scholarly journals Accelerated orthodontic tooth movement: surgical techniques and the regional acceleratory phenomenon

2022 ◽  
Vol 44 (1) ◽  
Author(s):  
Elif Keser ◽  
Farhad B. Naini
Keyword(s):  
Dental Caries ◽  
Orthodontic Treatment ◽  
Tooth Movement ◽  
Root Resorption ◽  
Treatment Time ◽  
Surgical Techniques ◽  
Orthodontic Tooth Movement ◽  
Gingival Inflammation ◽  
The Past ◽  
Regional Acceleratory Phenomenon

Abstract Background Techniques to accelerate tooth movement have been a topic of interest in orthodontics over the past decade. As orthodontic treatment time is linked to potential detrimental effects, such as increased decalcification, dental caries, root resorption, and gingival inflammation, the possibility of reducing treatment time in orthodontics may provide multiple benefits to the patient. Another reason for the surge in interest in accelerated tooth movement has been the increased interest in adult orthodontics. Review This review summarizes the different methods for surgical acceleration of orthodontic tooth movement. It also describes the advantages and limitations of these techniques, including guidance for future investigations. Conclusions Optimization of the described techniques is still required, but some of the techniques appear to offer the potential for accelerating orthodontic tooth movement and improving outcomes in well-selected cases.

scholarly journals Comparison of rate of maxillary canine movement with or without modified corticotomy facilitated orthodontic treatment: A prospective clinical trial

2015 ◽  
Vol 5 ◽  
pp. 138-143 ◽  
Author(s):  
Harshal N. Suryavanshi ◽  
Vaishali R. Das ◽  
Aashish Deshmukh ◽  
Raj Rai ◽  
Mena Vora
Keyword(s):  
Orthodontic Treatment ◽  
Tooth Movement ◽  
Root Resorption ◽  
Treatment Time ◽  
Orthodontic Tooth Movement ◽  
Radiographic Examination ◽  
Maxillary Canine ◽  
Mean Velocity ◽  
Canine Retraction ◽  
Extraction Therapy

Background and Objectives The average orthodontic treatment time for extraction therapy is 31 months. One of the main disadvantages of orthodontic treatment is time. Alveolar corticotomies have been used in conjunction with orthodontics to reduce the treatment time by increasing the rate of tooth movement. Concerns about the possible risks of corticotomy procedure have led to the modification of this technique. Germeç et al. reported a case treated by their modified corticotomy technique and noted reduced treatment time without any adverse effects on the periodontium and the vitality of teeth with their new conservative corticotomy technique. This study was undertaken to clinically evaluate the efficacy of the aforesaid technique. Materials and Methods A split-mouth study design was carried out to compare the rate of maxillary canine movement with and without modified corticotomy facilitated orthodontic treatment in 10 patients requiring maxillary first premolar extractions. The modified corticotomy procedure was performed on the maxillary arch unilaterally. The upper arch was immediately activated bilaterally after surgical procedure using equal orthodontic forces for retraction of the maxillary canines. The amount of tooth movement was recorded at an interval of every month till the completion of canine retraction. The rate of canine movement on experimental and control site was compared. The patients were followed for 6 months to check the occurrence of undesired effects such as root resorption, periodontal damage and loss of vitality of teeth on the experimental side. Results Higher mean velocity was observed in canines with modified corticotomy facilitated retraction compared to conventionally retracted canines; with the difference in mean velocity between the two groups was found to be clinically significant as well as statistically significant (P < 0.001). Interpretation and Conclusion The results suggested that modified corticotomy technique serves as an effective and safe way to accelerate orthodontic tooth movement, without adversely affecting the periodontium, root resorption, and the vitality of the teeth, as concluded by clinical and radiographic examination.

scholarly journals Periodontally Accelerated Osteogenic Orthodontics (PAOO) vs Osteoperforations (A Review on Periodontal Reactions to Orthodontic Tooth Movement)

