Long-term effectiveness of periodontal micro-osteotomy assisted orthodontic treatment in adult patients with primary alveolar defect

doi:10.19438/j.cjoms.2022.03.003

Abstract

Abstract: PURPOSE: To quantitively investigate the long-term effectiveness of periodontal micro-osteotomy assisted orthodontic treatment of adult patients with primary alveolar defect. METHODS: The sample consisted of 30 adult cases with primary alveolar defect in the lower anterior region who accepted periodontal micro-osteotomy assisted orthodontic treatment with over 2 years of follow-up, selected from consecutive patients at the Department of Oral and Craniomaxillofacial Surgery, Shanghai Ninth People's Hospital since Jan.2014. Alveolar bone morphology of lower anterior teeth with primary alveolar defect was appraised with the help of cone-beam CT (CBCT) in the surgical sites at different time points. The data were processed using SAS 9.1 software package. RESULTS: Periodontal micro-osteotomy assisted orthodontic treatment in adult patients with primary alveolar defect showed stable long-term effect of bone augmentation and minimal root resorption. However, the effect of bone augmentation was less when approaching the alveolar bone crest, and vertical alveolar bone loss was observed on both labial and lingual side in the surgical sites. CONCLUSIONS: Periodontal micro-osteotomy assisted orthodontic treatment is a promising approach for the treatment of adult patients with primary and inflammatory alveolar defect; however, vertical alveolar bone loss could be observed in the surgical sites.

Key words: Periodontal micro-osteotomy assisted orthodontic treatment, Adult, Alveolar defect, Cone-beam CT, Long-term effectiveness

CLC Number:

R783.5

WANG Bo, YU Hong-bo, XIA Yun-yui, FANG Bing, GUO Qiu-man. Long-term effectiveness of periodontal micro-osteotomy assisted orthodontic treatment in adult patients with primary alveolar defect[J]. China Journal of Oral and Maxillofacial Surgery, 2022, 20(3): 225-229.

