Effect of orthodontic treatment on alveolar bone thickness in adults: a systematic review

Abstract

Objectives: This review aimed at evaluating changes in alveolar bone thickness after completion of orthodontic treatment. Methods: Only prospective clinical studies that reported bone thickness in adult patients undergoing non-surgical orthodontic treatment were considered eligible. MEDLINE, EMBASE and LILACS databases were searched for articles published up to July 2018. Results: A total of 12 studies met the selected criteria. Most of the studies showed that orthodontic treatment produces a reduction in bone thickness of incisors, mainly at the palatal side. Conclusion: On patients undergoing different orthodontic treatment techniques, there was a significant bone thickness reduction, mainly on the palatal side. Clinical relevance: These findings are relevant and have to be considered in diagnosis and planning of tooth movement, in order to prevent the occurrence of dehiscence and fenestration in alveolar bone.

Reference standard thickness for bone plates of upper teeth: an ultra-high-resolution study using tomographic mapping

“…Bone dehiscences and fenestrations may develop or even worsen when iatrogenic orthodontic treatment is performed in the presence of periodontal inflammation [1][2][3][4][5][6]. Amount of bone density around the dental root as well as the position of the root apex are major anatomical landmarks in the planning of root torque movements [1,3,[7][8][9][10][11][12].…”

Effectiveness of Invisalign® aligners in the treatment of severe gingival recession: A case report

“… 5 - 9 Evaluation of the alveolar bone condition before orthodontic treatment and adequate biomechanical control of tooth movement are factors contributing to the prevention of alveolar defects. 9 - 11 In this regard, cone-beam computed tomography is a gold-standard diagnostic modality used to evaluate the periodontal condition as well as osseous and tegumentary tissues, particularly in adult patients. 9 , 12 …”

“…[5][6][7][8][9] Evaluation of the alveolar bone condition before orthodontic treatment and adequate biomechanical control of tooth movement are factors contributing to the prevention of alveolar defects. [9][10][11] In this regard, cone-beam computed tomography is a gold-standard diagnostic modality used to evaluate the periodontal condition as well as osseous and tegumentary tissues, particularly in adult patients. 9,12 In humans, orthodontic tooth movement toward the center of the alveolar process with the use of conventional appliances has reportedly resulted in complete or partial regeneration of the buccal bone plate and a consequent reduction in GR.…”

Alterações dimensionais do osso alveolar da maxila após expansão ortodôntica com alinhadores: estudo por TCFC

“…Estudos em tomografia computadorizada de feixe cônico (TCFC) demonstraram deiscências ósseas e reduções significativas na espessura do tecido ósseo vestibular em pacientes que foram submetidos ao aumento da dimensão dos arcos com aparelhos ortodônticos. (Cattaneo et al, 2011;Garlock et al, 2016;Guerra et al, 2018;Jager et al, 2017;Morais et al, 2018;Sendyk et al, 2019) Logo, para minimizar as sequelas periodontais indesejáveis, é importante avaliar cuidadosamente as condições ósseas dentoalveolares e os tecidos moles previamente ao tratamento ortodôntico. (Matsumoto et al, 2020;Sendyk et al, 2019;Wang et al, 2020) Dessa forma, a TCFC é o método de diagnóstico por imagem indicado nos dias atuais ao fornecer uma avaliação criteriosa dos tecidos ósseos periodontais, especialmente em pacientes adultos que necessitam de movimentos dentários em direção à tábua óssea vestibular.…”

“…(Cattaneo et al, 2011;Garlock et al, 2016;Guerra et al, 2018;Jager et al, 2017;Morais et al, 2018;Sendyk et al, 2019) Logo, para minimizar as sequelas periodontais indesejáveis, é importante avaliar cuidadosamente as condições ósseas dentoalveolares e os tecidos moles previamente ao tratamento ortodôntico. (Matsumoto et al, 2020;Sendyk et al, 2019;Wang et al, 2020) Dessa forma, a TCFC é o método de diagnóstico por imagem indicado nos dias atuais ao fornecer uma avaliação criteriosa dos tecidos ósseos periodontais, especialmente em pacientes adultos que necessitam de movimentos dentários em direção à tábua óssea vestibular. (Castro et al, 2016;Jager et al, 2017; Os tratamentos interdisciplinares são beneficiados com esse recurso de diagnóstico.…”