Orthotown August 2017 - 22

message board
Continued from p. 20

justinudm
Member Since: 09/29/14
Post: 4 of 15

I think U/L 4s would be OK in a high-angle case such as this. That way you can shift the
lower midline to the left easily. ■
3/14/2016

g-rock
Member Since: 03/10/08
Post: 6 of 15

For what it is worth, in my personal clinical observation of a few patients who regularly
consumed supplements with the potential to stabilize bone turnover, their teeth were very stubborn
to move. Specifically, glucosamine and chondroitin.
The reason I bring it up is Osteocare, which your patient is on, is available with glucosamine
and chondroitin.
I previously searched and searched but could not find a solid position paper on this, but I
can tell you closing generalized space nonextraction, I had to resort to good old closing-loop
mechanics. And it took a while. Energy chain from RMO would not get it done alone.
An excerpt from the below referenced thesis:
Remodeling of the ECM of the PDL is believed to play an important role in tooth movement.
MMPs are a group of enzymes which have been implicated in the remodeling of the ECM. The function
of these enzymes is regulated by a number of inhibiting factors TIMPs. It is believed that modifying
the function of these enzymes and their inhibitors can have an effect on tooth movement. A study by
Holliday et al. (2003) demonstrated that TIMP can inhibit tooth movement. (6.5.5 7GB9, S and
CS relation to TM and OIIRR)
There has not been a study to date that has evaluated the effects of GS and CS on orthodontic tooth
movement and root resorption. Although there has been no direct link demonstrated, it may be inferred
from studying the effect of GS and CS in OA that they may possibly influence the periodontium and
thus tooth movement and root resorption. A study of the influence of combined Glucosamine Sulfate and
Chondroitin Sulfate systemic supplements on root resorption and tooth movement in rats: Nour Eldin
Tarraf BDS (Hons) Discipline of Orthodontics Faculty of Dentistry University of Sydney Australia.
A thesis submitted in partial fulfillment of the requirements for the degree of Master of Dental
Science (Orthodontics) September 2008
So, my suggestion would be to start with a therapeutic diagnosis nonextraction and verify
that tooth movement is predictable prior to extracting any teeth. ■
3/15/2016

HJS
Member Since: 01/07/06
Post: 7 of 15

Today's images. I lean toward extraction, four teeth, but I fear from regular cortisone supplement. ■

5/4/2016

22

JULY/AUGUST 2017 // orthotown.com


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Table of Contents for the Digital Edition of Orthotown August 2017

Orthotown.com Highlights
Embrace Progress: The Standard of Care (Records, Anyone?)
Industry News
New Products
Message Board: Girl with Systemic Lupus Erythematosus
Message Board: Inverted Impacted Teeth, Patience is a Virtue
Office Visit: What's Up Doc?
The Speed of Light
What's Your M.O?
Untangling Web Marketing
Ad Index
Orthotown August 2017 - Cover1
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Orthotown August 2017 - Orthotown.com Highlights
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Orthotown August 2017 - Embrace Progress: The Standard of Care (Records, Anyone?)
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Orthotown August 2017 - Message Board: Inverted Impacted Teeth, Patience is a Virtue
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