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Case Reports
. 2024 Jun 12;16(6):e62216.
doi: 10.7759/cureus.62216. eCollection 2024 Jun.

Accelerating the Orthodontic Treatment Using Periodontally Accelerated Osteogenic Orthodontics (PAOO): A Periodontic-Orthodontic Interrelationship

Ranjith Mari  1 , Rudhra K  1 , Mohan Valiathan  1 , Angelin Fiona J  1 , Sajid Hussain  1 , Anitha Balaji  1
Affiliations
Case Reports

Accelerating the Orthodontic Treatment Using Periodontally Accelerated Osteogenic Orthodontics (PAOO): A Periodontic-Orthodontic Interrelationship

Ranjith Mari et al. Cureus. .

Abstract

Periodontally accelerated osteogenic orthodontics (PAOO) is a periodontal-orthodontic interrelationship procedure that helps in accelerating orthodontic treatment by periodontal procedure reinforcement. This depends on the principle of the regional acceleratory phenomenon which involves inducing changes in the biology of periodontal tissues to fasten the orthodontic tooth movement by creating a surge in the osteopenic environment for tooth movement followed by bone deposition and mineralisation to stabilise the tooth in newly moved position. This PAOO involves the intentional creation of surgical corticotomy cuts followed by a grafting procedure to maintain bone resorption and thickness. Numerous modifications have been incorporated to reduce surgical complications and to improve treatment results by minimally invasive techniques. Hence, this case report incorporated piezosurgery-assisted corticotomy cuts involving the buccal side along with particulate bone grafting to fasten the orthodontic tooth movement, reducing the overall treatment time, root resorption and stabilising the orthodontic treatment results.

Keywords: corticotomy; osteogenesis; paoo; periodontium; root resorption; tooth movement.

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Conflict of interest statement

Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

Figures

Figure 1
Figure 1. (a) Preoperative cone-beam computed tomography (CBCT) of the patient undergoing orthodontic treatment; (b) clinical preoperative view.
Figure 2
Figure 2. Mandibular periodontally accelerated osteogenic orthodontics (PAOO) procedure
(a) Full-thickness flap elevation preserving gingival margin; (b) piezo-assisted corticotomy; (c) particulate bone grafting; (d) suturing done
Figure 3
Figure 3. Maxillary periodontally accelerated osteogenic orthodontics (PAOO) procedure
(a) Corticotomy; (b) particulate grafting after corticotomy; (c) interrupted Vicryl suture 4-0.
Figure 4
Figure 4. Postoperative view after completion of orthodontic tooth movement
(a) Frontal view; (b) right lateral view; (c) left lateral view
See this image and copyright information in PMC

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