IADR Abstract Archives
Osteogenesis imperfecta - a complex treatment challenge for orthodontist
Objectives: To accentuate the complexity of osteogenesis imperfecta and its impact on orthodontic treatment plan.
Methods: A detailed search and study conducted through various articles and case reports apprises that the treatment options are much safer for the patients of odontogenesis imperfecta if they are not presenting with dentinogenesis imperfecta. Successful orthodontic treatment is dependent on bone remodelling. The influence of bisphosphonate, which is the drug therapy given in osteogenesis imperfecta and its long half-life in the bone matrix further complicates the predicting results.
Results: Phenotypically and molecularly heterogeneous group of inherited connective tissue disorder that share similar skeletal abnormalities causing bone fragility and deformity. The hallmark feature of osteogenesis imperfecta is osteoporosis and fragile bone that fracture easily as well as blue sclera, dental fragility and hearing loss. Oral manifestations are related to osteogenesis imperfecta may include skeletal class III malocclusion, an open bite and delayed dental development. The fact that neither orthodontic movement was achieved nor could be limited in some osteogenesis imperfecta cases. A dentist should see by 6 months after the eruption of the first baby tooth at the latest.
Conclusions: It is recommended that the child see an orthodontist by the age of years 7 to check for developing open bite or class III malocclusion with maxillary hypoplasia is most efficiently treated by orthodontist and orthopaedic jaw movement at this age, although the lack and delayed eruption of teeth makes the use of removable appliances difficult. Multidisciplinary care including physiotherapy, rehabilitation, orthodontic and surgical interventions should be widely used for the patients with osteogenesis imperfecta. Despite the obstacles, many patients of osteogenesis imperfecta lead a productive and accomplished lives in their adult years. The goal of treatment is to minimize fractures, enhance independent function, and promote general health.
Methods: A detailed search and study conducted through various articles and case reports apprises that the treatment options are much safer for the patients of odontogenesis imperfecta if they are not presenting with dentinogenesis imperfecta. Successful orthodontic treatment is dependent on bone remodelling. The influence of bisphosphonate, which is the drug therapy given in osteogenesis imperfecta and its long half-life in the bone matrix further complicates the predicting results.
Results: Phenotypically and molecularly heterogeneous group of inherited connective tissue disorder that share similar skeletal abnormalities causing bone fragility and deformity. The hallmark feature of osteogenesis imperfecta is osteoporosis and fragile bone that fracture easily as well as blue sclera, dental fragility and hearing loss. Oral manifestations are related to osteogenesis imperfecta may include skeletal class III malocclusion, an open bite and delayed dental development. The fact that neither orthodontic movement was achieved nor could be limited in some osteogenesis imperfecta cases. A dentist should see by 6 months after the eruption of the first baby tooth at the latest.
Conclusions: It is recommended that the child see an orthodontist by the age of years 7 to check for developing open bite or class III malocclusion with maxillary hypoplasia is most efficiently treated by orthodontist and orthopaedic jaw movement at this age, although the lack and delayed eruption of teeth makes the use of removable appliances difficult. Multidisciplinary care including physiotherapy, rehabilitation, orthodontic and surgical interventions should be widely used for the patients with osteogenesis imperfecta. Despite the obstacles, many patients of osteogenesis imperfecta lead a productive and accomplished lives in their adult years. The goal of treatment is to minimize fractures, enhance independent function, and promote general health.