Medicamentos que influenciam na movimentação ortodôntica: revisão de literatura

Abstract

The orthodontic movement may be influenced by several factors, including the use of drugs. Studies show that a large proportion of patients in treatment make use of some pharmaceutical preparation with the potential to interfere with the induced tooth movement. The orthodontic movement depends crucially on the processes of bone remodeling (absorption and apposition) and thus the objective of this work of literature review was to identify the main drugs that may interfere with these processes. Among the studied drugs, the paracetamol or acetaminophen stood out for not showing influence on induced tooth movement, and should be the analgesic of choice in controlling pain associated with orthodontic treatment. The anti-inflammatory nonsteroidal, bisphosphonates and tetracyclines can reduce the orthodontic movement in a dependant dose manner, when used for long periods of time and high doses. Otherwise, the anti-inflammatory steroids or corticosteroids and isotretinoin, when lead to a state of osteoporosis, it can accelerate the orthodontic movement in a dependant dose manner. Generally, the analgesic and anti-inflammatory drugs are administered in short periods and low dosages, not interfering significantly in orthodontic movement. The anovulatory requires further research.