Share This Article:

Factors Associated with Orthodontic Tooth Movement in Periodontally Compromised Patients

Abstract Full-Text HTML XML Download Download as PDF (Size:1119KB) PP. 268-279
DOI: 10.4236/ojst.2015.511033    3,453 Downloads   3,981 Views   Citations

ABSTRACT

There is no consistent relationship between malocclusion and periodontal disease but certain characteristics of malocclusion can promote a pathologic environment conducive to periodontal disease. One of the dramatic means available to improve the local environmental factors is through orthodontic tooth movement. The pretreatment periodontal conditions can include excessive tooth mobility, advanced crestal bone loss, infrabony defects, tipped molars, furcation involvement, and hard and soft tissue dehiscences. Movement of teeth in the presence of periodontal inflammation can result in an increased loss of attachment and irreversible crestal loss. Although absolute reduction in bone and attachment levels does not contraindicate orthodontic correction, it does increase the difficulty of delivering controlled orthodontic mechanics that would potentially minimize further bone loss. The present review article discusses the various factors that are associated with orthodontic tooth movement in periodontally compromised patients namely: 1) tooth movement into infrabony pockets; 2) tooth movement into compromised bone areas; 3) tooth movement through cortical bone; 4) extrusion (eruption); 5) intrusion; 6) tipping.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

Singh, D. (2015) Factors Associated with Orthodontic Tooth Movement in Periodontally Compromised Patients. Open Journal of Stomatology, 5, 268-279. doi: 10.4236/ojst.2015.511033.

