Piezosurgical corticotomy for rapid orthodontic tooth movement – A case series

| Posted in: Science

Journal name: Journal of Indian Society of Periodontology
Original article title: Piezosurgical corticotomy for rapid orthodontic tooth movement – A case series
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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Author:

S. Swarna Meenakshi, Sankari Malaiappan


Journal of Indian Society of Periodontology:

(A bimonthly open-access journal)

Full text available for: Piezosurgical corticotomy for rapid orthodontic tooth movement – A case series

Year: 2021 | Doi: 10.4103/jisp.jisp_316

Copyright (license): CC BY-NC-SA


Summary of article contents:

Introduction

Orthodontic treatment duration is a significant concern for patients, often coupled with risks such as root resorption, caries, and gingival recession. To address these issues, clinicians seek innovative solutions, one of which is the technique of corticotomy. By minimizing treatment time and enhancing tooth movement safety, corticotomy has gained traction in orthodontics. This study explores two cases in which piezosurgical corticotomy, a modified approach to traditional methods, was implemented for rapid tooth movement, achieving desirable results within a short timeframe without complications.

The Advantages of Piezosurgery

Piezosurgery introduces a novel approach to corticotomy by utilizing a piezoelectric device, which allows for precise cuts in mineralized structures while minimizing damage to adjacent soft tissues. Compared to traditional rotary instruments, piezosurgery offers better control, reduced trauma, and a hemostatic surgical field. Studies indicate that using piezosurgery can accelerate orthodontic treatment by enhancing tooth movement velocity and reducing postoperative complications such as root resorption and discomfort. Both cases presented in this study utilized piezosurgical corticotomy, demonstrating a substantial reduction in treatment time while ensuring patient safety and comfort.

Conclusion

The outcomes from these cases highlight the effectiveness of piezosurgery for corticotomy in reducing orthodontic treatment duration without compromising patient safety. As the demand for shorter treatment times continues to rise, techniques like piezosurgery present promising alternatives to traditional methods, minimizing patient apprehension about prolonged orthodontic therapy. Future explorations may involve refining noninvasive methods such as flapless piezocision and micro-osteoperforations, further enhancing the efficacy of orthodontic treatments while preserving the integrity of soft and hard tissues. Overall, the integration of piezosurgery into orthodontic practices represents a significant advancement in achieving fast, safe, and effective treatment outcomes.

FAQ section (important questions/answers):

What are the main concerns of patients undergoing orthodontic treatment?

Prolonged treatment durations, increased risk of root resorption, caries, and gingival recession are the primary concerns for patients undergoing orthodontic treatment.

How does piezosurgical corticotomy benefit orthodontic treatment duration?

Piezosurgical corticotomy facilitates rapid tooth movement, allowing for treatment completion in about 7-8 months, significantly shorter compared to conventional methods, which often take longer.

What is the regional acceleratory phenomenon (RAP) and its significance?

RAP refers to a temporary increase in hard and soft-tissue remodeling after corticotomy, reducing resistance to tooth movement and leading to faster orthodontic results.

What advantages does piezosurgery offer over traditional surgical instruments?

Piezosurgery provides precise cuts with minimal soft tissue damage and less postoperative discomfort. It also allows for better control in dense areas and prevents complications common with traditional methods.

What were the results observed in the two discussed cases?

Both cases achieved desired dental movement effectively; Case 1 required 8 months, while Case 2 required 6 months, with no significant postoperative complications noted in either patient.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Piezosurgical corticotomy for rapid orthodontic tooth movement – A case series”. 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 medical studies, a 'Table' refers to a structured arrangement of data, often used to summarize results, demographic information, or treatment outcomes. Tables enhance readability and allow for quick comparisons between different groups, treatment protocols, or measurements, visualizing complex information in a clear manner for stakeholders like clinicians and researchers.

2) Study (Studying):
A 'Study' typically refers to a systematic investigation designed to test hypotheses or gather data on specific medical or scientific questions. In the context of orthodontics and corticotomy procedures, studies validate the efficacy and safety of techniques, assessing factors such as treatment duration, postoperative complications, and patient satisfaction, thereby contributing to medical knowledge.

3) Incision:
An 'Incision' is a surgical cut made into the skin or tissue to access underlying structures, essential in medical procedures like corticotomy. Precise incisions ensure optimal access during surgery, reducing the risk of damage to surrounding tissues. The technique improves the overall outcome, minimizing complications and promoting healing while facilitating efficient orthodontic treatments.

4) Inflammation:
Inflammation is a biological response to injury or infection characterized by redness, heat, swelling, and pain. In orthodontic procedures, inflammation can signify the body’s healing process but excessive inflammation can lead to complications such as root resorption. Understanding inflammation's role helps clinicians manage postoperative care and optimize healing outcomes after surgical interventions.

