Evidence in Orthodontics

6- How Bisphosphonates Affect Tooth Movement

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Discover the impact of bisphosphonate therapy on orthodontic treatment:

  • Bisphosphonates: Used for osteoporosis and cancers, inhibit osteoclasts, slowing bone resorption and tooth movement.
  • Research Findings: Tooth movement is slower, space closure may be incomplete, and root parallelism compromised.
  • Patient Risks: High-risk cancer patients may develop osteonecrosis of the jaw; low-risk osteoporosis patients have longer treatment times.
  • Essential Steps:
    • Take thorough medical history, Communicate with patient's physician, Expect slower progress and potential complications, Avoid aggressive mechanics; focus on conservative planning.

    Key Message: Orthodontic treatment under bisphosphonate therapy is possible but unpredictable. Proceed with caution.

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    Evidence in OrthodonticsBy Dr. Baxmann MSc PhD