Abstract
Accelerating orthodontic tooth movement has become a topical issue and the corticotomy seems to be the only effective and safe technique reported in the literature. Simultaneously, aesthetic orthodontic treatment with removable clear aligners has become commonly requested. The aim of this paper is to illustrate the management of facilitated aesthetic orthodontic treatment, a combined approach including piezocision corticotomy and clear aligners for orthodontic treatment. Orthodontic planning for traditional clear aligners should be modified to take advantage of the corticotomy technique in order to facilitate the most difficult orthodontic movements needed to achieve treatment completion, where each aligner will be used for four days rather than 15 days for a total time of four months. A corticotomy with a modified minimally invasive flapless piezocision technique should be performed in both jaws at the same time, before the time window of the orthodontic treatment, where the most difficult orthodontic movements are planned. Treatment planning where difficult orthodontic movements, such as anterior open-bite closure and extraction space closure, are easily managed with clear aligners and are presented as examples of facilitated aesthetic orthodontic treatment application. The combination between aesthetic treatment with clear aligners and modified piezocision corticotomy, if carefully planned, seems to represent a synergy that achieves the current goals of orthodontic treatment. The primary objectives of this combination should be facilitating difficult orthodontic movements and reducing treatment duration.
Highlights
Among the different techniques described in the literature, the corticotomy seems to be the only effective and safe technique for accelerating orthodontic tooth movement according to the scientific literature [6]
A corticotomy is an intentional injury to the cortical bone that is able to accelerate orthodontic tooth movement and dramatically reduce treatment times because it leads to a biological process called regional acceleratory phenomenon (RAP), which is characterized by intensified
J. 2020, 8, 19 osteoclastic activity resulting in osteopenia and increased bone modeling. This reduces the resistance of the dense cortical bone to orthodontic tooth movement, achieving more stable results [7,8,9,10,11]
Summary
Among the different techniques described in the literature, the corticotomy seems to be the only effective and safe technique for accelerating orthodontic tooth movement according to the scientific literature [6]. A corticotomy is an intentional injury to the cortical bone that is able to accelerate orthodontic tooth movement and dramatically reduce treatment times because it leads to a biological process called regional acceleratory phenomenon (RAP), which is characterized by intensified. J. 2020, 8, 19 osteoclastic activity resulting in osteopenia and increased bone modeling. This reduces the resistance of the dense cortical bone to orthodontic tooth movement, achieving more stable results [7,8,9,10,11]
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
