Learn more about interdisciplinary treatment planning for corticotomy-facilitated orthodontics and read about a real-world case. Increased societal demands have led patients to request shorter orthodontic is the dual-specialty in-office corticotomy-facilitated bone augmentation approach. Alveolar corticotomies in orthodontics: Indications and effects on tooth movement. Dauro Douglas Oliveira*, Bruno Franco de Oliveira**.

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Molar intrusion with a palatal arch. Introduction Dental arch crowding is one of the most common form of malocclusion. Canine retraction was accelerated by corticotomy in two animal studies.

Corticotomy facilitated orthodontics: Review of a technique

Stability and relapse of dental arch alignment. Recent animal studies have added more evidence to the effect of CAOT. Production and Hosting by Elsevier B. By enhancing the various healing stages, this phenomenon makes healing occur 2—10 times faster than normal physiologic healing Frost, Orthodotics addition, a resorbable bone graft is placed over the surgical sites to augment the confining bone during tooth movement.

Corticotomy-facilitated Orthodontics and Goal-oriented Treatment Planning

Pre-treatment panoramic radiograph of a female patient showing an impacted upper left second premolar. The regional acceleratory phenomenon: Corticotkmy include a reduced treatment time, enhanced expansion, differential tooth movement, increased traction of impacted teeth and, finally, more post-orthodontic stability.

Tooth movement should be initiated two weeks after the surgery, and every two weeks thereafter by activation of the orthodontic appliance.


The observed effect of corticotomy was localized to the area immediately adjacent to the decortication cuts. Corticotomy facilitated orthodontics has been employed in various forms over the past to speed up odthodontics treatments. Retention and stability in orthodontics. This technique advocated for comprehensive fixed orthodontic appliances in conjunction with full thickness flaps and labial and lingual corticotomies around teeth to be moved.

Bone graft consisting of demineralized freeze-dried bone and bovine bone with clindamycin was applied directly over the bone cuts and the flap was sutured in place. Corticotomy facilitated orthodontics is promising procedure but only few cases were reported in corticottomy literature.

It involves selective alveolar decortication in the form of decortication lines and dots performed around the teeth that are to be moved. Total treatment was completed in less than one year.

A study of the relationship between incisor intrusion and root shortening. Orthodontlcs can be done in a normal clinical setting with or without sedation. Rapid orthodontic tooth movement into newly distracted bone after mandibular distraction osteogenesis in a canine model. Definitive conclusions cannot be made unless prospective controlled studies are conducted.

Please review our privacy policy. Orthodontic treatment acceleration with corticotomy-assisted exposure of palatally impacted canines.

Sutures should be left in place for a minimum of two weeks. The health of the periodontium were preserved by avoiding the marginal crest bone during corticotomy cuts. A reduced chance of root resorption [ 2526 ], less oral hygiene-related enamel decalcification and better patient cooperation and acceptance are possible advantages when lengthy orthodontic treatment is avoided. CAOT was used in the treatment of bimaxillary protrusion as an adjunct to manipulate skeletal anchorage without any adverse side effects in only one-third of the regular treatment time [ 41 ].


For this patient, only maxillary buccal bone grafting was utilized, minimizing the surgical intervention. Corticotomy found to be effective in accelerating orthodontic treatment. Most of the large idealized tooth movements were isolated to the maxillary arch. Conclusion — PAOO is relatively new procedure; only few cases were reported in the literature.

Corticotomy-Assisted Orthodontic Treatment: Review

The use of segmental corticotomy to enhance molar distalization. Extraction as a remedy for dental arch orthodkntics is usually reserved for moderate to severe conditions. J Oral Maxillofac Surg. Accelerated osteogenic orthodontics technique: CAOT was also used to achieve molar distalization. When RAP dissipates, the osteopenia disappears and the radiographic image of normal spongiosa reappears. Huthig Buch Verlag;

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