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VOLUME 12 , ISSUE 2 ( July-December, 2021 ) > List of Articles

REVIEW ARTICLE

Indentation Corticotomy: Periodontally Promoted Orthodontic Treatment

Shiny Inasu, Biju Thomas

Keywords : Corticotomy, Esthetics, Osteogenic, Periodontium, Surgery

Citation Information : Inasu S, Thomas B. Indentation Corticotomy: Periodontally Promoted Orthodontic Treatment. J Health Sci Res 2021; 12 (2):40-43.

DOI: 10.5005/jp-journals-10042-1108

License: CC BY-NC 4.0

Published Online: 25-03-2022

Copyright Statement:  Copyright © 2021; The Author(s).


Abstract

An interrelationship between orthodontist and the periodontist is necessary under various conditions. One of the most important aspects in which both parties must come upon agreement for the need of corticotomy is case selection. During orthodontic treatment, several types of malocclusion can be treated by altering the balance between apposition and resorption through selectively injuring the cortical plate of the alveolus which accelerates tooth movement, thereby reducing the risk of extraction and providing long-term stability support; such type of treatment plan is referred to as periodontally accelerated osteogenic orthodontics. This procedure involves selective alveolar decortications, placement of bone grafting material, along with application of orthodontic force. There are different types of corticotomy procedures such as circumscribed, triangular, and indentation, where each technique differs from each other based on their indication, contraindication, and limitations. Placement of bioabsorbable grafting material over the decortications site should be carried out at utmost care and followed by suturing the flap to a final position. After 1 or 2 weeks, orthodontic tooth movement begins.


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  1. Kole H. Surgical operations on the alveolar ridge to correct occlusal abnormalities. Oral Surg Oral Med Oral Pathol 1959;12(5):515–529. DOI: 10.1016/0030-4220(59)90153-7.
  2. Mathews DP, Kokich VG. Managing treatment for the orthodontic patient with periodontal problems. Semin Orthod 1997;3(1):21–38. DOI: 10.1016/s1073-8746(97)80037-0.
  3. Ong MM, Wang HL. Periodontic and orthodontic treatment in adults. Am J Orthod Dentofacial Orthop 2002;122(4):420–428. DOI: 10.1067/mod.2002.126597.
  4. Lee W. Corticotomy for orthodontic tooth movement. J Korean Assoc Oral Maxillofac Surg 2018;44(6):251–258. DOI: 10.5125/jkaoms.2018.44.6.251.
  5. Abu-Hussein M, Watted N, Hegedűs V, et al. Corticotomy in the modern orthodontics. IOSR J Dent Med Sci 2015;14:68–80. DOI: 10.9790/0853-141136880.
  6. Wilcko WM, Wilcko T, Bouquot JE, et al. Rapid orthodontics with alveolar reshaping: two case reports of decrowding. Int J Periodontics Restorative Dent 2001;21:9–19. PMID: 11829041.
  7. Dibart S, Sebaoun JD, Surmenian J. Piezocision: a minimally invasive, periodontally accelerated orthodontic tooth movement procedure. Compend Contin Educ Dent 2009;30(6):342–344, 346, 348–350. PMID: 19715011.
  8. Sebaoun JD, Surmenian J, Dibart S. Accelerated orthodontic treatment with piezocision: a mini-invasive alternative to conventional corticotomies. Orthod Fr 2011;82(4):311–319. DOI: 10.1051/orthodfr/2011142.
  9. Han KH, Park JH, Bayome M, et al. Effect of frequent application of low-level laser therapy on corticotomized tooth movement in dogs: a pilot study. J Oral Maxillofac Surg 2014;72(6):1182. e1–e12. DOI: 10.1016/j.joms.2014.02.028.
  10. Prasad S, Ravindran S. Effect of micro-osteoperforations. Am J Orthod Dentofacial Orthop 2014;145(3):273. DOI: 10.1016/j.ajodo.2014.01.003.
  11. Alikhani M, Raptis M, Zoldan B, et al. 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.
  12. Cheung T, Park J, Lee D, et al. Ability of mini-implant-facilitated micro-osteoperforations to accelerate tooth movement in rats. Am J Orthod Dentofacial Orthop 2016;150(6):958–967. DOI: 10.1016/j.ajodo.2016.04.030.
  13. Gibreal O, Hajeer MY, Brad B. Efficacy of piezocision-based flapless corticotomy in the orthodontic correction of severely crowded lower anterior teeth: a randomized controlled trial. Eur J Orthod 2019;41(2):188–195. DOI: 10.1093/ejo/cjy042.
  14. Alfawal AMH, Hajeer MY, Ajaj MA, et al. Evaluation of piezocision and laser-assisted flapless corticotomy in the acceleration of canine retraction: a randomized controlled trial. Head Face Med 2018;14(1):4. DOI: 10.1186/s13005-018-0161-9.
  15. Sathyanarayana HP, Srinivasan B, Kailasam V, et al. Corticotomy and piezocision in rapid canine retraction. Am J Orthod Dentofacial Orthop 2016;150(2):209–210. DOI: 10.1016/j.ajodo.2016.06.004.
  16. Abbas NH, Sabet NE, Hassan IT. Evaluation of corticotomy-facilitated orthodontics and piezocision in rapid canine retraction. Am J Orthod Dentofacial Orthop 2016;149(4):473–480. DOI: 10.1016/j.ajodo.2015.09.029.
  17. Wilcko MT, Wilcko WM, Pulver JJ, et al. Accelerated osteogenic orthodontics technique: a 1-stage surgically facilitated rapid orthodontic technique with alveolar augmentation. J Oral Maxillofac Surg 2009;67(10):2149–2159. DOI: 10.1016/j.joms.2009.04.095.
  18. Wilcko MT, Wilcko WM, Murphy KG, et al. Full-thickness flap/subepithelial connective tissue grafting with intramarrow penetrations: three case reports of lingual root coverage. Int J Periodontics Restorative Dent 2005;25(6):561–569. PMID: 16353531.
  19. Wilcko MT, Ferguson DJ, Makki L, et al. Keratinized gingiva height increases after alveolar corticotomy and augmentation bone grafting. J Periodontol 2015;86(10):1107–1115. DOI: 10.1902/jop.2015.150074.
  20. Wilcko W, Wilcko MT. Accelerating tooth movement: the case for corticotomy-induced orthodontics. Am J Orthod Dentofacial Orthop 2013;144(1):4–12. DOI: 10.1016/j.ajodo.2013.04.009.
  21. Zimmo N, Saleh MH, Mandelaris GA, et al. Corticotomy-accelerated orthodontics: a comprehensive review and update. Compend Contin Educ Dent 2017;38(1):17–25. PMID: 28054789.
  22. Kook YA, Lee W, Kim SH, et al. Corticotomy-assisted space closure in adult patients with missing lower molars. J Clin Orthod 2013;47(2): 85–95. PMID: 23660766.
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