Morphologic Evaluation of Dentoalveolar Structures after Corticotomy-Assisted Orthodontic Treatment in Romanian Adult Patients
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design
2.2. Inclusion Criteria
- Moderate to severe dental crowding;
- Class 1 skeletal pattern;
- Normal growth pattern;
- Angle’s Class I or Class II molar relationship;
- No extractions or congenitally missing teeth;
- No periodontal problems (gingival recession or root/bone resorption);
- Approximately the same duration of treatment time.
2.3. Exclusion Criteria
- Severe craniofacial abnormalities;
- Patients under anti-inflammatory medication;
- Systemic diseases (genetic, metabolic and endocrine diseases, inflammatory diseases).
2.4. Orthodontic Treatment
2.5. Surgical Phase
2.6. Collection of the Radiological Data
2.7. Statistical Analysis
3. Results
4. Discussion
5. Conclusions
- It has been observed that when combined with conventional orthodontic treatment, corticotomy can lead to an increase in the bone thickness supporting the tooth; changes observed in the buccal cortical plate support this observation.
- Although changes were observed in all three levels at which the measurements were made, the area where the corticotomy has the most significant effect is the cervical.
- In the maxillary arch, the most significant changes were registered at the level of the canines and first premolars, and in the lower arch at the incisors level.
- The bone support reacted differently to the stimuli that appeared after corticotomy, depending on gender, in correlation with age and local metabolism. Therefore, changes in the cortex were greater in male subjects when the average age of female subjects was high, knowing that bone metabolism in women decreases with age and under the influence of hormones.
- Root resorption, a side effect associated with conventional orthodontic therapy, was found to be much diminished, with statistically insignificant differential values.
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Sex | CBCT Values Upper Arch | T0 Median ± SD (mm) | T1 Median ± SD (mm) | T1−T0 (mm) | p-Value |
---|---|---|---|---|---|
Females | Cervical | 1.363 ± 0.276 | 1.829 ± 0.539 | 0.466 | <0.0001 |
Medial | 1.090 ± 0.120 | 1.468 ± 0.427 | 0.377 | <0.0001 | |
Apical | 0.920 ± 0.171 | 1.281 ± 0.434 | 0.361 | <0.0001 | |
Males | Cervical | 1.561 ± 0.365 | 2.201 ± 0.568 | 0.640 | <0.0001 |
Medial | 1.095 ± 0.261 | 1.626 ± 0.405 | 0.531 | <0.0001 | |
Apical | 1.000 ± 0.207 | 1.304 ± 0.342 | 0.304 | <0.0001 |
Sex | CBCT Values Lower Arch | T0 Median ± SD (mm) | T1 Median ± SD (mm) | T1−T0 (mm) | p-Value |
---|---|---|---|---|---|
Females | Cervical | 1.097 ± 0.276 | 1.684 ± 0.420 | 0.586 | <0.0001 |
Medial | 0.747 ± 0.197 | 1.073 ± 0.500 | 0.325 | <0.0001 | |
Apical | 1.125 ± 0.307 | 1.561 ± 0.437 | 0.436 | <0.0001 | |
