IP Indian Journal of Orthodontics and Dentofacial Research


An extensive review of literature: considering bone reaction to different agents in orthodontically induced root and alveolar resorption


Full Text PDF Share on Facebook Share on Twitter


Author Details: Simran Kaur Pawar, Harsimran Jeet Singh Pawar, Priya Ghangas, Puneet Gupta, Radhika Chawla

Volume : 3

Issue : 1

Online ISSN : 2581-9364

Print ISSN : 2581-9356

Article First Page : 9

Article End Page : 17


Abstract

Objective: Orthodontically induced root resorption is a common problem in day to day practice. If such root resorption could be prevented, it would be an important contribution toward reducing risk factors in orthodontic treatment. The aim of the review is to focus on different agents which can be therapeutically useful in orthodontic tooth movement.
Methods and Materials: The article reviews various agents inhibiting as well as promoting root and alveolar bone resorption to orthodontic tooth movement based on advanced PubMed Central (PMC), Cochrane database, Wiley online search of the English language literature from the year 1951 to present in order to help us select the most suitable among them fulfilling the desired criteria of being safe, having less adverse effects, minimal contraindications, rare cross reactions, economically viable, having a scope to be used for successful prognosis and possibly not requiring any special considerations to interpret the results.
Results: Forty-nine articles were included in the review, but their interpretation was hindered by the variability in experimental design, magnitude of force applied during tooth movement, and medication regimens. Corticosteroid hormones, parathyroid hormone, and thyroxin have all been shown to increase tooth movement. Bisphosphonates had a strong inhibitory effect.
Conclusion: By this review, we conclude that low laser therapy and arginylglycylaspartic acid (RGD) peptide emerges as the clear winner and can result in better prognosis in orthodontic treatment. These techniques are new and cannot replace the conventional agents as a whole.

Keywords:
Root resorption; Integrins; Matrix metalloproteins; Echistatin; Low laser therapy; Doxycycline