A Accelerating tooth movement with modified surgical and dentoalveolar distraction technique- a case report

Wael Ahmed Bayomy Mohamed,Rozita Hassan,Shaifulizan Abdul Rahman

doi:10.17532/jhsci.2019.685

Abstract

The duration of treatment is the most concern among orthodontic patients. It is of a challenge for an orthodontist to shorten the treatment time. A new surgical technique was introduced to accelerate tooth movement during orthodontic treatment. This new technique is the surgical reduction of bone mass in the pathway of desired tooth movement before orthodontic treatment. This case report explained the treatment of a 21-year-old male patient with severe-to-moderate crowded dentition and he requested to get the treatment done in a short period of time. Upper right first premolar and lower left second premolar were extracted, the bone in the desired pathway of all teeth movement was reduced and the dentoalveolar distraction procedure performed using nickel-titanium closing coil spring and rubber power chain. Full teeth alignment was achieved in 3 months period and the anchorage teeth were able to withstand the retraction forces with minimal anchorage loss.

Highlights

Adult patients usually request a rapid solution to their malocclusion
The time required for tooth movement within the alveolar bone may lengthen the overall orthodontic treatment time
We describe a new modified surgical technique for rapid tooth movement as well as a new distraction method

Summary

INTRODUCTION

A certain number of these potential patients refused orthodontic treatment, with their decision influenced by the long period of wearing the braces to correct the malocclusion. They request rapid achievement of a good occlusion and facial esthetics using safe procedures and, possibly, with reduced costs. The time required for tooth movement within the alveolar bone may lengthen the overall orthodontic treatment time In this clinical report, we describe a new modified surgical technique for rapid tooth movement as well as a new distraction method. The aim of this case report was to establish an approach to reduce the overall orthodontic treatment time by applying of a principle of distraction osteogenesis through the periodontal ligament and bony callus after performing a minor alveolar osteotomy and corticotomy cuts

MATERIALS AND METHODS

RESULTS AND DISCUSSION

CONCLUSION