2021 ◽  
Vol 3 (32) ◽  
pp. 36-51
Author(s):  
Miral Agrawal ◽  
◽  
Shefali Sharma ◽  
Parmeshwari Rathod ◽  
◽  
...  
Keyword(s):  
Orthodontic Treatment ◽  
Tooth Movement ◽  
Treatment Time ◽  
Orthodontic Tooth Movement ◽  
Invasive Procedure ◽  
Adult Patients ◽  
Periodontal Tissues ◽  
Mini Implants ◽  
Adults And Children ◽  
Regional Acceleratory Phenomenon

A high number of adult patients are undertaking orthodontic treatment now because of the newer methods, technology, and innovations available in the market. Orthodontic profession is continually looking for new ways to perform treatment effectively for such patients, as there are many differences in the biology, motivation, and treatment objectives between adults and children. Aligner therapy and mini-implants are some of the ways of managing orthodontic treatment for adult patients. Treatment time is a concern for adult patients and methods to accelerate the orthodontic tooth movement have been a focus in the orthodontic field. Periodontal accelerated osteogenic orthodontics (PAOO) is a surgical procedure that is performed with a combination of alveolar corticotomy, bone grafting, followed by orthodontic treatment. This procedure uses the principle of regional acceleratory phenomenon (RAP). Another procedure commonly used for accelerated orthodontic tooth movement is osteoperforations. This is a minimally invasive procedure, which does not include a flap surgery. The purpose of this article is to describe the differences between adult and children periodontal tissues, the use of different appliances for adult treatment, how orthodontic treatment has been modified for adult patients, and the detailed explanation of procedures for accelerating orthodontic tooth movement such as PAOO and osteoperforations and the potential complications

An Innovative Approach for Accelerated Orthodontic Tooth Movement Stimulated by Corticotomy and Alveolar Grafting withAutogenous Demineralized Dentin Graft of Extracted Premolar- A Case Report

2020 ◽  
Author(s):  
Gupta V
Keyword(s):  
Orthodontic Treatment ◽  
Tooth Movement ◽  
Root Resorption ◽  
Treatment Time ◽  
Young Patients ◽  
Orthodontic Tooth Movement ◽  
Duration Of Treatment ◽  
External Root Resorption ◽  
Tissue Healing ◽  
Demineralized Dentin

In today's era, there is an increased demand for orthodontic treatment, especially among young patients. The greatest concern amongst the patients undergoing orthodontic treatment is the increased treatment time. The fixed orthodontic treatment lasts up to 2 to 3 years which further increases the risk of complications associated with the treatment such as external root resorption, periodontal problems, and patient compliance [1]. Clinicians are constantly striving towards developing strategies to enhance the rate of orthodontic tooth movement and decreasing the treatment time. Numerous surgical modalities found to be highly effective in reducing the treatment time for orthodontic therapy include corticotomy, corticision, peizocision, periodontal distraction, dentoalveolar distraction etc. [2]. Wilcko et al. [3] introduced the combined approach corticotomy surgery with alveolar grafting in a technique referred to as Accelerated Osteogenic Orthodontics (AOO) and recently known as Periodontally accelerated osteogenic orthodontics (PAOO). Many studies dictated that PAOO is an extremely predictable, safe, effective technique. The risk of root resorption and the duration of treatment time is considerably reduced [3-5]. The present article focuses on accelerating the orthodontic tooth movement using a Demineralized dentin matrix (DDM) graft, alloplast and PRF membranes to reduce the treatment time and improves soft and hard tissue healing outcomes.

scholarly journals Accelerated Orthodontics: A Review

2019 ◽  
Vol 2 (1) ◽  
pp. 01-06
Author(s):  
Rohit Kulshrestha ◽  
Pavankumar Vibhute ◽  
Chetan Patil ◽  
Vinay Umale ◽  
Balagangadhar Balagangadhar
Keyword(s):  
Treatment Duration ◽  
Orthodontic Treatment ◽  
Tooth Movement ◽  
Root Resorption ◽  
Treatment Time ◽  
Orthodontic Tooth Movement ◽  
Gingival Recession ◽  
Accelerated Orthodontics

