Surgical Methods for the Acceleration of the Orthodontic Tooth Movement

Abstract

Surgical techniques for the acceleration of the orthodontic tooth movement have been tested for more than 100 years in clinical practice. Since original methods have been extremely invasive and have been associated with increased tooth morbidity and various other gaps, the research in this field has always followed an episodic trend. Modern approaches represent a well-refined strategy where the concept of the bony block has been abandoned and only a cortical plate around the orthodontic tooth movement has been desired. Selective alveolar decortication has been a reproducible gold standard to this end. Its proposed mechanism has been the induction of rapid orthodontic tooth movement through the involvement of the periodontal ligament. More recent techniques included further refinement of this procedure through less invasive techniques such as the use of piezoelectricity and corticision. This chapter focuses on the evolution of the surgical approaches and the mechanistic concepts underlying the biological process during the surgically accelerated orthodontic tooth movement.

Management of Cervically Fractured Central Incisors: A Multidisciplinary Approach

“…Wilcko’s technique combining fixed orthodontic appliances, labial and palatal/lingual corticotomies, and bone grafting, was reported to have a rapid tooth movement at a rate of 3-4 times greater than the conventional technique. However, the invasiveness of the procedure requiring full mucoperiosteal flaps constitutes a serious drawback [ 10 ]. Less invasive procedures like Corticision [ 11 ], Piezocision [ 12 ] and Piezopuncture [ 13 ] have been reported in the literature, but long-term results are as yet unavailable [ 10 ].…”

“…However, the invasiveness of the procedure requiring full mucoperiosteal flaps constitutes a serious drawback [ 10 ]. Less invasive procedures like Corticision [ 11 ], Piezocision [ 12 ] and Piezopuncture [ 13 ] have been reported in the literature, but long-term results are as yet unavailable [ 10 ].…”

Moving towards precision orthodontics: An evolving paradigm shift in the planning and delivery of customized orthodontic therapy

“…In general, current information on SFOTs suggests time‐limited effects of the most aggressive of these approaches (i.e. PAOO) with little conclusive data available on the efficacy of most other approaches of surgically expediting tooth movement . Caveats of PAOO are that it is invasive with associated morbidity and complications, only contributes to short‐term increase in rates of tooth movement, its biological effects are transient and secondary to the physical insult, and it does not target specific bone remodelling mechanisms.…”

“…Caveats of PAOO are that it is invasive with associated morbidity and complications, only contributes to short‐term increase in rates of tooth movement, its biological effects are transient and secondary to the physical insult, and it does not target specific bone remodelling mechanisms. Systematic reviews looking at accelerated therapeutic techniques determined that corticotomy intervention may be successful in accelerating OTM but has a time‐limited effect . Dentoalveolar or periodontal distractions are promising techniques, but further studies are required to recommend them routinely.…”

Orthodontic – Surgical management in a Class II case with idiopathic root resorption

“…Longer orthodontic therapy leads to a higher risk of aggravating the resorption 7 . Different surgical and non-surgical methods have been described for accelerating treatment 8,9 . Non-invasive methods range from the application of biological molecules to The aim of these methods is to act on the alveolar bone turn-over and accelerate the orthodontic tooth movements.…”