Low-Magnitude Forces for Bone Modeling and Remodeling in Dentofacial Orthopedics

Craniofacial Skeleton (G Roberts, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Craniofacial Skeleton

Abstract

Purpose of Review

To examine the evidence in support of light continuous forces for enhancing bone adaptation (modeling and remodeling) in orthodontics and dentofacial orthopedics.

Recent Findings

Clinical evidence suggests that light continuous orthodontic force can achieve physiologic expansion of the maxillary arch, but the long-term stability and the biological effects of the procedure are unclear. Compared to conventional orthodontic appliances that deliver heavy interrupted forces for tooth movement, the application of low-magnitude forces in animal models leads to anabolic modeling and remodeling of the alveolar bone in the path of orthodontic tooth movement. This results in dental translation and expansion of the alveolar process.

Summary

Light continuous forces are preferable to heavy forces for more physiologic dentofacial orthopedics. The interaction of low-magnitude loads with soft tissue posture achieves therapeutic adaptation of the craniofacial skeleton. The increasing emphasis on genomic medicine and personalized treatment planning should focus on low-magnitude loads in orthodontics and dentofacial orthopedics.

Keywords

Orthodontic tooth movement Maxillary expansion Light continuous force 

Notes

Compliance with Ethical Standards

Conflict of Interest

Achint Utreja declares that he has no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

References

Papers of particular interest, published recently, have been highlighted as: • Of importance ••Of major importance

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© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Orthodontics and Oral Facial GeneticsIndiana University School of DentistryIndianapolisUSA

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