World Journal of Dentistry

Register      Login

VOLUME 12 , ISSUE 6 ( November-December, 2021 ) > List of Articles

CASE REPORT

Esthetic Region Space Closure Using Crestal and Buccal Corticotomy: A Case Report

Mohammad N Alam, Wael Ibraheem, Syed AA Bukhari

Keywords : Alveolar bone, Corticotomy, Osteotomy

Citation Information : Alam MN, Ibraheem W, Bukhari SA. Esthetic Region Space Closure Using Crestal and Buccal Corticotomy: A Case Report. World J Dent 2021; 12 (6):496-499.

DOI: 10.5005/jp-journals-10015-1871

License: CC BY-NC 4.0

Published Online: 24-11-2021

Copyright Statement:  Copyright © 2021; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim and objective: Esthetic region space closure using crestal and buccal corticotomy applying the concept of periodontally accelerated osteogenic orthodontics (PAOO). Background: The concept of corticotomy-mediated orthodontics helps in rapidly moving teeth with minimal effects on the periodontium and reduces the treatment time. The approach toward treating anterior space closure using buccal corticotomy has been in practice, in the present case report we have included the same fundamental concepts of corticotomy and additionally introduced a crestal corticotomy. Periodontally accelerated osteogenic orthodontics is a surgical technique to create corticotomy which helps to reduce the density of the bone and increases the turnover of tissues adjacent to the surgical site, this decrease in the bone density and increase in the bone turnover helps to facilitate the orthodontic tooth movement. Case description: A patient aged 24 years/male undergoing orthodontic treatment for closure of open spaces in the anterior region, reported with open space between the lateral incisor and canine in the maxillary region, although the treating orthodontist attempted closure using various techniques by sliding mechanism using active tie back and NiTi closed coil spring for 6 months and when the space did not close further attempts were made using non-sliding mechanics with the help of omega loops, the results were negative. The patient was referred to the periodontics department wherein the case was evaluated and surgical correction using PAOO techniques was planned, following the treatment plan the procedure was completed successfully without any complication, and subsequently, 1–2-week follow-up was done the surgical site healing was satisfactory and the sutures were removed, following which the patient was referred to the orthodontist for activation of space closure by NiTi closed coil spring 9 mm delivering the light force of 150 g. Conclusion: The results of the procedure were satisfactory healing of the surgical site and there was no complication like pocket formation, recession, or loss of interdental papilla and on activation of NiTi closed coil spring the space closure was achieved. Clinical significance: The intervention of periodontal surgery by crestal and buccal corticotomy helps to achieve space closure within a short duration with minimal complication. The decrease in bone density and increase in bone turnover helps to facilitate the orthodontic tooth movement to achieve the desired results.


PDF Share
  1. Wilcko WM, Wilcko T, Bouquot JE, et al. Rapid orthodontics with alveolar reshaping: two case reports of decrowding. Int J Periodont Restorative Dent 2001;21(1):9–19.
  2. Pham-Nguyen K. Micro-CT analysis of osteopenia following selective alveolar decortication and tooth movement [Master's Thesis]. Boston, MA: Boston University; 2006.
  3. Twaddle BA, Ferguson DJ, Wilcko WM, et al. Dento-alveolar bone density changes following corticotomy-facilitated orthodontics. J Dent Res 2002;80:301.
  4. Hajji SS, Ferguson DJ, Miley DD, et al. The influence of the accelerated osteogenic response on mandibular decrowding. J Dent Res 2001;30:180.
  5. Nazarov AD, Ferguson DJ, Wilcko WM, et al. Improved orthodontic retention following corticotomy using ABO Objective grading system. J Dent Res 2004;83:2644.
  6. Machado IM, Ferguson DJ, Wilcko WM, et al. Root resorption following orthodontics with and without alveolar corticotomy. J Dent Res 2002;80:301.
  7. Murphy KG, Wilcko MT, Wilcko WM, et al. Periodontal accelerated osteogenic orthodontics: a description of the surgical technique. J Oral Maxillofac Surg 2009;67(10):2160–2166. DOI: 10.1016/j.joms.2009.04.124.
  8. Nazzal AM, Trojan TM, Green M. Uprighting and periodontally accelerated osteogenic orthodontics as an alternative to surgical crown lengthening. J Clin Orthod 2016;50(8):507–511.
  9. Chackartchi T, Barkana I, Klinger A. Alveolar bone morphology following periodontally accelerated osteogenic orthodontics: a clinical and radiographic analysis. Int J Periodont Restorat Dent 2017;37(2):203–208. DOI: 10.11607/prd.2723.
  10. Soltani L, Loomer PM, Chaar EE. A novel approach in periodontally accelerated osteogenic orthodontics (PAOO): a case report. Clin Adv Periodon 2019;9(3):110–114. DOI: 10.1002/cap.10045.
  11. Campbell JH. Periodontally accelerated osteogenic orthodontics. J Oral Maxillofac Surg 2017;75(1):6. DOI: 10.1016/j.joms.2016.10. 015.
  12. Bhattacharya P, Bhattacharya H, Anjum A, et al. Assessment of corticotomy facilitated tooth movement and changes in alveolar bone thickness - a CT scan study. J Clin Diagn Res 2014;8(10):ZC26–ZC30. DOI: 10.7860/JCDR/2014/9448.4954.
  13. Ma Z, Zheng J, Yang C, et al. A new modified bone grafting technique for periodontally accelerated osteogenic orthodontics. Medicine (Baltimore) 2018;97(37):e12047. DOI: 10.1097/MD.0000000000012047.
  14. Dukka H, Gossweiler M, Kishimoto T, et al. Periodontally accelerated osteogenic orthodontics (PAOO) using platelet-rich fibrin alone: a modified approach with a 3-year follow-up. Clin Adv Periodon 2018;8(4):177–181. DOI: 10.1002/cap.10038.
  15. Zhang Y, Tian Y, Yang X, et al. MicroRNA-21 serves an important role during PAOO-facilitated orthodontic tooth movement. Mol Med Rep 2020;22(1):474–482. DOI: 10.3892/mmr.2020.11107.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.