Dentoalveolar Bone in Orthodontic Patients: The Periodontal Perspective

Rafael Siqueira, Gustavo Fernandes, Riccardo Di Gianfilippo, Jeff C.W. Wang

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Dentoalveolar bone is a living mineralized connective tissue that remodels with the periodontal complex to support dentition. The original structure of the alveolar bone is defined by the eruption and position of the teeth but later its boundary and plasticity can delineate the limitation and complications of orthodontic tooth movement. As the population ages, increased interest in orthodontic therapy by the adult population has grown significantly. The dentoalveolar bone and periodontal phenotype need accurate diagnosis and careful interdisciplinary management in this population since bone deficiency and thin periodontal tissues are common findings. This chapter will discuss the effect of aging on the volume and plasticity of dentoalveolar bone, impact of osteoporosis-related medications, and systemic factors that can alter bone metabolism and influence orthodontic treatment. Clinical scenarios and challenges such as orthodontic treatment in patients with periodontal disease or reduced periodontium as well as patients with deficient alveolar ridge and thin periodontal phenotype will be discussed. Orthodontic treatment plans may need to integrate phenotype augmentation or dentoalveolar ridge reconstruction to overcome the deficiency and enhance tissue stability. Surgically-Facilitated Orthodontic Therapy (SFOT) should be considered as part of comprehensive treatment planning and patient management to address these challenges.

Original languageEnglish
Title of host publicationSurgically Facilitated Orthodontic Therapy
Subtitle of host publicationAn Interdisciplinary Approach
PublisherSpringer International Publishing
Pages299-321
Number of pages23
ISBN (Electronic)9783030900991
ISBN (Print)9783030900984
DOIs
Publication statusPublished - Jan 1 2023

Keywords

  • Bone grafting
  • Bone remodeling
  • Cone beam computed tomography
  • Dentoalveolar bone
  • Gingival recession
  • Periodontium
  • Phenotype

ASJC Scopus subject areas

  • General Dentistry

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