Learn more about interdisciplinary treatment planning for corticotomy-facilitated orthodontics and read about a real-world case. Increased societal demands have led patients to request shorter orthodontic is the dual-specialty in-office corticotomy-facilitated bone augmentation approach. Alveolar corticotomies in orthodontics: Indications and effects on tooth movement. Dauro Douglas Oliveira*, Bruno Franco de Oliveira**.

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Am J Orthodont Dentofacial Orthoped. Selective alveolar decortication is performed in the form of decortication cuts and at points up to 0. Orthod Cranio fac Res. Two conventional methods to resolve dental arch crowding through orthodontics are extraction and non-extraction.

Corticotomy-Facilitated Orthodontics and Goal-Oriented Treatment Planning – Spear Education

Acceleration of orthodontic tooth movement by alveolar corticotomy in the dog. A study was conducted on 65 Korean adult female patients with bimaxillary dentoalveolar protrusion to compare orthodontic treatment outcomes, anterior segmental osteotomy, and corticotomy-assisted orthodontic treatment; it was concluded that orthodontic treatment and corticotomy-assisted orthodontic treatment are indicated for patients with severe incisor proclination with normal basal bone position, although corticotomy-assisted orthodontic treatment has the advantage of shorter treatment duration.

Controlled clinical and histological studies are needed to understand the biology of tooth movement with this procedure, the effect on teeth and bone, post-retention stability, measuring the volume of mature bone formation, and determining the status of the periodontium and roots after treatment. Stability was reported as one of the advantages of corticotomy-assisted orthodontics [ 24 ].

Some patients decline orthognathic surgery due to fear, cost, lifestyle or underlying health issues. All teeth as well as occlusal and soft tissue changes remained stable at the patient’s one-year retention visit.


Diagnosis and treatment planning from all team members is essential for a favorable treatment outcome. Immediately following bone augmentation, the teeth are rapidly moved into the grafted bone. A more recent surgical orthodontic therapy was introduced by Wilcko et al. Corticotomy facilitated orthodontics advocated for comprehensive fixed orthodontic appliances in conjunction with full thickness flaps and labial orthodntics lingual corticotomies around teeth to be moved.

Corticotomy facilitated orthodontics, Rapid orthodontics, Accelerated osteogenic orthodontics, Regional acceleratory phenomena, Periodontally accelerated osteogenic orthodontics. Rapid orthodontics with alveolar reshaping: Rapid orthodontic decrowding with alveolar augmentation: CAOT was compared to osteotomy-assisted tooth movement and to controls.

If the answer is no, a localized bone augmentation is necessary in the direction of the proposed tooth movement. In addition, a resorbable bone graft is placed over the surgical sites to augment the confining bone during tooth movement. Verna C, Melsen B.

The aim of this article is to present a comprehensive review of the literature, including the historical background, the contemporary clinical techniques, indications, contraindications, complications and side effects. Published online Dec Dental arch crowding is one of the most common form of malocclusion. In addition, CAE allows differential expansion as well as unilateral expansion in a more controlled way than conventional expansion.

Please review our privacy policy. Retention and stability in orthodontics. Enhance Post-Orthodontic Stability Stability after orthodontic treatment may not always be achievable.

It was concluded that neither the pulp nor the periodontium was damaged following orthodontic tooth movement after corticotomy surgery Duker, As long as tooth movement continues, the RAP is prolonged. Am J Orthod Dentofacial Orthop. It involves selective alveolar decortication in the form of decortication lines and dots performed around the teeth that are to be moved.


The presence of non-growing alveolar bone that confines the teeth in the predetermined space available in the alveolus limits transverse tooth movement [ 30 ]. Orthop Clin N Am. Have you ever seen a patient with significant gingival recession who would also benefit from orthodontic treatment?

Corticotomy-facilitated Orthodontics and Goal-oriented Treatment Planning

The CAOT Technique Case selection is a very important step; both the orthodontist and the periodontist should agree upon the need for corticotomy, treatment plan and the extent and location of the decortication cuts. There are several psychological, biological and clinical differences between the orthodontic treatment of adults and adolescents.

Resolve Crowding and Shorten Treatment Time Corticotomy and osteotomy were used in orthodontics primarily to resolve crowding in a shorter period of time.

Treatment outcomes of orthodontic treatment, corticotomy-assisted orthodontic treatment, and anterior segmental osteotomy for bimaxillary dentoalveolar protrusion.

Skeletal and functional effects of treatment for unilateral posterior crossbite. Antibiotics, analgesics, and antiseptic mouthwash should be given to the patient. Unlike conventional orthodontics, the orthodontic appliance orthodomtics be activated every two weeks until the end of treatment after PAOO Fig.

Corticotomy surgery initiates and potentiates normal healing process Regional Acceleratory Phenomena Wilcko et al.