5) Antibiotic (Antibacterial):
An 'Antibiotic' is a type of medication used to treat infections caused by bacteria. In surgical settings such as orthodontic corticotomy, antibiotics are often prescribed to prevent postoperative infections, ensuring safe recovery. Selecting appropriate antibiotics and following proper dosage is crucial for minimizing the risk of complications, promoting efficient healing, and protecting patient health.

6) Relative:
The term 'Relative' in a clinical context can refer to the family members of patients or to comparative assessments of clinical outcomes. Understanding patients’ relative concepts of treatment can help tailor communication and treatment plans. In studies, relative measurements can indicate variability in results, aiding in the interpretation of treatment effectiveness within populations.

7) Cutting:
'Cutting' refers to the process of incising tissue during surgical procedures. In orthodontics, controlled cutting, such as during corticotomy, is vital for reducing resistance to tooth movement. Effective cutting techniques minimize trauma to soft tissues and improve surgical outcomes, emphasizing the need for precision and control during dental procedures for optimal patient care.

8) Field:
In surgery and medical practice, 'Field' typically refers to the area of surgery or the region under consideration. A clear surgical field, free of debris and bleeding, is essential for visibility and precision during operations. Maintaining a clean field enhances efficacy and safety in procedures, leading to better clinical outcomes and patient satisfaction.

9) Surrounding:
'Surrounding' relates to the tissues, structures, or environment adjacent to the surgical site. Understanding the characteristics of surrounding anatomical features is crucial in surgery, as their integrity affects healing and the success of the procedure. Preservation of surrounding tissues is key in reducing trauma, encouraging effective surgical intervention, and decreasing postoperative complications.

10) Perception:
'Perception' refers to how individuals interpret or understand their experiences, particularly relating to their health and treatment options. In orthodontics, patient perception is critical; a positive perception can influence treatment adherence and satisfaction. Clinicians should consider patient perceptions when discussing treatment plans to enhance communication and improve overall patient experiences.

11) Discussion:
In academic and clinical contexts, 'Discussion' refers to a section where findings are interpreted and contextualized. This critical analysis helps articulate the implications of study outcomes, comparing them to existing literature, and identifying potential applications in clinical practice. Discussions facilitate knowledge dissemination and encourage further research to expand understanding in the field.

12) Bleeding:
'Bleeding' refers to the escape of blood from vascular structures, which can occur during surgical procedures. Managing bleeding is critical in surgeries like corticotomy to ensure a clear surgical field and minimize complications. Effective hemostasis contributes to patient safety, reduces postoperative issues, and promotes better healing by limiting blood loss during interventions.

13) Mineral:
'Mineral' pertains to the inorganic substances essential for various bodily functions, including bone health. In orthodontic treatments involving corticotomy, the mineral content of bones affects the response to mechanical forces. Modifications in bone mineralization influence treatment outcomes, making the understanding of mineral dynamics crucial for optimizing patient care and results in orthodontics.

14) Hygiene (Hygienic):
Hygiene refers to practices that promote health and prevent disease, particularly in medical contexts. In orthodontics, maintaining oral hygiene is crucial both pre- and post-surgery to reduce the risk of infection and complications. Educating patients on hygiene practices can lead to better oral health, enhancing the success of treatments like corticotomy.

15) Sign:
In a medical context, a 'Sign' refers to an objective indication of a patient's condition observable during examination. Signs are crucial in diagnosing and monitoring conditions, allowing orthodontists to assess treatment effectiveness and patient health. Recognizing vital signs can impact treatment decisions and enhance patient outcomes during and after surgical procedures.

16) Line:
'Line' typically refers to a mark or boundary in medical or surgical contexts, but can also imply a sequence or progression. In orthodontics, precise lines during incisions indicate areas for cutting during procedures such as corticotomy, ensuring accuracy and adherence to surgical plans, which are essential for achieving optimal results during treatment.

17) Pir:
'Peer' often denotes colleagues or individuals at a similar professional level within a field. Peer consultation is invaluable in clinical practice, allowing sharing of experiences and best practices. In research, peer review ensures the quality of studies, enhancing knowledge and credibility, ultimately improving outcomes and innovations in disciplines like orthodontics and surgery.

Other Science Concepts:

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Discover the significance of concepts within the article: ‘Piezosurgical corticotomy for rapid orthodontic tooth movement – A case series’. Further sources in the context of Science might help you critically compare this page with similair documents:

Local anesthesia, Treatment Protocol, Case report, Periodontal health, Surgical Procedure, Chief complaint, Ethical approval, Postoperative complication, Surgical technique, Periodontally accelerated osteogenic orthodontics.

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