A Minimally Invasive Perio – Ortho Treatment Plan: Piezocision for acceleration of orthodontic tooth movement.
Main Article Content
Comprehensive techniques and prolonged duration of treatment were found to be the reason for reluctance in acceptance of orthodontic treatment among young adult patients. Recently introduced, a novel, minimally invasive technique called piezocision, which uses microincisions and tunneling to enable piezoelectric incisions and hard- or soft-tissue grafting, has been researched. This innovative method offers rapid orthodontic treatment, less discomfort, and positive patient acceptance along with improved periodontium following therapy. This report details the outcomes of a young female patient with persistent residual space between mandibular second premolars and first molars that failed to respond to conventional fixed orthodontic treatment and later, the affected side was managed by a minimally invasive piezocision procedure. The patient was followed for 8 weeks thereafter, and the spacing between the lower second premolar and molar was considerably closed. In order to facilitate the treatment of cases with residual results and also with short treatment time, piezocision can be used as an adjunct to the orthodontic treatment in young adults.
Ferguson DJ, Wilcko TM, Wilcko WM, et al. The contribution of periodontics to orthodontic therapy. In: Dibart S. Practical Advanced Periodontal Surgery. Hoboken, NJ: Wiley-Blackwell Publishing; 2007:23-50.
Sebaoun JD, Surmenian J, Fergusson JD, et al. Acceleration of orthodontic tooth movement following selective alveolar decortication: biological rationale and outcome of an innovative tissue engineering technique. International Orthodontic. 2008;6:235-249.
Tsichlaki A, Chin SY, Pandis N, Fleming PS. How long does treatment with fixed orthodontic appliances last? A systematic review. Am J Orthod Dentofacial Orthop. 2016;149:308–18. ]
2. Uribe F, Padala S, Allareddy V, Nanda R. Patients’, parents’, and orthodontists’ perceptions of the need for and costs of additional procedures to reduce treatment time. Am J Orthod Dentofacial Orthop. 2014;145:S65–73.]
Dilbart S, Keser E, Nelson D. Piezocision™ – Assisted orthodontics: Past, present & future. Semin Orthod. 2015;21:170–5. ]
19. Wilcko MT, Wilcko WM, Pulver JJ, Bissada NF, Bouquot JE. Accelerated osteogenic orthodontics technique: A 1-stage surgically facilitated rapid orthodontic technique with alveolar augmentation. J Oral Maxillofac Surg. 2009;67:2149–59. ]
20. Liou E. Accelerated orthodontic tooth movement. In: Miles PG, Rinchuse DR, Rinchuse DR, editors. Evidence-Based Clinical Orthodontics. 1st ed. Illinois: Quintessence Publishing Co Inc; 2012. pp. 179–200. ]
Yamasaki K, Miura F, Suda T. Prostaglandin as a mediator of bone resorption induced by experimental tooth movement in rats. J Dent Res. 1980;59:1635–42. ]
9. Yamasaki K, Shibata Y, Imai S, Tani Y, Shibasaki Y, Fukuhara T, et al. Clinical application of prostaglandin E1 (PGE1) upon orthodontic tooth movement. Am J Orthod. 1984;85:508–18.
Bartzela T, Türp JC, Motschall E, Maltha JC. Medication effects on the rate of orthodontic tooth movement: A systematic literature review. Am J Orthod Dentofacial Orthop. 2009;135:16–26. ]
Proffit WR. Contemporary Orthodontics. 4th ed. St Louis: Mosby; 2007. pp. 331–8.
13. Gkantidis N, Mistakidis I, Kouskoura T, Pandis N. Effectiveness of non-conventional methods for accelerated orthodontic tooth movement: A systematic review and meta-analysis. J Dent. 2014;42:1300–19. ]
14. Shaughnessy T, Kantarci A, Kau CH, Skrenes D, Skrenes S, Ma D, et al. Intraoral photobiomodulation-induced orthodontic tooth alignment: A preliminary study. BMC Oral Health. 2016;16:3. ]
15. Showkatbakhsh R, Jamilian A, Showkatbakhsh M. The effect of pulsed electromagnetic fields on the acceleration of tooth movement. World J Orthod. 2010;11:e52–6.
Jean-David, M.S., SURMENIAN, J. and DIBART, S., 2011. Accelerated orthodontic treatments with Piezocision: a mini–invasive alternative to alveolar corticotomies. Orthod Fr, 82, pp.311-319.
Frost HM. The regional acceleratory phenomena: a review. Henry Ford Hosp Med J. 1983:31(1):3-9.
Yi, J., Xiao, J., Li, Y., Li, X. and Zhao, Z., 2017. Efficacy of piezocision on accelerating orthodontic tooth movement: a systematic review. The Angle Orthodontist, 87(4), pp.491-498.
Yamasaki K, Miura F, Suda T. Prostaglandin as a mediator of bone resorption induced by experimental tooth movement in rats. J Dent Res. 1980;59(10):1635-1642.
16.Collins MK, Sinclair PM. The local use of vitamin D to increase the rate of orthodontic tooth movement. Am J Orthod Dentofacial Orthop. 1988;94(4):278-294.
17.Hashimoto F, Kobayashi Y, Mataki S, et al. Administration of osteocalcin accelerates orthodontic tooth movement induced by a closed coil spring in rats. Eur J Orthod. 2001;23(5):535-545.
18.Verna C, Dalstra M, Melsen B. The rate and the type of tooth movement is influenced by bone turnover in a rat model. Eur J Orthod. 2000;22(4):343-352.
Bogoch E, Gschwend N, Rahn B, et al. Healing of cancellous bone osteotomy in rabbits—part I: regulation of bone volume and the regional acceleratory phenomenon in normal bone. J Orthop Res. 1993;11(2):285-291.
Kerawala CJ, Martin IC, Allan W, et al. The effects of operator technique and bur design on temperature during osseous preparation for osteosynthesis self-tapping screws. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1999;88(2):145-150.
25.Vercellotti T. Piezoelectric surgery in implantology: a case report—a new piezoelectric ridge expansion technique. Int J Periodontics Restorative Dent. 2000;20(4):358-365.
26.Vercellotti T, Nevins ML, Kim DM, et al. Osseous response following respective therapy with piezosurgery. Int J Periodontics Restorative Dent. 2005;25(6):543-549.
Vercellotti T, Podesta A. Orthodontic microsurgery: a new surgically guided technique for dental movement. Int J Periodontics Restorative Dent. 2007;27(4);325-331.