Males | Cervical | 1.260 ± 0.273 | 1.640 ± 0.422 | 0.379 | <0.0001 |
Medial | 0.818 ± 0.158 | 1.120 ± 0.315 | 0.301 | <0.0001 | |
Apical | 1.321 ± 0.297 | 1.692 ± 0.392 | 0.370 | <0.0001 |
Tooth | CBCT Values Upper Arch | T0 Median ± SD (mm) | T1 Median ± SD (mm) | T1−T0 (mm) | p-Value |
---|---|---|---|---|---|
14 | Cervical | 1.524 ± 0.337 | 2.101 ± 0.568 | 0.577 | <0.0001 |
Medial | 1.151 ± 0.186 | 1.627 ± 0.448 | 0.475 | <0.0001 | |
Apical | 1.011 ± 0.170 | 1.349 ± 0.396 | 0.338 | 0.0004 | |
13 | Cervical | 1.491 ± 0.342 | 2.072 ± 0.567 | 0.581 | 0.0001 |
Medial | 1.116 ± 0.179 | 1.586 ± 0.423 | 0.469 | 0.0001 | |
Apical | 1.007 ± 0.166 | 1.377 ± 0.403 | 0.370 | 0.0002 | |
12 | Cervical | 1.448 ± 0.336 | 1.993 ± 0.589 | 0.545 | <0.0001 |
Medial | 1.096 ± 0.195 | 1.517 ± 0.393 | 0.420 | <0.0001 | |
Apical | 0.969 ± 0.172 | 1.290 ± 0.363 | 0.320 | 0.0003 | |
11 | Cervical | 1.426 ± 0.345 | 1.971 ± 0.607 | 0.545 | <0.0001 |
Medial | 1.074 ± 0.211 | 1.510 ± 0.397 | 0.436 | 0.0001 | |
Apical | 0.933 ± 0.204 | 1.256 ± 0.402 | 0.322 | 0.0006 | |
21 | Cervical | 1.413 ± 0.316 | 1.977 ± 0.603 | 0.563 | <0.0001 |
Medial | 1.077 ± 0.218 | 1.477 ± 0.394 | 0.400 | 0.0001 | |
Apical | 0.929 ± 0.213 | 1.254 ± 0.385 | 0.325 | 0.0004 | |
22 | Cervical | 1.415 ± 0.341 | 1.951 ± 0.598 | 0.536 | <0.0001 |
Medial | 1.060 ± 0.222 | 1.445 ± 0.382 | 0.384 | 0.0002 | |
Apical | 0.931 ± 0.203 | 1.245 ± 0.366 | 0.313 | 0.0005 | |
23 | Cervical | 1.479 ± 0.364 | 2.064 ± 0.615 | 0.584 | 0.0002 |
Medial | 1.074 ± 0.214 | 1.596 ± 0.456 | 0.521 | <0.0001 | |
Apical | 0.947 ± 0.183 | 1.337 ± 0.423 | 0.389 | 0.0004 | |
24 | Cervical | 1.501 ± 0.360 | 2.075 ± 0.603 | 0.574 | <0.0001 |
Medial | 1.093 ± 0.213 | 1.618 ± 0.507 | 0.525 | 0.0001 | |
Apical | 0.954 ± 0.240 | 1.313 ± 0.424 | 0.359 | 0.0003 |
Tooth | CBCT Values Lower Arch | T0 Median ± SD (mm) | T1 Median ± SD (mm) | T1−T0 (mm) | p-Value |
---|---|---|---|---|---|
44 | Cervical | 1.154 ± 0.318 | 1.568 ± 0.405 | 0.414 | 0.0002 |
Medial | 0.715 ± 0.187 | 1.085 ± 0.397 | 0.313 | 0.0016 | |
Apical | 1.288 ± 0.309 | 1.644 ± 0.426 | 0.356 | 0.0002 | |
43 | Cervical | 1.190 ± 0.267 | 1.588 ± 0.405 | 0.398 | 0.0003 |
Medial | 0.803 ± 0.198 | 1.118 ± 0.397 | 0.314 | 0.0007 | |
Apical | 1.248 ± 0.308 | 1.617 ± 0.451 | 0.369 | 0.0003 | |
42 | Cervical | 1.171 ± 0.256 | 1.686 ± 0.438 | 0.515 | <0.0001 |
Medial | 0.765 ± 0.165 | 1.077 ± 0.363 | 0.311 | 0.0007 | |
Apical | 1.205 ± 0.307 | 1.622 ± 0.397 | 0.417 | 0.0001 | |
41 | Cervical | 1.176 ± 0.275 | 1.683 ± 0.452 | 0.507 | <0.0001 |
Medial | 0.816 ± 0.169 | 1.118 ± 0.463 | 0.301 | 0.0005 | |
Apical | 1.212 ± 0.294 | 1.640 ± 0.381 | 0.428 | <0.0001 | |
31 | Cervical | 1.165 ± 0.244 | 1.676 ± 0.394 | 0.515 | 0.0002 |
Medial | 0.765 ± 0.188 | 1.094 ± 0.409 | 0.329 | 0.0005 | |
Apical | 1.187 ± 0.321 | 1.619 ± 0.388 | 0.432 | 0.0001 | |
32 | Cervical | 1.210 ± 0.337 | 1.718 ± 0.528 | 0.507 | <0.0001 |
