Manejo ortodóntico de pacientes bajo tratamiento de bifosfonatos: revisión de literatura
Orthodontic management of patient in bisphosphonates treatment: literature review
Krissia Blanco Rodriguez, Ana Lilia Dobles Jiménez
Resumen
Los bifofosfonatos son medicamentos usados actualmente en cualquier rango de edad, principalmente para inhibir la actividad osteoclástica y la reabsorción ósea. Muchos de los pacientes que consumen estos medicamentos acuden a consulta para tratarse ortodonticamente. El objetivo de esta revisión bibliográfica es conocer los efectos, cuidados y manejos de los pacientes que consumen bifosfonatos cuando se encuentra en tratamiento ortodóntico. Los principales efectos en relación con el tratamiento de ortodoncia son mayor duración de este, dificultad para el cierre de espacios y lograr paralelismo radicular. Por estos motivos, antes de iniciar el tratamiento es indispensable una exhaustiva historia clínica y explicar al paciente las posibles modificaciones en su tratamiento producto de la ingesta de estos medicamentos.
Palabras clave
Abstract
Biphosphonates (BPs) are drugs to inhibit osteoclast activity and bone resorption. They can be use used in any age range. Many of these patients come to a consultation to be treated orthodontically. The objective of this literature review is to know the effects, precautions, and management of orthodontic patients in bisphosphonates treatment. The main effects in orthodontic treatment due to the use of BPs are longer duration, difficulty closing spaces and achieving root parallelism. For these reasons, a complete medical history is essential before starting treatment, also to explain to the patient the possible modifications in their treatment due to the intake of these medications.
Keywords
Referencias
Abela, S. (2012). What you need to know about bisphosphonates:anoverviewand generalrecommendationsfor orthodontictreatmen . Journal of Orthodontics, Vol. 39, 2012, 186–192.
Alatli, I., Hellsing, E. y Hammarström, L. (1996). Orthodontically induced root resorption in rat molars after 1-hydroxyethylidene-1,1-bisphosphonate injection. Acta Odontologica Scandinavica, 54(2), 102–108.
Consolaro, A. (2014). The use of bisphosphonates does not contraindicate orthodontic and other types of treatment. . Dental Press Journal of Orthodontics Dental Press J Orthod. 2014 July-Aug;19(4):18-26 .
Cortés-Motta, M. C. y Fernández-Grisales, R. (2016). Osteonecrosis de los maxilares: fisiopatología, diagnóstico y tratamiento. CES Odontología, 29(2), 65–77.
Fleisher, K. E., Welch, G., Kottal, S., Craig, R. G., Saxena, D. y Glickman, R. S. (2010). Predicting risk for bisphosphonate-related osteonecrosis of the jaws: CTX versus radiographic markers. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics, 110(4), 509–516.
Fujimura, Y., Kitaura, H., Yoshimatsu, M., Eguchi, T., Kohara, H., Morita, Y. y Yoshida, N. (2009). Influence of bisphosphonates on orthodontic tooth movement in mice. European Journal of Orthodontics, 31(6), 572–577. https://doi.org/10.1093/ejo/cjp068
Igarashi, K., Adachi, H., Mitani, H. y Shinoda, H. (1996). Inhibitory effect of the topical administration of a bisphosphonate (risedronate) on root resorption incident to orthodontic tooth movement in rats. Journal of Dental Research, 75(9), 1644–1649.
Karras, J. C., Miller, J. R., Hodges, J. S., Beyer, J. P. y Larson, B. E. (2009). Effect of alendronate on orthodontic tooth movement in rats. American Journal of Orthodontics and Dentofacial Orthopedics : Official Publication of the American Association of Orthodontists, Its Constituent Societies, and the American Board of Orthodontics, 136(6), 843–847.
Krishnan, V. y Davidovitch, Z. (2006). The effect of drugs on orthodontic tooth movement. Orthodontics & Craniofacial Research, 9(4), 163–171.
Loli, D. (2017). Bisphosphonates and orthodontic tooth movement: a systematic review. WebmedCentral Orthodontics, 8(11): WMC005391.
Lorz Ulloa, P. y Varela Guillén, R. (2015). La prueba CTX como evaluador de riesgo en el diagnóstico y tratamiento de osteonecrosis de los maxilares inducida por el uso de bifosfonatos Role of the CTX Test for Evaluation of the Risk in Diagnostic and Treatment of the Osteonecrosis of the Jaws Induc. Odovtos International Journal of Dental Sciences., 1(17), 41–51.
Lotwala, R. B., Greenlee, G. M., Ott, S. M., Hall, S. H. y Huang, G. J. (2012). Bisphosphonates as a risk factor for adverse orthodontic outcomes: a retrospective cohort study. American Journal of Orthodontics and Dentofacial Orthopedics, 142(5), 625-634.e3.
Migliorati, C. A., Casiglia, J., Epstein, J., Jacobsen, P. L., Siegel, M. A. y Woo, S.-B. (2005). Managing the care of patients with bisphosphonate-associated osteonecrosis: an American Academy of Oral Medicine position paper. Journal of the American Dental Association, 136(12), 1658–1668.
O’Connell, J. E., Ikeagwani, O. y Kearns, G. J. (2012). A role for C-terminal cross-linking telopeptide (CTX) level to predict the development of bisphosphonate-related osteonecrosis of the jaws (BRONJ) following oral surgery? Irish Journal of Medical Science, 181(2), 237–242. https://doi.org/10.1007/s11845-011-0790-5
Ortiz Onofre, A. (2019). Aplicación de plasma rico en fibrina (PRF) como tratamiento adyuvante en las osteonecrosis de los maxilares inducira por bifosfonatos orales. Presentación de dos casos clínicos con seguimiento de 1 año (Tesis de especialidad). Universidad San Francisco de Quito, Quito, Ecuador. Recuperado de http://192.188.53.14/bitstream/23000/8008/1/141357.pdf
Rinchuse, D. J., Rinchuse, D. J., Sosovicka, M. F., Robison, J. M. y Pendleton, R. (2007). Orthodontic treatment of patients using bisphosphonates: A report of 2 cases. American Journal of Orthodontics and Dentofacial Orthopedics, 131(3), 321–326.
Zahrowski, J. J. (2009). Optimizing orthodontic treatment in patients taking bisphosphonates for osteoporosis. American Journal of Orthodontics and Dentofacial Orthopedics, 135(3), 361–374.
Submitted date:
07/08/2019
Accepted date:
22/08/2019
Publication date:
21/10/2020
Facebook
Twitter
LinkedIn
Mendeley
CiteULike
Email