Abstract
The objective of this study was to evaluate bone density changes around the teeth during orthodontic treatment by using cone beam computed tomography (CBCT). CBCT was used to measure the bone densities around six teeth (both maxilla central incisors, lateral incisors, and canines) before and after 7 months of orthodontic treatment in eight patients. In addition, each root was divided into three portions (cervical, intermediate, and apical) to determine whether the bone density change varied with tooth level. The mean reduction in bone density around the measured teeth was 24% after orthodontic treatment. The bone density reduction around teeth was largest for the upper-right and upper-left central incisor (29% and 26%, respectively) and ranged from 20% to 23% for the other four teeth. The mean bone density reduction did not differ significantly between the cervical, portion, and apical portions of the teeth (26%, 22%, and 24%, respectively). CBCT is useful for evaluating bone density changes around teeth during orthodontic treatment. The bone density around the teeth reduced significantly after the application of orthodontic forces for 7 months.
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Bridges T, King G, Mohammed A (1988) The effect of age on tooth movement and mineral density in the alveolar tissues of the rat. Am J Orthod Dentofacial Orthop 93:245–250
Verna C, Zaffe D, Siciliani G (1999) Histomorphometric study of bone reactions during orthodontic tooth movement in rats. Bone 24:371–379
Melsen B (1999) Biological reaction of alveolar bone to orthodontic tooth movement. Angle Orthod 69:151–158
Verna C, Dalstra M, Melsen B (2000) The rate and the type of orthodontic tooth movement is influenced by bone turnover in a rat model. Eur J Orthod 22:343–352
Simmons DJ, Chang SL, Russell JE, Grazman B, Webster D, Oloff C (1983) The effect of protracted tetracycline treatment on bone growth and maturation. Clin Orthop Relat Res (180):253–259
Russell JE, Grazman B, Simmons DJ (1984) Mineralization in rat metaphyseal bone exhibits a circadian stage dependency. Proc Soc Exp Biol Med 176(4):342–345
Cattaneo PM, Dalstra M, Melsen B (2005) The finite element method: a tool to study orthodontic tooth movement. J Dent Res 84:428–433
Cattaneo PM, Dalstra M, Melsen B (2009) Strains in periodontal ligament and alveolar bone associated with orthodontic tooth movement analyzed by finite element. Orthod Craniofac Res 12:120–128
Liang W, Rong Q, Lin J, Xu B (2009) Torque control of the maxillary incisors in lingual and labial orthodontics: a 3-dimensional finite element analysis. Am J Orthod Dentofacial Orthop 135:316–322
Field C, Ichim I, Swain MV, Chan E, Darendeliler MA, Li W, Li Q (2009) Mechanical responses to orthodontic loading: a 3-dimensional finite element multi-tooth model. Am J Orthod Dentofacial Orthop 135:174–181
Jager A, Radlanski RJ, Taufall D, Klein C, Steinhofel N, Doler W (1990) Quantitative determination of alveolar bone density using digital image analysis of microradiographs. Anat Anz 170:171–179
Drage NA, Palmer RM, Blake G, Wilson R, Crane F, Fogelman I (2007) A comparison of bone mineral density in the spine, hip and jaws of edentulous subjects. Clin Oral Implants Res 18:496–500
Oltramari PV, Navarro Rde L, Henriques JF, Taga R, Cestari TM, Janson G, Granjeiro JM (2007) Evaluation of bone height and bone density after tooth extraction: an experimental study in minipigs. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 104:e9–e16
Al Haffar I, Padilla F, Nefussi R, Kolta S, Foucart JM, Laugier P (2006) Experimental evaluation of bone quality measuring speed of sound in cadaver mandibles. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 102:782–791
BouSerhal C, Jacobs R, Quirynen M, van Steenberghe D (2002) Imaging technique selection for the preoperative planning of oral implants: a review of the literature. Clin Implant Dent Relat Res 4:156–172
Chen WP, Hsu JT, Chang CH (2003) Determination of Young’s modulus of cortical bone directly from computed tomography: a rabbit model. J Chin Inst Eng 22:121–128
Homolka P, Beer A, Birkfellner W, Nowotny R, Gahleitner A, Tschabitscher M, Bergmann H (2002) Bone mineral density measurement with dental quantitative CT prior to dental implant placement in cadaver mandibles: pilot study. Radiology 224:247–252
de Oliveira RC, Leles CR, Normanha LM, Lindh C, Ribeiro-Rotta RF (2008) Assessments of trabecular bone density at implant sites on CT images. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 105:231–238
