Regenerative Orthodontics: GBR and Corticotomy to Stretch the Limits of Orthodontic Treatment.

Orthodontic therapy could lead to marginal bone resorption in cases where the teeth are moved outside the envelope of bone. The purpose of this case series was to test corticotomy with a guided bone regeneration (GBR) procedure to regenerate bone in the direction of movement outside the original bon...

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Publicado en:International Journal of Periodontics & Restorative Dentistry Vol. 41; no. 1; pp. 105 - 113
Autores principales: Brugnami, Federico, Caiazzo, Alfonso, Signorelli, Luca, Capri, Diego
Formato: diagnostic images pictorial research tables/charts Journal Article
Publicado: Quintessence Publishing Company Inc. Jan/Feb2021
Acceso en línea:Ver este registro en EBSCOhost
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      jtl: International Journal of Periodontics & Restorative Dentistry
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      dt: Jan/Feb2021
      vid: 41
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      pub: Quintessence Publishing Company Inc.
      place: Batavia, Illinois
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        148691561
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        10.11607/prd.4562
        148691561
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      tig:
        atl: Regenerative Orthodontics: GBR and Corticotomy to Stretch the Limits of Orthodontic Treatment.
      aug:
        au:
          Brugnami, Federico
          Caiazzo, Alfonso
          Signorelli, Luca
          Capri, Diego
      sug:
        subj:
          Orthodontics
          Guided Tissue Regeneration
          Tooth Movement, Orthodontic
          Alveolar Process
          Human
          Case Studies
          Osteogenesis, Distraction
          Image Processing, Computer Assisted
          Treatment Outcomes
          Tomography, X-Ray Computed
          Radiography, Dental
      ab: Orthodontic therapy could lead to marginal bone resorption in cases where the teeth are moved outside the envelope of bone. The purpose of this case series was to test corticotomy with a guided bone regeneration (GBR) procedure to regenerate bone in the direction of movement outside the original bony housing. Ten adult patients (60 anterior teeth), all presenting with severe anterior crowding, were enrolled in the study. Orthodontic therapy in all investigated sites was associated with selective surgical corticotomies and a simultaneous GBR procedure. CBCT examinations were performed before starting orthodontic treatment (T0) and at the end of treatment (T1; mean: 7 months; range: 6 to 9 months). Pre- and postoperative CBCTs were superimposed with a DICOM viewer (3D Slicer) and studied with an image-processing software (ImageJ, National Institutes of Health) to measure the area of interest of the buccal plate. The average area was found to be 0.58 ± 0.22 mm2 at T0 and 1.76 ± 0.4 mm2 at T1, with a statistically significant difference (P < .05). The combination of corticotomy and a regenerative procedure seems to have the ability to augment the original osseous anatomy when the root is moved outside of the original bony envelope.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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