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Surgical Methods for the Acceleration of the Orthodontic Tooth Movement.

Konstantinia Almpani, Alpdogan Kantarci

Frontiers of Oral Biology

|November 25, 2015

Summary

Surgical interventions can accelerate orthodontic tooth movement by targeting the alveolar bone. Modern, less invasive techniques refine these procedures, focusing on the cortical plate for faster results with reduced complications.

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The formation of teeth, also known as odontogenesis, is a complex process that begins in utero, around the sixth week of embryonic development. There are three stages to this process: the bud stage, the cap stage, and the bell stage.
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Area of Science:

Orthodontics
Periodontology
Oral Surgery

Background:

Surgical acceleration of orthodontic tooth movement has a long history.
Early invasive methods led to complications and research stagnation.
Modern strategies focus on minimally invasive techniques targeting the alveolar cortical plate.

Purpose of the Study:

To review the evolution of surgical techniques for accelerated orthodontic tooth movement.
To explore the underlying biological mechanisms driving these advancements.
To highlight the shift from invasive procedures to refined, less invasive approaches.

Main Methods:

Historical review of surgical acceleration techniques.
Analysis of mechanistic concepts related to periodontal ligament involvement.

Related Experiment Videos

Comparison of traditional decortication with modern piezoelectric and corticision methods.

Main Results:

Selective alveolar decortication emerged as a gold standard for controlled tooth movement.
Minimally invasive techniques like piezoelectricity and corticision offer refined, less morbid alternatives.
Understanding the biological response of the periodontal ligament is key to successful acceleration.

Conclusions:

Surgical acceleration of orthodontic tooth movement has evolved significantly towards less invasive and more predictable methods.
The focus has shifted to precise manipulation of the alveolar cortical plate and periodontal ligament.
Continued research refines techniques for faster, safer orthodontic treatment outcomes.