Department of Orthodontics, University of Texas Health Science Center at Houston School of Dentistry, Houston, Texas, USA.
Department of Diagnostic & Biomedical Sciences, University of Texas Health Science Center at Houston School of Dentistry, Houston, Texas, USA.
Orthod Craniofac Res. 2023 Dec;26 Suppl 1(Suppl 1):29-38. doi: 10.1111/ocr.12637. Epub 2023 Feb 8.
Tooth eruption is a pivotal milestone for children's growth and development. This process involves with the formation of the tooth root, the periodontal ligament (PDL) and the alveolar bone, as the tooth crown penetrates the bone and gingiva to enter the oral cavity. This review aims to outline current knowledge of the adverse dental effects of antiresorptive medications. Recently, paediatric indications for antiresorptive medications, such as bisphosphonates (BPs), have emerged, and these agents are increasingly used in children and adolescents to cure pathological bone resorption associated with bone diseases and cancers. Since tooth eruption is accompanied by osteoclastic bone resorption, it is expected that the administration of antiresorptive medications during this period affects tooth development. Indeed, several articles studying human patient cohorts and animal models report the dental defects associated with the use of these antiresorptive medications. This review shows the summary of the possible factors related to tooth eruption and introduces the future research direction to understand the mechanisms underlying the dental defects caused by antiresorptive medications.
牙齿萌出是儿童生长发育的关键里程碑。这个过程涉及到牙根、牙周膜(PDL)和牙槽骨的形成,随着牙冠穿透骨组织和牙龈进入口腔。本综述旨在概述抗吸收药物对牙齿不良影响的现有知识。最近,抗吸收药物(如双膦酸盐(BPs))在儿科的适应证已经出现,这些药物在儿童和青少年中越来越多地用于治疗与骨疾病和癌症相关的病理性骨吸收。由于牙齿萌出伴随着破骨细胞的骨吸收,因此预计在此期间使用抗吸收药物会影响牙齿发育。事实上,一些研究人类患者队列和动物模型的文章报告了与使用这些抗吸收药物相关的牙齿缺陷。本综述总结了与牙齿萌出相关的可能因素,并介绍了未来的研究方向,以了解抗吸收药物引起的牙齿缺陷的机制。