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Related Concept Videos

Teeth01:15

Teeth

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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.
In the bud stage, the tooth germ (an aggregation of cells) starts to form in the developing jawbone. During the cap stage, the tooth germ differentiates into enamel organ, dental papilla, and dental sac, which will later develop into the tooth's enamel, dentin...
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Related Experiment Video

Updated: Dec 19, 2025

Author Spotlight: 3D Movement Assessment of Maxillary Posterior Teeth in Clear Aligner Treatment
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[A multidisciplinary approach for accelerated orthodontics].

C Charavet1, F Lambert2

  • 1Service d'Orthodontie et d'Orthopédie dento-faciale, CHU Liège, Dental Biomaterials Research Unit, ULiège, Belgique.

Revue Medicale De Liege
|June 5, 2020
PubMed
Summary
This summary is machine-generated.

Piezocision surgery, a minimally invasive procedure, significantly reduced orthodontic treatment time by 43% in adults. Combining this with custom orthodontic systems further optimizes results, offering faster alignment with no adverse effects.

Keywords:
Adult orthodonticPiezocisionPiezosurgeryAccelerated orthodontics

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Area of Science:

  • Orthodontics
  • Oral and Maxillofacial Surgery
  • Periodontology

Background:

  • Adults increasingly seek orthodontic treatment, driving demand for accelerated methods.
  • Minimally invasive surgical and non-surgical techniques aim to reduce overall orthodontic treatment duration.
  • Piezocision, a form of minimally invasive corticotomy, is explored for its potential to expedite tooth movement.

Purpose of the Study:

  • To evaluate the efficacy of piezocision surgery in reducing orthodontic treatment time in adult patients.
  • To assess the impact of a custom-made orthodontic system on treatment acceleration.
  • To investigate the combined effect of piezocision and custom orthodontics on treatment duration and outcomes.

Main Methods:

  • Two randomized controlled clinical trials were conducted at a University Hospital.
  • Piezocision surgery (minimally invasive corticotomies) was performed on participants.
  • A custom-made orthodontic system (brackets and arches) was utilized in conjunction with the surgical intervention.
  • Preclinical studies in rats were performed to elucidate the biological mechanisms.

Main Results:

  • Piezocision surgery decreased overall orthodontic treatment time by 43%, with effects lasting 4 to 6 months post-surgery.
  • No significant clinical or radiological adverse effects were observed following piezocision.
  • The custom-made orthodontic system optimized acceleration during the fine-tuning phase of treatment.
  • Preclinical studies revealed bone demineralization and osteoclast recruitment, with RANKL-OPG duo expression, underlying piezocision's effects.

Conclusions:

  • The combination of piezocision surgery and custom orthodontic systems maximizes the reduction in orthodontic treatment time.
  • Piezocision is a safe and effective adjunctive surgical procedure for accelerating orthodontic treatment in adults.
  • Understanding the biological mechanisms, including bone remodeling and cellular activity, is crucial for optimizing accelerated orthodontic techniques.