Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2020 Mar 26;9(3):1752-1756.
doi: 10.4103/jfmpc.jfmpc_1055_19. eCollection 2020 Mar.

Periodontally accelerated osteogenic orthodontics: A perio-ortho ambidextrous perspective

Anuj Singh Parihar  1 , Sumit Narang  1 , Nandini Singh  2 , Anu Narang  3
Affiliations
Case Reports

Periodontally accelerated osteogenic orthodontics: A perio-ortho ambidextrous perspective

Anuj Singh Parihar et al. J Family Med Prim Care. .

Abstract

The interdisciplinary collaboration of periodontics and orthodontics has allowed teeth to be moved 2-3 times faster, reducing the time required for traditional orthodontic therapy considerably. Periodontally accelerated osteogenic orthodontics (PAOO), also known as Wilckodontics, is a combination of a selective decortication facilitated orthodontics and alveolar augmentation. With this technique, there is no dependence on the pre-existing alveolar volume. This case report describes the treatment of permanent mandibular molar protraction in a 14-year-old patient undergoing orthodontic therapy using PAOO with piezosurgery.

Keywords: Corticotomy; bone grafts; orthodontics; osteogenic; periodontics.

PubMed Disclaimer

Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
(a): Frontal view (b): Right Lateral view (c): Left Lateral view
Figure 2
Figure 2
Edentulous space at 46
Figure 3
Figure 3
Crestal and crevicular incision given
Figure 4
Figure 4
Full-thickness mucoperiosteal flap reflected
Figure 5
Figure 5
Completion of vertical corticotomies
Figure 6
Figure 6
Peizosurgical unit
Figure 7
Figure 7
Peizosurgical insert kit
Figure 8
Figure 8
Decortication of the buccal and lingual cortical plates using micromotor and round carbide bur
Figure 9
Figure 9
Placement of DFDBA bone graft
Figure 10
Figure 10
Sutures placed
Figure 11
Figure 11
Application of E chain with lingual buttons 2 weeks postsurgery
Figure 12
Figure 12
Reduction of edentulous space 6 months postsurgery
Figure 13
Figure 13
IOPA after 6 months
Figure 14
Figure 14
(a): Closure of edentulous space 10 months postsurgery (Right lateral view) (b): Closure of edentulous space 10 months postsurgery (Buccal space closed)
See this image and copyright information in PMC

References

    1. Pathak TS, Kini V, Kanagotagi S, Balasubramanian K, Gupta H. Wilckodontics. J Contemp Dent. 2013;3:15–9.
    1. Wilcko T, Wilcko W. An evidence-based analysis of periodontally accelerated orthodontic and osteogenic techniques:A synthesis of scientific perspectives semin. Orthod. 2008;14:305–16.
    1. Frost HM. The biology of fracture healing:An overview for clinicians. Part II. Clin Orthop Rel Res. 1989;248:283–9. - PubMed
    1. Köle H. Surgical operations of the alveolar ridge to correct occlusal abnormalities. Oral Surg Oral Med Oral Pathol. 1989;12:515–29. - PubMed
    1. Bhattacharya P, Bhattacharya H, Anjum A, Bhandari R, Agarwal DK, Gupta A, et al. Assessment of corticotomy facilitated tooth movement and changes in bone thickness –A CT scan study. J Clin Diagn Res. 2014;8:26–30. - PMC - PubMed

Publication types