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http://dx.doi.org/10.5624/isd.20200260

Bone changes in the mandibular incisors after orthodontic correction of dental crowding without extraction: A cone-beam computed tomographic evaluation  

Valerio, Claudia Scigliano (Department of Orthodontics, Faculdade Arnaldo)
Cardoso, Claudia Assuncao e Alves (Department of Oral Radiology, Pontifical Catholic University of Minas Gerais)
Arauujo, Eustaquio Afonso (Department of Orthodontics, Saint Louis University)
Zenobio, Elton Goncalves (Department of Dentistry, Pontificia Universidade Catolica de Minas Gerais)
Manzi, Flavio Ricardo (Department of Oral Radiology, Pontifical Catholic University of Minas Gerais)
Publication Information
Imaging Science in Dentistry / v.51, no.2, 2021 , pp. 155-165 More about this Journal
Abstract
Purpose: This study aimed to evaluate changes of the alveolar bone and interdental bone septum of the mandibular incisors through cone-beam computed tomography (CBCT) after orthodontic treatment of mandibular dental crowding without dental extraction. Materials and Methods: The sample consisted of 64 CBCT images(32 pre-treatment and 32 post-treatment) from 32 adult patients with class I malocclusion and an average age of 23.0±3.9 years. The width and height of the alveolar bone and interdental septum, the distance between the cementoenamel junction (CEJ) and the facial and lingual bone crests, and the inclination of the mandibular incisors were measured. Results: The distance between the CEJ and the marginal bone crest on the facial side increased significantly (P<0.05). An increased distance between the CEJ and the bone crest on the facial and lingual sides showed a correlation with the irregularity index (P<0.05); however, no significant association was observed with increasing mandibular incisor inclination (P>0.05). The change in the distance between the CEJ and the marginal bone crest on the facial side was correlated significantly with bone septum height(P<0.05). Conclusion: Bone dehiscence developed during the treatment of crowding without extraction only on the incisors' facial side. Increasing proclination of the mandibular incisor was not correlated with bone dehiscence. The degree of dental crowding assessed through the irregularity index was associated with the risk of developing bone dehiscence. The interdental septum reflected facial marginal bone loss in the mandibular incisors.
Keywords
Tooth Movement Techniques; Alveolar Bone Loss; Cone-Beam Computed Tomography;
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1 Slutzkey S, Levin L. Gingival recession in young adults: occurrence, severity, and relationship to past orthodontic treatment and oral piercing. Am J Orthod Dentofacial Orthop 2008; 134: 652-6.   DOI
2 Batenhorst KF, Bowers GM, Williams JE Jr. Tissue changes resulting from facial tipping and extrusion of incisors in monkeys. J Periodontol 1974; 45: 660-8.   DOI
3 Wingard CE, Bowers GM. The effects of facial bone from facial tipping of incisors in monkeys. J Periodontol 1976; 47: 450-4.   DOI
4 Artun J, Krogstad O. Periodontal status of mandibular incisors following excessive proclination. A study in adults with surgically treated mandibular prognathism. Am J Orthod Dentofacial Orthop 1987; 91: 225-32.   DOI
5 Rungcharassaeng K, Caruso JM, Kan JY, Kim J, Taylor G. Factors affecting buccal bone changes of maxillary posterior teeth after rapid maxillary expansion. Am J Orthod Dentofacial Orthop 2007; 132: 428.e1-8.
6 Garlock DT, Buschang PH, Araujo EA, Behrents RG, Kim KB. Evaluation of marginal alveolar bone in the anterior mandible with pretreatment and posttreatment computed tomography in nonextraction patients. Am J Orthod Dentofacial Orthop 2016; 149: 192-201.   DOI
7 Ruf S, Hansen K, Pancherz H. Does orthodontic proclination of lower incisors in children and adolescents cause gingival recession? Am J Orthod Dentofacial Orthop 1998; 114: 100-6.   DOI
8 Fuhrmann R a, Bucker A, Diedrich PR. Assessment of alveolar bone loss with high resolution computed tomography. J Periodontal Res 1995; 30: 258-63.   DOI
9 Baysal A, Uysal T, Veli I, Ozer T, Karadede I, Hekimoglu S. Evaluation of alveolar bone loss following rapid maxillary expansion using cone-beam computed tomography. Korean J Orthod 2013; 43: 83-95.   DOI
10 Allais D, Melsen B. Does labial movement of lower incisors influence the level of the gingival margin? A case-control study of adult orthodontic patients. Eur J Orthod 2003; 25: 343-52.   DOI
11 Steiner GG, Pearson JK, Ainamo J. Changes of the marginal periodontium as a result of labial tooth movement in monkeys. J Periodontol 1981; 52: 314-20.   DOI
12 Sarikaya S, Haydar B, Ciger S, Ariyurek M. Changes in alveolar bone thickness due to retraction of anterior teeth. Am J Orthod Dentofacial Orthop 2002; 122: 15-26.   DOI
13 Valerio CS, E Alves CA, Manzi FR. Reproducibility of cone-beam computed tomographic measurements of bone plates and the interdental septum in the anterior mandible. Imaging Sci Dent 2019; 49: 9-17.   DOI
14 Shrout PE, Fleiss JL. Intraclass correlations: uses in assessing rater reliability. Psychol Bull 1979; 86: 420-8.   DOI
15 Evans JD. Straightforward statistics for the behavioral sciences. Brooks: Cole Pub Co; 1995.
16 Hekmatian E, Jafari-Pozve N, Khorrami L. The effect of voxel size on the measurement of mandibular thickness in cone-beam computed tomography. Dent Res J(Isfahan) 2014; 11: 544-8.
