akhil antonjoy
Pradeep Raghav
amit kumar khera
neha jairath
alisha bansal
shivika garg
Abstract
In contemporary orthodontics, there is a pressing need to minimize treatment duration, which is often a concern for both orthodontic specialists and patients. Prolonged treatment periods not only pose logistical challenges but also increase the risks of various dental issues such as cavities, periodontal problems, chronic discomfort, and root resorption. Accelerated orthodontics has emerged as a promising solution to address these challenges. Numerous efforts have been undertaken to expedite orthodontic tooth movement (OTM) through innovative approaches, encompassing both invasive surgical techniques and non-invasive methods involving pharmacological and physical stimulation, alongside traditional orthodontic mechanics.Surgical interventions, notably corticotomy and piezoelectric ultrasonic bone punctures, stand out as prominent methods for stimulating the rate of OTM. These approaches capitalize on the concept that inducing controlled injury to the bone through surgery triggers an inflammatory response, leading to accelerated osteoclastogenesis and consequently facilitating faster tooth movement, a phenomenon known as the Regional Acceleratory Phenomenon (RAP).Corticotomy and piezoelectric ultrasonic bone punctures have been long-standing techniques in orthodontic practice for expediting tooth movement. By instigating localized inflammation, these surgical procedures harness the body’s natural healing mechanisms to expedite bone remodeling and facilitate the desired orthodontic outcomes. The utilization of such surgical approaches underscores the evolving landscape of orthodontics, where advancements in techniques aim to optimize treatment efficiency while ensuring patient comfort and satisfaction.In summary, accelerated orthodontics, encompassing surgical interventions like corticotomy and piezoelectric ultrasonic bone punctures, offers a promising avenue for reducing treatment duration and enhancing patient experience in modern orthodontic practice. Through a comprehensive understanding of the biological mechanisms underlying accelerated tooth movement, orthodontic specialists can tailor treatment approaches to meet the evolving needs and expectations of patients, ushering in a new era of efficient and patient-centric orthodontic care.
Keywords: piezoelectric,ultrasonic, bone, punctures,orthodontics
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Research & Reviews: A Journal of Dentistry
| Volume | |
| Received | February 26, 2024 |
| Accepted | February 27, 2024 |
| Published | March 30, 2024 |