Nowadays, there is an increased tendency for researches to focus on accelerating methods for tooth movement due to the greater demand for adults for a shorter orthodontic treatment duration. Unfortunately, long orthodontic treatment time has many disadvantages like higher predisposition to caries, gingival recession, and root resorption. This increases the demand to increase tooth movement with the least possible disadvantages. Several modalities have been reported for accelerating the tooth movement. Thus, accelerating orthodontic tooth movement and the resulting shortening of the treatment time would be quite beneficial.

scholarly journals Dentoalveolar surgery techniques combined with orthodontic treatment: A literature review

2013 ◽  
Vol 07 (02) ◽  
pp. 257-265 ◽  
Author(s):  
F. Deniz Uzuner ◽  
Nilufer Darendeliler
Keyword(s):  
Clinical Practice ◽  
Literature Review ◽  
Orthodontic Treatment ◽  
Historical Perspective ◽  
Tooth Movement ◽  
Treatment Time ◽  
Combined Treatment ◽  
Surgical Techniques ◽  
Orthodontic Tooth Movement ◽  
Adult Patients

ABSTRACTSurgery on the dentoalveolar process combined with orthodontic treatment was emphasized as an alternative method for reducing the treatment time and improving the orthodontic treatment on post-adolescent and adult patients. This combined treatment facilitates and accelerates orthodontic tooth movement. This article reviews the clinical practice in surgery-assisted orthodontic treatment in relation to historical perspective, indications and biological principles, as well as limitations and risks of dento-osseous surgical techniques, including dento-osseous osteotomy and/or ostectomy, dento-osseous microfracture, dento-osseous corticotomy, and/or corticoectomy, and dental distraction.

scholarly journals Is Inflammation a Friend or Foe for Orthodontic Treatment?: Inflammation in Orthodontically Induced Inflammatory Root Resorption and Accelerating Tooth Movement

2021 ◽  
Vol 22 (5) ◽  
pp. 2388
Author(s):  
Masaru Yamaguchi ◽  
Shinichi Fukasawa
Keyword(s):  
Inflammatory Mediators ◽  
Orthodontic Treatment ◽  
Alveolar Bone ◽  
Tooth Movement ◽  
Root Resorption ◽  
Orthodontic Tooth Movement ◽  
Tnf Α ◽  
Orthodontic Forces ◽  
Necrosis Factor

The aim of this paper is to provide a review on the role of inflammation in orthodontically induced inflammatory root resorption (OIIRR) and accelerating orthodontic tooth movement (AOTM) in orthodontic treatment. Orthodontic tooth movement (OTM) is stimulated by remodeling of the periodontal ligament (PDL) and alveolar bone. These remodeling activities and tooth displacement are involved in the occurrence of an inflammatory process in the periodontium, in response to orthodontic forces. Inflammatory mediators such as prostaglandins (PGs), interleukins (Ils; IL-1, -6, -17), the tumor necrosis factor (TNF)-α superfamily, and receptor activator of nuclear factor (RANK)/RANK ligand (RANKL)/osteoprotegerin (OPG) are increased in the PDL during OTM. OIIRR is one of the accidental symptoms, and inflammatory mediators have been detected in resorbed roots, PDL, and alveolar bone exposed to heavy orthodontic force. Therefore, these inflammatory mediators are involved with the occurrence of OIIRR during orthodontic tooth movement. On the contrary, regional accelerating phenomenon (RAP) occurs after fractures and surgery such as osteotomies or bone grafting, and bone healing is accelerated by increasing osteoclasts and osteoblasts. Recently, tooth movement after surgical procedures such as corticotomy, corticision, piezocision, and micro-osteoperforation might be accelerated by RAP, which increases the bone metabolism. Therefore, inflammation may be involved in accelerated OTM (AOTM). The knowledge of inflammation during orthodontic treatment could be used in preventing OIIRR and AOTM.

