Orthodontic treatment acceleration with corticotomy

oleh: M.B. Halkati, Smita Patil, Hemavathi Patil

Format: Article
Diterbitkan: Al Ameen Medical College 2016-10-01

Deskripsi

Introduction: Corticotomy-facilitated orthodontics provides a means for rapidly moving teeth purportedly with little damaging effects to the periodontium and with greatly reduced treatment time in adult patients. Our aim was to enhance the orthodontic tooth movement by reducing the cortical bone layer and to evaluate the uses and applications of the CAOT procedure, to determine rate of retraction, anchor loss and pulp vitality. Material and Method: 8 patients with angles class I and class II malocclusion with maxillary crowding requiring maxillary first premolar extraction were selected for the study. Corticotomy was performed in the maxillary anterior segment along with undermining of cortical bone distal to canine. Synthetic graft was placed and flap was repositioned with the help of sutures. Orthodontic force was applied 2 weeks later. Results: Speedy decrowding and space closure was achieved with CAOT with mean treatment duration being almost half of what the conventional orthodontic treatment would take. There was minimal root resorption and anchor loss. Conclusion: CAOT is a promising technique that has many applications in the orthodontic treatment of adults because it helps to overcome many of the current limitations of this treatment, including lengthy duration, potential for periodontal complications, lack of growth and the limited envelope of tooth movement.