Orthodontically Driven Corticotomy: Tissue Engineering to Enhance Orthodontic and Multidisciplinary Treatment

Orthodontically Driven Corticotomy: Tissue Engineering to Enhance Orthodontic and Multidisciplinary Treatment

Language: English

Pages: 328

ISBN: 1118486870

Format: PDF / Kindle (mobi) / ePub


The first book of its kind, Orthodontically Driven Corticotomy describes how to apply this innovative technique to orthodontic treatment protocols. More than simply discussing orthodontic applications, the editors demonstrate how corticotomies enhance inter- and multidisciplinary treatments. Different surgical approaches are described, with indications on how to select the most appropriate one, to increase efficiency of orthodontic movement, and minimize the surgical exposure for the patient at the same time. Readers learn how to apply the technique to expand the basal bone, regenerate periodontal tissues, combine corticotomy and anchorage devices, manage partial edentulism, treat impacted teeth, and become more efficient in orthodontic treatment. Surgical steps are demonstrated with more than 650 clinical photographs and 200 illustrations.

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surgically facilitated rapid orthodontic technique with alveolar augmentation. Journal of Oral and Maxillofacial Surgery, 67, 2149–2159. Yamaguchi M, Hayashi M, Fujita S et al. (2010) Low-energy laser irradiation facilitates the velocity of tooth movement and the expressions of matrix metalloproteinase-9, cathepsin K, and alpha(v) beta(3) integrin in rats. European Journal of Orthodontics, 32, 131–139. Yamasaki K, Shibata Y, Imai S et al. (1984) Clinical application of prostaglandin E1 (PGE1)

(2008). Reproduced with permission of Elsevier. Certainly when bone grafts are used, in either PAOO or AOO, no active periapical lesions or untreated periodontitis should be present as the bone grafts or stem cells are placed. But when flaps are reflected for orthodontic purposes and the opportunity presents for traditional marginal alveolar bone management (infrabony pocket decortication, ostectomy, osteoplasty, or bone grafting,), pocket reduction and regeneration should be included in the

and extraoral photographs of malocclusion status post-malunion treatment of fractures. The patient had multiple planes of occlusion in the maxilla and the anterior and left posterior mandible with a class II relationship. (b) Orthodontic hardware is in place on the maxillary and mandibular arches. A coil spring has been placed in the left mandible area and teeth extracted in preparation for selective alveolar decortication and correction of malocclusion. (c) Initial and 4-month post-operative

therapy. However, with SAD derivatives the time intervals between adjustments are compressed to reduce total treatment time, the time from bonding to debonding. This means that SAD-facilitated orthodontic therapy has earned a legitimate place in any informed consent where patients are concerned about notorious orthodontic time-related side effects like root resorption and infection-induced damage (Zachrisson and Alnaes, 1974; Wennstrom et al., 1993; Waldrop, 2008). Grafting with decortication

following years, and especially after Suya's (1991) publication, the surgery was modified to make it gradually less invasive and comparable to a full-mouth periodontal surgery (Wilcko et al., 2001). More recently it has been modified to the point that it can be done in a flapless fashion (Dibart et al., 2009). Regardless of the type of surgical approach that made the procedure more and more applicable and acceptable for the patient, the major shift has been made on the rationale of the technique.

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