Keratinized Gingiva Height Increases After Alveolar Corticotomy and Augmentation Bone Grafting

Wilcko, M. Thomas; Ferguson, Donald J.; Makki, Laith; Wilcko, William M.

doi:10.1902/jop.2015.150074

Cited by 40 publications

(62 citation statements)

References 42 publications

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“…Six studies investigated bone grafting with CAOT and two studies performed free gingival grafts prior to orthodontic treatment. Most of the studies of interest were limited to mandibular anterior teeth …”

Section: Focused Clinical Questionmentioning

confidence: 99%

“…PhMT can contribute to maintain or increase the thickness of facial bone in order to withstand orthodontic tooth movement, especially in cases of mandibular decompensation PhMT can potentially expand the limits of tooth movement, especially mandibular incisors PhMT with CAOT may maintain or slightly increase the width of keratinized tissue …”

Section: Focused Clinical Questionmentioning

confidence: 99%

See 1 more Smart Citation

American Academy of Periodontology best evidence consensus statement on modifying periodontal phenotype in preparation for orthodontic and restorative treatment

Kao

Curtis

Kim

et al. 2020

Journal of Periodontology

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Section: Focused Clinical Questionmentioning

confidence: 99%

Section: Focused Clinical Questionmentioning

confidence: 99%

American Academy of Periodontology best evidence consensus statement on modifying periodontal phenotype in preparation for orthodontic and restorative treatment

Kao

Curtis

Kim

et al. 2020

Journal of Periodontology

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“…There was no statistically significant difference between the CAOT with or without PhMT‐b . No studies evaluated gingival thickness (GT), only one article reported an average increase of 0.78 mm KTW after PhMT‐b versus a loss of 0.38 mm KTW with no PhMT‐b …”

Section: Resultsmentioning

confidence: 97%

“…In terms of the treatment time duration, only two cohort studies reported CAOT and PhMT‐b reduced treatment time from 22 months (conventional orthodontic treatment) to 7 months; and 10.9 months (pre‐orthognathic surgery treatment time) to 8.7 months . Other studies described accelerated orthodontic tooth movement but failed to provide direct comparison data between CAOT and conventional orthodontic treatment, Two studies reported similar treatment time with a mean of 15 to 17 weeks with or without PhMT‐b, indicating that the accelerated tooth movement is primarily a result of the corticotomy injury itself and the creation of a transient demineralized bone matrix.…”

Section: Resultsmentioning

confidence: 99%

“…Based on case control studies, PhMT‐b supported an increased scope of incisor tooth movement . The anatomic limits of orthodontic tooth movement are set by the cortical plate of the alveolus at the level of the incisor apices and may be regarded as the “orthodontic walls” or, more recently, with a contemporary synonym of “orthodontic boundary conditions” .…”

Section: Discussionmentioning

confidence: 99%

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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

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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...

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A Novel Approach in Periodontally Accelerated Osteogenic Orthodontics (PAOO): A Case Report

Soltani

Loomer

Chaar

2018

Clin Adv Periodontics

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Introduction The purpose of this case report was to evaluate clinical and radiographic outcomes of periodontally accelerated osteogenic orthodontics (PAOO) combined with soft tissue enhancement in a patient with thin biotype and lack of buccal plate. Case Presentation A 46‐year‐old female was referred for periodontal risk assessment prior to orthodontic treatment. Following a comprehensive examination, including taking a cone beam computerized tomography (CBCT) the patient was identified as high risk for soft tissue recession because of prominent roots, lack of buccal plates, and thin soft tissue. The treatment was PAOO combined with soft tissue enhancement to improve hard and soft tissue support of anterior mandibular teeth. Conclusions Clinical and radiographic evaluation after one year revealed significant improvements in hard and soft tissue phenotype. In conclusion, combination of PAOO and soft tissue grafting could be a promising treatment to improve hard and soft tissue support for orthodontic patients.

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Keratinized Gingiva Height Increases After Alveolar Corticotomy and Augmentation Bone Grafting

Cited by 40 publications

References 42 publications

American Academy of Periodontology best evidence consensus statement on modifying periodontal phenotype in preparation for orthodontic and restorative treatment

American Academy of Periodontology best evidence consensus statement on modifying periodontal phenotype in preparation for orthodontic and restorative treatment

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

A Novel Approach in Periodontally Accelerated Osteogenic Orthodontics (PAOO): A Case Report

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