography

Sharpe scale

T0:

Severe OIIRR: 0.93%

T1:

Severe OIIRR: 15.27%

N. I

T0:

Severe OIIRR: 2.3%

T.1:

Severe OIIRR: 13.15%

N. I

OR=N.A

Multivariate analysis: p=0.019

- Although there is an association between root resorption and the asthma risk factor (p = 0.019), asthmatic and non-asthmatic individuals exhibited similar values of severe OIIRR.

Melo et al. [15], 2018

Case-control

Patients with initial OIIRR

300M/314F

14.37 ± 2.76 years

Patients with severe OIIRR

32M/37F

15.09 ± 3.44 years

Mocl:

Cl I=266

Cl II=319

Cl III=29

Fixed appliance

2.07 ± 0.93 years

Mocl:

Cl I=24

Cl II=43

Cl III=2

Fixed appliance

2.72 ± 1.07 years

Asthma

Upper and lower incisors

Periapical radiography

Levander and Malmgren method

N.I

With asthma=35%

Without asthma= 65%

N.I

With asthma=36.2%

Without asthma=63.7%

OR= 1.05 (0.62-1.77)

p=0.94

-The prevalence of individuals with asthma was like the two groups.

-There was no association between the risk factor asthma and OIIRR (p = 0.841)

-Asthmatic and non-asthmatic individuals have the same chance of developing OIIRR (OR=1.05, 95% CI=0.62-1.77).

Nishioka et al. [11], 2006

Case-control

Patients without OIIRR

18M/42F

M: 15.9 ± 4.5 years

F: 18.5 ± 5.2 years

17.7 ± 5.1 years

Patients with OIIRR

18M/42F

M: 17.7 ± 5.7 years

F: 16.4 ± 6.0 years

16.8 ± 5.9 years

Mocl:

Cl I=10

Cl II=29

Cl III=21

Fixed appliance

2.96 ± 0.56 years

Mocl:

Cl I=10

Cl II=29

Cl III=21

Fixed appliance

3.10 ± 1.19 years

Allergies and asthma

All teeth

Panoramic radiography, measured with a digital pachymeter

N.I

With allergies: 21%

With asthma: 5%

N.I

With allergies: 40%

With asthma: 15%

Allergy risk factor:

OR= 2.41 (1.08-5.37)

p=0.04

Asthma risk factor:

OR=3.35 (0.86-13.06)

p=0.12

-The prevalence of risk factors was higher in individuals with OIIRR.

- Allergic individuals are more likely to develop OIIRR than non-allergic individuals (OR = 2.41, 95% CI = 1.08-5.37).

-However, asthmatic, and non-asthmatic individuals have the same chance of developing OIIRR (OR=3.35, 95% CI=0.86-13.06).

Owman-Moll et al. [17], 2000

Case-control

Patients with initial OIIRR

25 (N.I.)

13.4 a ±N. I

Patients with severe OIIRR

25 (N.I.)

13.4 a ±N. I

Mocl:

N. I.

Fixed appliance and lower lingual arch

N. I

Mocl:

N. I.

Fixed appliance and lower lingual arch

N. I

Allergy

Upper PM’s

Histological analysis

N.I

With allergies: 13.3%

N.I

With allergies: 26.6%

OR=1.17 (0.38-3.75)

p=1

- The prevalence of allergies was higher in individuals with severe OIIRR.

-However, allergic, and non-allergic individuals have the same chance of developing OIIRR (OR=1.17, 95% CI=0.38-3.75).

Pastro et al. [19], 2018

Case-control

Patients with initial OIIRR

252M/255F

14.21 ± 2.45 years

Patients with severe OIIRR

40M/53F

14.57 ± 2.67 years

Mocl:

Cl I=220

Cl II=269

Cl III=18

Fixed appliance

1.81 ± 0.83 years

Mocl:

Cl I=38

Cl II=52

Cl III=3

Fixed appliance

2.41 ± 0.99 years

Allergy

Upper and lower incisors

Periapical radiography

Levander and Malmgren method

N.I

With allergies: 42%

Without allergy:58%

N.I

With allergies: 49.46%

Without allergy: 50.53%

OR=1.35 (0.86-2.1)

p=0.22

-The prevalence of allergies was higher in individuals with severe OIIRR.

-There was no association between the allergy risk factor and OIIRR (p = 0.182).

-Allergic and non-allergic individuals have the same chance of developing OIIRR (OR=1.35, 95% CI=0.86-2.1).

Shim et al. [16], 2003

Case-control

Patients without OIIRR

25M/26F

15.40 ± 4.10 years

Patients with OIIRR

25M/26F

16.10 ± 3.30 years

Mocl:

Cl I=15

Cl II=13

Cl III=23

Fixed appliance

2.31 ± 0.77 years

Mocl:

Cl I=15

Cl II=14

Cl III=22

Fixed appliance

2.13 ± 0.73 years

Allergy and asthma

All teeth

Panoramic radiography

Measurement of root length on panoramic radiography

N.I

With allergies: 31%

With asthma: 5.88%

N.I

With allergies: 49%

With asthma: 17.64%

Allergy risk factor:

OR= 2.10 (0.93-4.71)

p=0.1

Asthma risk factor:

OR=3.42

(0.87-13.5)

p=0.12

-The prevalence of allergies was higher in individuals with OIIRR, but without statistical significance (OR=2.1, 95%CI= 0.93-4.71).

-The prevalence of asthma was statistically higher in individuals with OIIRR (p = 0.01).

-However, asthmatic individuals have the same chance of developing OIIRR as non-asthmatic individuals (OR = 3.42, 95%CI = 0.87-13.5).

  1. T0 before orthodontic treatment; T1 after orthodontic treatment; M molar; PM premolar, NI not informed; N.A not applied; SD standard deviation; M male; F female; OIIRR orthodontically induced inflammatory root resorption