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Case Reports in Dentistry
Volume 2014, Article ID 341752, 10 pages
Case Report

Impact of Orthodontic Decompensation on Bone Insertion

1University of Sagrado Coração (USC), Bauru, SP, Brazil
2Graduation and Post-Graduation Program, University of Sagrado Coração (USC), Bauru, SP, Brazil
3Bauru School of Dentistry and Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo, Bauru, SP, Brazil
4Graduation and Post-Graduation Program, University of Sagrado Coração (USC) and Branemark Institute, Bauru, SP, Brazil
5São Leopoldo Mandic College, Campinas, SP, Brazil

Received 10 July 2014; Accepted 22 September 2014; Published 10 November 2014

Academic Editor: Gianmario Schierano

Copyright © 2014 Fabio Pinto Guedes et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


There has always been concern in determining the relationship between orthodontic tooth movement and the consequent biological costs to the periodontium and tooth root. The possibility of evaluating the tooth and bone morphology by CBCT allows more accurate analysis of qualitative and quantitative aspects of these processes. This paper presents a case report of a 20-year-old male patient with Class III malocclusion and hyperdivergent facial pattern, who was surgically treated. A significant amount of labial movement of mandibular incisors was performed during orthodontic treatment before surgery. CBCT was used for evaluation of buccal and lingual bone plates before and after tooth decompensation. The changes in the bone insertion level of maxillary and mandibular incisors in the present case encourage a reflection on the treatment protocol in individuals with dentoskeletal discrepancies.