Application of Bone Regeneration (BR) in Clinical Orthodontics: The Current Status

Abstract

There is irrefutable inter-relationship between orthodontics and periodontal conditions that calls for interdisciplinary approach in comprehensive management of patients with periodontal diseases who seek for orthodontic treatment. Alveolar ridge augmentation is among the periodontal treatment procedures undertaken to facilitate achievement of orthodontic treatment goals. English articles published between January 1990 and September 2015 regarding the practical applications of bone regeneration (BR) in clinical orthodontics and the possible associated complications were searched through MEDLINE and EMBASE data bases for compilation and analysis. A limited number of publications were retrieved. A combination of BR and orthodontic treatment was successfully used in severe periodontal defects, dento-alveolar trauma, pathological tooth migration and osseous dehiscence associated with incisors proclination. The combined treatment had very high success rate regardless of the type of bone regenerative materials used. The commencement of orthodontic tooth movement ranged from two weeks to one year after bone regeneration surgery. A few and mild complications associated with the combined treatment were reported. Bone regeneration was found to be applicable in a wide range of clinical orthodontic conditions with very high success rate. Autografts, allografts, xenografts and alloplasts all have demonstrated satisfactory results in animal and clinical application.

Keywords: Guided bone regeneration, bone augmentation, orthodontics, periodontal regeneration

Cite this Article

Ferdinand Mabula Machibya, Yiyuan Zhuang, Jiang Chen. Application of Bone Regeneration (BR) in Clinical Orthodontics: The Current Status. Research and Reviews: Journal of Dentistry. 2016; 7(1): 21–31p.