Yes, corticosteroids can affect tooth movement during orthodontic treatment. Corticosteroids can influence bone remodeling, which is a key process in tooth movement. The effect can vary depending on the type, dosage, and duration of corticosteroid use.According to Ramos et al18 corticosteroids, when experimentally used, can modify the speed of induced tooth movement, but clinically, these changes do not reflect structural changes on the trabecular bone of the jaws since the jaw bones turnover is slower than the other bones.Ever since its discovery, the Corticosteroid group of drugs have helped in treating and ameliorating the pain and sufferings of millions around the world. However it also has the potential to cause serious side effects. One of the side effects which is of concern for orthodontists, around the world, is its capacity to affect bone physiology& remodelling and by doing so affecting the rate of orthodontic tooth movement (OTM). Upon reviewing the existing literature on the topic it can be concluded that –
1. Corticosteroids group of drugs affect the rate of orthodontic tooth movement and may also affect the long term stability of orthodontically moved teeth
2. It is imperative to take a thorough medical and drug intake history of all patients, young and old alike, so as to formulate an appropriate treatment plan.
3. Orthodontic patients undergoing concomitant steroid therapy should be subjected to periodic clinical and radiographic examination to assess the patients response to treatment and modulations required in treatment mechanics during the course of treatment.
4. There is a pressing need for further research, preferably on human subjects, for a better understanding of the phenomenon.
Corticosteroid group of drugs have helped in treating and ameliorating the pain and sufferings of millions around the world. However it also has the potential to cause serious side effects. One of the side effects which is of concern for orthodontists, around the world, is its capacity to affect bone physiology& remodelling and by doing so affecting the rate of orthodontic tooth movement (OTM). Upon reviewing the existing literature on the topic it can be concluded that –
1. Corticosteroids group of drugs affect the rate of orthodontic tooth movement and may also affect the long term stability of orthodontically moved teeth.
2. It is imperative to take a thorough medical and drug intake history of all patients, young and old alike, so as to formulate an appropriate treatment plan. 3. Orthodontic patients undergoing concomitant steroid therapy should be subjected to periodic clinical and radiographic examination to assess the patients response to treatment and modulations required in treatment mechanics during the course of treatment. 4. There is a pressing need for further research, preferably on human subjects, for a better understanding of the phenomenon.