References

[1] Gruenbaum, T. (2010) Famous Figures in Dentistry Mouth. JASDA, 30, 18.
[2] Bragger, U. and Lang, N.P. (1996) The Significance of Bone in Periodontal Disease. Seminars in Orthodontics, 2, 31-38.
http://dx.doi.org/10.1016/S1073-8746(96)80037-5
[3] Graber, T.M. and Vanarsdall, R.L. (2000) Orthodon-tics—Current Principles and Techniques. 3rd Edition, Mosby, St. Louis.
[4] Johal, A.S. and Lee, R.T. (1998) The Perio-dontal-Orthodontic Interface. A Simple Solution to a Difficult Problem. BJO, 25, 95-99.
http://dx.doi.org/10.1093/ortho/25.2.95
[5] Matthew, K. (1976) Interrelationships between Orthodontics and Perio-dontics. American Journal of Orthodontics, 70, 154-171.
http://dx.doi.org/10.1016/S0002-9416(76)90316-X
[6] Wennstrom Jan, L., et al. (1993) Periodontal Tissue Response to Orthodontic Movement of Teeth with Infrabony Pockets. American Journal of Orthodontics, 103, 313-319.
http://dx.doi.org/10.1016/0889-5406(93)70011-c
[7] Baxter, D.H. (1967) The Effect of Orthodontic Treatment on Alveolar Bone Adjacent to the Cementoenamel Junction. Angle Orthodontist, 37, 35-47.
[8] Müller, H.P. and Ulbrich, M. (2005) Alveolar Bone Levels in Adults as Assessed on Panoramic Radiographs. (I) Prevalence, Extent, and Severity of Even and Angular Bone Loss. Clinical Oral Investigations, 9, 98-104.
http://dx.doi.org/10.1007/s00784-005-0303-x
[9] Hom, B.M. and Turley, P.K. (1984) The Effects of Space Closure on Mandibular First Molar Area in Adults. American Journal of Orthodontics, 84, 457-469.
http://dx.doi.org/10.1016/0002-9416(84)90085-X
[10] Paulander, J., Axelsson, P., Lindhe, J. and Wennstrom, J. (2004) Intra-Oral Pattern of Tooth and Periodontal Bone Loss between the Age of 50 and 60 Years. A Longitudinal Prospective Study. Acta Odontologica Scandinavica, 62, 214-222.
http://dx.doi.org/10.1080/00016350410001630
[11] Lindskog-Stokland, B., Wennstrom, J.L., Nyman, S. and Thilander, B. (1993) Orthodontic Tooth Movements into Edentulous Areas with Reduced Bone Height. An Experimental Study in the Dog. The European Journal of Orthodontics, 15, 89-96.
http://dx.doi.org/10.1093/ejo/15.2.89
[12] Stepovich, M.L. (1978) A Clinical Study on Closing Edentulous Spaces in the Mandible. The Angle Orthodontist, 49, 227-233.
[13] Thilander, B. (1996) Infrabony Pockets and Reduced Alveolar Bone Height in Relation to Orthodontic Therapy. Seminars in Orthodontics, 2, 55-61.
http://dx.doi.org/10.1016/S1073-8746(96)80040-5
[14] Melson, B. (1991) Limitations in Adult Orthodontics. In: Melson, B., Ed., Current Controversies in Orthodontics, Quintessence, Chicago, 147-180.
[15] Deidrich, P.R. (1996) Guided Tissue Regeneration Associated with Orthodontic Therapy. Seminars in Orthodontics, 2, 39-45.
http://dx.doi.org/10.1016/S1073-8746(96)80038-7
[16] Lindhe, J., Thorkild, K. and Lang, N.P. (1997) Clinical Periodontology & Implant Dentistry. 3rd Edition, Munksgaard, Copenhagen.
[17] Karring, T., Nyman, S., Thilander, B. and Magnusson, I. (1982) Bone Regeneration in Orthodontically Produced Alveolar Bone Dehiscences. Journal of Periodontal Research, 17, 309-315.
http://dx.doi.org/10.1111/j.1600-0765.1982.tb01158.x
[18] Wehbrein, H., Fuhrmann, R.A.W. and Deidrich, P.R. (1994) Periodontal Conditions after Facial Root Tipping and Palatal Root Torque of Incisors. American Journal of Orthodontics and Dentofacial Orthopedics, 106, 455-462.
http://dx.doi.org/10.1016/S0889-5406(94)70067-2
[19] Greenbaum, K.R. and Zachrisson, B.U. (1982) The Effect of Palatal Expansion Therapt on the Periodontal Supporting Tissues. American Journal of Orthodontics, 81, 12-21.
http://dx.doi.org/10.1016/0002-9416(82)90283-4
[20] Ten Hoeve, A. and Mulie, R.M. (1976) The Effect of Antero-posterior Incisor Repositioning on the Palatal Cortex as Studied with Laminography. Journal of Clinical Orthodontics, 6, 804-822.
[21] Engelking, G. and Zachrisson, B.U. (1982) Effects of Incisor Repositioning on Monkey Periodontium after Expansion through the Cortical Plate. American Journal of Orthodontics, 83, 23-32.
http://dx.doi.org/10.1016/0002-9416(82)90542-5
[22] Handelman, C.S. (1996) The Anterior Alveolus: Its Importance in Limiting Orthodontic Treatment and Its Influence on the Occurrence of Iatrogenic Sequelae. The Angle Orthodontist, 66, 95-110.
[23] Kajiyama, K., Murakami, T. and Yokota, S. (1993) Gingival Reactions after Experimentally Induced Extrusion of the Upper Incisors in Monkeys. American Journal of Orthodontics, 104, 36-47.
http://dx.doi.org/10.1016/0889-5406(93)70025-J
[24] Melsen, B. (1986) Tissue Reaction Following Application of Extrusive and Intrusive Forces to Teeth in Adult Monkeys. American Journal of Orthodontics, 89, 469-475.
http://dx.doi.org/10.1016/0002-9416(86)90002-3
[25] Melsen, B., Agerbaek, N., Erikson, J. and Terp, S. (1988) New Attachment through Periodontal Treatment and Orthodontic Intrusion. American Journal of Orthodontics and Dentofacial Orthopedics, 94, 104-116.
http://dx.doi.org/10.1016/0889-5406(88)90358-7
[26] Melsen, B., Agerbaek, N. and Markenstam, G. (1989) Intrusion of Incisors in Adult Patients with Marginal Bone Loss. American Journal of Orthodontics and Dentofacial Orthopedics, 96, 232-241.
http://dx.doi.org/10.1016/0889-5406(89)90460-5
[27] Murakami, T., Yokota, S. and Takahama, Y. (1989) Periodontal Changes after Experimentally Induced Intrusion of the Upper Incisors in Macaca fuscata Monkeys. American Journal of Orthodontics and Dentofacial Orthopedics, 95, 115-126.
http://dx.doi.org/10.1016/0889-5406(89)90390-9
[28] Kokich, V., Nappen, D.L. and Shapiro, P.A. (1984) Gingival Contour and Clinical Crown Length: Their Effect on the Esthetic Appearance of Maxillary Anterior Teeth. American Journal of Orthodontics, 86, 89-94.
http://dx.doi.org/10.1016/0002-9416(84)90300-2

  
comments powered by Disqus

Copyright © 2018 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.