Teeth are almost constantly subject to a variety of intrinsic and extrinsic physical forces, be they dynamic or static in origin. These forces may be vertical, axial horizontal (occlusal force), lateral (e.g., orthodontic loading), oblique, translational, shearing, and oppositional. Anatomic forces resulting from both the tongue and palate play a significant role in growth, development, and deformation.In concert, these forces drive and maintain physiologic alveolar bone growth, development, and homeostasis. Capitalizing on these force relationships not only enable but may optimize therapeutic interventions such as those employed in orthodontic tooth movement, reconstructive surgery, and healing.Occlusal hypofunction as in malocclusion 1,2 and missing teeth with resultant alveolar bone resorption have been linked to alterations in the periodontal ligament (PDL). In contrast, orthodontic tension is generally employed to induce bone apposition, the addition of bone to the surface of the socket of the tooth. 3 Mechanotransduction describes the conversion of physical forces (tension /compression) into a physiological response, 4,5 while the process of functional mechanotransduction has been termed tensegrity (tensional integrity). 6