Periodontally accelerated osteogenic orthodontics in class i bi-maxillary protrusion: A case report Sehdev Bhumika1,*, Singh Rajeshwar2, Anshul3 1Associate Professor, Department of Periodontics, Mekelle Hospital, Mekelle, Ethiopia 2Associate Professor, Department of Orthodontics & Dentofacial Orthopaedics, Mekelle Hospital, Mekelle, Ethiopia 3Reader, Department of Pedodontics, Faizabad, Uttar Pradesh, India *Address for correspondence: Bhumika Sehdev Email Id: bhumirocks9@yahoo.com
Online published on 28 January, 2019. Abstract Aim This case report documents the use of corticotomy-assisted rapid orthodontic procedure known as periodontally accelerated osteogenic orthodontics (PAOO) that offers short treatment times and the ability to simultaneously reshape and increase the buccolingual thickness of the supporting alveolar bone. Method and Material A 24-year-old male patient having class I malocclusion in association with bi-maxillary protrusion requested shortened orthodontic treatment time. This new surgical technique included full thickness flap reflection buccal and lingual sides of the maxillary anterior region followed by selective partial decortication of the cortical plates of teeth designated for the major orthodontic movements and sites that were sutured to achieve primary flap closure. Following this periodontal surgery, orthodontic bracketing and wire activation were done. Orthodontic adjustments were made approximately every 2 weeks. No excessive forces were used. The orthodontic reevaluation was done at 3, 6 and 12 weeks post-operatively. Result On visual examination, alveolar ridges maintained their original thickness and configuration. Complete orthodontic correction from bracketing to debracketing was achieved in exactly 3 months with no post-operative complications of root resorption, mobility and significantly reduced treatment time. Conclusion PAOO is a novel treatment approach in adult orthodontics with reduction of treatment time and patient discomfort being the basic advantages of this modified surgical approach. Top Keywords Orthodontics, Osteogenic, PAOO, Periodontally, Protrusion. Top |