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Differential alveolar bone modeling after orthodontic retraction

Authors
 Chooryung J. Chung  ;  Woowon Jang  ;  Christian Piers  ;  Dong-Won Lee  ;  Soonshin Hwang  ;  Kyung-Ho Kim  ;  William R. Proffit  ;  Tung Nguyen 
Citation
 JOURNAL OF THE AMERICAN DENTAL ASSOCIATION, Vol.150(4) : 313-320, 2019 
Journal Title
 JOURNAL OF THE AMERICAN DENTAL ASSOCIATION 
ISSN
 0002-8177 
Issue Date
2019
Keywords
3-dimensional imaging ; Bone remodeling ; cone-beam computed tomography ; exostoses ; orthodontic space closure ; periodontal ligament ; tooth movement
Abstract
BACKGROUND: Distinct, irregular, and hard nodular protuberances similar to the morphologic features of exostoses can occasionally be noted on the labial surface of the alveolar bone after orthodontic retraction of anterior teeth in adults. These have long been believed to be exostoses developed in response to loading. However, specific characterization of this phenomenon has not been documented. CASE DESCRIPTIONS: Three cases of patients displaying multiple irregular labial bony protuberances after retraction of anterior teeth are reported. These protuberances appeared during retraction and became more prominent with additional retraction. Serial clinical photographs, lateral cephalograms, digital models, and cone-beam computed tomography scans were evaluated. On the basis of 3-dimensional superimpositions of digital models and cone-beam computed tomographic scans, the irregular protuberances appear to be the result of differential alveolar bone modeling, with more resorption of bone covering the tooth root than that of interdental bone, and not of true bone overgrowth or deposition (that is, exostoses). CONCLUSION AND PRACTICAL IMPLICATIONS: Orthodontic patients often seek treatment to improve occlusion as well as esthetics. Although this study shows that these protuberances are the result of differential modeling, they may still be perceived by patients as "outgrowths," which may cause concerns related to esthetics or comfort. Clinicians should note that these protuberances are a possible outcome when large amounts of bodily retraction and root movement of anterior teeth are planned. Patients who experience psychosocial problems with this phenomenon may be candidates for alveoloplasty.
Full Text
https://www.sciencedirect.com/science/article/pii/S0002817719300029
DOI
10.1016/j.adaj.2018.12.029
Appears in Collections:
2. College of Dentistry (치과대학) > Dept. of Orthodontics (교정과학교실) > 1. Journal Papers
Yonsei Authors
Jang, Woowon(장우원)
Chung, Chooryung J.(정주령) ORCID logo https://orcid.org/0000-0001-9399-7193
Hwang, Soon Shin(황순신) ORCID logo https://orcid.org/0000-0002-6472-4732
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/169510
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