Comparative study of osteogenic orthodontics: piezo vs. bur methods.
Journal name: Journal of Indian Society of Periodontology
Original article title: A clinical comparative evaluation of periodontally accelerated osteogenic orthodontics with piezo and surgical bur: An interdisciplinary approach
The Journal of Indian Society of Periodontology (JISP) publishes original scientific articles on periodontology (the study of supporting structures of teeth) and oral implantology. It is a bimonthly open-access journal with special issues for specific occasions.
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Original source:
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Supreet Kaur Thind, Anirban Chatterjee, Faisal Arshad, Paramjeet Singh Sandhu, Manpreet Singh Thind, Javeriya Nahin
Journal of Indian Society of Periodontology:
(A bimonthly open-access journal)
Full text available for: A clinical comparative evaluation of periodontally accelerated osteogenic orthodontics with piezo and surgical bur: An interdisciplinary approach
Year: 2018 | Doi: 10.4103/jisp.jisp_359
Copyright (license): CC BY-NC-SA
Summary of article contents:
Introduction
Orthodontic treatment for malocclusion in adults has gained popularity, yet traditional methods often require lengthy treatment durations of 18 to 24 months and can lead to complications such as root resorption and bone issues. To address these limitations, Periodontally Accelerated Osteogenic Orthodontics (PAOO), also known as Wilckodontics, has been developed. This surgical technique enhances alveolar bone width and reduces treatment time, making it an attractive option for accelerating tooth movement in orthodontic practice.
Enhanced Treatment Efficiency through PAOO
The study aimed to compare two variations of PAOO—one utilizing surgical bur and the other employing piezocision—focusing on their efficacy in treatment time, root resorption, bone density, and the presence of surgical complications like fenestrations and dehiscence. Findings revealed that PAOO with surgical bur significantly reduced treatment time and improved retraction rates compared to the piezocision method, while showing negligible root resorption in both groups. This indicates that PAOO can facilitate more efficient tooth movement while minimizing the risks associated with conventional orthodontic treatments.
Conclusion
In conclusion, PAOO utilizing surgical bur offers a significant reduction in both treatment time and root resorption compared to piezocision, demonstrating its effectiveness in promoting rapid orthodontic tooth movement. These advantages underscore the potential of PAOO as a viable alternative in orthodontic treatment, emphasizing the need for further studies to explore long-term outcomes and refine techniques for improved patient care.
FAQ section (important questions/answers):
What is the main purpose of the study on PAOO?
The study aims to compare treatment time, root resorption, bone density, and the occurrence of fenestrations and dehiscence between PAOO performed with surgical bur and piezocision.
What are the advantages of Periodontally Accelerated Osteogenic Orthodontics (PAOO)?
PAOO leads to increased alveolar bone width, shorter treatment duration, enhanced post-treatment stability, and reduced chances of root resorption compared to traditional orthodontics.
What were the inclusion criteria for participants in the study?
Participants included healthy adults aged 20–40 with Angel's Class I malocclusions and at least 20 permanent teeth. Patients with active periodontal diseases or severe malocclusions were excluded.
How was treatment time measured between the two groups?
Treatment time was measured by evaluating both groups at intervals of 3, 6, and 12 months, with Group I showing a mean retraction time of 20.81 weeks compared to 28.48 weeks for Group II.
What were the findings regarding root resorption in participants?
Root resorption was minimal in both groups, with Group I showing 0.34 mm and Group II showing 0.51 mm, indicating that both methods effectively minimized root resorption during treatment.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Comparative study of osteogenic orthodontics: piezo vs. bur methods.”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Table:
In the context of the study, a table is a structured representation of data, usually displaying numerical values, results, or other information in rows and columns. Tables facilitate the comparison of different variables, such as retraction rates, treatment times, and bone densities, allowing for easier interpretation of the study’s findings.
2) Study (Studying):
Study refers to a systematic investigation conducted to analyze the effects and outcomes of different orthodontic techniques. This research aims to enhance knowledge in orthodontics by comparing treatment methods, evaluating efficiency, and assessing impacts on dental health, thereby contributing to improved clinical practices and patient care.
3) Incision:
An incision is a surgical cut made in the skin or soft tissue. In this study, incisions were necessary for accessing the alveolar bone during surgical procedures, allowing for the implementation of techniques like PAOO. Proper technique ensures minimal tissue damage, influences healing, and impacts overall patient recovery.
4) Swelling:
Swelling is the enlargement of soft tissue due to inflammation or fluid accumulation post-surgery. In orthodontic procedures, swelling can occur at the surgical site. Monitoring swelling is important as it can indicate complications or the body’s healing response, which helps determine the post-operative management and care required.
5) Grafting:
Grafting involves transplanting tissue from one site to another to promote healing or reconstruction. In this study, grafting was employed to enhance bone density and support after orthodontic procedures. Effective grafting techniques ensure better integration and the stability of the alveolar structure, thereby aiding patient recovery and orthodontic success.
6) Disease:
Disease refers to an abnormal condition affecting the body or mind. In the context of this study, the exclusion criteria included participants with active periodontal disease, which could compromise the outcomes of the orthodontic treatment. Identifying and excluding such conditions ensures the validity and reliability of the study results.
