Assessment of Corticotomy Facilitated Tooth Movement and Changes in Alveolar Bone Thickness - A C T Scan Study

Bhattacharya, Preeti; Bhattacharya, Hirak S; Anjum, Arbab; Bhandari, Ravi; Agarwal, Deepak; Gupta, Ankur; Ansar, Juhi

doi:10.7860/jcdr/2014/9448.4954

Cited by 44 publications

(78 citation statements)

References 15 publications

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“…The primary objectives of 5 of the trials were to study the speed of tooth movement (1,5,6,23,24). A further 5 measured the orthodontic treatment time (4,8,24-26). The secondary objectives were to examine the effect of corticotomies on periodontal tissues (3,5,6,8,24,26), postoperative pain (1,15,23,25), loss of posterior anchorage (4,6), inflammation markers (23), root length (3,26) and canine rotation and tipping (5) ( Table 2 and Table 2 continue ).…”

Section: Resultsmentioning

confidence: 99%

“…This increases bone remodelling to accelerate the repair and achieve functional recovery. The process takes place through recruiting osteoblasts and osteoclasts activated by local intercellular mediators (6,8,11). This creates a transitory state of osteoporosis, characterised by a reduction in bone density, which causes less resistance to tooth movement (6,12).…”

Section: Introductionmentioning

confidence: 99%

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Corticotomies as a surgical procedure to accelerate tooth movement during orthodontic treatment: A systematic review

Fernández-Ferrer

Montiel-Company²,

Candel-Marti³

et al. 2016

Med Oral

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BackgroundOne of the main aims of orthodontists is to reduce the treatment time as much as possible, particularly in view of the rise in demand for orthodontic treatment among adult patients. The objective of this systematic review was to examine the effectiveness of corticotomy as a surgical procedure that accelerates orthodontic tooth movement, together with its possible adverse effects.Material and MethodsA systematic review of articles in 4 databases, Pubmed, Cochrane, Scopus and Embase, complemented by a manual search, identified 772 articles. The duplicates were eliminated and a critical reading of titles and abstracts led to the rejection of articles that did not meet the objectives of the review, leaving 69. After reading the full text of these articles, 49 were excluded because they did not meet the inclusion criteria. On applying the CONSORT criteria as a quality filter, a further 4 were eliminated due to low quality. Finally, 16 articles (4 systematic reviews and 12 controlled trials) were reviewed.ResultsAll the studies agree that corticotomy prior to orthodontic treatment accelerates dental movement, reducing the treatment time. With regard to side-effects, no periodontal damage was found, although this was only studied in the short term.ConclusionsThe evidence regarding the results of corticotomy is limited, given the small number of quality clinical studies available. Before this procedure is included as a routine practice in dental surgeries, studies of higher methodological quality are required, studying a greater number of individuals and examining the possible long-term adverse effects and the cost/benefit of the procedure. Key words:Corticotomy, orthodontics, adults, accelerated tooth movement, osteotomy.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Corticotomies as a surgical procedure to accelerate tooth movement during orthodontic treatment: A systematic review

Fernández-Ferrer

Montiel-Company²,

Candel-Marti³

et al. 2016

Med Oral

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“…In light of some reports, this procedure helps orthodontic tooth movement by accelerated bone metabolism due to controlled surgical damage, so it is called corticotomy-assisted orthodontics. 15,16 According to Bhattacharya et al, corticotomy techniques reduce the time taken for re-eruption when compared with conventional orthodontic treatment by 30-50%. 16 In case 2 presentation, despite decortication and luxation, orthodontic extrusion was unsatisfactory and ankylosis was observed.…”

Section: Discussionmentioning

confidence: 99%

“…15,16 According to Bhattacharya et al, corticotomy techniques reduce the time taken for re-eruption when compared with conventional orthodontic treatment by 30-50%. 16 In case 2 presentation, despite decortication and luxation, orthodontic extrusion was unsatisfactory and ankylosis was observed. The incidence of replacement root resorption after intrusions ranges from 25% to 50%.…”

Section: Discussionmentioning

confidence: 99%

Different outcomes of managing severe intruded immature permanent incisors: A report of two cases

Marczuk-Kolada¹,

Łuczaj-Cepowicz²,

Pawińska³

2017

Dent. Med. Probl.

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Intrusion is a very severe injury involving damage to the periodontal ligament, cementum, alveolar bone, and neurovascular pulp supply. Current management strategies include passive repositioning by waiting for the tooth to regain its preinjury position, and active repositioning, i.e., immediate surgical repositioning or repositioning with traction.This report describes the interdisciplinary management of complete intrusions of the maxillary right central incisors with an immature open apex in 2 different patients of a similar age but with different outcomes. The most likely causes of these differences were: ankylosis; inflammatory root resorption; and the systemic condition of the 2 nd patient. A number of preinjury and injury factors have a significant influence on the healing outcome. According to this report, prognosis after intrusive luxation appears to depend not only on the severity of the trauma, stage of root development and treatment method, but also probably on the patient's systemic condition. Therefore, the patient's current complex medical history should be taken into consideration as a factor significantly affecting the healing outcome and long-term prognosis.

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“…It is a surgical procedure in which only the cortical bone is cut, drilled or mechanically altered (Bhattacharya et al, 2014). After this procedure, the bone tissue initially is in a biological state called the Regional Acceleratory Phenomenon (RAP), characterized by an increased perfusion, bone turnover and decreased bone density, followed by intense remineralization and production of young bone tissue, which will be replaced by mature and more compact bone tissue (Frost, 1983;Gantes et al, 1990).…”

Section: Introductionmentioning

confidence: 99%

Selective Alveolar Corticotomy to Intrude Overerupted Maxillary First Molars: Analysis of Pulp Vitality

Souza

Oliveira

Villoria

et al. 2017

Int. J. Odontostomat.

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VILLORIA, E. M.; PITHON, M. M. & SOARES, R. V.Selective alveolar corticotomy to intrude overerupted maxillary first molars: analysis of pulp vitality. Int. J. Odontostomat., 11(2):231-236, 2017. ABSTRACT:The excessive and prolonged orthodontic treatment might result in loss of pulp vitality. Selective alveolar corticotomy is an alternative to accelerate the orthodontic treatment in adults. This study aimed to evaluate the impact of selective alveolar corticotomy associated with orthodontic intrusion on pulp vitality of overerupted maxillary first molars. Six individuals with extruded maxillary first molars were randomly selected to undergo corticotomy as coadjuvant therapy for intrusion. Pulp vitality was evaluated with thermal (Endo-Ice and Heated gutta-percha) and electric tests before the surgical procedure and after intrusion (90 days). The intrusion of all teeth was obtained (mean 2.26 ± 0.52 mm), and all teeth responded positively to pulp vitality tests before and after intrusion. This suggests that selective alveolar corticotomy did not promote pulp damage, and can be considered an effective and safe auxiliary method to intrusion of overerupted maxillary molars.

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Assessment of Corticotomy Facilitated Tooth Movement and Changes in Alveolar Bone Thickness - A C T Scan Study

Cited by 44 publications

References 15 publications

Corticotomies as a surgical procedure to accelerate tooth movement during orthodontic treatment: A systematic review

Corticotomies as a surgical procedure to accelerate tooth movement during orthodontic treatment: A systematic review

Different outcomes of managing severe intruded immature permanent incisors: A report of two cases

Selective Alveolar Corticotomy to Intrude Overerupted Maxillary First Molars: Analysis of Pulp Vitality

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