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Reader's Forum

Identifieur interne : 000245 ( Pmc/Curation ); précédent : 000244; suivant : 000246

Reader's Forum

Auteurs : Yongwen Guo [République populaire de Chine]

Source :

RBID : PMC:4040356
Url:
DOI: 10.4041/kjod.2014.44.3.103
PubMed: 24892022
PubMed Central: 4040356

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PMC:4040356

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<name sortKey="Guo, Yongwen" sort="Guo, Yongwen" uniqKey="Guo Y" first="Yongwen" last="Guo">Yongwen Guo</name>
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<nlm:aff id="A1">Department of Orthodontics, State Key Laboratory of Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, PR China.</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country>
<wicri:regionArea>Department of Orthodontics, State Key Laboratory of Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu</wicri:regionArea>
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<nlm:aff id="A1">Department of Orthodontics, State Key Laboratory of Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, PR China.</nlm:aff>
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<title level="j">Korean Journal of Orthodontics</title>
<idno type="ISSN">2234-7518</idno>
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<journal-id journal-id-type="nlm-ta">Korean J Orthod</journal-id>
<journal-id journal-id-type="iso-abbrev">Korean J Orthod</journal-id>
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<publisher-name>Korean Association of Orthodontists</publisher-name>
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<surname>Guo</surname>
<given-names>Yongwen</given-names>
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<aff id="A1">Department of Orthodontics, State Key Laboratory of Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, PR China.</aff>
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<year>2014</year>
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<day>19</day>
<month>5</month>
<year>2014</year>
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<volume>44</volume>
<issue>3</issue>
<fpage>103</fpage>
<lpage>104</lpage>
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<copyright-statement>© 2014 The Korean Association of Orthodontists.</copyright-statement>
<copyright-year>2014</copyright-year>
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<related-article id="d35e70" related-article-type="commentary-article" ext-link-type="doi" xlink:href="10.4041/kjod.2013.43.6.302" vol="43" page="302">
<article-title>Alveolar ridge expansion-assisted orthodontic space closure in the mandibular posterior region</article-title>
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<name>
<surname>Ozera</surname>
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<contrib contrib-type="author">
<name>
<surname>Akdenizb</surname>
<given-names>Berat Serdar</given-names>
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<aff id="AB1">
<label>a</label>
Department of Orthodontics, Ondokuz Mayis University Dentistry Faculty, Samsun, Turkey bPrivate Practice, Ankara, Turkey.</aff>
<aff id="AB2">
<label>b</label>
Private Practice, Ankara, Turkey.</aff>
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<body>
<p>Thank you for your kind interest on the subject.</p>
<p>
<bold>A1.</bold>
A lingual arch was planned and placed pre-surgically in order to withstand such complications. But when the premolar and molar teeth positions and the distance they were moved forward were considered, loss of anchorage was almost unavoidable even with such a device. There is not much choice of devices other than mini-screws when "absolute anchorage" is needed for mandibular teeth. As you may confirm, a single lingual arch was not the best choice in such a case but the space was mostly closed when the mini-screws were lost. Loss of the screws could be attributed to many factors including bone physiology itself. The tissue formation rate was estimated to be two to ten times faster than normal regeneration process around the field of corticotomy area.
<xref rid="B3" ref-type="bibr">3</xref>
This change in bone turn-over rate can also affect the interaction between the mini-screw implants and the bone, however detailed studies are needed before blaming the bone physiology and at this time there is no study to support such an interaction. Although the exact reason for the loss of mini-screws in our case is difficult to define, it is advisable to take any necessary precautions to hold the mini-screws in place until the space is fully closed. Waiting for healing after mini-screw placement could be a better option than immediate loading even though there are studies in conflict about the effect of healing time in mini-screw stability.
<xref rid="B4" ref-type="bibr">4</xref>
,
<xref rid="B5" ref-type="bibr">5</xref>
</p>
<p>
<bold>A2.</bold>
There is always a risk of anchorage loss during closure of long spaces even with the best anchorage devices currently available. Mesially-inclined molar teeth can be problematic in critical situations for both biomechanical and periodontal issues and should be fully uprighted before the corticotomy operation.
<xref rid="B6" ref-type="bibr">6</xref>
The surgical operation in our study was inspired by previously used corticotomy-assisted orthodontic treatment protocols. Therefore, indications, contraindications and complications are similar in both techniques.
<xref rid="B7" ref-type="bibr">7</xref>
Another aim was to cross the "sand clock shaped" cortical bone barrier with minimum damage to the tooth structure. Even though the mentioned surgical procedure was anticipated to decrease the risks associated with tooth movement into a relatively longer space, only controlled clinical studies can provide usable data about the remaining risks.</p>
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<source>Am J Orthod Dentofacial Orthop</source>
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