Dental Press Journal of Orthodontics
On-line version ISSN 2176-9451
CONSOLARO, Alberto and FURQUIM, Laurindo. Intrusive mechanics generates inclination forces and orthopedic stimuli with dental repositioning and simultaneous bone remodeling OR In intrusive mechanics intrusion forces are not applied, but the intrusive effect is obtained. Dental Press J. Orthod. [online]. 2011, vol.16, n.5, pp. 20-29. ISSN 2176-9451. http://dx.doi.org/10.1590/S2176-94512011000500003.
The low intensity and long duration aggressions in the periosteum induces the formation of new layers and can increase the volume of the bone and change its shape. In intrusive mechanics, the natural inclination of the roots provides the tooth inclination movement. At the same time that promotes compression forces on the periodontal ligament of teeth subjected to this kind of mechanics, in other areas, tension forces with deflection occurs. These effects also involve the outer surfaces, since the thickness of the bone in the alveolar process is thin and can lead to the formation of new layers, including the cervical part of the alveolar bone crest. In intrusive mechanics, there is an alveolar remodeling with orthodontic nature associated to a modification of bone internal and external structure, satisfying the demand for forces with orthopedic features. The intrusive effect on the so called intrusive mechanics may be the result of alveolar remodeling induced by the inclination forces, and of the modification of bone volume due to subperiosteal bone formation on the outer part of the alveolar process. Probably accurate imaging studies, with high precision CT, will be able to detect these subperiosteal phenomena in future studies involving patients before and after application of intrusive mechanics.
Keywords : Intrusion; Orthodontics; Orthopedics; Periosteum.