Comparative Assessment of Corticotomy Facilitated Rapid Canine Retraction Using Piezo Versus Bur: A Randomized Clinical Study

Overview

Journal J Oral Biol Craniofac Res

Publisher Elsevier

Date 2021 Dec 1

PMID 34849335

Citations 5

Authors

Saurabh S Simre

K Rajanikanth

Nitin Bhola

Anendd Jadhav

Chirag Patil

Apoorva Mishra

Affiliations

Soon will be listed here.

Abstract

Purpose: The leading concern of orthodontic patients is prolonged treatment with fixed appliances and demand speedy treatment from the orthodontists. Piezocision is a relatively innovative, safe and reliable technique of corticotomy in the domain of surgically-accelerated orthodontic treatment. Our aim was to compare the efficiency of piezo corticotomy (piezocision) and conventional bur in rapid orthodontic tooth movement (OTM).

Subjects And Method: The study employed a randomized, double-blind, split-mouth design. 24 subjects with Class II div 1 malocclusion were randomly assigned to the two interventions, viz; piezo and bur group. The primary parameters evaluated were the rate and amount of tooth movement and total treatment time required for canine retraction. Additionally, the duration of surgery and postoperative complications were also evaluated.

Observations And Results: Rate and amount of tooth movement were significantly higher with reduction in total treatment time in piezo compared to bur group. The duration of surgery was significantly longer in piezo group with no significant difference observed in post-operative complications.

Conclusion: Piezo-guided corticotomy was effective in providing rapid OTM with profound reduction in total treatment time and may be proposed as a suitable adjuvant to conventional corticotomy having comparable post-operative complications.

Citing Articles

Single-cell sequencing decodes the secrets of the RAP phenomenon of corticotomy.

Fan Z, Li S, You L, Lan Y, Zhong Y, Ma Y Front Immunol. 2024; 15:1397727.

PMID: 39430747 PMC: 11487196. DOI: 10.3389/fimmu.2024.1397727.

Patient-Reported Outcome Measures of Flapless Corticotomy with Low-Level Laser Therapy in En Masse Retraction of Upper Anterior Teeth: A Three-Arm Randomized Controlled Trial.

Mousa M, Hajeer M, Burhan A, Darwich K, Almahdi W, Aljabban O Clin Pract. 2023; 13(6):1501-1519.

PMID: 38131681 PMC: 10742166. DOI: 10.3390/clinpract13060132.

Accelerated Orthodontics: Stepping Into the Future Orthodontics.

Gabada D, Reche A, Saoji K, Deshmukh R, Rathi N, Mantri A Cureus. 2023; 15(10):e46824.

PMID: 37954770 PMC: 10636563. DOI: 10.7759/cureus.46824.

Comparative Efficacy of Traditional Corticotomy and Flapless Piezotomy in Facilitating Orthodontic Tooth Movement: A Systematic Review and Meta-Analysis.

Han S, Park W, Park J Medicina (Kaunas). 2023; 59(10).

PMID: 37893522 PMC: 10608606. DOI: 10.3390/medicina59101804.

The transparency of reporting 'harms' encountered with the surgically assisted acceleration of orthodontic tooth movement in the published randomized controlled trials: a meta-epidemiological study.

Alfailany D, Hajeer M, Darwich K Prog Orthod. 2023; 24(1):11.

PMID: 36941520 PMC: 10027979. DOI: 10.1186/s40510-023-00457-4.

