The korean journal of orthodontics (대한치과교정학회지)

The Korean Association Of Orthodontists (대한치과교정학회)
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The combined use of computer-guided, minimally invasive, flapless corticotomy and clear aligners as a novel approach to moderate crowding: A case report

  • Cassetta, Michele (Department of Oral and Maxillofacial Sciences, School of Dentistry, Sapienza University of Rome) ;
  • Altieri, Federica (Department of Oral and Maxillofacial Sciences, School of Dentistry, Sapienza University of Rome) ;
  • Pandolfi, Stefano ;
  • Giansanti, Matteo (Department of Oral and Maxillofacial Sciences, School of Dentistry, Sapienza University of Rome)
  • Received : 2016.02.19
  • Accepted : 2016.07.18
  • Published : 2017.03.25
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Abstract

The aim of this case report was to describe an innovative orthodontic treatment method that combined surgical and orthodontic techniques. The novel method was used to achieve a positive result in a case of moderate crowding by employing a computer-guided piezocision procedure followed by the use of clear aligners. A 23-year-old woman had a malocclusion with moderate crowding. Her periodontal indices, oral health-related quality of life (OHRQoL), and treatment time were evaluated. The treatment included interproximal corticotomy cuts extending through the entire thickness of the cortical layer, without a full-thickness flap reflection. This was achieved with a three-dimensionally printed surgical guide using computer-aided design and computer-aided manufacturing. Orthodontic force was applied to the teeth immediately after surgery by using clear appliances for better control of tooth movement. The total treatment time was 8 months. The periodontal indices improved after crowding correction, but the oral health impact profile showed a slight deterioration of OHRQoL during the 3 days following surgery. At the 2-year retention follow-up, the stability of treatment was excellent. The reduction in surgical time and patient discomfort, increased periodontal safety and patient acceptability, and accurate control of orthodontic movement without the risk of losing anchorage may encourage the use of this combined technique in appropriate cases.

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References

  1. Uzuner FD, Darendeliler N. Dentoalveolar surgery techniques combined with orthodontic treatment: a literature review. Eur J Dent 2013;7:257-65. https://doi.org/10.4103/1305-7456.110201
  2. Cassetta M, Altieri F, Barbato E. The combined use of corticotomy and clear aligners: a case report. Angle Orthod 2016;86:862-70. https://doi.org/10.2319/091115-617.1
  3. Long H, Pyakurel U, Wang Y, Liao L, Zhou Y, Lai W. Interventions for accelerating orthodontic tooth movement: a systematic review. Angle Orthod 2013;83:164-71. https://doi.org/10.2319/031512-224.1
  4. Wilcko W, Wilcko MT. Accelerating tooth movement: the case for corticotomy-induced orthodontics. Am J Orthod Dentofacial Orthop 2013;144:4-12. https://doi.org/10.1016/j.ajodo.2013.04.009
  5. Cassetta M, Di Carlo S, Giansanti M, Pompa V, Pompa G, Barbato E. The impact of osteotomy technique for corticotomy-assisted orthodontic treatment (CAOT) on oral health-related quality of life. Eur Rev Med Pharmacol Sci 2012;16:1735-40.
  6. Cassetta M, Pandolfi S, Giansanti M. Minimally invasive corticotomy in orthodontics: a new technique using a CAD/CAM surgical template. Int J Oral Maxillofac Surg 2015;44:830-3. https://doi.org/10.1016/j.ijom.2015.02.020
  7. Cassetta M, Giansanti M, Di Mambro A, Calasso S, Barbato E. Minimally invasive corticotomy in orthodontics using a three-dimensional printed CAD/CAM surgical guide. Int J Oral Maxillofac Surg 2016;45:1059-64. https://doi.org/10.1016/j.ijom.2016.04.017
  8. Cassetta M, Ricci L, Iezzi G, Calasso S, Piattelli A, Perrotti V. Use of piezosurgery during maxillary sinus elevation: clinical results of 40 consecutive cases. Int J Periodontics Restorative Dent 2012;32:e182-8.
  9. Wilcko WM, Wilcko T, Bouquot JE, Ferguson DJ. Rapid orthodontics with alveolar reshaping: two case reports of decrowding. Int J Periodontics Restorative Dent 2001;21:9-19.
  10. Dibart S, Surmenian J, Sebaoun JD, Montesani L. Rapid treatment of Class II malocclusion with piezocision: two case reports. Int J Periodontics Restorative Dent 2010;30:487-93.
  11. Dibart S, Sebaoun JD, Surmenian J. Piezocision: a minimally invasive, periodontally accelerated orthodontic tooth movement procedure. Compend Contin Educ Dent 2009;30:342-4, 346, 348-50.
  12. Keser EI, Dibart S. Sequential piezocision: a novel approach to accelerated orthodontic treatment. Am J Orthod Dentofacial Orthop 2013;144:879-89. https://doi.org/10.1016/j.ajodo.2012.12.014
  13. Milano F, Dibart S, Montesani L, Guerra L. Computer-guided surgery using the piezocision technique. Int J Periodontics Restorative Dent 2014;34:523-9. https://doi.org/10.11607/prd.1741
  14. Hernandez-Alfaro F, Guijarro-Martinez R. Endoscopically assisted tunnel approach for minimally invasive corticotomies: a preliminary report. J Periodontol 2012;83:574-80. https://doi.org/10.1902/jop.2011.110233
  15. Mathews DP, Kokich VG. Accelerating tooth movement: the case against corticotomy-induced orthodontics. Am J Orthod Dentofacial Orthop 2013;144:5-13. https://doi.org/10.1016/j.ajodo.2013.04.008
  16. Frost HM. The biology of fracture healing. An overview for clinicians. Part I. Clin Orthop Relat Res 1989;(248):283-93.
  17. Keser EI, Dibart S. Piezocision-assisted Invisalign treatment. Compend Contin Educ Dent 2011;32:46-8, 50-1.
  18. Djeu G, Shelton C, Maganzini A. Outcome assessment of Invisalign and traditional orthodontic treatment compared with the American Board of Orthodontics objective grading system. Am J Orthod Dentofacial Orthop 2005;128:292-8. https://doi.org/10.1016/j.ajodo.2005.06.002
  19. Kravitz ND, Kusnoto B, BeGole E, Obrez A, Agran B. How well does Invisalign work? A prospective clinical study evaluating the efficacy of tooth movement with Invisalign. Am J Orthod Dentofacial Orthop 2009;135:27-35. https://doi.org/10.1016/j.ajodo.2007.05.018

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