Piezocision: Minimally Invasive Periodontally Accelerated Orthodontic Tooth Movement Procedure

Dibart, Serge; Sébaoun, J; Surmenian, Jerome

doi:10.1002/9781118785652.ch15

Cited by 154 publications

(212 citation statements)

References 6 publications

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“…This window of opportunity lasts for a few months before the alveolar bone remineralization occurs, hence the need to see the patients every two weeks to take advantage of this phenomenon. Dibart et al (2009) proposes a technique that changes the flap for the tunnelization. However, this procedure is complex, and it is also quite difficult to be sure that the graft is placed under the periostium.…”

Section: Discussionmentioning

confidence: 99%

“…However, it has an important drawback, the repeated malleting could cause dizziness in real patients (Penarrocha-Diago et al, 2008). Dibart et al (2009) reported a tunneling procedure and localized piezoelectric corticotomies. However, the tunneling is an invasive and difficult procedure that does not allow corticotomies between each tooth, which is essential to create sufficient demineralization around the tooth for accelerated movements.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Rapid Orthodontics with Flapless Piezoelectric Corticotomies: First Clinical Experiences

Jofré¹,

Montenegro²,

Arroyo³

2013

Int. J. Odontostomat.

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ABSTRACT:One of the biggest challenges an orthodontic patient faces is the time spent wearing brackets. Over the years, several surgical techniques have been developed to address this issue and reduce the overall treatment time. These combine bone-healing mechanisms with orthodontic loads to accelerate tooth movement. Although effective, these techniques are also quite invasive in nature, requiring the elevation of buccal and lingual full-thickness flaps with extensive decortications of the buccal and lingual alveolar bone. Moreover, these techniques run the risk of teeth devitalization, avascular necrosis of the osseous block, alveolar resorption, and the risks of complications, with low acceptance by the patient. This manuscript reports three cases treated with a novel, flapless approach for minimally invasive rapid orthodontic (MIRO). This procedure includes radiographic-guided micro incisions and localized piezoelectric corticotomies. The clinical implications of this technique are discussed herein. MIRO reduces orthodontic treatment time, avoiding the reported adverse effects of accelerated orthodontics.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Rapid Orthodontics with Flapless Piezoelectric Corticotomies: First Clinical Experiences

Jofré¹,

Montenegro²,

Arroyo³

2013

Int. J. Odontostomat.

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“…Wilcko et al 19 reported the usefulness of PAOO ™ for the treatment of two adult cases with severe crowding as they demonstrated rapid OTM in both cases and stability up to 8 years of retention. Dibart et al 43 reported a 26-year-old female with a Class I pattern with slightly retruded maxilla and mandible and a normodivergent mandible, presenting her chief complaint as 'I have an unpleasant smile'. They utilised PAOO ™ technique to shorten the treatment time and finalized the active orthodontic treatment in 17 weeks.…”

Section: Significant Clinical Applicationsmentioning

confidence: 99%

“…A high-speed hand piece or a piezosurgical knife might be used in regard to general principles of bone surgery and local anatomic structure. 43,38,19 Bone grafting is commonly required in corticotomy areas. Predicted direction and amount of OTM and architecture of the existing alveolar bone in regard to buccolingual dimension and the need for labial support dictates the volume of the material to be used.…”

