Class III orthognathic surgical cases facilitated by accelerated osteogenic orthodontics: a preliminary report

Wu, JiaQi; Xu, Li; Liang, Cheng; Jiang, JiuHui

doi:10.21307/aoj-2020-159

Abstract

Objectives

To describe a multidisciplinary treatment approach that includes corticotomy, orthodontic force and orthognathic surgery for the management of skeletal Class III surgical cases. The main advantage of the combined techniques is a reduction in treatment time for young adult patients.

Method

Accelerated Osteogenic Orthodontics (AOO) was delivered to three young adult patients during their pre-surgical orthodontic treatment. After aligning and levelling the dental arches, a piezosurgicalcorticotomy was performed to the buccal aspect of the alveolar bone. Bone graft materials were used to cover the decorticated area and soft tissue flaps were replaced.

Results

The mean time for extraction space closure was 5.4 ± 1.3 months and the mean time for pre-surgical orthodontic treatment was 12.0 ± 0.9 months. The average total treatment time was 20.4 ± 2.4 months. A pre-existing bony fenestration in the buccal cortex adjacent to the right lateral incisor root apex of Case 1 was corrected.

Conclusion

The facial aesthetics of three patients improved following multidisciplinary treatment. This approach may be an efficient method for the orthognathic patient who desires a reduced treatment time, but further clinical research is required.

