A Clinical Assessment of Corticotomy Facilitated Orthodontics in the Retraction of Maxillary Anterior Segment

Abstract

Corticotomy facilitated orthodontics has been practising for longer periods, but a novel approach of a periapical incision to make horizontal cuts 5 mm above the apex of the maxillary anteriors along with vertical cuts requires a detailed investigation. The purpose of this study was to assess the outcome of skeletal cases with spacing in the anteriors using a novel method of modified surgical approach utilizing the corticotomy facilitated orthodontics. Patients for this study were randomly selected from a very intensive screening in the Department of Orthodontics, Saveetha Dental College and Hospital, Chennai, out of which seven patients were selected for this procedure. The patients were subjected for corticotomy procedure under local anesthesia after the leveling and aligning stage (0.019" × 0.025" stainless steel wire), and the retraction was continued still the space was closed. AutoCAD and palatal rugae assessment programs were used to assess the orthodontic tooth movement. The results of the study demonstrated that when compared to conventional orthodontics alone, the corticotomy facilitated approach produced faster tooth movements in all the seven patients reducing the overall treatment time by 60%. The use of this modified technique of labial, palatal and apical cuts could be beneficial for adult patients with difficult surgical access from the lingual side.

Assessment of Orthodontic Treatment Outcomes in Maxillary Protrusion Enhanced by Guided Piezoelectric Corticotomy with Bone Graft (Comparative study)

“…These results are in agreement with another clinical study for evaluation of corticotomy facilitated orthodontics in maxillary anterior segment retraction in which the dental parameters revealed that the inclination of upper incisor significantly reduced, the interincisal angle was also increased to give the inference that there was a significant change of the angle (11) .…”

Corticotomy – Accelerated Orthodontics. A Case report

“…It reduces the biomechanical resistance to tooth movement and enables faster tooth movement through trabecular bone . Case 1result were similar to the ones obtained by Reddy et al 15 For retention also PAOO as stated by Ferguson, PAOO has greater stability of orthodontic clinical outcomes and less of chances relapse. 6…”