Morphologic Evaluation of Dentoalveolar Structures after Corticotomy-Assisted Orthodontic Treatment in Romanian Adult Patients

<i>Background and Objectives</i>: Corticotomy-facilitated orthodontics is an approach that can be useful in treating complex orthodontic cases and that could enhance the rate of tooth movement. The aim of this study was to evaluate the changes that occurred in the buccal cortical bone an...

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Main Authors: Irinel Panainte, Dorin-Horațiu Nenovici, Marius Mariș, Dan-Cosmin Șerbănoiu, Claudiu Vartolomei, Mariana Păcurar
Format: Article
Language:English
Published: MDPI AG 2022-03-01
Series:Medicina
Subjects:
Online Access:https://www.mdpi.com/1648-9144/58/4/468
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author Irinel Panainte
Dorin-Horațiu Nenovici
Marius Mariș
Dan-Cosmin Șerbănoiu
Claudiu Vartolomei
Mariana Păcurar
author_facet Irinel Panainte
Dorin-Horațiu Nenovici
Marius Mariș
Dan-Cosmin Șerbănoiu
Claudiu Vartolomei
Mariana Păcurar
author_sort Irinel Panainte
collection DOAJ
description <i>Background and Objectives</i>: Corticotomy-facilitated orthodontics is an approach that can be useful in treating complex orthodontic cases and that could enhance the rate of tooth movement. The aim of this study was to evaluate the changes that occurred in the buccal cortical bone and at the root level after an orthodontic treatment when corticotomy was used, in Romanian patients. <i>Materials and Methods</i>: After dividing the subjects into two groups (maxillary and mandibular corticotomy), based on CBCT, measurements were made of the thickness of the cortical buccal bone at the cervical, median and apical level, and of the root length at T0 (before corticotomy) and T1 (6 months after surgery). Several tests were used for statistical analysis of the data. <i>Results</i>: In the maxillary arch, the bone thickness measured after corticotomy in males was 0.64 mm at the cervical level, 0.53 mm at the medial level and 0.30 mm in the apical area. In females, the values were 0.46 mm (cervical), 0.37 mm (medial) and 0.36 mm (apical). In the lower arch, the values obtained for these three regions were 0.37 mm, 0.30 mm and 0.37 mm for males and 0.58 mm, 0.32 mm and 0.43 mm for female subjects. All values were statistically significant. The root length for the lower teeth at T0 was 11.98 ± 2.24 mm at T0 and 11.97 ± 2.24 mm at T1. For the upper teeth, the root length at T0 was 13.83 ± 2.28 mm and 13.81 ± 2.28 mm. <i>Conclusions</i>: Comparing the measurements, it was observed that the biggest changes in the cortical bone were at the cervical level. In the maxillary arch, the most significant modifications were registered at the canines and the level of the first premolars, and in the lower arch at the incisors level. The measured root resorption of the teeth was considered to be statistically insignificant.
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spelling doaj.art-ce0f7d0f497747c19e30a62f1154f3572023-12-03T13:40:58ZengMDPI AGMedicina1010-660X1648-91442022-03-0158446810.3390/medicina58040468Morphologic Evaluation of Dentoalveolar Structures after Corticotomy-Assisted Orthodontic Treatment in Romanian Adult PatientsIrinel Panainte0Dorin-Horațiu Nenovici1Marius Mariș2Dan-Cosmin Șerbănoiu3Claudiu Vartolomei4Mariana Păcurar5Department of Orthodontics, Faculty of Dentistry, George Emil Palade Univeristy of Medicine and Pharmacy, 540142 Târgu Mureș, RomaniaDepartment of Orthodontics, Faculty of Dentistry, George Emil Palade Univeristy of Medicine and Pharmacy, 540142 Târgu Mureș, RomaniaDepartment of Orthodontics, Faculty of Dentistry, Titu Maiorescu University, 004051 Bucharest, RomaniaDepartment of Orthodontics, Faculty of Dentistry, George Emil Palade Univeristy of Medicine and Pharmacy, 540142 Târgu Mureș, RomaniaDepartment of Orthodontics, Faculty of Dentistry, George Emil Palade Univeristy of Medicine and Pharmacy, 540142 Târgu Mureș, RomaniaDepartment of Orthodontics, Faculty of Dentistry, George Emil Palade Univeristy of Medicine and Pharmacy, 540142 Târgu Mureș, Romania<i>Background and Objectives</i>: Corticotomy-facilitated orthodontics is an approach that can be useful in treating complex orthodontic cases and that could enhance the rate of tooth movement. The aim of this study was to evaluate the changes that occurred in the buccal cortical bone and at the root level after an orthodontic treatment when corticotomy was used, in Romanian patients. <i>Materials and Methods</i>: After dividing the subjects into two groups (maxillary and mandibular corticotomy), based on CBCT, measurements were made of the thickness of the cortical buccal bone at the cervical, median and apical level, and of the root length at T0 (before corticotomy) and T1 (6 months after surgery). Several tests were used for statistical analysis of the data. <i>Results</i>: In the maxillary arch, the bone thickness measured after corticotomy in males was 0.64 mm at the cervical level, 0.53 mm at the medial level and 0.30 mm in the apical area. In females, the values were 0.46 mm (cervical), 0.37 mm (medial) and 0.36 mm (apical). In the lower arch, the values obtained for these three regions were 0.37 mm, 0.30 mm and 0.37 mm for males and 0.58 mm, 0.32 mm and 0.43 mm for female subjects. All values were statistically significant. The root length for the lower teeth at T0 was 11.98 ± 2.24 mm at T0 and 11.97 ± 2.24 mm at T1. For the upper teeth, the root length at T0 was 13.83 ± 2.28 mm and 13.81 ± 2.28 mm. <i>Conclusions</i>: Comparing the measurements, it was observed that the biggest changes in the cortical bone were at the cervical level. In the maxillary arch, the most significant modifications were registered at the canines and the level of the first premolars, and in the lower arch at the incisors level. The measured root resorption of the teeth was considered to be statistically insignificant.https://www.mdpi.com/1648-9144/58/4/468orthodonticscorticotomybone thicknesstooth movementroot resorptionroot length
spellingShingle Irinel Panainte
Dorin-Horațiu Nenovici
Marius Mariș
Dan-Cosmin Șerbănoiu
Claudiu Vartolomei
Mariana Păcurar
Morphologic Evaluation of Dentoalveolar Structures after Corticotomy-Assisted Orthodontic Treatment in Romanian Adult Patients
Medicina
orthodontics
corticotomy
bone thickness
tooth movement
root resorption
root length
title Morphologic Evaluation of Dentoalveolar Structures after Corticotomy-Assisted Orthodontic Treatment in Romanian Adult Patients
title_full Morphologic Evaluation of Dentoalveolar Structures after Corticotomy-Assisted Orthodontic Treatment in Romanian Adult Patients
title_fullStr Morphologic Evaluation of Dentoalveolar Structures after Corticotomy-Assisted Orthodontic Treatment in Romanian Adult Patients
title_full_unstemmed Morphologic Evaluation of Dentoalveolar Structures after Corticotomy-Assisted Orthodontic Treatment in Romanian Adult Patients
title_short Morphologic Evaluation of Dentoalveolar Structures after Corticotomy-Assisted Orthodontic Treatment in Romanian Adult Patients
title_sort morphologic evaluation of dentoalveolar structures after corticotomy assisted orthodontic treatment in romanian adult patients
topic orthodontics
corticotomy
bone thickness
tooth movement
root resorption
root length
url https://www.mdpi.com/1648-9144/58/4/468
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