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American Journal of Orthodontics and Dentofacial Orthopedics
It's time again for your annual national convention, and this year you've decided to take the entire family. The venue is perfect: dependably mild weather, world–renowned restaurants, and plenty for the kids to do. And the program holds enough interesting lectures to keep you enthralled for the 3-day duration of the meeting. Your wife offers to make the hotel reservations to ensure that she will be fulfilled by this brief getaway. She verifies the meeting dates and proceeds to register you and your family for the stay.
Robert Shaye was a man with many interests, and he enjoyed a long and successful academic career. He was born in 1937. He attended high school in New Haven, Connecticut, and college at the University of Connecticut. Afterward, he obtained his doctorate of dental surgery from New York University College of Dentistry. He then completed a certificate of orthodontics from the University of Zurich School of Dentistry in Switzerland. He also completed a certificate in orthodontics from the University of Alabama School of Dentistry.
Harm is “the totality of possible adverse consequences of an intervention or therapy.”1 An adverse event is any unfavorable or harmful occurrence in a patient, temporarily related to a medical intervention, but without any judgment about causality.1 Although many biological and mechanical risk factors have been associated with external apical root resorption (EARR), a causal relationship has not yet been established.2 Thus, EARR is an adverse event occurring in orthodontic patients, and its research is a harm-related issue.
We are pleased that our article has stimulated comments because they are an opportunity for further discussion on this challenging orthodontic subject: root resorption.
We thank Drs Brezniak and Wasserstein for their interest in our study. Root resorption is a naturally occurring phenomenon,1 and even teeth that haven't been subjected to orthodontic forces may show some root resorption.2-4 There is, unfortunately, no method that can predict which patients are at risk of severe orthodontically induced inflammatory root resorption, and individual predisposition is a major etiologic factor. Patient-related factors and individual predisposition cannot be changed; however, clinicians can use caution and modify treatment procedures for certain patients.
The European Journal of Orthodontics
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Journal of the World Federation of Orthodontists
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