Journal of Prevention and Treatment for Stomatological Diseases ›› 2021, Vol. 29 ›› Issue (5): 340-345.doi: 10.12016/j.issn.2096-1456.2021.05.008

• Review Articles • Previous Articles     Next Articles

Research progress on factors related to the difficulty of orthodontic tooth movement

MENG Qingyan(),LIU Jun()   

  1. State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases, Department of Orthodontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2020-10-16 Revised:2020-12-12 Online:2021-05-20 Published:2021-03-08
  • Contact: Jun LIU;
  • Supported by:
    National Natural Science Foundation of China(81870743)


Orthodontic tooth movement is a complex physiological process based on periodontal tissue remodeling. Numerous factors, such as the anatomical characteristics of oral and maxillofacial complications, occlusal interference, mechanical factors and systematic factors, may play critical roles in orthodontic tooth movement, leading to tooth movement difficulty. In recent years, many scholars have focused on factors related to tooth movement difficulty, but current research mostly involves animal experiments and retrospective studies. Clinical trials of high-quality and evidence-based medicine studies are required. Although no sound theory system is available that is universally recognized and the mechanism of many factors remains debatable, alveolar bone defects, the maxillary sinus, the gingiva, tooth ankylosis, bone islands and friction may cause orthodontic tooth movement. Understanding the factors related to the difficulty of orthodontic tooth movement is advantageous to develop a more comprehensive personalized treatment plan for patients and achieve more efficient and safer tooth movement. In this paper, the current factors related to orthodontic tooth movement are reviewed to provide references for clinical orthodontic treatment.

Key words: orthodontic tooth movement, bone remodeling, alveolar bone, maxillary sinus, gingiva, tooth ankylosis, bone island, friction

CLC Number: 

  • R783.5
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