Orthodontic treatments are concomitant with mechanical forces and thereby cause
teeth movements. The applied forces are transmitted to the tooth root and the
periodontal ligaments which is compressed on one side and tensed up on the other
side. Indeed, strong forces can lead to tooth root resorption and the
crown-to-tooth ratio is reduced with the potential for significant clinical
impact. The cementum, which covers the tooth root, is a thin mineralized tissue
of the periodontium that connects the periodontal ligament with the tooth and is
build up by cementoblasts. The impact of tension and compression on these cells
is investigated in several in vivo and in vitro studies
demonstrating differences in protein expression and signaling pathways. In
summary, osteogenic marker changes indicate that cyclic tensile forces support
whereas static tension inhibits cementogenesis. Furthermore, cementogenesis
experiences the same protein expression changes in static conditions as static
tension, but cyclic compression leads to the exact opposite of cyclic tension.
Consistent with marker expression changes, the singaling pathways of
Wnt/ß-catenin and RANKL/OPG show that tissue compression
leads to cementum degradation and tension forces to cementogenesis. However, the
cementum, and in particular its cementoblasts, remain a research area which
should be explored in more detail to understand the underlying mechanism of bone
resorption and remodeling after orthodontic treatments.