成人正畸中与年龄相关的牙槽骨适应不良:寻找新出路。

IF 10.8 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE International Journal of Oral Science Pub Date : 2024-08-01 DOI:10.1038/s41368-024-00319-7
Yunfan Zhang, Jiale Yan, Yuning Zhang, Hao Liu, Bing Han, Weiran Li
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引用次数: 0

摘要

与青少年患者相比,成年患者在正畸治疗过程中通常表现出牙齿移动速度较慢,牙槽骨流失更明显,这表明在正畸力的作用下牙槽骨平衡失调。然而,这一现象至今尚未得到很好的阐明,导致成人正畸治疗难度增加,治疗效果不尽人意。为了提供全面的知识并进一步启发对这一问题的深刻理解,本综述总结了当前的证据和内在机制。成人细胞和牙周组织中与年龄相关的机械感应和机械传导功能减退可能会导致骨代谢迟缓和不平衡,从而阻碍正畸治疗期间的牙槽骨重建。为此,人们正在开发牙周手术、物理和化学线索,以重新激活或恢复老化牙周,恢复正畸介导的牙槽骨新陈代谢的动态平衡。我们希望这篇综述能够概述老化在正畸牙槽骨代谢中所起的作用,并为走出僵局提供新的思路。
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Age-related alveolar bone maladaptation in adult orthodontics: finding new ways out.

Compared with teenage patients, adult patients generally show a slower rate of tooth movement and more pronounced alveolar bone loss during orthodontic treatment, indicating the maladaptation of alveolar bone homeostasis under orthodontic force. However, this phenomenon is not well-elucidated to date, leading to increased treatment difficulties and unsatisfactory treatment outcomes in adult orthodontics. Aiming to provide a comprehensive knowledge and further inspire insightful understanding towards this issue, this review summarizes the current evidence and underlying mechanisms. The age-related abatements in mechanosensing and mechanotransduction in adult cells and periodontal tissue may contribute to retarded and unbalanced bone metabolism, thus hindering alveolar bone reconstruction during orthodontic treatment. To this end, periodontal surgery, physical and chemical cues are being developed to reactivate or rejuvenate the aging periodontium and restore the dynamic equilibrium of orthodontic-mediated alveolar bone metabolism. We anticipate that this review will present a general overview of the role that aging plays in orthodontic alveolar bone metabolism and shed new light on the prospective ways out of the impasse.

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来源期刊
International Journal of Oral Science
International Journal of Oral Science DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
31.80
自引率
1.30%
发文量
53
审稿时长
>12 weeks
期刊介绍: The International Journal of Oral Science covers various aspects of oral science and interdisciplinary fields, encompassing basic, applied, and clinical research. Topics include, but are not limited to: Oral microbiology Oral and maxillofacial oncology Cariology Oral inflammation and infection Dental stem cells and regenerative medicine Craniofacial surgery Dental material Oral biomechanics Oral, dental, and maxillofacial genetic and developmental diseases Craniofacial bone research Craniofacial-related biomaterials Temporomandibular joint disorder and osteoarthritis The journal publishes peer-reviewed Articles presenting new research results and Review Articles offering concise summaries of specific areas in oral science.
期刊最新文献
Organoids in the oral and maxillofacial region: present and future. Personalized bioceramic grafts for craniomaxillofacial bone regeneration An unexpected role of neurite outgrowth inhibitor A as regulator of tooth enamel formation Periodontitis impacts on thrombotic diseases: from clinical aspect to future therapeutic approaches. CREB3L1 deficiency impairs odontoblastic differentiation and molar dentin deposition partially through the TMEM30B.
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