“ADMINISTRATION OF PLATELET RICH PLASMA- A SHIFT IN ACCELERATED ORTHODONTICS– A REVIEW “

2021 ◽  
pp. 44-45
Author(s):  
Saraa Angel .L ◽  
Abhijeet Jaiswal

Increasing awareness towards self-appearance and aesthetics has led to increase in overall patients willing to undergo orthodontic treatment. Various surgical and non surgical methods have been tried to reduce the overall orthodontic treatment time. Painless, non invasive procedures are preferred over the traumatic methods. Platelet Rich Plasma (PRP) injection has recently gained popularity due to its safe , relatively painless and economical alternative in accelerating the tooth movement. This article briefs on the researches done in animal and human population so far using PRPand their cumulative effects on tooth movement.

2020 ◽  
Vol 9 (2) ◽  
pp. 28-39
Author(s):  
O.D Umeh ◽  
I.G Isiekwe ◽  
O.O DaCosta ◽  
O.O Sanu ◽  
I.L Utomi ◽  
...  

Objectives: The purpose of this study was to evaluate the a􀄴itude and perception of orthodontic patients to the duration of orthodontic treatment and the procedures for accelerating orthodontic tooth movement.Methods: This was a cross-sectional analytical study. The study population was made up of patients undergoing fixed appliance orthodontic treatment at the Orthodontic Unit of the Lagos University Teaching Hospital. A convenience sampling technique was used and data collection was via selfadministered questionnaires and an information sheet. The questionnaires assessed patients' knowledge of accelerated orthodontic procedures as well as their perception of orthodontic treatment time and willingness to undergo some accelerated orthodontic treatment procedures. The procedures evaluated included corticotomy, piezocision, micro-osteoperforation, laser therapy, local administration of injections and use of vibrations.Results: One hundred orthodontic patients (n=100, adolescents, 46%; adults, 54%) were surveyed comprising 36 males and 64 females. Most of the participants (88%) had never heard of accelerated orthodontics. A majority of respondents (75%) believed that orthodontic treatment time was too long, and were willing to undergo additional procedures to reduce treatment time (81%). Subjects' willingness to undergo the procedures were inversely proportional to the degree of its invasiveness for all groups, with at least a third of the patients willing to accept a 10% increase in treatment fees for a reduction in treatment time across all techniques surveyed.Conclusion: The orthodontic patients surveyed considered treatment time protracted and were interested in undergoing adjunctive orthodontic procedures to accelerate tooth movement, with a consequent increase in treatment cost. They, however, had a limited knowledge of the different methods of accelerating orthodontic treatment. Key words: Accelerated orthodontics, orthodontic treatment time


2019 ◽  
Vol 2 (1) ◽  
pp. 01-06
Author(s):  
Rohit Kulshrestha ◽  
Pavankumar Vibhute ◽  
Chetan Patil ◽  
Vinay Umale ◽  
Balagangadhar Balagangadhar

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.


2018 ◽  
Vol 23 (6) ◽  
pp. 90-105 ◽  
Author(s):  
Ricardo Moresca

Abstract Introduction: In the literature, no consensus has been reached about orthodontic treatment time. Similarly, the determining factors of the latter have not yet been completely elucidated. Objective: The aim of the present article was to deepen the discussion on the major factors influencing orthodontic treatment time, as well as to present some strategies that have proven effective in controlling and shortening it. Method: Based on evidences found in the literature, the method focussed in providing the basis for clinical decision-making. Conclusions: Treatment time varies according to the type of malocclusion and treatment options. Orthodontist’s influence, patient’s characteristics and compliance are all decisive in determining treatment time, while the effects provided by orthodontic appliances and methods used to speed tooth movement up seem little effective.