References

1. Phillips C, Proffit WR. Psychosocial aspects of dentofacial deformity and its treatment. In: Proffit WR, White RP, Sarver DM, eds. Contemporary treatment of dentofacial deformity. St Louis: Mosby, 2003;69-89.
Search in Google Scholar Back to article
2. Luther F, Morris DO, Hart C. Orthodontic preparation for orthognathic surgery: how long does it take and why? A retrospective study. Br J Oral MaxillofacSurg 2003;41:401-6.10.1016/S0266-4356(03)00163-3
Search in Google Scholar Back to article
3. Luther F, Morris DO, Karnezi K. Orthodontic treatment following orthognathic surgery: how long does it take and why? A retrospective study. J Oral MaxillofacSurg2007;65:1969-76.10.1016/j.joms.2007.05.02617884524
Search in Google Scholar Back to article
4. Wilcko MW, 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.
Search in Google Scholar Back to article
5. Murphy KG, Wilcko MT, Wilcko WM, Ferguson DJ. Periodontal accelerated osteogenic orthodontics: a description of the surgical technique. J Oral MaxillofacSurg 2009;67:2160-6.10.1016/j.joms.2009.04.12419761909
Search in Google Scholar Back to article
6. Dibart S, Sebaoun JD, Surmenian J. Piezocision: a minimally invasive, periodontally accelerated orthodontic tooth movement procedure. CompendContinEduc Dent 2009;30:342-4, 346, 34850.
Search in Google Scholar Back to article
7. Wilcko MT, William MW, Bissada NF. An evidence-based analysis of periodontally accelerated orthodontic and osteogenic techniques: a synthesis of scientific perspectives. SeminOrthod 2008;14:305-16.10.1053/j.sodo.2008.07.007
Search in Google Scholar Back to article
8. Hassan AH, Al-Fraidi AA, Al-Saeed SH. Corticotomy-assisted orthodontic treatment: review. Open Dent J 2010;4:159-64.10.2174/1874210601004010159301958721228919
Search in Google Scholar Back to article
9. Sebaoun JD, Kantarci A, Turner JW, Carvalho RS, Van Dyke TE, Ferguson DJ. Modeling of trabecular bone and lamina dura following selective alveolar decortication in rats. J Periodontol 2008;79:1679-88.10.1902/jop.2008.080024256395918771369
Search in Google Scholar Back to article
10. Lee W, Karapetyan G, Moats R, Yamashita DD, Moon HB, Ferguson DJ et al. Corticotomy-/osteotomy-assisted tooth movement microCTs differ. J Dent Res 2008;87:861-7.10.1177/15440591080870090418719214
Search in Google Scholar Back to article
11. Wang L, Lee W, Lei DL, Liu YP, Yamashita DD, Yen SL. Tisssue responses in corticotomy- and osteotomy-assisted tooth movements in rats: histology and immunostaining. Am J Orthod Dentofacial Orthop 2009;136:770-1.10.1016/j.ajodo.2009.07.010
Search in Google Scholar Back to article
12. Baloul SS, Gerstenfeld LC, Morgan EF, Carvalho RS, Van Dyke TE, KantarciA. Mechanism of action and morphologic changes in the alveolar bone in response to selective alveolar decortication- facilitated tooth movement. Am J Orthod Dentofacial Orthop 2011;139:S83-101.10.1016/j.ajodo.2010.09.02621435543
Search in Google Scholar Back to article
13. Iino S, Sakoda S, Ito G, Nishimori T, Ikeda T, Miyawaki S. Acceleration of orthodontic tooth movement by alveolar corticotomy in the dog. Am J Orthod Dentofacial Orthop 2007;131:441-8.10.1016/j.ajodo.2006.08.01417418709
Search in Google Scholar Back to article
14. Mostafa YA, Mohamed SFM, Mehanni S, ElBokle NN, Heider AM. Comparison of corticotomy-facilitated vs standard tooth-movement techniques in dogs with miniscrews as anchor units. Am J Orthod Dentofacial Orthop 2009;136:570-7.10.1016/j.ajodo.2007.10.052
Search in Google Scholar Back to article
15. Sanjideh PA, Rossouw PE, Campbell PM, Opperman LA, Buschang PH. Tooth movements in foxhounds after one or two alveolar corticotomies. Eur J Orthod 2010;32:106-13.10.1093/ejo/cjp070
Search in Google Scholar Back to article
16. Kim SJ, Park YG, Kang SG. Effects of Corticision on paradental remodeling in orthodontic tooth movement. Angle Orthod 2009;79:284-91.10.2319/020308-60.1
Search in Google Scholar Back to article
17. Wilcko MT, Wilcko WM, Pulver JJ, Bissada NF, Bouquot JE. Accelerated osteogenic orthodontics technique: a 1-stage surgically facilitated rapid orthodontic technique with alveolar augmentation. J Oral MaxillofacSurg 2009;67:2149-59.10.1016/j.joms.2009.04.095
Search in Google Scholar Back to article
18. Aboul-Ela SM, El-Beialy AR, El-Sayed KM, Selim EM, El-Mangoury NH, Mostafa YA. Miniscrew implant-supported maxillary canine retraction with and without corticotomy-facilitated orthodontics. Am J Orthod Dentofacial Orthop 2011;139:252-9.10.1016/j.ajodo.2009.04.028
Search in Google Scholar Back to article
19. 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 PharmacolSci 2012;16:1735-40.
Search in Google Scholar Back to article
20. Köle H. Surgical operations on the alveolar ridge to correct occlusalabnormalities. Oral Surg Oral Med Oral Pathol 1959;12:515-29.10.1016/0030-4220(59)90153-7
Search in Google Scholar Back to article
21. Dowling PA, Espeland L, Krogstad O, Stenvik A, Kelly A. Duration of orthodontic treatment involving orthognathic surgery. Int J Adult OrthodonOrthognathSurg 1999;14:146-52.
Search in Google Scholar Back to article
22. Romeo U, Del Vecchio A, Palaia G, Tenore G, Visca P, Maggiore C. Bone damage induced by different cutting instruments--an in vitro study. Braz Dent J 2009;20:162-8.10.1590/S0103-6440200900020001319738951
Search in Google Scholar Back to article
23. Kim SH, Kim I, Jeong DM, Chung KR, Zadeh H. Corticotomy-assisted decompensation for augmentation of the mandibular anterior ridge. Am J Orthod Dentofacial Orthop 2011;140: 720-31.10.1016/j.ajodo.2009.12.04022051493
Search in Google Scholar Back to article
24. Ahn HW, Lee DY, Park YG, Kim SH, Chung KR, Nelson G. Accelerated decompensation of mandibular incisors in surgical skeletal Class III patients by using augmented corticotomy: a preliminary study. Am J Orthod Dentofacial Orthop 2012;142:199-206.10.1016/j.ajodo.2012.03.02822858329
Search in Google Scholar Back to article
25. Wang B, Shen G, Fang B, Yu H, Wu Y. Augmented corticotomy-assisted presurgical orthodontics of class III malocclusions: a cephalometric and cone-beam computed tomography study. J CraniofacSurg 2013;24:1886-90.10.1097/SCS.0b013e3182a245b324220368
Search in Google Scholar Back to article