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Update on surgical approach in accelerating
orthodontic tooth movement: A concise review
Authors :
- Arthessarat Sirisa-Ard D.D.S., DClinDent (Orthodontics), MRACDS
Abstract :
The orthodontic treatment is a time-consuming procedure. Fixed orthodontic treatment usually
takes 2-3 years, with several regular follow up appointments, depending on various factors such
as severity of the malocclusion, treatment planning, and patient compliance. The prolong treatment
could increase more complications such as caries and root resorptions. A patient burnout also could
happen because of this long term exhausted procedure. Thus, to be able to shorten the orthodontic
treatment duration will be highly desirable for both patients and orthodontists. Up to now, several
treatment modalities have been reported to accelerate orthodontic tooth movement including
biomechanical, biological, physical/mechanical, and surgical approaches. This review describes
current surgical procedures used for accelerating orthodontic tooth movement. The regional acceleratory
phenomenon (RAP) phenomenon, surgical techniques including dental distraction, corticotomy/
osteotomy-assisted orthodontic tooth movement, piezocision, and micro-osteoperforation are
summarized and discussed.
(CU Dent J. 2018;41:71-80)
Keywords :
RAP, dental distraction, corticotomy, piezocision, micro-osteoperforation
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