Immunosuppressants: implications in Orthodontics

Detalhes bibliográficos
Autor(a) principal: Santos,Rogério Lacerda dos
Data de Publicação: 2012
Outros Autores: Lacerda,Maria Cláudia Mesquita, Gonçalves,Renato Torres, Martins,Marco Aurélio, Souza,Margareth Maria Gomes de
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Dental Press Journal of Orthodontics
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2176-94512012000200012
Resumo: INTRODUCTION: There are medications capable of affecting bone metabolism and the rate of tooth movement. Among these medications are the immunosuppressants, which act by repressing the action of T lymphocytes, however they can cause bone loss and consequently lead to osteoporosis. Osteoporosis is a common complication following kidney, heart, liver or lung transplantation. The immunosuppressant treatment for preventing organ rejection after transplantation, in general, includes glucocorticoids, cyclosporine, tacrolimus, and sirolimus. All these drugs can have jeopardizing effects on bone mineral homeostasis and consequently influence tooth movement. In recent years, however, the increasing use of immunosuppressants has raised questions about their effects on bone metabolism in patients undergoing orthodontic treatment. OBJECTIVE: The objective of this review study was to inform orthodontists about the influence of immunosuppressants on bone metabolism and tooth movement.