Section: Surgical Techniquementioning

confidence: 99%

Periodontally Accelerated Osteogenic Orthodontics: A Review of the Literature

Özat¹,

Nalçacı

2013

BSBD

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Periodontologlar ve ortodontistler arasındaki sinerji, her iki disiplini de ilgilendiren kombine terapilerin klinik sonuçlarını geliştirmek için önemli fırsatlar yaratır. YÖNTEMLER: Bu iki uzmanlık alanının işbirliği, ortodontik tedaviye bağlı olarak periodontal sağlığın daha iyi düzeye ulaşmasına ve buna karşılık doğru periodontal idame ile ortodontik terapinin başarısının artmasına yol açar. Periodontoloji ve ortodontinin beraberliği konvansiyonel tedavilerin yanı sıra, 'periodontal olarak hızlandırılmış osteojenik ortodonti™ (PAHOO)' gibi yeni gelişen tedavi alternatifleri açısından da önemli rol oynar. BULGULAR: PAHOO™ tekniği, 'ortodontik tedavi ile kombine edilmiş alveolar kortikotomiye ilave olarak kemik ogmentasyonuna yönelik gretfleme' olarak tanımlanır. Sağlıklı dokulardaki deminerilizasyon-reminerilizasyon süreçlerinin çabuk ve geçici doğasına dayalı destekleyici ve umut veren bir teknik olarak PAHOO™, alveolar kortikotomi ile labial ve palatinal/lingual yüzeylerin kemik greftlemesini takiben ortodontik kuvvet uygulanmasından oluşur. Azalmış ortodontik tedavi süresi, artmış kemik hacmi ve post-ortodontik stabilite PAHOO™ tekniğinin en önemli avantajları olarak sıralanmaktadır. Kortikotomi-yardımlı ortodontinin tarihsel kökenleri 1800'lü yıllara kadar dayansa da, literatürde az sayıda hayvan deneyi ve klinik olgu sunumu izlenmekte ve bu tekniğin uzun dönem başarısını doğrulamak için kontrollü, prospektif ve histolojik araştırmalara ihtiyaç duyulmaktadır. SONUÇ: Bu bağlamda derlememizin amacı PAHOO™ tekniğini tarihsel gelişim, biyolojik esaslar ve klinik düşünceler çerçevesinde gözden geçirmektir.

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“…Adult or late adolescent patients requiring orthodontic correction of malocclusion desire short treatment periods due to social and psychological reasons which is feasibly possible only in conjunction with surgical procedures [1,2]. Orthopedist Harold Frost termed the cascade of physiologic healing events following surgical wounding of cortical bone the Regional Acceleratory Phenomenon (RAP) [3,4].…”

Section: Introductionmentioning

confidence: 99%

Corticotomy facilitated correction of skeletal class II malocclusion

A¹

2017

J Oral Health Craniofac Sci

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Selective alveolar decortication and periodontal augmentation with a bone graft were the two procedures used for the correction of the skeletal class II malocclusion in the case reported. A 25-year-old male patient presented with a skeletal class II malocclusion with increased bi-maxillary dento-alveolar protrusion, increased overjet, deep bite and imbricated and rotated mandibular incisors with bilateral presence of supernumerary teeth in the maxillary right and left premolar regions. Extraction of supernumerary in the maxillary right and left premolar region, and impacted UL5 was done. Pre-adjusted edgewise appliance, Roth's prescription (0.022x0.028-inch slot), was bonded and a week later full thickness labial and lingual fl aps were refl ected in the maxillary and mandibular arches. Circumscribed corticotomy cuts was done and subsequently augmented with a bone graft. Orthodontic treatment was commenced immediately after surgery and orthodontic adjustments were performed every 2 weeks. The entire orthodontic treatment was completed in 9 months. Regional acceleratory phenomenon, triggered by the alveolar decortication, was responsible for the rapid correction of the malocclusion and the augmentation with the bone graft provided adequate bone volume for housing the teeth, thereby decreasing the possibility of subsequent relapse.

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Piezocision: Minimally Invasive Periodontally Accelerated Orthodontic Tooth Movement Procedure

Cited by 154 publications

References 6 publications

Rapid Orthodontics with Flapless Piezoelectric Corticotomies: First Clinical Experiences

Rapid Orthodontics with Flapless Piezoelectric Corticotomies: First Clinical Experiences

Periodontally Accelerated Osteogenic Orthodontics: A Review of the Literature

Corticotomy facilitated correction of skeletal class II malocclusion

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