Corticotomies and Orthodontic Tooth Movement: A Systematic Review

Patterson, Braydon M.; Dalci, Oyku; Darendeliler, M. Ali; Papadopoulou, Alexandra K.

doi:10.1016/j.joms.2015.10.011

Cited by 82 publications

(78 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The limited evidence of previous systematic reviews suggests slightly faster rate of tooth movement associated with shorter treatment duration. CAOOT shows statistically meaningful albeit temporary acceleration in the rate of tooth movement by 2.5‐fold when compared to COT . In short term, the pooled estimate shows a higher tooth movement of about 0.61‐0.65 mm at 1 month, 1.41 at 2 months and 2.03 mm at 3 months when compared to COT …”

Section: Introductionmentioning

confidence: 83%

See 1 more Smart Citation

Short‐ and long‐term potential effects of accelerated osteogenic orthodontic treatment: A systematic review and meta‐analysis

Dab

Chen

Flores‐Mir

2019

Orthod Craniofacial Res

View full text Add to dashboard Cite

Structured Abstract Objective To better understand the potential effects after corticotomy accelerated osteogenic orthodontic treatment (CAOOT). Setting and sample population Systematic review with meta‐analysis. Materials and methods A literature search up to August 2018 was conducted to identify randomized clinical studies (RCTs) on CAOOT reporting periodontal parameters, bone changes, patient‐centred and short‐ and long‐term adverse outcomes. A random‐effects meta‐analysis was performed on various parameters (bone density, buccal bone thickness, anchorage loss, visual analog scale, root resorption and retraction time) to quantify weighted treatment effects. Results A total of five split mouth, four parallel arms, one regular RCTs and two prospective CCTs were included (206 patients). Pooled data showed increase in bone thickness by 0.68 mm (95% CI: 1.17, 0.19) and reduced retraction time by 2.80 months (95% CI: −4.17, −1.43). There were statistically insignificant differences for root resorption 0.24 mm (95% CI: −0.49, 0.96), anchorage loss 0.49 mm (95% CI: −1.38, 0.40), worsening of periodontal parameters (gingival index) by 0.30 (95% CI: −0.83, 0.23) and mean increase in bone density of 7.07% on the corticotomy side at 6 months (95% CI: −3.24, 17.38). Conclusion Current evidence suggests a very low to low level of certainty (GRADE assessment) in regard to quantified effects after CAOOT. Although CAOOT procedures show insignificant increase in the density following the use of bone graft and anchorage loss, they appear to accelerate the tooth movement during the first few months, to increase the buccal bone thickness and to show good tolerance by the patients; the clinical significance of these changes may be considered questionable.

show abstract

Section: Introductionmentioning

confidence: 83%

“…Various systematic reviews found CAOOT to have no deleterious effects on periodontal status, tooth vitality, pain perception, satisfaction, root resorption, iatrogenic damage or anchorage control . No significant difference was found in the pain perception at 1 month and adverse effects at 4‐month follow‐up .…”

Section: Introductionmentioning

confidence: 95%

Short‐ and long‐term potential effects of accelerated osteogenic orthodontic treatment: A systematic review and meta‐analysis

Dab

Chen

Flores‐Mir

2019

Orthod Craniofacial Res

View full text Add to dashboard Cite

show abstract

“…SFOT is a multidisciplinary approach that allows enhancement of the existing soft and hard tissue architecture by enlarging the available envelope of orthodontic movement and reducing the chance for unfavorable iatrogenic sequalae such as recession. Selective corticotomies induce transient osteopenia and a RAP that has been shown to accelerate tooth movement by three to four times whereas they have been shown to have favorable blood supply effects on guided bone regeneration in humans …”

Section: Discussionmentioning

confidence: 99%

“…Transient osteopenia around roots induces a more rapid tooth movement . Literature suggests an accelerated rate of tooth movement three to four times compared to the normal rate without corticotomies . The purpose of this article is to present a decision‐making algorithm for soft and hard tissue augmentation in surgically facilitated orthodontics (SFOT) based on existing hard and soft tissue architecture and projected root movement.…”

Section: Introductionmentioning

confidence: 99%

Decision Making for Soft and Hard Tissue Augmentation in Surgically Facilitated Orthodontics

