Vol. 13 No. 1 (2021)
Review

Vulnerability of alveolar bone cortices after orthodontic movements: Literature Review

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  • Carla Cob Castro,
  • Mariana Ruiz Villalobos,
  • María Jesús Wattson Gómez,
  • Andrea López Soto
Carla Cob Castro
Bio
Mariana Ruiz Villalobos
Bio
María Jesús Wattson Gómez
Bio
Andrea López Soto
Universidad Latinoamericana de Ciencia y Tecnología
Bio

Published 2021-12-20

Keywords

  • Alveolar Bone Losses,
  • Tooth Movements,
  • Orthodontic

How to Cite

Cob Castro, C., Ruiz Villalobos, M., Wattson Gómez, M. J., & López Soto, A. (2021). Vulnerability of alveolar bone cortices after orthodontic movements: Literature Review. IDental, 13(1). Retrieved from https://revistas.ulacit.ac.cr/index.php/iDental/article/view/49

Copyright (c) 2023 iDental

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Abstract

Orthodontic dental movements generate a physiological process that involves the health and integrity of the periodontal tissues. By manipulating the teeth with forces and mechanics, consequences are generated in the supporting tissues, including variations in the bone level of the alveolar bone, one of the structures of the periodontium most susceptible to change. This literature review seeks to establish a pattern between the information found in investigations concerning bone thickness before and after orthodontic movements, as well as a trend in the thickness of the alveolar cortex associated with different populations, sex and type of dental and skeletal malocclusions, after analysis with CBCT tomography. When assessing changes in bones thickness after SARPE, space closure mechanics with of upper first premolars and lower second premolars, we found a non-significant reduction in bone thickness in the buccal wall, as opposed to a significant increase in bone thickness in the palatal wall. After evaluating the torque movements, a significant reduction is obtained correlated with the crowding and amount of expansion in the premolar region. When evaluating the thickness of the alveolar cortex to the type of dental malocclusion, it is evident that more research is still necessary to be able to affirm that there is a pattern in bone thickness associated with. The results obtained when analyzing other factors show great variability even when analyzing the same movement and orthodontic mechanics. The methodologies used are not presented in detail and as they are so variable and heterogeneous, they make real comparisons and conclusions impossible. Therefore, orthodontic movements not contemplated in current research remain to be explored.
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