scholarly journals Root Resorption in Orthodontic Treatment: Scoping Review

2018 ◽  
Vol 7 (2) ◽  
pp. 47-51
Author(s):  
Neeta Aryal ◽  
Mao Jing
Keyword(s):  
Scoping Review ◽  
Orthodontic Treatment ◽  
Tooth Movement ◽  
Root Resorption ◽  
Orthodontic Tooth Movement ◽  
Conventional Radiography ◽  
Promising Tool ◽  
External Root Resorption ◽  
Long Time ◽  
Orthodontic Patients

Introduction: Root resorption is the loss of apical root tissue leading to the shortness of root which is often evident in orthodontic tooth movement. Proper management during orthodontic treatment however can minimize this undesirable outcome. The present article attempts to review the etiology of root resorption, methods of diagnosis, and strategies for prevention.Materials & Method: A scoping review was done with the purpose to carry out the narrative integration of the relevant evidences on root resorption and orthodontic treatment from the published literatures. The resulting papers were studied and reviewed thoroughly for the key explanation of root resorption in orthodontic patients. A total of 41 published research articles were reviewed.Discussion: According to the literatures root resorption is common iatrogenic outcome in orthodontic treatment. Biological, mechanical, and combined biological and mechanical factors result in external root resorption. Though most clinicians diagnose root resorption by conventional radiography, researches have clearly shown that CBCT is the promising tool. The clinicians need to counsel orthodontic patients and their parents that the root resorption might be a potential consequence of the treatment lasting for long time. In case of severity; it is essential to reassess the patient and minimize the underlying cause. It is necessary to understand the role of orthodontist in preventing root resorption

scholarly journals Highly variable rate of orthodontic tooth movement measured by a novel 3D method correlates with gingival inflammation

2020 ◽  
Author(s):  
Marc A. de Gouyon Matignon de Pontouraude ◽  
Johannes W. Von den Hoff ◽  
Frank Baan ◽  
Robin Bruggink ◽  
Marjon Bloemen ◽  
...  
Keyword(s):  
Biological Markers ◽  
Orthodontic Treatment ◽  
Tooth Movement ◽  
Gingival Crevicular Fluid ◽  
Contact Point ◽  
Anterior Segment ◽  
Three Dimensional ◽  
Orthodontic Tooth Movement ◽  
Large Individual ◽  
Gingival Inflammation

Abstract Objectives Individual orthodontic treatment duration is hard to predict. Individual biological factors are amongst factors influencing individual rate of orthodontically induced tooth movement (OTM). The study aim is to determine the rate of OTM by a novel 3D method and investigate parameters that may predict the rate of tooth movement. Materials and methods In this prospective cohort study, rate of OTM was determined from 90 three-dimensional intra-oral scans in 15 patients (aged 12–15) undergoing orthodontic treatment. For each patient, intra-oral scans were taken every week for up to 6 weeks (T0–T5). The teeth were segmented from the scans and the scans were superimposed on the palatal rugae. The rate of OTM was calculated for each tooth. Other parameters were gingival inflammation, contact-point displacement and the biological markers, matrix metalloproteinases (MMP), MMP-9 and MMP-2 in gingival crevicular fluid (GCF). Results Our study showed a high variation in the rate of OTM, varying from 0.15 to 1.24 mm/week. Teeth in the anterior segment tended to move more compared with the posterior segment. The contact point displacement and gingival inflammation varied greatly amongst the patients. The MMPs measured did not correlate with tooth movement. However, the gingival inflammation index showed a significant correlation with OTM. Future studies should include other biological markers related to bone-remodeling. Conclusion This novel and efficient 3D method is suitable for measuring OTM and showed large individual variation in rate of OTM. Clinical relevance Patients show different rates of OTM. The rate of OTM in an individual patient can provide guidance in timing of follow-up appointments.