References

KOLE H . Surgical operations on the alveolar ridge to correct occlusal abnormalities. Oral Surg Oral Med Oral Pathol. 1959; 12(3):277-88 contd. DOI: 10.1016/0030-4220(59)90177-x. View

Vercellotti T, Nevins M, Kim D, Nevins M, Wada K, Schenk R . Osseous response following resective therapy with piezosurgery. Int J Periodontics Restorative Dent. 2005; 25(6):543-9. View

Aksakalli S, Calik B, Kara B, Ezirganli S . Accelerated tooth movement with piezocision and its periodontal-transversal effects in patients with Class II malocclusion. Angle Orthod. 2015; 86(1):59-65. PMC: 8603972. DOI: 10.2319/012215-49.1. View

Al-Naoum F, Hajeer M, Al-Jundi A . Does alveolar corticotomy accelerate orthodontic tooth movement when retracting upper canines? A split-mouth design randomized controlled trial. J Oral Maxillofac Surg. 2014; 72(10):1880-9. DOI: 10.1016/j.joms.2014.05.003. View

Charavet C, Lecloux G, Bruwier A, Rompen E, Maes N, Limme M . Localized Piezoelectric Alveolar Decortication for Orthodontic Treatment in Adults: A Randomized Controlled Trial. J Dent Res. 2016; 95(9):1003-9. DOI: 10.1177/0022034516645066. View

Wilcko W, Wilcko T, Bouquot J, Ferguson D . Rapid orthodontics with alveolar reshaping: two case reports of decrowding. Int J Periodontics Restorative Dent. 2002; 21(1):9-19. View

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(12):1735-40. View

Viwattanatipa N, Charnchairerk S . The effectiveness of corticotomy and piezocision on canine retraction: A systematic review. Korean J Orthod. 2018; 48(3):200-211. PMC: 5932322. DOI: 10.4041/kjod.2018.48.3.200. View

Aboul-Ela S, El-Beialy A, Fawzy El-Sayed K, Nassef Selim E, El-Mangoury N, Mostafa Y . Miniscrew implant-supported maxillary canine retraction with and without corticotomy-facilitated orthodontics. Am J Orthod Dentofacial Orthop. 2011; 139(2):252-9. DOI: 10.1016/j.ajodo.2009.04.028. View

10.

Vercellotti T, Podesta A . Orthodontic microsurgery: a new surgically guided technique for dental movement. Int J Periodontics Restorative Dent. 2007; 27(4):325-31. View

11.

Nimeri G, Kau C, Abou-Kheir N, Corona R . Acceleration of tooth movement during orthodontic treatment--a frontier in orthodontics. Prog Orthod. 2013; 14:42. PMC: 4384959. DOI: 10.1186/2196-1042-14-42. View

12.

Abbas N, Sabet N, Hassan I . Evaluation of corticotomy-facilitated orthodontics and piezocision in rapid canine retraction. Am J Orthod Dentofacial Orthop. 2016; 149(4):473-80. DOI: 10.1016/j.ajodo.2015.09.029. View

13.

Dibart S . Piezocision™: Accelerating Orthodontic Tooth Movement While Correcting Hard and Soft Tissue Deficiencies. Front Oral Biol. 2015; 18:102-8. DOI: 10.1159/000351903. View

14.

Frost H . The regional acceleratory phenomenon: a review. Henry Ford Hosp Med J. 1983; 31(1):3-9. View

15.

Figueiredo D, Houara R, Pinto L, Diniz A, de Araujo V, Thabane L . Effects of piezocision in orthodontic tooth movement: A systematic review of comparative studies. J Clin Exp Dent. 2019; 11(11):e1078-e1092. PMC: 6825740. DOI: 10.4317/jced.56328. View

16.

Thind S, Chatterjee A, Arshad F, Sandhu P, Thind M, Nahin J . A clinical comparative evaluation of periodontally accelerated osteogenic orthodontics with piezo and surgical bur: An interdisciplinary approach. J Indian Soc Periodontol. 2018; 22(4):328-333. PMC: 6077957. DOI: 10.4103/jisp.jisp_359_16. View

17.

Jahanbakhshi M, Motamedi A, Feizbakhsh M, Mogharehabed A . The effect of buccal corticotomy on accelerating orthodontic tooth movement of maxillary canine. Dent Res J (Isfahan). 2016; 13(4):303-8. PMC: 4993056. DOI: 10.4103/1735-3327.187875. View