"A new orthodontic diagnosis based on the cupping depth of the alveolar bone "

Abstract

Dentistry has made significant progress since the era when teeth were commonly extracted for dental pain, extensive dental caries, and endodontic disease. In this manuscript, we introduce the cupping depth of the alveolar bone and propose a new way to assess malalignment of teeth in orthodontics. Advancements in restorative dentistry and endodontic procedures have enabled the restoration of dental hard tissue using innovative techniques and advanced materials. However, despite these strides in restorative dentistry, a considerable gap persists in orthodontic diagnosis and practice. Fortunately, the universal application of Edward R. Angle's arbitrary treatment goal, irrespective of individual facial and developmental morphology, is finally waning due to advancements in orthodontic technologies. FASTBRACES® Technologies introduce technical advancements and a proper knowledge base for evaluating and treating the overlooked alveolar bone architecture of malaligned teeth. The axial ("horizontal") restoration of alveolar bone is promoted, which is analogous to the sagittal ("vertical") restoration of alveolar bone in periodontal treatment planning and therapy. This approach is biologically based and consistent with a patient's natural dentition and individual genetic morphologic appearance, rather than relying on subjective or arbitrary ideals. Moreover, this approach targets a highly pathogenic periodontal microbial flora associated with malaligned teeth and linked to systemic disease. Furthermore, restoring alveolar bone is not only important for suppressing this unique pathogenic microbial flora, but it also aligns with a comprehensive strategy of successful restoration of hard tissue that is emphasized in restorative dentistry and endodontics.