Evaluation of the Efficacy of 3D-guided Piezosurgery in Accelerating Mandibular Orthodontic Teeth Alignment: A Randomized Controlled Trial in Adults.

Gibreal, Omar; Al-modallal, Yasser; Al-assaf, Maher

doi:10.5195/d3000.2022.281

Cited by 2 publications

(2 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Also, Al Imam (2019) compared piezocision with traditional orthodontics: the ExGr with piezocision significantly improved the rate of incisor retraction by 53%, while the retraction time was significantly reduced by 27% [25]. Gibreal et al (2022) used a new technique, with 3D-guided piezo-assisted orthodontic treatment, compared to conventional orthodontic [39]. In ExGr 5, incisions were made in the labial cortical between the anterior teeth.…”

Section: Corticotomiesmentioning

confidence: 99%

See 1 more Smart Citation

Acceleration Techniques for Teeth Movements in Extractive Orthodontic Therapy

Dipalma,

Patano,

Ferrara

et al. 2023

Applied Sciences

View full text Add to dashboard Cite

For a world that is constantly trying to speed up every procedure while obtaining the maximum result, traditional orthodontics have the biological limitation of using light and constant forces that allow tooth movement in a time frame that is only sometimes short. The treatment time could be lengthened if surgical procedures are programmed in the plan. Methods to accelerate tooth movement and reduce the duration of treatment while minimising complications are investigated and reported in the dental literature (e.g., low-level laser therapy, corticotomy, and micro-osteoperforations). This systematic review aims to analyse and summarise the strategies for quickening orthodontic movement during extraction orthodontic treatment, including any potential drawbacks or adverse consequences. The review will evaluate each approach’s effectiveness, safety, and evidence quality, compare their benefits and disadvantages, and analyse the implications for clinical practice and future research. Pubmed, Science Direct, Scopus, and Web of Science were searched using the keywords “acceleration” AND “dental movement” AND “orthodontic” between 1 April 2003 and 1 April 2023. After carefully scanning the study findings, forty-four publications were chosen for the systematic review. Most therapies discussed and provided in the literature seem promising and successful in enhancing orthodontic treatments. The success of operations like corticotomies, piezo-incisions, micro-osteoperforations, osteogenic distraction, low-level laser therapy, the administration of pharmacological treatments, and infiltrations with PRF and PRP were statistically significant and appear to be promising and effective in optimising orthodontic treatments. These strategies expedite treatment and enhance the patient experience, potentially broadening orthodontic appeal and minimising issues like cavities and enamel demineralisation. Further studies, with larger samples and standardised treatment protocols, are needed to investigate the efficacy of these tooth movement acceleration modalities.

show abstract

Section: Corticotomiesmentioning

confidence: 99%

“…Through a slight incision, this procedure might enable the creation of a simple, precise, predictable, and safe localised alveolar decortication. As a result, no harm would be inflicted on any surrounding anatomical structures if a flap was not raised [39].…”

Section: Corticotomiesmentioning

confidence: 99%

Acceleration Techniques for Teeth Movements in Extractive Orthodontic Therapy

Dipalma,

Patano,

Ferrara

et al. 2023

Applied Sciences

View full text Add to dashboard Cite

show abstract

The efficacy and accuracy of 3D-guided orthodontic piezocision: a randomized controlled trial

et al. 2023

Self Cite

View full text Add to dashboard Cite

Background No randomized controlled trial (RCT) has studied the accuracy of surgical guides used in terms of orthodontic treatment acceleration. Therefore the aim of this trial was to assess computer-guided piezocision-based orthodontic. Materials and methods Thirty-two patients with severely crowded upper anterior teeth were enrolled and randomly allocated to either the experimental group (ExpG) or the control one. Subjects of the ExpG received three-dimensional (3D) guided piezoelectric corticotomies on the buccal alveolar bone of the anterior region. Five piezocision cuts were properly performed between each anterior teeth and the adjacent in virtual models. Surgical guides were designed and 3D-printed with preplanned slots that guide gingival and then piezoelectric incisions. The patients underwent Cone-Beam Computed Tomography CBCT before and immediately after surgery. Thus, Predesigned piezocisions were compared to the actual ones in attempt to measure three dimensional deviations of the applied peizocisions. Results Ninety-six severe maxillary dental crowding were assigned for eligibility, 40 of them met the inclusion criteria. Thirty-two participants were randomly allocated to the trial`s groups. No patient was lost to follow-up neither from the control nor the experimental group. Overall alignment time (OAT) was reduced by 53% in the experimental group compared to the control group. The mean of the 3D deviation of the surgical guide was 0.23 mm (standard deviation 0.19 mm). Conclusion The values of the surgical guide deviation was nearly null, which confirms that this innovative technique is clinically applicable. Furthermore, this technique was impressively effective in accelerating orthodontic tooth movement. Trial registration This trial was registered at The ISRCTN registry (ID: ISRCTN65498676 Registration date: 07/04/2021).

show abstract

Evaluation of the Efficacy of 3D-guided Piezosurgery in Accelerating Mandibular Orthodontic Teeth Alignment: A Randomized Controlled Trial in Adults.

Cited by 2 publications

References 16 publications

Acceleration Techniques for Teeth Movements in Extractive Orthodontic Therapy

Acceleration Techniques for Teeth Movements in Extractive Orthodontic Therapy

The efficacy and accuracy of 3D-guided orthodontic piezocision: a randomized controlled trial

Contact Info

Product

Resources

About