Application of surgical periodontics for accelerated orthodontic correction of class ll division l malocclusion with skeletal discrepancy

Authors

  • Suryakanta Narendra Department of Periodontology, SCB Dental College, Cuttack, Odisha, India
  • N. C. Sahani Department of Community Medicine, SCB Medical College, Cuttack, Odisha, India
  • Sanghamitra Jena Department of Orthodontics, ITS Dental College, Murad Nagar, Ghaziabad, Uttar Pradesh, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20172615

Keywords:

Alveolar bone, Bone remodelling, Osseous recontouring

Abstract

Background: There is a constant pursuit for substituting orthognathic surgical options by minimally invasive pre-orthodontic surgical procedures. Application of osseous resective surgery for alveolar reshaping is referred to here as "surgical periodontics for accelerated orthodontics". A parallel randomized clinical trial was designed to evaluate the clinical outcome of class 2 division 1 malocclusion with skeletal discrepancy using pre-orthodontic surgical procedures, comparing periodontally accelerated osteogenic orthodontics with surgical periodontics for accelerated orthodontics.

Methods: Twenty-four adult orthodontics patients selected for this study were randomly divided into 2 equal groups. One group was treated with periodontally accelerated osteogenic orthodontics with augmentation grafting and the other was with surgical periodontics for accelerated orthodontics. These procedures were followed by fixed orthodontics treatment. Comparative evaluation of alveolar bone thickness was done by cone beam computed tomogram for both the groups.

Results: The cephalometric parameters, A point nasion B point (ANB) angle and over jet of these subjects before and after the surgical interventions at three, six and twelve month’s intervals were compared to the base values, showing changes within 3 months when treated with surgical periodontics for accelerated orthodontics and within 6 months when treated with periodontally accelerated osteogenic orthodontics, without significant change in periodontal supporting alveolar bone thickness.

Conclusions: Surgical periodontics for accelerated orthodontics and periodontally accelerated osteogenic orthodontics are effective pre-orthodontics surgical procedures for accelerating orthodontic treatment, without bringing any change in periodontal alveolar bone thickness.

Author Biographies

Suryakanta Narendra, Department of Periodontology, SCB Dental College, Cuttack, Odisha, India

Professor in periodontology

N. C. Sahani, Department of Community Medicine, SCB Medical College, Cuttack, Odisha, India

Associate professor in preventive medicine

Sanghamitra Jena, Department of Orthodontics, ITS Dental College, Murad Nagar, Ghaziabad, Uttar Pradesh, India

orthodontist .NewDelhi

References

Wilcko WM, Wilcko T, Bouquot JE, Ferguson DJ. Rapid orthodontics with alveolar reshaping: two case reports of decrowding. Int J Periodont Restorat Dent. 2001;21:9-19.

Ackerman JL. The challenge of adult orthodontics. J Clin Orthodont. 1978;12:43-7.

Bell WH, Finn RA, Buschang PH. Accelerated orthognathic surgery and increased orthodontic efficiency: a paradigm shift. J Oral Maxillofac Surg. 2009;67:2043-4.

Wilcko MT, Wilko WM, Bissada NF. An evidence-based analysis of periodontally accelerated orthodontic and osteogenic techniques: a synthesis of scientific perspective. Seminars Orthodont. 2008;14:305-16.

Wilcko MW, Ferguson DJ, Bouquot JE, Wilcko MT. Rapid orthodontic decrowding with alveolar augmentation: case report. World J Orthod. 2003;4:197-205.

Bousaba S, Siciliano S, Delatte M, Faes J, Reychler H. Indications for orthognathic surgery, the limitations of orthodontics and of surgery. Rev Belge Med Dent (1984). 2002;5:9-23.

Alghamadi AS. Corticotomy facilitated orthodontics: Review of a technique. Saudi Dent J. 2010;22:1-5.

Wilcko MT, Wilko WM, Bissada NF. An evidence-based analysis of periodontally accelerated orthodontic and osteogenic techniques: a synthesis of scientific perspective. Seminars Orthod. 2008;14:305-16.

Liou E, Huang CS. Rapid canine retraction through distraction of the periodontal ligament.Am J Orthod Dentofacial Orthop. 1998;114:372-82.

Kole H. A Surgical operation on the alveolar ridge to correct occlusal abnormalities. J Oral Surg Oral Med Oral Pathol. 1959;12:515-29.

Kole H. Surgical operations on the alveolar ridge to correct occlusal abnormalities. Oral Surg Oral Med Oral Pathol. 1959b;12:413-20.

Kole H. Surgical operations on the alveolar ridge to correct occlusal abnormalities. Oral Surg Oral Med OralPathol 1959c;12:277-88.

Huang H, Williams RC, Kyrkanides S. Accelerated orthodontic tooth movement: molecular mechanisms. Am J Orthod Dentofacial Orthop. 2014;46:620-32.

Suya H. Corticotomy in orthodontics. In: Hosl E, Baldauf A, eds. Mechanical and Biological Basis in Orthodontic Therapy. Huthig Buch Verlag, Heidelberg: Germany; 1991:207-26.

Nazarov AD, Ferguson DJ, Wilcko WM, Wilcko MT. Improved retention following corticotomy using ABO objective grading system. J Dent Res. 2004;83:2644.

Fischer TJ. Orthodontic treatment acceleration with corticotomy-assisted exposure of palatally impacted canines. Angle Orthod. 2007;77:417-20.

Frost HM. The regional acceleratory phenomenon- a review. Henry Ford Hosp Med J. 1983;31:3-9.

Ren A, Lv T, Zhao B, Chen Y, Bai D. Rapid Orthodontic tooth movement aided by alveolar surgery in beagles. Am J Orthod Dentofac Orthop. 2007:131:160.e 1-10.

Iino S, Sakoda S, Miyawaki S. An adult bimaxillary protrusion treated with corticotomy- facilitated orthodontics and titanium miniplates. Angle Orthod. 2006;76:1074-82.

Finn MD. Surgical assistance for rapid orthodontic treatment and temporary skeletal anchorage. Oral Maxillofac Surg Clin North Am. 2014;26:539-50.

Yen SL, Yamashita DD, Kim TH, Baek HS, Gross J. Closure of an unusually large palatal fistula in a cleft patient by bony transport and corticotomy-assisted expansion. J Oral Maxillofac Surg. 2003;61:1346-50.

Narendra S, Jena S, Satapathy A. Surgical procedure for orthognathic correction of class 2 skeletal Dentofacial deformities at dental office setting. J Int Oral Health. 2016;8(1):90-5.

Farrell BB, Tucker MR. Orthognathic surgery in the office setting. Oral Maxillofac Surg Clin North Am. 2014;26(4):611-20.

Farrell BB, Tucker MR. Safe, efficient and cost-effective orthognathic surgery in the outpatient setting. J Oral Maxillofac Surg. 2009;67(10):2064-71.

Brown IA. The effect of orthodontic therapy on certain types of periodontal defects. I. Clinical findings. J Periodontol. 1973;44(12):742-56.

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Published

2017-06-24

How to Cite

Narendra, S., Sahani, N. C., & Jena, S. (2017). Application of surgical periodontics for accelerated orthodontic correction of class ll division l malocclusion with skeletal discrepancy. International Journal of Research in Medical Sciences, 5(7), 2870–2877. https://doi.org/10.18203/2320-6012.ijrms20172615

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Section

Original Research Articles