Abstract
The use of orthodontic treatment in adult patients is becoming more common and these patients have different requirements specially regarding duration of treatment and facial and dental aesthetics. Alveolar corticotomy is an effective means of accelerating orthodontic treatment. This literature revision include an historical background, biological and orthodontic fundamentals and the most significant clinical applications of this technique. Orthodontic treatment time is reduced with this technique to one-third of that in conventional orthodontics. Alveolar bone grafting of labial and palatal/lingual surfaces ensures root coverage as the dental arch is expanded. Corticotomy-assisted orthodontics has been reported in a few clinical cases, and seems to be a promising adjuvant technique, indicated for many situations in the orthodontic treatment of adults without active periodontal pathology. Its main advantages are reduction of treatment time and postorthodontic stability. Further controlled prospective and histological studies are needed to study tooth movement, post-retention stability, and microstructural features of teeth, periodontium, and regenerated bone after using this procedure. Key words:Corticotomy, osteotomy, accelerated orthodontics.
Highlights
The use of orthodontic treatment in adult patients is becoming more common
Orthodontic treatment time is reduced with this technique to one-third of that in conventional orthodontics
Corticotomy-assisted or corticotomy-facilitated orthodontics is a therapeutic procedure that helps orthodontic tooth movement by accelerated bone metabolism due to controlled surgical damage. This is not a new procedure, it was initially based more on techniques using osteotomy instead of approaches with corticotomy. It is considered an intermediate therapy between orthognatic surgery and conventional orthodontics
Summary
The use of orthodontic treatment in adult patients is becoming more common. These patients have different requirements regarding duration of treatment, concerns regarding facial and dental aesthetics, and types of appliance that can be used. Some surgeons combined both procedures (alveolar osteotomy and corticotomy) to reduce the duration of orthodontic treatment.
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