Fast track tooth movement: An amalgamation of periodontics and orthodontics

Abstract

The major concern in orthodontics is prolonged duration of time of treatment, which prompts the patients to either avoid orthodontic treatment or to seek other alternatives with compromised results. The long duration of orthodontic treatment has some other disadvantages also, such as high risk of caries, gingival recession, and root resorption. Hence, to overcome the long treatment time challenge the demand to find the most efficient means to accelerate the movement of tooth with minimal disadvantages has increased. Hence, this article is aimed to review the effective approaches in the movement of tooth and present the updated techniques in tooth movement. Numerous methods have been introduced by orthodontics to accelerate tooth movement are corticision, corticotomy, micro-osteoperforations/peizo puncture, and piezocision. One of the best surgical approaches is piezocision (corticotomy) technique minimally invasive and flapless procedure because it can give excellent aesthetic outcome including good periodontal tissue response. Prostaglandins, Vitamin D, and cytokines have also shown promising results. Considering the advantages and disadvantages of each method, furthermore, investigations are required to determine the best method to accelerate tooth movement.