7) Pain:
Pain is an unpleasant sensory and emotional experience typically associated with tissue damage or injury. In the context of this study, post-operative pain management is crucial for patient comfort and recovery. Understanding pain levels helps in assessing the effectiveness of the surgical methods and the overall patient experience.
8) Post:
Post refers to the period after a treatment or surgical procedure. In this study, post-operative evaluations were critical for measuring outcomes like treatment effectiveness, healing, and potential complications. Continuous monitoring during the post-operative phase ensures any issues are addressed promptly and contributes to the overall success of the orthodontic treatment.
9) Measurement:
Measurement is the process of quantifying the physical properties of objects or changes. In the study, precise measurements of retraction rates, root resorption, and bone density were crucial for determining the effectiveness of the orthodontic procedures. Accurate measurement ensures reliable analysis of treatment outcomes and helps to validate the research findings.
10) Observation:
Observation entails monitoring and recording behaviors, conditions, or phenomena in a systematic way. In the context of this study, observation of the participants throughout the treatment phases helped assess outcomes like root resorption and changes in bone density, thus ensuring that conclusions regarding the effectiveness of the techniques employed were grounded in data.
11) Discussion:
Discussion refers to the section in research where findings are interpreted, analyzed, and contextualized within existing literature. It allows researchers to explore implications, address limitations, and propose future research directions. In this study, the discussion helped clarify the significance of results from PAOO techniques and implications for clinical practice.
12) Antibiotic (Antibacterial):
Antibiotics are medications used to prevent or treat infections by inhibiting the growth of bacteria. In post-surgical care in orthodontics, antibiotics help reduce the risk of infection following procedures. Their use in the study ensures participant safety and optimal healing, thereby influencing overall treatment outcomes and recovery.
13) Transformation (Transform, Transforming):
Transform denotes a process of change or conversion from one state to another. In the context of this study, transforming tissue or bone characteristics via surgical interventions like piezosurgery alters the biological environment, enhancing the efficiency of orthodontic treatments. Understanding transformation processes helps optimize techniques for better dental results.
14) Dressing:
Dressing refers to material applied to a wound or surgical incision to promote healing and protect against infection. In orthodontic procedures, surgical dressings are vital for the management of incisions, helping to minimize complications post-surgery. Their use in the study emphasizes the importance of proper post-operative care.
15) Bleeding:
Bleeding refers to the loss of blood from the circulatory system and is a concern during and after surgical procedures. Effective management of bleeding ensures patient safety and influences the healing process. In the study, monitoring bleeding can provide insights into the invasiveness and safety of surgical techniques employed.
16) Pregnant:
Pregnant refers to the state of carrying or nurturing a developing fetus. The study excluded pregnant individuals from participation due to potential risks associated with surgical and orthodontic procedures. This ensures the safety of both mother and child while providing clarity on the study's applicable demographic and ethical considerations.
17) Surface:
Surface refers to the outermost layer of an object or material. In orthodontics, the surface of teeth and bone is significant when considering surgical interventions and treatment outcomes. Understanding surface characteristics helps inform techniques like grafting and bonding, which directly influence treatment effectiveness and aesthetic results.
18) Thomas:
Thomas refers to Thomas Wilcko, a co-creator of the PAOO technique. His contributions have been essential in revolutionizing orthodontic treatment strategies. Understanding the role of key figures like Thomas in advancing clinical techniques helps contextualize the study within the wider field of orthodontic practice and surgical interventions.
19) Repair:
Repair denotes the process of restoring or mending tissues following injury or trauma. In orthodontics, effective repair mechanisms are vital post-surgery to ensure successful healing and stability of the treated area. Emphasis on repair processes in the study underscores their importance in achieving positive outcomes in orthodontic treatments.
20) Reason:
Reason refers to the justification or rationale behind choices made during a study or procedure. Understanding the reasons for including or excluding certain criteria, like participant health conditions, helps validate research findings. Clarifying reasonings contributes to transparency and integrity in scientific communication, essential for reproducibility of results.
21) Silk:
Silk refers to a type of suture material used for closing incisions during surgical procedures. The choice of silk sutures in the study illustrates considerations of durability and biocompatibility. Proper selection of suturing material impacts healing and patient comfort, illustrating how minute details can influence overall surgical outcomes.
22) Line:
Line refers to a linear structure or incision made during a surgical procedure. In this study, the creation of lines through corticotomies is essential for facilitating optimal bone healing and responding to orthodontic forces. Understanding the role of lines in procedures aids in achieving successful treatment results.
23) Male:
Male refers to individuals of the male sex. Including both genders in studies, such as in this research focused on orthodontic procedures, ensures diverse perspectives and results. Analyzing gender differences can provide insights into varying responses to treatments, enriching the overall understanding of orthodontic success factors.
Other Health Sciences Concepts:
Discover the significance of concepts within the article: ‘Comparative study of osteogenic orthodontics: piezo vs. bur methods.’. Further sources in the context of Health Sciences might help you critically compare this page with similair documents:
Malocclusion treatment, Bone density, Orthodontic treatment, Periodontally accelerated osteogenic orthodontics, Root resorption, Treatment time, NSAID's and antibiotics.