References

[1] Aziz T, Flores-Mir C.A systematic review of the association between appliance-induced labial movement of mandibular incisors and gingival recession[J]. Aust Orthod J, 2011, 27(1): 33-39.
[2] 王博, 房兵, 樊林峰, 等. 成人骨性Ⅲ类错下前牙区牙槽骨厚度的测量分析[J]. 上海口腔医学, 2012, 21(4): 422-426.
Wang B, Fang B, Fan LF, et al.Measurement of alveolar bone thickness of adult skeletal ClassⅢ patients in mandibular anterior region[J]. Shanghai Journal of Stomatology, 2012, 21(4): 422-426.
[3] Matsumoto K, Sherrill-Mix S, Boucher N, et al.A cone-beam computed tomographic evaluation of alveolar bone dimensional changes and the periodontal limits of mandibular incisor advancement in skeletal Class Ⅱ patients[J]. Angle Orthod, 2020, 90(3): 330-338.
[4] Alkan Ö, Kaya Y, Tunca M, et al.Changes in the gingival thickness and keratinized gingival width of maxillary and mandibular anterior teeth after orthodontic treatment[J]. Angle Orthod, 2021, 91(4): 459-467.
[5] Cha C, Huang D, Kang Q, et al.The effects of dehiscence and fenestration before orthodontic treatment on external apical root resorption in maxillary incisors[J]. Am J Orthod Dentofacial Orthop, 2021, 160(6): 814-824.
[6] 贺红. 正畸牙移动中牙周界限的探讨[J]. 中华口腔医学杂志, 2021, 56(10):966-970.
He H.Periodontal limits of orthodontic tooth movement[J]. Chinese Journal of Stomatology, 2021, 56(10):966-970.
[7] Eksriwong T, Thongudomporn U.Alveolar bone response to maxillary incisor retraction using stable skeletal structures as a reference[J]. Angle Orthod, 2021, 91(1): 30-35.
[8] Andrews WA, Abdulrazzaq WS, Hunt JE, et al.Incisor position and alveolar bone thickness[J]. Angle Orthod, 2022, 92(1): 3-10.
[9] Chaushu S, Klein Y, Mandelboim O, et al.Immune changes induced by orthodontic forces: a critical review[J]. J Dent Res, 2022, 101(1): 11-20.
[10] Davies RM, Downer MC, Hull PS, et al.Alveolar defects in human skulls[J]. J Clin Periodontol, 1974, 1(2): 107-111.
[11] Jing WD, Xu L, Li XT, et al.Prevalence of and risk factors for alveolar fenestration and dehiscence in the anterior teeth of Chinese patients with skeletal Class Ⅲ malocclusion[J]. Am J Orthod Dentofacial Orthop, 2021, 159(3): 312-320.
[12] Mostafa YA, EI Sharaby FA, EI Beialy AR.Do alveolar bone defects merit orthodontists' respect?[J]. World J Orthod, 2009, 10(1): 16-20.
[13] Evangelista K, Vasconcelos K de F, Bumann A, et al. Dehiscence and fenestration in patients with Class Ⅰ and Class Ⅱ division 1 malocclusion assessed with cone-beam computed tomography [J]. Am J Orthod Dentofacial Orthop, 2010, 138(2): 133.e1-e7.
[14] Yagci A, Veli I, Uysal T, et al.Dehiscence and fenestration in skeletal Class Ⅰ,Ⅱ, and Ⅲ mal-occlusions assessed with cone-beam computed tomography[J]. Angle Orthod, 2012, 82(1): 67-74.
[15] Bock JJ, Czarnota J, Hirsch C, et al.Orthodontic treatment need in a representative adult cohort[J]. J Orofac Orthop, 2011, 72(6): 421-433.
[16] Chow L, Goonewardene MS, Cook R, et al.Adult orthodontic retreatment: a survey of patient profiles and original treatment failings[J]. Am J Orthod Dentofacial Orthop, 2020, 158(3): 371-382.
[17] Meyer-Marcotty P, Klenke D, Knocks L, et al.The adult orthodontic patient over 40 years of age: association between periodontal bone loss, incisor irregularity, and increased orthodontic treatment need[J]. Clin Oral Investig, 2021, 25(11): 6357-6364.
[18] Wilcko WM, Wilcko T, Bouquot JE, et al.Rapid orthodontics with alveolar reshaping: two case reports of decrowding[J]. Int J Periodontics Restorative Den, 2001, 21(1): 9-19.
[19] Wilcko MT, Wilcko WM, Pulver JJ, et al.Accelerated osteogenic orthodontics technique: a 1-stage surgically facilitated rapid orthodontic technique with alveolar augmentation[J]. J Oral Maxillofac Surg, 2009, 67(10): 2149-2159.
[20] Wang B, Shen G, Fang B, et al.Periodontal micro-osteotomy assisted orthodontic treatment of skeletal Class Ⅲ adults with alveolar hypoplasia in the lower anterior region[J]. China J Oral Maxillofac Surg, 2014, 12(3):223-227.
[21] 王博, 沈国芳, 房兵, 等. 微手术正畸治疗骨性Ⅲ类错伴下前牙区牙槽骨发育不良的效果评价[J]. 上海口腔医学, 2012, 21(5): 535-540.
Wang B, Shen GF, Fang B, et al.Exploration for micro-osteotomy assisted orthodontic treatment of skeletal Class Ⅲ malocclusions with alveolar hypoplasia in the lower anterior region[J]. Shanghai Journal of Stomatology, 2012, 21(5): 535-540.
[22] Wang B, Shen G, Fang B, et al.Augmented corticotomy assisted surgical orthodontics decompensates lower incisors in ClassⅢmalocclusionpatients[J]. J Oral Maxillofac Surg, 2014, 72(3): 596-602.
[23] Wang B, Shen G, Fang B, et al.Augmented corticotomy-assisted presurgical orthodontics of ClassⅢ malocclusions:a cephalometric and cone-beam computed tomography study[J]. J Craniofac Surg, 2013, 24(6): 1886-1890.
[24] Wang B, Yu H, Shen G, et al.Augmented corticotomy assisted orthodontics of an adult patient with alveolar defect[J]. J Craniofac Surg, 2015, 26(2): 600-601.
[25] Wang B, Shen G, Fang B, et al.Crown-root morphology of lower incisors in patients with Class Ⅲ malocclusion[J]. J Craniofac Surg, 2012, 23(4): e349-e354.
[26] Coskun Ī, Kaya B.Appraisal of the relationship between tooth inclination, dehiscence, fenestration, and sagittal skeletal pattern with cone beam computed tomography[J]. Angle Orthod, 2019, 89(4): 544-551.
[27] Eftekhar M, Kaviani H, Rouzmeh N, et al.Effect of voxel size on detection of fenestration, dehiscence and furcation defects using cone-beam computed tomography[J]. Oral Radiol, 2021, 37(4): 677-686.