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VOLUME 10 , ISSUE 1 ( January-June, 2019 ) > List of Articles


Micro-osteoperforations (Minimally Invasive Corticotomy Procedure for Accelerated Orthodontic Treatment): A Case Report

Megha Nichal, Vidya Dodwad, Sachin Mangalekar, Priyanka Vhanmane, Sandeep Patil, Smruti J Lulla

Keywords : Canine retraction, Corticotomy, Microosteoperforations

Citation Information : Nichal M, Dodwad V, Mangalekar S, Vhanmane P, Patil S, Lulla SJ. Micro-osteoperforations (Minimally Invasive Corticotomy Procedure for Accelerated Orthodontic Treatment): A Case Report. J Health Sci Res 2019; 10 (1):18-21.

DOI: 10.5005/jp-journals-10042-1072

License: CC BY-NC 4.0

Published Online: 01-06-2019

Copyright Statement:  Copyright © 2019; The Author(s).


Micro-osteoperforation is an effective, minimally invasive procedure to accelerate tooth movement and significantly reduces the duration of orthodontic treatment. This technique has several advantages including faster tooth movement, enhanced post-orthodontic treatment stability. In this case report, an adult patient undergoing orthodontic treatment was referred to the department of periodontology for the opinion regarding corticotomy-assisted orthodontic treatment. A full thickness mucoperiosteal flap was reflected on buccal side, micro-osteoperforations were made using a round bur with a micro-motor and only 3 micro-osteoperforations were made to reduce the invasiveness. This approach assumed minimum trauma to the cortical bone. Pre- and postoperative measurements were done on study casts on the day of surgery and after 45 days. Micro-osteoperforation site had a space closure of 1.5 mm compared to the control site. Micro-osteoperforations significantly increased the rate of tooth movement by 1–2-fold. The patient did not report any significant discomfort during or after the procedure.

  1. Amit Goyal, Kalra JPS, et al. Periodontally accelerated osteogenic orthodontics (PAOO)- A review. J Clin Exp Dent 2012;4(5):292–296. DOI: 10.4317/jced.50822.
  2. Krishnana V, Davidovitch Z. Celluar, molecular and tissue – levelreactions to orthodontic force. Am J Orthod Dentofacial Orthop 2006;129(4):469.e1–469.e32. DOI: 10.1016/j.ajodo.2005.10.007.
  3. Ren A, Lv T, et al. Rapid orthodontic tooth movement aided by alveolar surgery in beagles. Am J Orthod Dentofacial Orthop 2007;131(2):160.e1–160.e10. DOI: 10.1016/j.ajodo.2006.05.029.
  4. Karanth S, Ramesh A, et al. Periodontallyaccelerated orthodontics: Review on a surgical technique and case report. J Interdiscip Dent 2012;2(3):179–184. DOI: 10.4103/2229-5194.113250.
  5. Murphy KG, Wilko MT, et al. Periodontal Accelerated Osteogenic Orthodontics: A Description of the Surgical Technique. J Oral Maxillofac Surg 2009;67(1):2160–2166. DOI: 10.1016/j.joms.2009.04.124.
  6. Sebaoun JD, Kantarci A, et al. Modeling of trabecular bone and lamina dura following selective alveolardecortication in rats. J Periodontol 2008;79(9):1679–1688. DOI: 10.1902/jop.2008.080024.
  7. Alikhani M. Effect of micro-osteoperforations on the rate of tooth movement. Am J Orthod Dentofacial Orthop 2013;144(5):639–648. DOI: 10.1016/j.ajodo.2013.06.017.
  8. John Wiley and Sons. Wiley Blackwell Orthodontically Driven Corticotomy-Text book. Burgnami F, Calazzo A ed.; 2015.
  9. Long H, Pyakurel U, et al. Interventions foraccelerating orthodontic tooth movement: a systematic review. Angle Orthod 2013;83(1):164–171. DOI: 10.2319/031512-224.1.
  10. Wilcko MT, Wilcko WM, et al. Accelerated Osteogenic Orthodontics Technique: A 1-StageSurgically Facilitate Rapid Orthodontic Technique With Alveolar Augmentation. A J Oral Maxillofac Surg 2009;67:2149–2159. DOI: 10.1016/j.joms.2009.04.095.
  11. Thafeed AS, Al Ghamdi. Corticotomy facilitated orthodontics: Review of a technique. The Saudi Dental Journal 2009;4(1):159–164.
  12. Germec D, Giray B, et al. Lower incisor retraction with amodified corticotomy. Angle Orthod 2006;76(5):882–890. DOI: 10.1043/0003-3219(2006)076[0882:LIRWAM]2.0.CO;2.
  13. Sirisha K, Srinivas M, et al. Pratap Gowd Wilkodontics- A Novel Synergy in Time to Save Time. J Clin Diagn Res 2014;8(1):322–325. DOI: 10.7860/JCDR/2014/7576.3978.
  14. Wilcko WM, Wilcko MT, et al. Accelerated Orthodontics with alveloar reshaping. J Ortho Practice 2000;10(1):63–70.
  15. Yang C, Wang C, et al. Biomechanical effects of corticotomyapproaches on dentoalveolar structures during canine retraction: a 3-dimensionalfinite element analysis. Am J Orthod Dentofacial Orthop 2015;148(3):457–465. DOI: 10.1016/j.ajodo.2015.03.032.
  16. Gadakh SB, Gulve N, et al. Methods of Accelerating orthodontic treatment – A Review. J appl dent Med Sci 2016;2(1):176–182.
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