Dounis

Pitman

2019

Clin Adv Periodontics

View full text Add to dashboard Cite

Introduction The purpose of this article is to present a decision‐making algorithm for soft and hard tissue augmentation in surgically facilitated orthodontics (SFOT). Focused clinical question What type of hard and soft tissue augmentation is recommended in surgically facilitated orthodontics (SFOT)? Summary In cases where there is adequate hard and soft tissue envelope, selective corticotomies may be adequate. In cases where the existing hard and soft tissue anatomy is inadequate, hard and soft tissue augmentation is recommended. Also, hard and soft tissue augmentation is recommended to avoid teeth extractions during orthodontics. Conclusion This decision‐making process allows the clinician to select between hard and soft tissue augmentation protocols based on projected tooth movement as well as existing soft and hard tissue architecture in SFOT cases.

show abstract

“…Surgical procedures have been introduced to assist orthodontic treatment, such as periodontally accelerated osteogenic orthodontics (PAOO), surgically facilitated orthodontic therapy (SFOT) ‒ or corticotomy‐assisted orthodontic therapy (CAOT) . These procedures involve corticotomy surgery and decortication of the dentoalveolar complex with or without particulate bone grafting.…”

Section: Introductionmentioning

confidence: 99%

Is periodontal phenotype modification therapy beneficial for patients receiving orthodontic treatment? An American Academy of Periodontology best evidence review

Wang

Mandelaris

et al. 2019

Journal of Periodontology

View full text Add to dashboard Cite

Background Orthodontic treatment can greatly impact the periodontium, especially in dentitions with a thin periodontal phenotype. Orthodontic tooth movement can result into iatrogenic sequelae to these vulnerable anatomic conditions, such as development and exacerbation of bony dehiscence or fenestration defects, which can manifest loss of periodontal support and gingival recession (GR). This systematic review aimed to investigate whether periodontal phenotype modification therapy (PhMT) involving hard tissue augmentation (PhMT‐b) or soft tissue augmentation (PhMT‐s) has clinical benefits for patients undergoing orthodontic treatment. Methods An electronic search was performed in two major databases for journals published in English language from January 1975 to January 2019 and a hand search of printed journals was also performed to identify human clinical trials reporting clinical and radiographic outcomes of patients receiving orthodontic treatment with or without hard and soft tissue augmentation procedures. Data were extracted and organized into tables for qualitative assessment. Results Eight studies were identified evaluating the outcomes of PhMT in patients undergoing orthodontic therapy. Six studies evaluated patients receiving PhMT‐b via corticotomy‐assisted orthodontic therapy (CAOT) and simultaneous bone augmentation while the other two received PhMT‐s before tooth movement. No studies investigated PhMT‐b alone without CAOT and most studies focused on the mandibular anterior decompensation movements. There was high heterogeneity in the study design and inconsistency of the reported outcomes; therefore, a meta‐analysis was not performed. Evidence at this moment supports CAOT with hard tissue augmentation accelerated tooth movement. However, only two studies provided direct comparison to support that CAOT with PhMT‐b reduced the overall treatment time compared with conventional orthodontic treatment. No periodontal complications or evidence of severe root resorption were reported for both groups. Four studies provided radiographic assessment of the PhMT‐b and demonstrated increased radiographic density or thicker facial bone after the treatment. Two studies reported an expanded tooth movement. One study reported an increase in keratinized tissue width post‐CAOT plus PhMT‐b, while another study with a 10‐year follow‐up showed a lower degree of relapse using the mandibular irregularity index when compared with conventional tooth movement alone. Two studies examined the effect of PhMT‐s before orthodontic treatment. Unfortunately, no conclusions can be drawn because of the limited number of studies with contradicting outcomes. Conclusions Within the limited studies included in this systematic review, PhMT‐b via particulate bone grafting together with CAOT may provide clinical benefits such as modifying periodontal phenotype, maintaining or enhancing facial bone thickness, accelerating tooth movement, expanding the scope of safe tooth movement for patients undergoing orthodontic tooth movement. The...

show abstract

Corticotomies and Orthodontic Tooth Movement: A Systematic Review

Cited by 82 publications

References 37 publications

Short‐ and long‐term potential effects of accelerated osteogenic orthodontic treatment: A systematic review and meta‐analysis

Short‐ and long‐term potential effects of accelerated osteogenic orthodontic treatment: A systematic review and meta‐analysis

Decision Making for Soft and Hard Tissue Augmentation in Surgically Facilitated Orthodontics

Is periodontal phenotype modification therapy beneficial for patients receiving orthodontic treatment? An American Academy of Periodontology best evidence review

Contact Info

Product

Resources

About