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Lower incisor retraction with a modified corticotomy
Derya Germeç1, Bahadir Giray, Ilken Kocadereli
1Hacettepe University Faculty of Dentistry, Department of Orthodontics, Ankara, Turkey. dgermec@gmail.com
The Angle Orthodontist
|October 13, 2006
Summary
This study presents a modified corticotomy technique to speed up orthodontic treatment for lower incisor retraction. This innovative approach significantly reduced treatment time without negative periodontal or dental effects.
Area of Science:
- Dentistry
- Orthodontics
- Oral Surgery
Background:
- Protrusive profile, anterior crowding, anterior crossbite, and Class III malocclusion require complex orthodontic treatment.
- Traditional orthodontic treatment can be lengthy, particularly for cases involving incisor retraction.
Observation:
- A 22-year-old woman presented with a protrusive profile, severe anterior crowding, anterior crossbite, and Class III dental relationship.
- Orthodontic treatment involved four first premolar extractions and maximum anchorage.
Findings:
- A modified corticotomy technique, omitting lingual cuts and flap, was combined with orthodontic therapy for lower incisor retraction.
- This corticotomy-facilitated orthodontics dramatically reduced treatment duration.
- No adverse effects on the periodontium or tooth vitality were observed.
Implications:
- The modified corticotomy technique offers a faster orthodontic treatment alternative.
- Reduced surgical time and patient discomfort are key benefits of this conservative approach.
- Achieved balanced occlusion and improved facial esthetics, demonstrating clinical efficacy.
