Morphological changes of the anterior alveolar bone due to retraction of anterior teeth: a retrospective study

Abstract Backgroud To analyze the morphological changes of the anterior alveolar bone after the retraction of incisors in premolar extraction cases and the relationship between incisor retraction and remodeling of the alveolar base represented by points A and B displacements. Methods Pre- (T0) and p...

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Main Authors: Qiannan Sun, Wenhsuan Lu, Yunfan Zhang, Liying Peng, Si Chen, Bing Han
Format: Article
Language:English
Published: BMC 2021-07-01
Series:Head & Face Medicine
Subjects:
Online Access:https://doi.org/10.1186/s13005-021-00277-z
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author Qiannan Sun
Wenhsuan Lu
Yunfan Zhang
Liying Peng
Si Chen
Bing Han
author_facet Qiannan Sun
Wenhsuan Lu
Yunfan Zhang
Liying Peng
Si Chen
Bing Han
author_sort Qiannan Sun
collection DOAJ
description Abstract Backgroud To analyze the morphological changes of the anterior alveolar bone after the retraction of incisors in premolar extraction cases and the relationship between incisor retraction and remodeling of the alveolar base represented by points A and B displacements. Methods Pre- (T0) and post-treatment (T1) lateral cephalograms of 308 subjects in the maxilla and 154 subjects in the mandible who underwent the orthodontic treatment with extraction of 2 premolars in upper or lower arches were included. Alveolar bone width and height in both the maxillary and mandible incisor area were measured at T0 and T1 respectively. By superimposing the T0 and T1 cephalometric tracings, changes of points A and B, and the movement of the incisors were also measured. Then the correlation between incisor movement and the displacements of points A and B was analyzed. Results The alveolar bone width (ABW) showed a significant decrease in both maxilla and mandible (P < 0.001) except the labial side of the mandible (P > 0.05). The alveolar bone height (ABH) showed a significant increase in the labial side of maxilla and a significant decrease in the lingual side of maxilla and mandible. A strong positive correlation was verified between incisor movement and position changes of points A and B in both horizontal and vertical directions. Conclusions Anterior alveolar bone width and height generally decreased after orthodontic treatment. Incisor retraction led to significant position changes of points A and B. The decrease of anterior alveolar bone due to significant incisor retraction should be taken into account in treatment planning.
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spelling doaj.art-8ac25ded28314b07a1a55ca3030613172022-12-21T18:21:28ZengBMCHead & Face Medicine1746-160X2021-07-0117111210.1186/s13005-021-00277-zMorphological changes of the anterior alveolar bone due to retraction of anterior teeth: a retrospective studyQiannan Sun0Wenhsuan Lu1Yunfan Zhang2Liying Peng3Si Chen4Bing Han5Department of Orthodontics, Peking University School and Hospital of Stomatology & National Center of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology & Research Center of Engineering and Technology for Computerized Dentistry Ministry of Health & NMPA Key Laboratory for Dental MaterialsDepartment of Orthodontics, Peking University School and Hospital of Stomatology & National Center of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology & Research Center of Engineering and Technology for Computerized Dentistry Ministry of Health & NMPA Key Laboratory for Dental MaterialsDepartment of Orthodontics, Peking University School and Hospital of Stomatology & National Center of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology & Research Center of Engineering and Technology for Computerized Dentistry Ministry of Health & NMPA Key Laboratory for Dental MaterialsDepartment of Orthodontics, Peking University School and Hospital of Stomatology & National Center of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology & Research Center of Engineering and Technology for Computerized Dentistry Ministry of Health & NMPA Key Laboratory for Dental MaterialsDepartment of Orthodontics, Peking University School and Hospital of Stomatology & National Center of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology & Research Center of Engineering and Technology for Computerized Dentistry Ministry of Health & NMPA Key Laboratory for Dental MaterialsDepartment of Orthodontics, Peking University School and Hospital of Stomatology & National Center of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology & Research Center of Engineering and Technology for Computerized Dentistry Ministry of Health & NMPA Key Laboratory for Dental MaterialsAbstract Backgroud To analyze the morphological changes of the anterior alveolar bone after the retraction of incisors in premolar extraction cases and the relationship between incisor retraction and remodeling of the alveolar base represented by points A and B displacements. Methods Pre- (T0) and post-treatment (T1) lateral cephalograms of 308 subjects in the maxilla and 154 subjects in the mandible who underwent the orthodontic treatment with extraction of 2 premolars in upper or lower arches were included. Alveolar bone width and height in both the maxillary and mandible incisor area were measured at T0 and T1 respectively. By superimposing the T0 and T1 cephalometric tracings, changes of points A and B, and the movement of the incisors were also measured. Then the correlation between incisor movement and the displacements of points A and B was analyzed. Results The alveolar bone width (ABW) showed a significant decrease in both maxilla and mandible (P < 0.001) except the labial side of the mandible (P > 0.05). The alveolar bone height (ABH) showed a significant increase in the labial side of maxilla and a significant decrease in the lingual side of maxilla and mandible. A strong positive correlation was verified between incisor movement and position changes of points A and B in both horizontal and vertical directions. Conclusions Anterior alveolar bone width and height generally decreased after orthodontic treatment. Incisor retraction led to significant position changes of points A and B. The decrease of anterior alveolar bone due to significant incisor retraction should be taken into account in treatment planning.https://doi.org/10.1186/s13005-021-00277-zAlveolar bone morphologyIncisor retractionOrthodontic extraction treatmentPoint APoint B
spellingShingle Qiannan Sun
Wenhsuan Lu
Yunfan Zhang
Liying Peng
Si Chen
Bing Han
Morphological changes of the anterior alveolar bone due to retraction of anterior teeth: a retrospective study
Head & Face Medicine
Alveolar bone morphology
Incisor retraction
Orthodontic extraction treatment
Point A
Point B
title Morphological changes of the anterior alveolar bone due to retraction of anterior teeth: a retrospective study
title_full Morphological changes of the anterior alveolar bone due to retraction of anterior teeth: a retrospective study
title_fullStr Morphological changes of the anterior alveolar bone due to retraction of anterior teeth: a retrospective study
title_full_unstemmed Morphological changes of the anterior alveolar bone due to retraction of anterior teeth: a retrospective study
title_short Morphological changes of the anterior alveolar bone due to retraction of anterior teeth: a retrospective study
title_sort morphological changes of the anterior alveolar bone due to retraction of anterior teeth a retrospective study
topic Alveolar bone morphology
Incisor retraction
Orthodontic extraction treatment
Point A
Point B
url https://doi.org/10.1186/s13005-021-00277-z
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