Nonextraction Treatment of Severe Crowding with the Aid of Corticotomy-Assisted Orthodontics

Abstract

This paper illustrates the combined nonextraction orthodontic treatment with the corticotomy technique in an adult patient (age: 25 years and 3 months) with severely crowded arches to accelerate tooth movement and shorten the treatment time. Both her upper lateral incisors were congenitally absent and both upper central incisors' roots were short. Initial fixed orthodontic appliances (bidimensional) were bonded and one week later buccal and lingual corticotomy with alveolar augmentation procedure in the maxilla and mandible was performed. Orthodontic activation to level and align and unravel the crowding was performed every two weeks. The total treatment time was 8 months with no adverse effects observed at the end of active treatment. The addition of the decortication procedure to the conventional orthodontic therapy decreased the duration of treatment significantly. Successful alignment of both arches with ideal overbite and overjet as well as adequate occlusion was achieved.

Parodontal unterstützte Kieferorthopädie – ein neuer Blick auf die Kortikotomie des Alveolarfortsatzes

“…In Verbindung mit parodontal unterstützten kieferorthopädi schen Verfahren kann eine Behandlung mit jeder festsitzenden oder herausnehmbaren Apparatur durchgeführt werden [68][69][70][71][72][73][74][75][76][77][78][79][80][81].…”

Periodontally Accelerated Osteogenic Orthodontics: A Review of the Literature

“…They referred PAOO ™ as a safe and effective technique for the facilitation of decompression of the mandibular anterior teeth in severely compromised dentitions. Aljhani and Zawawi 55 reported a 25-year-old female with a chief complaint of 'I want my teeth fixed quickly', drafted for PAOO ™ . They bonded initial fixed orthodontic appliances one week before corticotomy and orthodontic activation was performed every two weeks.…”

Patients’ acceptance of corticotomy-assisted orthodontics

“… 16 , 17 The introduction of corticotomy-assisted orthodontic treatment that paved the way for treating adult cases is different from conventional orthodontic treatment methods and provided a solution to many limitations in adult orthodontic treatment by delivering rapid tooth movement and also avoiding extractions. 12 , 18 – 22…”