scholarly journals Micro-osteoperforations and Its Effect on the Rate of Tooth Movement: A Systematic Review

2020 ◽  
Author(s):  
Khalifa S. Al-Khalifa ◽  
Hosam A. Baeshen
Keyword(s):  
Minimally Invasive ◽  
Cortical Bone ◽  
Web Of Science ◽  
Tooth Movement ◽  
Treatment Time ◽  
Orthodontic Tooth Movement ◽  
Inclusion Criteria ◽  
Electronic Search ◽  
Invasive Method ◽  
Regional Acceleratory Phenomenon

AbstractProlonged orthodontic treatments have inconvenienced patients and clinicians alike. Surgically assisted techniques for accelerating orthodontic tooth movement have shown promising results in the literature over the years. The minimally invasive nature of micro-osteoperforations (MOPs), however, for enhanced orthodontic tooth movement has recently gained momentum, with many clinical trials conducted on both animals and humans. An electronic search was performed to extract papers using PubMed, Google Scholar, Scopus, and Web of Science. The keywords that were used included “MOP,” “accelerating tooth movement,” “orthodontic tooth movement,” and “regional acceleratory phenomenon.” The studies that met our inclusion criteria were extracted and evaluated in this review. MOPs have been proven time and again, in animal and human studies alike, to increase the rate of orthodontic tooth movement. The application of perforations to cortical bone present in the pathway of teeth, which are specifically to be moved creates transient osteopenia. This reduces the density of the cortical bone, hence speeding up the rate of orthodontic tooth movement. Many techniques have been implemented and perfected to enhance orthodontic tooth movement and shorten the treatment time in the literature. MOPs have proven to be a universally applied, nontechnical, repeatable, and minimally invasive method of accelerating tooth movement, with extremely minimal consequences.

scholarly journals Laser therapy and biochemical markers in the acceleration of orthodontic dental movement: a review of the literature

2017 ◽  
Vol 21 (2) ◽  
pp. 26-31
Author(s):  
Pilar León ◽  
Angela Domínguez
Keyword(s):  
Key Words ◽  
Laser Therapy ◽  
Biochemical Markers ◽  
Orthodontic Treatment ◽  
Tooth Movement ◽  
Treatment Time ◽  
Orthodontic Tooth Movement ◽  
Low Intensity ◽  
Bone Formation Markers ◽  
Intensity Laser

The purpose of this review is to identifyknown and controversial relevant aspects of the role of laser application and biochemical markersduring accelerating orthodontic tooth movement. Biochemical markers that mediate acceleration oforthodontic tooth movement were identified in this review, and also was found that this accelerationof dental movement is possible due to the bone functional properties and its ability to deposition(mediated by osteoblasts) and bone resorption (mediated by osteoclasts). For each of these processesexist biochemical markers that can be measured in serum or urine. Bone formation markers arecollagen and non-collagenous proteins while pyridinoline and deoxypyridinoline are resorptionmarkers. There are numerous mechanisms to accelerate tooth movement described in the literature;surgical as corticotomy, insights intramedullary piezocision and surgery first, pharmacological asprostaglandins and D vitamin, and physical as pulsatile stimuli and laser therapy. The purpose ofall of them is to accelerate the process and to have shorter orthodontic treatment. The lasertherapy has been reported as a safe and effective alternative to accelerate tooth movement and theireffects on cell populations involved in bone metabolism and pain have been evaluated in animalstudies and in humans, showing good results to reduce the total orthodontic treatment time andhaving less pain sensation after placement of the arches used in the different stages oftreatment.We concluded that nowadays there is no randomized controlled clinical trials published toevaluate the application of these biochemical markers in the process of acceleration of bonemetabolism during orthodontic treatment with the application of low intensity laser (GaAlAs)considered as an effective tool to increase the speed of tooth movement and to reduce pain afteractivation of orthodontic arches. Key words: Tooth movement, Biochemical markers, Low intensitylaser. Key words: Tooth movement, Biochemical markers, Low intensity laser.

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