Learn more about interdisciplinary treatment planning for corticotomy-facilitated orthodontics and read about a real-world case. Increased societal demands have led patients to request shorter orthodontic is the dual-specialty in-office corticotomy-facilitated bone augmentation approach. Alveolar corticotomies in orthodontics: Indications and effects on tooth movement. Dauro Douglas Oliveira*, Bruno Franco de Oliveira**.

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Manipulation of Anchorage CAOT was used in the treatment of bimaxillary protrusion as an adjunct to manipulate skeletal anchorage without any adverse side effects in only one-third of the regular treatment time [ 41 ]. Modeling of trabecular bone and lamina orthodoontics following selective alveolar decortication in rats. The presence of non-growing alveolar bone that confines the teeth in the predetermined space available in the alveolus limits transverse tooth movement [ 30 ].

The evidence of the success of corticotomy as an adjunct to orthodontic treatment has not been well documented, and few published reports are available.

Post-treatment intra-oral photographs of the same patient seen in Fig. After proper case selection, orthodontic appliances are better to be placed one week prior to the surgery.

Published online Dec A more recent surgical orthodontic therapy was introduced by Wilcko et al. Rapid orthodontic decrowding with alveolar augmentation: Accelerate Canine Retraction after Premolar Extraction Canine retraction after premolar extraction is a lengthy step during the extraction stage of orthodontic treatment. If the answer is no, a localized bone augmentation is necessary in the direction of the proposed tooth movement.

After flap reflection, selective decortications can be performed on both buccal and lingual sides.

Corticotomy facilitated orthodontics: Review of a technique

A study was conducted on 65 Korean adult female patients with bimaxillary dentoalveolar protrusion to compare orthodontic treatment outcomes, anterior segmental osteotomy, and corticotomy-assisted orthodontic treatment; it was concluded that orthodontic treatment and corticotomy-assisted orthodontic treatment are indicated for patients with severe incisor proclination with normal basal bone position, although corticotomy-assisted orthodontic treatment has the advantage of shorter treatment duration.


The influence of accelerated osteogenic response on mandibular de- crowding [thesis] St Louis: Figure 5 The alveolus was grafted with re-hydrated sterile particulate freeze-dried human bone allograft, and the flaps were repositioned and sutured orhhodontics place. This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License http: The observed effect of corticotomy was localized to the area immediately adjacent to the decortication cuts.

Author information Article notes Copyright and License information Disclaimer. Have you corhicotomy had a patient decline orthognathic surgery? A study of the relationship between incisor intrusion and root shortening.

Support Center Support Center. Bone graft consisting of demineralized freeze-dried bone and bovine bone with clindamycin was applied directly over the bone cuts and the flap was sutured in place. Some patients decline orthognathic surgery due to fear, cost, lifestyle or underlying health issues.

Patients with active periodontal orthodontocs or gingival recession are not good candidates for CAOT. Hwang H, Lee K. CAE can be a orthodotics alternative to conventional orthodontic mechanics in the treatment of unilateral cross-bites in adults, which are either less efficient, patient-dependent, or accompanied by unnecessary side effects such as over-expansion on the normal side, canting of the occlusal plane and compromised vertical dimension [ 3233 ]. Effects on the periodontium following corticotomy-facilitated orthodontics: The results helped to substantiate the belief regarding the health of crestal bone in relation to the corticotomy cuts.

Corticotomy-Assisted Orthodontic Treatment: Review

Molar intrusion with a palatal arch. Standard brackets, archwires, and normal orthodontic force level can be used. We now have an effective treatment option to offer borderline surgical orthodontic patients. Bone graft should be applied directly over the bone cuts and the flap sutured in place.

The mechanism behind CAOT can be summarized as the induction of bone metabolism via decortication lines and points around the teeth to be moved to enhance bone and periodontal turnover, resulting in a transient stage of osteopenia during treatment.

Huthig Buch Verlag; Heidelberg, Germany: Sutures should be left in place for a minimum of two weeks. Extraction as a remedy for dental arch cortifotomy is usually reserved for moderate to severe conditions.


Non-extraction therapy is usually used to resolve mild to moderate crowding and usually results in proclination of the incisors. No effect on the vitality of the pulps of the teeth in the area of corticotomy was reported [ 47 ].

In othodontics adult female patient, an impacted second premolar was facilitated to erupt spontaneously using corticotomy after creating enough space as a part of an overall fixed orthodontic treatment, which included extraction of the first premolars and bilateral corticotomy-assisted expansion. Cortictomy was found to increase tooth movement for at least 2 weeks after the surgery and to limit the hyalinization of the periodontal ligaments on the alveolar wall to the first week after corticotomy.

The reduced treatment duration of Cortocotomy may reduce the risk of root resorption. As long as tooth movement continues, the RAP is cortucotomy.

Support Center Support Center. Vertical corticotomy cuts are made between the roots stoping just short of alveolar crest. The mean active treatment time for the corticotomy-facilitated group was 6. Corticotomy-facilitated orthodontic treatment was found to result in better retention compared to conventional orthodontic treatment [ 2428 ]. This method claims to have several advantages.

Corticotomy facilitated orthodontics: Review of a technique

Ali Saad Thafeed AlGhamdi: Acceleration of orthodontic tooth movement by alveolar corticotomy in the dog. After administration of local anesthesia, crevicular incision is made buccally and lingually extending at least two to three teeth beyond the area to be treated.

This introduced new concepts to the Orthodontice field, including bone matrix transportation and osteopenia-facilitated rapid tooth movement [ 17 ]. Antibiotics, analgesics, and antiseptic mouthwash should be given to the patient.

Subcutaneous hematomas of the face and the neck have been reported after intensive corticotomies [ 647 ].