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Comparison of Two Micro-osteoperforation Techniques on the Maxillary Anterior En Masse Retraction Rate in Adults: A
Veerendra Kerudi1, Shrutika Tamgadge1, Utkarsha Raut1
1Department of Orthodontics, Jawahar Medical Foundation's Annasaheb Chudaman Patil Memorial Dental College, Dhule, IND.
Introduction:
Orthodontic treatment enhances both dental function and facial aesthetics; however, a longer treatment duration may lead to complications, prompting orthodontists to develop innovative methods to reduce treatment time without compromising the results. This study compared the rate of en masse retraction of maxillary anterior teeth using two different micro-osteoperforation (MOP) techniques: one with a bone drilling bur and a straight handpiece, and the other with a physiodispenser.
Materials And Methods:
A split-mouth quasi-experimental comparative study was conducted on 30 patients who visited the Department of Orthodontics and Dentofacial Orthopaedics between the ages of 18 and 30 years, requiring extraction of the maxillary first premolars. All the patients were treated with the 0.022 × 0.028-inch McLaughlin, Bennett, and Trevisi (MBT) prescription bracket kit (3M Unitek, Monrovia, CA, USA). After initial leveling and alignment, each patient was divided into two equal groups (n = 30) using a split-mouth design. On one side (Group A), MOP was performed using a bone-drilling bur with a straight handpiece, whereas on the other side (Group B), MOP was performed using bone-drilling burs with a physiodispenser. The anterior retraction rate was noted for six months. The Mann-Whitney U test was used for statistical analysis, with significance set at p < 0.05.
Results:
The study demonstrated that the rate of en masse retraction was greater in the MOP with straight handpiece group than in the physiodispenser group at the end of the second month, third month, and fourth month; however, there was no nonsignificant difference between the two groups (p > 0.05) at the end of the first month and sixth month. At the end of the fifth month, the rate of en masse retraction was significantly greater in the MOP with a physiodispenser than in the straight handpiece group. The Mann-Whitney U test revealed no significant difference in total space closure between groups (Group A: 5.39 ± 0.73 mm; Group B: 5.17 ± 1.16 mm; p = 0.138). However, Group A demonstrated a significantly faster rate of space closure (0.90 ± 0.12 mm/month) compared to Group B (0.86 ± 0.19 mm/month; p = 0.043).
Conclusions:
MOP with a straight handpiece significantly accelerated maxillary anterior en masse retraction compared with the physiodispenser.
