Piezocision as an adjunct to orthodontic treatment of unilateral posterior crossbite

Bakathir, Manal A.; Hassan, Ali; Bahammam, Maha A.

doi:10.15537/smj.2017.4.16390

Cited by 8 publications

(10 citation statements)

References 5 publications

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“…Many attempts have been made in order to reduce orthodontic treatment time, for example, the use of low level laser therapy [ 11 ], self-ligating brackets [ 12 ], and flap corticotomy techniques [ 13 ]. All of these techniques present some disadvantages.…”

Section: Discussionmentioning

confidence: 99%

Effects of High Frequency Acceleration Device on Aligner Treatment—A Pilot Study

Shipley

2018

Dentistry Journal

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Evaluation of the effect of a high frequency acceleration device (HFA) on clear aligner exchange intervals and treatment time required to achieve prescribed tooth movements. Sixteen subjects with similar Class I malocclusions, ≤5 mm crowding, and treated with aligner orthodontic therapy (Invisalign) were divided into two groups. Group 1 (experimental; n = 8) underwent aligner treatment in conjunction with daily use of the HFA device and exchanged aligners every five days. Group 2 (controls; n = 8) underwent aligner treatment without use of the device and exchanged aligners every 14 days according to the manufacturer’s recommended interval. All subjects were treated by one investigator, and results—total number of aligners used, and number of refinements required—were evaluated by both prior to final mobile retention (Vivera) scan. A significant decrease in both treatment time and number of aligners required to complete treatment was observed by HFA subjects vs. controls. In addition, no refinements were required by HFA subjects, whereas six of eight control subjects required one or more refinements. The results of the present preliminary report showed that the use of the HFA device in conjunction with aligner orthodontic treatment resulted in a significant decrease in the length of treatment. Moreover, the number of patients requiring refining treatment was significantly lower.

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Section: Discussionmentioning

confidence: 99%

Effects of High Frequency Acceleration Device on Aligner Treatment—A Pilot Study

Shipley

2018

Dentistry Journal

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“…Eine der Hauptindikationen sind Piezocisionen im Rahmen kieferorthopädischer Behand- lungen zur Erleichterung beziehungsweise Beschleunigung von Zahnbewegungen. Dabei wird die lokale Steigerung des Knochenumbaus durch das Trauma der Kortikotomien genutzt [21,22,38]. Um die von Wilcko et al [5] beschriebene Idee der "regional acceleratory phenomena" möglichst effizient umzusetzen, wird eine regelmäßige Aktivierung der orthodontischen Kraftapplikation mit 2-wöchigen ntervallen empfohlen [39].…”

Section: Diskussionunclassified

“…Obwohl Kortikotomien zur Erleichterung der Zahnbewegung als effektive Maßnahme beschrieben wurden, setzten sie sich aufgrund erheblicher Morbidität nicht als Routinemethode durch [6,20]. Mit der Einführung von piezochirurgischen Instrumentarien wurde die Morbidität reduziert und damit die Akzeptanz gesteigert [8,21,22]. Vercelotti et al [23,24] zählten zu den ersten, die piezochirurgische Osteotomien durchführten.…”

Section: Introductionunclassified

Piezocisionen mit simultanen Augmentationen zur Unterstützung der Engstandauflösung in der Unterkieferfront – Fallbericht

Harrer-Bantleon¹,

Jakse²,

Bantleon

2018

Inf Orthod Kieferorthop

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ZusammenfassungAnhand von 2 Patientenfällen wird die erfolgreiche chirurgische Unterstützung der kieferorthopädischen Engstandauflösung mittels Piezocisionen und simultaner Augmentationen demonstriert. Dabei sollen die interradikulären Osteotomien die Engstandauflösung erleichtern bzw. beschleunigen und die Augmentationen das Risiko von Rezessionen reduzieren. Trotz einer Ausgangssituation mit sehr schmalem Alveolarfortsatz und ausgeprägter kieferorthopädischer Protrusionsbewegung konnte in beiden Fällen nach Abschluss der Behandlung sowohl klinisch als auch radiologisch im Bereich der Unterkieferfront eine stabile parodontale Situation ohne Zeichen für Rezessionsbildung festgestellt werden.

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“…According to a previous systematic review [19], no studies were published on the effects of corticotomy on the transverse expansion; also, only, few case reports [20], [21], [22] addressed the corticotomy- or Piezocision-assisted maxillary expansion (PAME). These case reports had some shortcomings including the absence of the control group and the small sample size.…”

Section: Introductionmentioning

confidence: 99%

Three-Dimensional Prospective Evaluation of Piezocision-Assisted and Conventional Rapid Maxillary Expansion: A Controlled Clinical Trial

Abdul-Aziz¹,

Refai²

2019

Open Access Maced J Med Sci

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BACKGROUND:Piezocision-assisted orthodontics (PAO) is considered one of the modern techniques aiming at reducing the treatment time and overcoming some limitations of orthodontic treatment. The use of piezocision as an adjunct in the treatment of posterior crossbite is limited, so additional research in this area is required.AIM:To three-dimensionally compare the skeletal and dental effects produced by piezocision-assisted rapid maxillary expansion (PARME) and conventional rapid maxillary expansion (RME) using cone beam computed tomography (CBCT).MATERIALS AND METHODS:This prospective controlled study comprised 14 consecutive non-syndromic patients with posterior crossbite. In 7 patients (mean age = 16.1 ± 0.3 years), PARME was used to correct the crossbite; whereas in the remaining 7 (mean age = 15.9 ± 0.5 years), RME was done. Cone beam computed tomography (CBCT) scans were performed before expansion (T1) and 3 months later after expansion (T2) to compare the skeletal and dental effects produced by the two expansion techniques. Transverse skeletal, dentolinear, and dentoangular variables at the level of maxillary first and second premolars and maxillary first molars were measured and compared within and between groups using the appropriate statistical test.RESULTS:For the transverse skeletal variables, PARME showed a non-significant increase; whereas, RME showed a significant increase. Regarding the dentolinear measurements, a significant increase in coronal widths and an insignificant increase in apical widths was seen in PARME, whereas, the RME showed a non-significant increase for both coronal and apical widths. Non-significant decreases (protrusion of teeth) in the dentoangular measurements were seen in both groups. Between-group comparisons showed a non-significant difference except for the dentolinear coronal widths.CONCLUSION:PARME is effective in treating posterior crossbite. Because of the more dental expansion produced by PARME as compared to the conventional RME, PARME should be limited only to mild or moderate not severe forms of palatal constriction. The available evidence regarding the effectiveness of corticotomy- and/or piezocision-assisted maxillary expansion for correction of posterior crossbite is limited and inadequate.

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Piezocision as an adjunct to orthodontic treatment of unilateral posterior crossbite

Cited by 8 publications

References 5 publications

Effects of High Frequency Acceleration Device on Aligner Treatment—A Pilot Study

Effects of High Frequency Acceleration Device on Aligner Treatment—A Pilot Study

Piezocisionen mit simultanen Augmentationen zur Unterstützung der Engstandauflösung in der Unterkieferfront – Fallbericht

Three-Dimensional Prospective Evaluation of Piezocision-Assisted and Conventional Rapid Maxillary Expansion: A Controlled Clinical Trial

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