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Informationen aus Orthodontie & Kieferorthopädie 2021; 53(04): 269-274
DOI: 10.1055/a-1653-3845
Übersichtsartikel

Die orthodontische Zahnbewegung

Orthodontic Tooth Movement
Irene Artioli
1   Universitätsklinik für Kieferorthopädie, Medizinische Universität Innsbruck, Österreich
,
Adriano Crismani
1   Universitätsklinik für Kieferorthopädie, Medizinische Universität Innsbruck, Österreich
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Zusammenfassung

Eine kieferorthopädische Behandlung dauert durchschnittlich 12 bis 24 Monate und ist vom Schweregrad der Zahnfehlstellung, von der Behandlungsplanung und von der Compliance des Patienten/der Patientin abhängig. Die Gefahr, dass Karies entsteht, Gingivarezessionen oder Wurzelresorptionen, steigt mit zunehmender Behandlungszeit. Ziel dieses Artikels ist es, eine Übersicht über die molekularbiologischen Abläufe der Zahnbewegung zu liefern und Möglichkeiten zu beschreiben, wie dieser Prozess beeinflusst werden kann. Osteoblasten und Osteoklasten spielen eine zentrale Rolle im Knochenumbau und damit in der Zahnbewegung und können durch viele Faktoren beeinflusst werden. Es gibt chirurgische oder nichtinvasive Maßnahmen, welche die Zahnbewegung beschleunigen, aber auch Medikamente, die die Zahnbewegung verlangsamen können.

Abstract

An orthodontic treatment lasts 12 to 24 months on average and depends on the severity of malocclusion, treatment planning and compliance of the patient. Prolonged duration of treatment increases the risk of caries, gingival recessions, and root resorption. The aim of this article is to provide an overview of the molecular mechanism of orthodontic tooth movement (OTM) and to describe methods influencing this process. Osteoblasts and osteoclasts play a central role in bone remodeling and they can be influenced by many factors. There are surgical and noninvasive interventions that could accelerate, besides drugs which may slow down OTM.

Schlüsselwörter

Kieferorthopädische Zahnbewegung - Molekularbiologie - Osteoblasten - Osteoklasten - Medikamente

Key words

orthodontic tooth movement - molecular mechanism - osteoblasts - osteoclasts - drugs


Publication History

Article published online:
08 December 2021

© 2021. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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