THE EFFECT OF HYPERTHYROIDISM ON THE RATE OF ORTHODONTIC TOOTH MOVEMENT

갑상선 기능 항진증이 교정적 치아 이동 속도에 미치는 영향

  • Kim, Seung-Hye (Department of Pediatric Dentistry and Oral Science Research Center, College of Dentistry, Yonsei University) ;
  • Kim, Seong-Oh (Department of Pediatric Dentistry and Oral Science Research Center, College of Dentistry, Yonsei University) ;
  • Kim, Chul-Hee (Department of Endocrinology & Metabolism, College of Medicine, Soonchunhyang University) ;
  • Lee, Jae-Ho (Department of Pediatric Dentistry and Oral Science Research Center, College of Dentistry, Yonsei University) ;
  • Son, Heung-Kyu (Department of Pediatric Dentistry and Oral Science Research Center, College of Dentistry, Yonsei University)
  • 김승혜 (연세대학교 치과대학 소아치과학교실 및 구강과학연구소) ;
  • 김성오 (연세대학교 치과대학 소아치과학교실 및 구강과학연구소) ;
  • 김철희 (순천향대학교 의과대학 내분비내과학교실) ;
  • 이제호 (연세대학교 치과대학 소아치과학교실 및 구강과학연구소) ;
  • 손흥규 (연세대학교 치과대학 소아치과학교실 및 구강과학연구소)
  • Received : 2010.01.12
  • Accepted : 2010.05.07
  • Published : 2010.05.31

Abstract

There are various local and systemic factors which alter the rate of tooth eruption movement. Thyroid hormone has been reported to have proportional relationship with the rate of tooth eruption. The main function of thyroid hormone is the regulation of basal metabolism, but it also affects the rate of tooth eruption. In this report, we will present a case of an 11-year-old girl, who showed sudden increase in orthodontic tooth movement of the impacted canine at certain points, which coincided with the hyperthyroid period. It shows possible relationship between the serum level of thyroid hormone and the rate of orthodontic tooth movement.

치아 맹출 속도는 여러가지 국소적 및 전신적 요소에 의해 영향을 받는다. 그 중 갑상선 호르몬은 치아 맹출 속도와 비례적인 관계를 갖는 것으로 알려져 있다. 갑상선 호르몬은 기초 대사율을 조절하는데 있어서 중요한 역할을 하며, 치과 영역과 관련하여 치아 맹출 속도에 영향을 줄 수 있다. 본 증례에서 만 11세 여아의 매복된 상악 견치의 교정적 견인 시 특정 시점에서 교정적 치아 이동이 빠르게 진행되었고, 이는 갑상선 기능 항진증이 나타난 시기와 일치하였다. 이는 혈청 갑상선 호르몬 수치와 교정적 치아 이동 속도 사이의 연관성을 시사한다.

Keywords

References

  1. Lazarus JH, Obuobie K: Thyroid disorders-an update. Postgrad Med J, 76:529-536, 2000. https://doi.org/10.1136/pmj.76.899.529
  2. Hodin RA, Lazar MA, Wintman BI, et al.: Identification of a thyroid hormone receptor that is pituitary-specific. Science, 244:76-79, 1989. https://doi.org/10.1126/science.2539642
  3. Mosekilde L, Eriksen EF, Charles P: Effects of thyroid hormones on bone and mineral metabolism. Endocrinol Metab Clin North Am, 19:35-63, 1990.
  4. Tapp E: The effects of hormones on bone in growing rats. J Bone Joint Surg Br, 48:526-531, 1966.
  5. Adams P, Jowsey J: Bone and mineral metabolism in hyperthyroidism: an experimental study. Endocrinology, 81:735-740, 1967. https://doi.org/10.1210/endo-81-4-735
  6. Arvystas MG: Early eruption of deciduous and permanent teeth: a case report. Am J Orthod, 66:189-197, 1974. https://doi.org/10.1016/0002-9416(74)90235-8
  7. Reuland-Bosma W, Dibbets JM: Mandibular and dental development subsequent to thyroid therapy in a boy with Down syndrome: report of case. ASDC J Dent Child, 58:64-68, 1991.
  8. Loevy HT, Aduss H, Rosenthal IM: Tooth eruption and craniofacial development in congenital hypothyroidism: report of case. J Am Dent Assoc, 115:429-431, 1987.
  9. Hinrichs EH: Dental changes in juvenile hypothyroidism. J Dent Child, 33:167-173, 1966.
  10. Paynter KJ: The effect of propylthiouracil on the development of molar teeth of rats. J Dent Res, 33:364-376, 1954. https://doi.org/10.1177/00220345540330031001
  11. Baume LJ, Becks H, Evans HM: Hormonal control of tooth eruption. I. The effect of thyroidectomy of the upper rat incisor and the response to growth hormone, thyroxin, or the combination of both. J Dent Res, 33:80-90, 1954. https://doi.org/10.1177/00220345540330011601
  12. Baume LJ, Becks H, Ray JC, et al.: Hormonal control of tooth eruption. II. The effects of hypophysectomy on the upper rat incisor following progressively longer intervals. J Dent Res, 33:91-103, 1954. https://doi.org/10.1177/00220345540330011701
  13. Garn SM, Lewis AB, Blizzard RM: Endocrine Factors in Dental Development. J Dent Res, 44:SUPPL:243-258, 1965. https://doi.org/10.1177/00220345650440012001
  14. Pangrazio-Kulbersh V: Hypothyroidism in orthodontic practice. J Clin Orthod, 17:771-779, 1983.
  15. Newman GV: Diagnosis and orthodontic treatment of a patient with hypothyroidism: report of case. J Am Dent Assoc, 85:358-362, 1972.
  16. Loberg EL, Engstrom C: Thyroid administration to reduce root resorption. Angle Orthod, 64:395-400, 1994.
  17. Poumpros E, Loberg E, Engstrom C: Thyroid function and root resorption. Angle Orthod, 64:389-394, 1994.
  18. Shirazi M, Dehpour AR, Jafari F: The effect of thyroid hormone on orthodontic tooth movement in rats. J Clin Pediatr Dent, 23:259-264, 1999.
  19. Hinrichs EH: Dental changes in idiopathic juvenile hypoparathyroidism. Oral Surg Oral Med Oral Pathol, 9:1102-1114, 1956. https://doi.org/10.1016/0030-4220(56)90073-1
  20. Isaacson KG, Reed RT, Muir JD: Removable Orthodontic Appliances. Butterworth-Heinemann, Oxford, 14, 2002.
  21. Proffit WR, Prewitt JR, Baik HS, et al.: Video microscope observations of human premolar eruption. J Dent Res, 70:15-18, 1991. https://doi.org/10.1177/00220345910700010101
  22. Christiansen RL: Thyroxin administration and its effect on root resorption. Angle Orthod, 64(5):399-400,1994.
  23. Newman WG: Possible etiologic factors in external root resorption. Am J Orthod, 67:522-539, 1975. https://doi.org/10.1016/0002-9416(75)90298-5