2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Ali M. Al-Attar ◽  
Samher Al-Shaham ◽  
Mushriq Abid

Background/Purpose. In the literature, no consensus about the duration of orthodontic treatment has been reached out. This study aimed to identify orthodontist’s and patient’s perception about the time of orthodontic treatment and their willingness to undergo and pay for various acceleration techniques and procedures. Materials and Methods. An electronic survey was conducted from August to October 2020. The questionnaire consisted of 20 multiple choice questions which was designed and emailed to members of the Iraqi Orthodontic Society and self-administered to patients in several orthodontic centers in Baghdad. The questionnaire included questions about the perception toward the duration of orthodontic treatment, approval of different procedures used to reduce treatment time, and how much fee increment they are able to pay for various techniques and appliances. Descriptive and chi-square test statistics were used, and the level of significance was set at p ≤ 0.05 . Results. The response rate was 78.7%. The willingness for additional techniques and procedures was rated in the following order: customized appliances: 50.8% orthodontists and 38.4% patients, followed by intraoral vibrating devices: 49.2% orthodontists and 38.1% patients, piezocision: 10.2% orthodontists and 8.2% patients, and corticotomies: 8.1% orthodontists and 5.9% patients. Most orthodontists were willing to pay up to 40% of treatment income for the acceleration procedure, while the payment of patients was up to 20%. Conclusion. Both orthodontists and patients were interested in techniques that can decrease the treatment duration. Noninvasive accelerating procedures were more preferable by orthodontists and patients than invasive surgical procedures.


2017 ◽  
Vol 21 (2) ◽  
pp. 26-31
Author(s):  
Pilar León ◽  
Angela Domínguez

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.


2015 ◽  
Vol 5 ◽  
pp. 138-143 ◽  
Author(s):  
Harshal N. Suryavanshi ◽  
Vaishali R. Das ◽  
Aashish Deshmukh ◽  
Raj Rai ◽  
Mena Vora

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.


1994 ◽  
Vol 21 (3) ◽  
pp. 265-274 ◽  
Author(s):  
R. T. Lee

Orthodontic therapy is best carried out in a normal skeletal and soft tissue environment. In patients requiring orthognathic surgery, it is suggested that there are advantages in correcting the skeletal and soft tissue elements as early as possible, and to orthodontically control the occlusion post-operatively. This results in a shorter overall treatment time due to more biologically favourable tooth movement, more predictable occlusal results and better management by the orthodontist. The clinical benefits of post-operative orthodontics are outlined.


Author(s):  
Wael Ahmed Bayomy Mohamed ◽  
Rozita Hassan ◽  
Shaifulizan Abdul Rahman

The duration of treatment is the most concern among orthodontic patients. It is of a challenge for an orthodontist to shorten the treatment time. A new surgical technique was introduced to accelerate tooth movement during orthodontic treatment. This new technique is the surgical reduction of bone mass in the pathway of desired tooth movement before orthodontic treatment. This case report explained the treatment of a 21-year-old male patient with severe-to-moderate crowded dentition and he requested to get the treatment done in a short period of time. Upper right first premolar and lower left second premolar were extracted, the bone in the desired pathway of all teeth movement was reduced and the dentoalveolar distraction procedure performed using nickel-titanium closing coil spring and rubber power chain. Full teeth alignment was achieved in 3 months period and the anchorage teeth were able to withstand the retraction forces with minimal anchorage loss.


2021 ◽  
Vol 3 (32) ◽  
pp. 36-51
Author(s):  
Miral Agrawal ◽  
◽  
Shefali Sharma ◽  
Parmeshwari Rathod ◽  
◽  
...  

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


2020 ◽  
Vol 10 ◽  
pp. 142-149
Author(s):  
Padhraig S. Fleming

There is disagreement as to what constitutes an acceptable duration for orthodontic treatment but seeming unanimity that acceleration is required. This contention has spawned a range of surgical and non-surgical adjuncts designed to accelerate orthodontic tooth movement, geared at reducing overall treatment times while maintaining optimal occlusal results. Largely, however, marketed non-surgical adjuncts and involved surgical procedures have shown equivocal effectiveness in reducing treatment times. Notwithstanding this, a range of key treatment decisions and approaches may have a more potent effect. While external solutions may offer alluring possibilities, perhaps, more mundane realities including refinement of orthodontic planning and decision-making with efficiency and process, as well as final outcome, in mind continue to offer the most accessible and influential means of improving orthodontic efficiency?


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