Randomized Controlled Trial
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Aug 26, 2024; 12(24): 5542-5548
Published online Aug 26, 2024. doi: 10.12998/wjcc.v12.i24.5542
Clinical efficacy, bone density, and follow-up in implant and orthodontic treatment for inclined adjacent teeth
Yi Yang, Shun-Cheng Zhou, Yi-Hui Ma, Xiang Wang, Qing-Shan Dong
Yi Yang, Shun-Cheng Zhou, Yi-Hui Ma, Xiang Wang, Qing-Shan Dong, Department of Stomatology, General Hospital of Central Theater Command, Wuhan 430012, Hubei Province, China
Author contributions: Yang Y performed the majority of experiments, wrote the manuscript, and served as scientific advisor; Zhou SC and Ma YH designed the study and revised the manuscript; Wang X contributed to analytical tools; Dong QS and Yang Y participated to the collection of the human material; Ma YH was the guarantor.
Institutional review board statement: The research was reviewed and approved by the Review Committee of General Hospital of Central Theater Command (Approval No. 05901).
Clinical trial registration statement: This study has not yet been registered with clinical trials.
Informed consent statement: All research participants or their legal guardians provided written informed consent prior to study registration.
Conflict-of-interest statement: No conflicts of interest are associated with this work.
Data sharing statement: No other data are available.
CONSORT 2010 statement: The authors have read the CONSORT 2010 statement, and the manuscript was prepared and revised according to the CONSORT 2010 statement.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Qing-Shan Dong, MD, Doctor, Department of Stomatology, General Hospital of Central Theater Command, No. 627 Wuluo Road, Wuhan 430070, Hubei Province, China. dentist417@163.com
Received: April 30, 2024
Revised: June 7, 2024
Accepted: June 20, 2024
Published online: August 26, 2024
Processing time: 71 Days and 18.2 Hours
Abstract
BACKGROUND

Tooth defects can cause elongation of occlusal teeth, leading to insufficient repair space. The combination of dental implant restoration and orthodontic treatment of oblique adjacent teeth has a significant therapeutic effect.

AIM

To explore clinical efficacy, bone density, and follow-up of implant and orthodontic treatment for patients with inclined adjacent teeth.

METHODS

In total, 98 patients with oblique adjacent teeth were randomly assigned to implant restoration combined with orthodontic treatment (group A, n = 49) or to receive implant restoration alone (group B, n = 49). Changes in alveolar ridge bone density and apical bone density were observed before and after treatment in the two groups. Changes in chewing function and language function were compared between the two groups of patients. Follow-up lasted for 12 mo after repair to observe any adverse reactions in the oral cavity.

RESULTS

The clinical effective rates of group A and group B were 97.96% and 85.71%, respectively, with group A having a higher clinical effective rate than group B. After treatment, the bone density of the alveolar ridge and apical bone in both groups decreased compared to before treatment, while the chewing and language functions improved. The changes in various indicators in group A were more significant. After treatment, the satisfaction rate of group A (97.96%) was higher than that of group B (79.59%). The incidence of adverse reactions in group A (2.04%) was lower than that in group B (24.49%).

CONCLUSION

The amalgamation of implant restoration and orthodontic treatment for adjacent tilted teeth demonstrates notable clinical efficacy, diminishes alveolar bone resorption, and fosters patient functional rehabilitation while exhibiting negligible adverse reactions.

Keywords: Dental implant restoration; Orthodontic correction; Tilt adjacent teeth; Clinical curative effect; Alveolar bone mineral density

Core Tip: If dental defects are not repaired in a timely manner, adjacent teeth may tilt and shift. This causes elongation of the occlusal teeth, results in a lack of sufficient repair space, and leads to certain difficulties in the restoration of dentures. The combination of dental implant restoration and orthodontic treatment for tilted adjacent teeth has significant therapeutic effects, can reduce alveolar bone density, promote patient functional recovery, and is safe.