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Related Concept Videos

Bone Remodeling01:40

Bone Remodeling

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Bone remodeling is a continuous and balanced process of bone resorption by osteoclasts and bone formation by osteoblasts. In adults, it helps maintain bone mass and calcium homeostasis. While mechanical stress can stimulate turnover as part of the normal maintenance and reparative process, several hormones also regulate bone remodeling.
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Osteoclasts are cells responsible for bone resorption and remodeling. They originate from hematopoietic progenitor cells present in the bone marrow. Numerous progenitor cells fuse to form multinucleated cells, each with 10-20 nuclei. A single osteoclast has a diameter of 150 to 200 µM. These cells have ruffled borders that break down the underlying bone tissue and release minerals such as calcium into the blood in bone resorption. Osteoclasts cling to bones with their ruffled edges during...
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Aging and its effect on bone remodeling is the most common cause of bone disorders. In young and healthy people, bone deposition and resorption happen at an equal rate to maintain optimal bone health.
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Most bones contain compact and spongy osseous tissue, but their distribution and concentration vary based on the bone's overall function.
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The minerals contained in all of the food we consume are essential for our organ systems. However, certain essential minerals, such as calcium, phosphorus, magnesium, manganese, and fluoride, largely affect bone health.
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Optimizing Esthetics and Function in a Case of Moderate Reduced Bone Support.

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    Adult orthodontic treatment effectively improved facial esthetics and corrected dental crowding in a 53-year-old patient. The successful outcome was maintained over 16 months with stable bone levels.

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    Area of Science:

    • Dentistry
    • Orthodontics
    • Periodontology

    Background:

    • Adult orthodontic treatment presents unique challenges.
    • Aging patients may have pre-existing periodontal conditions impacting treatment.
    • Facial esthetics and dental crowding are common patient concerns.

    Purpose of the Study:

    • To present the orthodontic treatment of an adult patient with chief complaints of facial esthetics and dental crowding.
    • To evaluate the efficacy of orthodontic treatment in an aging patient with moderate bone loss.
    • To assess the long-term stability of orthodontic results and periodontal status.

    Main Methods:

    • Case report of a 53-year-old female patient.
    • Orthodontic treatment involving extraction of the maxillary left first premolar and both mandibular first premolars.
    • Assessment of facial esthetics, dental occlusion, and periodontal bone support.

    Main Results:

    • Significant improvement in facial esthetics achieved.
    • Correction of dental protrusion and closure of all extraction spaces.
    • Satisfactory functional occlusion maintained at 16-month follow-up.
    • Bone levels remained stable throughout the treatment and follow-up period.

    Conclusions:

    • Orthodontic treatment can successfully address esthetic and functional concerns in adult patients.
    • Extraction protocols can be effectively employed in adult orthodontics even with moderate bone loss.
    • Long-term stability and stable periodontal support are achievable with appropriate orthodontic management in adults.