How can a tooth be moved in boney socket during orthodontic treatment?

Teeth are moved in their bony sockets during orthodontic treatment through a process called bone remodeling. This process involves the breakdown of old bone tissue and the formation of new bone tissue, which allows the tooth to gradually shift its position.

Here's a step-by-step explanation of how bone remodeling occurs during orthodontic treatment:

1. Application of orthodontic force: The orthodontist applies a controlled force to the tooth using orthodontic appliances, such as braces or aligners. This force creates pressure on the tooth and the surrounding bone.

2. Activation of osteoclasts: The pressure from the orthodontic force stimulates the cells in the bone tissue called osteoclasts. These cells are responsible for breaking down and resorbing old bone tissue.

3. Bone resorption: The osteoclasts start to dissolve the bone tissue around the tooth, creating a space for it to move. This process is known as bone resorption.

4. Formation of new bone: While the osteoclasts are breaking down the bone tissue, other cells called osteoblasts are actively forming new bone tissue on the opposite side of the tooth. This new bone tissue fills in the space created by the resorption process.

5. Gradual tooth movement: As the bone tissue around the tooth is resorbed on one side and new bone is formed on the other side, the tooth gradually moves in the desired direction.

6. Continued remodeling: The bone remodeling process continues throughout the orthodontic treatment, allowing the tooth to be precisely positioned over time.

It's important to note that orthodontic treatment is a gradual process, and the rate at which teeth move depends on several factors, such as the severity of the malalignment, the type of orthodontic appliances used, and the individual's response to treatment.