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- W2946661574 abstract "Abstract Introduction. Bisphosphonates (BP) are an established medi-cation, e.g., for the prevention/therapy of osteoporosis. The ef-fects of the changed bone metabolism for orthodontic treatments are unknown.Case report. A 66-year-old woman underwent a total oral reha-bilitation. The therapy included (1) tooth extractions, (2) perio-dontal treatment, (3) insertion of dental implants, (4) provisional implant restorations, (5) orthodontic treatment, and (6) definite implant restorations. The orthodontic tooth movements were in- and retrusion of the upper frontal teeth, intrusion of the lower front teeth, using the dental implants as skeletal anchorage. After implant insertion and one month before beginning the orthodon-tic treatment, osteoporosis was diagnosed in this patient and, without notification to our facility, BP treatment was initiated by her general practitioner (alendronate oral, 70 mg/week), with an overall duration of intake of 7 months. After 13 months, the ortho-dontic treatment was successfully accomplished; however en-larged periodontal gaps, sclerotic bone areas, and mild apical root resorptions of the upper frontal teeth were found in this patient.Conclusion. Currently, there are no recommendations for or-thodontic patients undergoing BP therapy. Orthodontic tooth movement in this low-risk patient with a short duration of intake and a low-dose BP medication was possible. Because of the re-duced bone metabolism and the higher amount of side effects, the treatment should be performed with extremely light forces and frequent monitoring." @default.
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- W2946661574 date "2013-01-01" @default.
- W2946661574 modified "2023-09-27" @default.
- W2946661574 title "Orthodontic treatment of patients medicated with bisphosphonates - a clinical case report Kieferorthopädische Behandlung bei Patienten unter Bisphosphonattherapie - ein klinischer Fallbericht" @default.
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