TY - JOUR
T1 - Differential alveolar bone modeling after orthodontic retraction
AU - Chung, Chooryung J.
AU - Jang, Woowon
AU - Piers, Christian
AU - Lee, Dong Won
AU - Hwang, Soonshin
AU - Kim, Kyung Ho
AU - Proffit, William R.
AU - Nguyen, Tung
N1 - Publisher Copyright:
© 2019 American Dental Association
Copyright:
Copyright 2019 Elsevier B.V., All rights reserved.
PY - 2019/4
Y1 - 2019/4
N2 - 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.
AB - 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.
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U2 - 10.1016/j.adaj.2018.12.029
DO - 10.1016/j.adaj.2018.12.029
M3 - Article
C2 - 30922461
AN - SCOPUS:85062977764
VL - 150
SP - 313
EP - 320
JO - Journal of the American Dental Association
JF - Journal of the American Dental Association
SN - 0002-8177
IS - 4
ER -