Medial | 0.796 ± 0.206 | 1.117 ± 0.426 | 0.320 | 0.0007 | |
Apical | 1.237 ± 0.332 | 1.654 ± 0.468 | 0.417 | <0.0001 | |
33 | Cervical | 1.280 ± 0.276 | 1.696 ± 0.427 | 0.416 | 0.0003 |
Medial | 0.778 ± 0.157 | 1.088 ± 0.406 | 0.310 | 0.0005 | |
Apical | 1.283 ± 0.309 | 1.648 ± 0.373 | 0.365 | 0.0002 | |
34 | Cervical | 1.215 ± 0.322 | 1.645 ± 0.340 | 0.430 | 0.0003 |
Medial | 0.823 ± 0.164 | 1.113 ± 0.388 | 0.290 | 0.0013 | |
Apical | 1.286 ± 0.376 | 1.674 ± 0.483 | 0.387 | 0.0003 |
Root Length | T0 Median ± SD (mm) | T1 Median ± SD (mm) | p-Value |
---|---|---|---|
Lower arch | 11.981 ± 2.242 | 11.972 ± 2.244 | 0.210 |
Upper arch | 13.830 ± 2.283 | 13.811 ± 2.285 | 0.187 |
Root Length | Sex | T0 Median ± SD (mm) | T1 Median ± SD (mm) | p-Value |
---|---|---|---|---|
Lower arch | Females | 12.401 ± 2.078 | 12.380 ± 2.098 | 0.216 |
Males | 11.572 ± 2.296 | 11.562 ± 2.292 | 0.183 | |
Upper arch | Females | 13.381 ± 2.434 | 13.365 ± 2.415 | 0.260 |
Males | 14.283 ± 2.037 | 14.264 ± 2.064 | 0.118 |
Root Length | T0 Median ± SD (mm) | T1 Median ± SD (mm) | p-Value |
---|---|---|---|
14 | 13.456 ± 0.816 | 13.432 ± 0.833 | 0.674 |
13 | 17.042 ± 1.422 | 17.020 ± 1.470 | 0.363 |
12 | 11.890 ± 1.324 | 11.864 ± 1.330 | 0.329 |
11 | 12.903 ± 1.531 | 12.906 ± 1.577 | 0.945 |
21 | 13.072 ± 1.524 | 13.043 ± 1.600 | 0.509 |
22 | 12.174 ± 1.189 | 12.174 ± 1.121 | 0.832 |
23 | 16.771 ± 1.762 | 16.722 ± 1.785 | 0.002 |
24 | 13.341 ± 1.096 | 13.271 ± 1.086 | 0.002 |
Root Length | T0 Median ± SD (mm) | T1 Median ± SD (mm) | p-Value |
---|---|---|---|
44 | 13.05 ± 1.298 | 13.00 ± 1.286 | 0.003 |
43 | 14.16 ± 1.481 | 14.10 ± 1.495 | 0.024 |
42 | 10.49 ± 1.595 | 10.48 ± 1.593 | 0.210 |
41 | 10.05 ± 1.320 | 10.04 ± 1.313 | 0.309 |
31 | 10.10 ± 1.489 | 10.10 ± 1.488 | 0.180 |
32 | 10.32 ± 1.550 | 10.32 ± 1.560 | 0.435 |
33 | 14.20 ± 1.664 | 14.15 ± 1.699 | 0.008 |
34 | 12.84 ± 1.216 | 12.79 ± 1.234 | 0.043 |
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Panainte, I.; Nenovici, D.-H.; Mariș, M.; Șerbănoiu, D.-C.; Vartolomei, C.; Păcurar, M. Morphologic Evaluation of Dentoalveolar Structures after Corticotomy-Assisted Orthodontic Treatment in Romanian Adult Patients. Medicina 2022, 58, 468. https://doi.org/10.3390/medicina58040468
Panainte I, Nenovici D-H, Mariș M, Șerbănoiu D-C, Vartolomei C, Păcurar M. Morphologic Evaluation of Dentoalveolar Structures after Corticotomy-Assisted Orthodontic Treatment in Romanian Adult Patients. Medicina. 2022; 58(4):468. https://doi.org/10.3390/medicina58040468
Chicago/Turabian StylePanainte, Irinel, Dorin-Horațiu Nenovici, Marius Mariș, Dan-Cosmin Șerbănoiu, Claudiu Vartolomei, and Mariana Păcurar. 2022. "Morphologic Evaluation of Dentoalveolar Structures after Corticotomy-Assisted Orthodontic Treatment in Romanian Adult Patients" Medicina 58, no. 4: 468. https://doi.org/10.3390/medicina58040468