• 목록
• 답변
• 글쓰기
• 게시판 리스트 옵션
  • 수정
  • 삭제

Orthodontists frequently address tooth rotation to realign teeth that have twisted out of their original placement

This misalignment can occur due to genetics, early loss of baby teeth, overcrowding, or habits like thumb sucking

Though the objective appears straightforward—repositioning the tooth correctly—the underlying mechanics require advanced knowledge of dental biomechanics and the precise application of corrective forces

At the core of tooth rotation correction is the principle of bone remodeling

When a force is applied to a tooth, it creates pressure on one side of the tooth’s root and tension on the opposite side

The pressure side triggers bone resorption, where specialized cells called osteoclasts break down bone tissue

On the stretched side, osteoblasts lay down fresh bone tissue to fill the gap

This dynamic process allows the tooth to gradually shift into its desired location over time

Orthodontists typically rely on either fixed appliances or removable clear trays to correct dental rotation

Fixed appliances consist of metal or tooth-colored brackets attached to each tooth, connected by an archwire that delivers steady corrective pressure

Regular adjustments allow the clinician to fine-tune the direction and magnitude of the applied force

Invisible aligners are individually fabricated plastic shells designed to contour precisely to the patient’s dental arch

Typically, a new aligner is worn for seven to fourteen days to achieve sequential tooth movement

To enhance rotational control, clear aligners frequently feature tiny composite attachments that act as handles for the tray to apply torque

Rotational correction becomes more challenging when the tooth is severely angled or has a long, conical root

Teeth with substantial root surface area, such as canines and incisors, 表参道 歯科矯正 demand higher forces and longer treatment durations

In stubborn cases, a minor surgical procedure may be needed to decouple the tooth from dense bone before orthodontic forces can take effect

The position of adjacent teeth and occlusal contacts significantly influence rotational correction

Moving a single rotated tooth can alter occlusion, requiring adjustments to neighboring teeth to maintain proper bite function

To enable effective rotation, orthodontists frequently reposition adjacent teeth to free up room or redistribute mechanical stress

Patient cooperation is a critical factor

Whether wearing braces or aligners, the success of rotation correction relies on consistent wear and proper oral hygiene

Poor compliance can delay treatment or cause the tooth to revert to its original position

After correction, retainers are essential to hold the tooth in place while the surrounding bone and ligaments stabilize

True success lies in harmonizing biomechanics, clinical planning, and patient adherence to achieve lasting alignment

Thanks to innovations in diagnostics, appliance design, and biomaterials, orthodontists can now resolve even the most resistant cases with precision and predictability