Norton MR, Gamble C (2001) Bone classification: an objective scale of bone density using the computerized tomography scan. Clin Oral Implants Res 12:79–84
Shahlaie M, Gantes B, Schulz E, Riggs M, Crigger M (2003) Bone density assessments of dental implant sites: 1. Quantitative computed tomography. Int J Oral Maxillofac Implants 18:224–231
Shapurian T, Damoulis PD, Reiser GM, Griffin TJ, Rand WM (2006) Quantitative evaluation of bone density using the Hounsfield index. Int J Oral Maxillofac Implants 21:290–297
Turkyilmaz I, Tozum TF, Tumer C (2007) Bone density assessments of oral implant sites using computerized tomography. J Oral Rehabil 34:267–272
Aranyarachkul P, Caruso J, Gantes B, Schulz E, Riggs M, Dus I, Yamada JM, Crigger M (2005) Bone density assessments of dental implant sites: 2. Quantitative cone-beam computerized tomography. Int J Oral Maxillofac Implants 20:416–424
Toms SR, Eberhardt AW (2003) A nonlinear finite element analysis of the periodontal ligament under orthodontic tooth loading. Am J Orthod Dentofacial Orthop 123:657–665
Roberts WE, Roberts JA, Epker BN, Burr DB, Hartsfield JK (2006) Remodeling of mineralized tissues, part I: the Frost legacy. Semin Orthod 12:216–237
Roberts WE, Epker BN, Burr DB, Hartsfield JK, Roberts JA (2006) Remodeling of mineralized tissues, part II: control and pathophysiology. Semin Orthod 12:238–253
Cann CE (1988) Quantitative CT for determination of bone mineral density: a review. Radiology 166:509–522
Mozzo P, Procacci C, Tacconi A, Martini PT, Andreis IA (1998) A new volumetric CT machine for dental imaging based on the cone-beam technique: preliminary results. Eur Radiol 8:1558–1564
Hua Y, Nackaerts O, Duyck J, Maes F, Jacobs R (2009) Bone quality assessment based on cone beam computed tomography imaging. Clin Oral Implants Res 20:767–771
Katsumata A, Hirukawa A, Okumura S, Naitoh M, Fujishita M, Ariji E, Langlais RP (2007) Effects of image artifacts on gray-value density in limited-volume cone-beam computerized tomography. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 104:829–836
Katsumata A, Hirukawa A, Noujeim M, Okumura S, Naitoh M, Fujishita M, Ariji E, Langlais RP (2006) Image artifact in dental cone-beam CT. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 101:652–657
Draenert FG, Coppenrath E, Herzog P, Muller S, Mueller-Lisse UG (2007) Beam hardening artefacts occur in dental implant scans with the NewTom cone beam CT but not with the dental 4-row multidetector CT. Dento Maxillo Facial Radiol 36:198–203
Lagravere MO, Carey J, Ben-Zvi M, Packota GV, Major PW (2008) Effect of object location on the density measurement and Hounsfield conversion in a NewTom 3G cone beam computed tomography unit. Dento Maxillo Facial Radiol 37:305–308
Weiss M, Yogev R, Dolev E (1998) Occupational sitting and low hip mineral density. Calcif Tissue Int 62:47–50
Sidiropoulou-Chatzigiannis S, Kourtidou M, Tsalikis L (2007) The effect of osteoporosis on periodontal status, alveolar bone and orthodontic tooth movement. A literature review. J Int Acad Periodontol 9:77–84
Midgett RJ, Shaye R, Fruge JF Jr (1981) The effect of altered bone metabolism on orthodontic tooth movement. Am J Orthod 80:256–262
Melsen B (2001) Tissue reaction to orthodontic tooth movement—a new paradigm. Eur J Orthod 23:671–681
Verna C, Melsen B (2003) Tissue reaction to orthodontic tooth movement in different bone turnover conditions. Orthod Craniofac Res 6:155–163
Banse X, Devogelaer JP (2002) Does peripheral quantitative computed tomography ignore tissue density of cancellous bone? J Clin Densitom 5:403–410
Bednar JR, Gruendeman GW, Sandrik JL (1991) A comparative study of frictional forces between orthodontic brackets and arch wires. Am J Orthod Dentofacial Orthop 100:513–522
Acknowledgements
The authors thank Prof. Che-Shoa Chang and Prof. Yuh-Yuan Shiau for their suggestions in this study. The authors also wish to thank Li-Na Liao from Biostatistics Center and Department of Public Health, China Medical University for her assistance of statistical analysis.
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No authors of this study have any financial and personal relationships with other people or organizations that could have resulted in an inappropriate influence on this study.
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Hsu, JT., Chang, HW., Huang, HL. et al. Bone density changes around teeth during orthodontic treatment. Clin Oral Invest 15, 511–519 (2011). https://doi.org/10.1007/s00784-010-0410-1
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DOI: https://doi.org/10.1007/s00784-010-0410-1