Professional Documents
Culture Documents
Biomechinal
Biomechinal
Osteoblasts, osteoclasts
Cell rests of Malassez
movement
Thin cortical bone and porous (lamina dura)
Fluid pumped in and out of the PDL
From 6 to 24 hrs/d, the longer the force is applied, the more the teeth
will move.
Bio-electric Theory
Pressure-Tension Theory
Prolonged Force
Electric Signals
Piezoelectric Theory
Translation 70-120 gm
Rotation 35-60 gm
Extrusion 35-60 gm
Intrusion 10-20 gm
Light continuous Force
Force maintained at some appreciable fraction of the original form during two
visits
Intermittent force
Force level declines abruptly to zero ( Removable Appliances, Headgears)
Intrusion
Extrusion
Tipping
Bodily movement
Rotation
Piezoelectric theory.
Pressure-tension theory.
“High enough to stimulate cellular activity without completely
occluding blood vessels in the PDL” (Proffit et al. 2000).
Actively being investigated in a scientific field known as
mechanotransduction.
Force --- fluid flow --- cell-level strain
Deformation of cell membrane leading to cytoskeletal changes
Second messenger pathways
Gene upregulation in fibroblasts, osteoblasts and osteoclasts
Light, continuous forces
Osteoclasts formed
Removing lamina dura
Tooth movement begins
This process is called “FRONTAL RESORPTION
“Frontal
resorption” because it occurs
between the root and the lamina dura.
Phase 1 – Mechanical compression and tension of the periodontium
Phase 2 --- Mechanically induced cellular and genetic responses; no tooth
movement
Phase 3 --- Accelerated tooth movement due to frontal bone resorption
Phase 3
Phase 2
Phase 1
RESORPTION”.
“Undermining resorption” because it occurs on the underside of lamina
dura, not between lamina dura and the root.
Phase 1 – Mechanical compression and tension of the periodontium
Phase 2 --- Continuing mechanical compression; little cellular and genetic
responses; no tooth movement
Phase 3 --- Cells recruited from the undermining side of lamina dura, not within the
PDL, to induce undermining bone resorption
Phase 3
Phase 2
Phase 1
Phase 3
Phase 2
Phase 1
Frontal resorption
Time (Arbitrary Unit)
Undermininging
Tooth movement (mm)
Resorption
Phase 3
Phase 2
Phase 1
2.5 mm.
Etiology largely unknown but predisposing factors include conical
forces, be pinpointed.
Etiology largely unknown.
Up to 70% of the Chinese population have malocclusion that warrants
orthodontic correction.
Currently, less than 20% of the Chinese patients seeks orthodontic