Objectives: To investigate the effects of application of vibratory stimuli on interleukin (IL)-1b secretion during maxillary canine distalization. Materials and Methods: Split-mouth design study in 15 subjects (mean age, 22.9 years; range 19-25 years) whose bilateral maxillary first premolars were extracted with subsequent canine distalization. On the experimental side, light force (60 g) was applied to the canine for 3 months in combination with vibratory stimuli provided using an electric toothbrush 15 minutes a day for 2 months; only orthodontic force was applied to the contralateral control canine. Gingival crevicular fluid (GCF) was collected from the mesial and distal sides of each canine at each monthly appointment. IL-1b levels were analyzed using an enzyme-linked immunosorbent assay. Canine movement was measured monthly. Results: Overall, enhanced IL-1b secretion was observed at the pressure sites of experimental canines compared to control canines (mean, 0.64 6 0.33 pg/mL vs 0.10 6 0.11 pg/mL, respectively, P , .001). The accumulative amount of tooth movement was greater for the experimental canine than for the control canine (mean, 2.85 6 0.17 mm vs 1.77 6 0.11 mm, respectively, P , .001).Conclusions: This study demonstrates that, in combination with light orthodontic force, application of vibratory stimuli using an electric toothbrush enhanced the secretion of IL-1b in GCF and accelerated orthodontic tooth movement. (Angle Orthod. 2016;86:74-80.)

Rate of tooth movement, change in inclination, and extent of intrusion are significant factors that may influence alveolar bone thickness during upper incisor retraction. These factors must be carefully monitored to avoid the undesirable thickening of alveolar bone.

In combination with the use of conventional orthodontic appliances, interseptal bone reduction can enhance the rate of canine movement when interseptal bone is sufficiently reduced in both thickness and depth following surgical criteria.

Objective: To investigate changes in maxillary alveolar bone thickness after maxillary incisor proclination and extrusion during anterior crossbite correction in a group of growing patients with Class III malocclusion. Materials and Methods: Maxillary incisors of 15 growing patients with anterior crossbite were proclined and extruded with 0.0160 beta-titanium advancing loops and Class III elastics. Lateral cephalograms were recorded before advancement (T 0 ) and 4 months after a normal overjet and overbite were achieved (T 1 ). Changes in alveolar bone thickness surrounding the maxillary incisors at the crestal (S1), midroot (S2), and apical (S3) levels were measured using cone-beam computed tomography (CBCT). Paired t-tests were used to determine the significance of the changes. A Spearman rank correlation analysis was performed to explore the relationship between thickness changes and the rate and amount of incisor movements. Results: Although statistically significant decreases were observed in palatal and total bone thickness at the S2 and S3 level (P , .05), the amounts of these changes were clinically insignificant, ranging from 0.34 to 0.59 mm. Changes in labial bone thickness at all levels were not significant. Changes in palatal bone thickness at S3 were negatively correlated with changes in incisor inclination. (r 5 20.71; P , .05). Conclusion: In a group of growing patients with Class III malocclusion undergoing anterior crossbite correction, controlled tipping mechanics accompanied by extrusive force may produce successful tooth movement with minimal iatrogenic detriment to the alveolar bone. (Angle Orthod. 2015;85:549-554.)

Delivery of 40 g intrusive force to the four upper incisors using a T-loop and the leveling phase lead to more apical root volume loss on lateral than central incisors. There was no relationship between extent of tooth movement and upper incisor root volume loss.

Biting exercises significantly increased bone thickness but did not affect tooth mobility, bone height, or density. The RANKL/OPG ratio decreased 1 month after treatment (T2) and correlated with increased bone thickness. ( ClinicalTrials.in.th TCTR20170625001).

Background: To evaluate the dentoalveolar position and root diameters of the maxillary incisors from cone beam computed tomograms (CBCT) compared with cephalometric tracings. Methods: A total of 64 sets of initial lateral cephalograms and CBCT images were enrolled. Measurements of dentoalveolar position included bone thicknesses and heights of alveolar, cortical, and cancellous bone. Root diameter and total root-bone thickness were also evaluated. All measurements were performed on cephalograms and CBCT images of the maxillary central incisor (U1CT) and maxillary lateral incisor (U2CT). The data were statistically analyzed using one-way ANOVA and Bonferroni tests (p < 0.01) to compare the cephalograms, U1CT, and U2CT. Results: The cephalograms presented thicker alveolar bone (labial: 0.20–0.67 mm, palatal: 0.41–0.60 mm; p < 0.001) and cortical bone (labial: 0.20–0.67 mm, palatal: 0.41–0.52 mm; p < 0.001) as well as higher alveolar crest (labial: 0.23–0.27 mm, palatal: 0.15–0.17 mm; p < 0.001) and cortical height (labial: 0.35–0.47 mm; p = 0.051, palatal: 0.14–0.18 mm; p < 0.001) than the CBCT images on both the labial and palatal sides, whereas palatal cancellous thickness was not significantly greater (p > 0.01). The cephalograms presented a greater total root-bone thicknesses (0.80–1.08 mm; p < 0.001), whereas the cephalograms traced thinner roots than the CBCT images (0.36–0.52 mm; p < 0.01). Conclusion: Routine lateral cephalograms are not suitable for alveolar bone evaluation in orthodontic treatment due to errors in representing dentoalveolar thicknesses and heights.

The experimental group exhibited palatal movement of the central incisors, more canine distal movement with less bone thickness changes, and less root resorption but took more time to achieve alignment than the control group.