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

CASE REPORT

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: 00-06-2019

Copyright Statement:  Copyright © 2019; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

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.


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