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J Periodontol. 2017 Oct;88(10):960-977. doi: 10.1902/jop.2017.160781.

Cone-Beam Computed Tomography and Interdisciplinary Dentofacial Therapy: An American Academy of Periodontology Best Evidence Review Focusing on Risk Assessment of the Dentoalveolar Bone Changes Influenced by Tooth Movement.

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Private practice, Oakbrook Terrace, Park Ridge, and Chicago, IL.
Department of Graduate Periodontics, University of Illinois College of Dentistry, Chicago, IL.
Department of Graduate Periodontics, College of Dentistry, University of Florida, Gainesville, FL.
Unit of Basic Oral Investigation (UIBO), School of Dentistry, El Bosque University, Bogota, Colombia.
School of Dentistry, Ibirapuera University (Unib), São Paulo, SP, Brazil.
Department of Periodontics, College of Dentistry, The University of Iowa, Iowa City, IA.



The aim of this systematic review is to evaluate whether cone-beam computed tomography (CBCT) imaging can be used to assess dentoalveolar anatomy critical to the periodontist when determining risk assessment for patients undergoing orthodontic therapy using fixed or removable appliances.


Both observational and interventional trials reporting on the use of CBCT imaging assessing the impact of orthodontic/dentofacial orthopedic treatment on periodontal tissues (i.e., alveolar bone) were included. Changes in the alveolar bone thickness and height around natural teeth as well as treatment costs were evaluated. MEDLINE (via PubMed) and EMBASE databases were searched for articles published in the English language, up to and including July 2016, and extracted data were organized into evidence tables.


Thirteen studies were included in this systematic review describing the positive or deleterious changes on the alveolar bone surrounding natural teeth undergoing orthodontic tooth movement or influenced by orthopedic forces through fixed appliances. Clinical recommendation summaries presenting the strengths and weaknesses of the evidence in terms of benefits and harms were generated.


CBCT imaging can improve the periodontal diagnostic acumen regarding alveolar bone alterations influenced by orthodontic tooth movement and can help determine risk assessment prior to such intervention. Clinicians are also better informed to determine risk assessment and develop preventative or plan interceptive periodontal augmentation (soft tissue and/or bone augmentation) therapies for patients undergoing orthodontic tooth movement. These considerations are recognized as being especially critical for treatment approaches in patients where buccal tooth movement (expansion) is planned in the anterior mandible or involving the maxillary premolars.


Alveolar bone; cone-beam computed tomography; evidence-based dentistry; imaging, three-dimensional; periodontics; surgical procedures, operative; tooth movement techniques

[Indexed for MEDLINE]

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