17 Garib DG, Menezes MH, Silva Filho OG, Santos PBD. Immediate periodontal bone plate changes induced by rapid maxillary expansion in the early mixed dentition: CT findings. Dental Press J Orthod 2014; 19: 36-43.
18 Evangelista K, Vasconcelos Kde F, Bumann A, Hirsch E, Nitka M, Silva MA. Dehiscence and fenestration in patients with Class I and Class II Division 1 malocclusion assessed with cone-beam computed tomography. Am J Orthod Dentofacial Orthop 2010; 138: 133.e1-7.   DOI
19 Mengel R, Candir M, Shiratori K, Flores-de-Jacoby L. Digital volume tomography in the diagnosis of periodontal defects: an in vitro study on native pig and human mandibles. J Periodontol 2005; 76: 665-73.   DOI
20 Yared KF, Zenobio EG, Pacheco W. Periodontal status of mandibular central incisors after orthodontic proclination in adults. Am J Orthod Dentofacial Orthop 2006; 130: 6.e1-8.
21 Patcas R, Muller L, Ullrich O, Peltomaki T. Accuracy of cone-beam computed tomography at different resolutions assessed on the bony covering of the mandibular anterior teeth. Am J Orthod Dentofacial Orthop 2012; 141: 41-50.   DOI
22 Nayak Krishna US, Shetty A, Girija MP, Nayak R. Changes in alveolar bone thickness due to retraction of anterior teeth during orthodontic treatment: a cephalometric and computed tomography comparative study. Indian J Dent Res 2013; 24: 736-41.   DOI
23 Behnia H, Motamedian SR, Kiani MT, Morad G, Khojasteh A. Accuracy and reliability of cone beam computed tomographic measurements of the bone labial and palatal to the maxillary anterior teeth. Int J Oral Maxillofac Implants 2015; 30: 1249-55.   DOI
24 Buschang PH, Shulman JD. Incisor crowding in untreated persons 15-50 years of age: United States, 1988-1994. Angle Orthod 2003; 73: 502-8.
25 Zhang M, McGrath C, Hagg U. The impact of malocclusion and its treatment on quality of life: a literature review. Int J Paediatr Dent 2006; 16: 381-7.   DOI
26 Galvao MC, Sato JR, Coelho EC. Dahlberg formula - a novel approach for its evaluation. Dental Press J Orthod 2012; 17: 115-24.   DOI
27 Molen AD. Considerations in the use of cone-beam computed tomography for buccal bone measurements. Am J Orthod Dentofacial Orthop 2010; 137(4 Suppl): S130-5.   DOI
28 Leung CC, Palomo L, Griffith R, Hans MG. Accuracy and reliability of cone-beam computed tomography for measuring alveolar bone height and detecting bony dehiscences and fenestrations. Am J Orthod Dentofacial Orthop 2010; 137 (4 Suppl): S109-19.   DOI
29 Little RM. The irregularity index: a quantitative score of mandibular anterior alignment. Am J Orthod 1975; 68: 554-63.   DOI
30 Moshfeghi M, Tavakoli MA, Hosseini ET, Hosseini AT, Hosseini IT. Analysis of linear measurement accuracy obtained by cone beam computed tomography (CBCT-NewTom VG). Dent Res J (Isfahan) 2012; 9 (Suppl 1): S57-62.
31 Garib DG, Henriques JF, Janson G, de Freitas MR, Fernandes AY. Periodontal effects of rapid maxillary expansion with tooth-tissue-borne and tooth-borne expanders: a computed tomography evaluation. Am J Orthod Dentofacial Orthop 2006; 129: 749-58.   DOI
32 Renkema AM, Fudalej PS, Renkema AA, Abbas F, Bronkhorst E, Katsaros C. Gingival labial recessions in orthodontically treated and untreated individuals: a case - control study. J Clin Periodontol 2013; 40: 631-7.   DOI
33 Karring T, Nyman S, Thilander B, Magnusson I. Bone regeneration in orthodontically produced alveolar bone dehiscences. J Periodontal Res 1982; 17: 309-15.   DOI
34 Djeu G, Hayes C, Zawaideh S. Correlation between mandibular central incisor proclination and gingival recession during fixed appliance therapy. Angle Orthod 2002; 72: 238-45.
35 Picanco PR, Valarelli FP, Cancado RH, de Freitas KM, Picanco GV. Comparison of the changes of alveolar bone thickness in maxillary incisor area in extraction and non-extraction cases: computerized tomography evaluation. Dental Press J Orthod 2013; 18: 91-8.   DOI
36 Fuhrmann RA, Wehrbein H, Langen HJ, Diedrich PR. Assessment of the dentate alveolar process with high resolution computed tomography. Dentomaxillofac Radiol 1995; 24: 50-4.   DOI
37 Lund H, Grondahl K, Grondahl HG. Cone beam computed tomography evaluations of marginal alveolar bone before and after orthodontic treatment combined with premolar extractions. Eur J Oral Sci 2012; 120: 201-11.   DOI
38 Hong SY, Shin JW, Hong C, Chan V, Baik UB, Kim YH, et al. Alveolar bone remodeling during maxillary incisor intrusion and retraction. Prog Orthod 2019; 20: 47.   DOI
39 Burt VL, Harris T. The third National Health and Nutrition Examination Survey: contributing data on aging and health. Gerontologist 1994; 34: 486-90.   DOI
40 Claudino D, Traebert J. Malocclusion, dental aesthetic self-perception and quality of life in a 18 to 21 year-old population: a cross section study. BMC Oral Health 2013; 13: 3.   DOI
41 Morris JW, Campbell PM, Tadlock LP, Boley J, Buschang PH. Prevalence of gingival recession after orthodontic tooth movements. Am J Orthod Dentofacial Orthop 2017; 151: 851-9.   DOI