Corticotomy-Assisted Orthodontic Treatment: A Literature Review
Abstract
:1. Introduction
2. Search Strategy
3. Historical Background of COAT
4. Biological Background of COAT
- A phase of resorption on the 3rd day, with a dramatic initial increase in osteoclasts.
- A phase characterized by replacement on the 21st day, with more cells resembling osteoclasts and a three-fold increase of the blood vessels. The interradicular bone was replaced by multicellular, fibrous, non-mineralized tissue (that was continuous with the periodontal ligament).
- A mineralization phase on the 60th day, in which the interradicular multicellular tissue showed primary bone formation.
5. Alternative, Less Invasive Techniques
5.1. Piezocision
5.2. Discision
5.3. Corticision
5.4. Micro-Osteoperforations (MOPs)
5.5. Laser-Assisted Corticotomies
6. Periodontal Effects of CAOT
7. Discussion
- Slight interdental bone loss, loss of attached gingiva, periodontal defects. On the other hand, no substantial periodontal defects were observed pre- and post-corticotomy surgery [67]. Düker [2], Suya [5] and Gantes et al. [6] speculated that by keeping the vertical corticotomies 1.5 mm away from the crest of the marginal bone, there would be less chances of damaging the marginal periodontium. Aboul-Ela et al. [19] recommended that a flap design leaving 2 mm of attached gingiva decreased the potential of compromising the periodontal status.
- Some people might experience pain or discomfort during meals for the first few days, but the symptoms, as reported by Al-Naoum et al. [66], are gradually reduced.
- There were no significant apical root resorption or detrimental effects on root length [67].
8. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Conflicts of Interest
References
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Author | Year | Type of Study | Sample Size | Technique/Outcome |
---|---|---|---|---|
Kole [1] | 1959 | Case reports | Large (unspecified) number of patients treated over several years | Corticotomy accompanied by horizontal osteotomy/facilitates orthodontic treatment for several dental malpositions |
Duker [2] | 1975 | Clinical trial | 6 beagle dogs | Corticotomy avoiding the marginal crest bone/acceleration of tooth movement |
Suya [5] | 1991 | Clinical trial | 395 adult patients | Corticotomy with subapical horizontal cut/significant acceleration of tooth movement and extreme patient satisfaction |
Gantes et al. [6] | 1990 | Case reports | 5 patients | Corticotomy/no periodontal adverse effects and mean treatment time 14.5 months |
Wilcko WM, Wilcko T, Bouquot JE, Ferguson DJ [7] | 2001 | Case reports | 2 patients | Periodontally Accelerated Osteogenic Orthodontics (PAOO)/decreased treatment time, increased alveolar bone thickness |
Wilcko MT, Wilcko WM, Pulver JJ, Bissada NF, Bouquot JE [8] | 2009 | Case reports | 2 patients | Periodontally Accelerated Osteogenic Orthodontics (PAOO)/reduced treatment time in one third of conventional orthodontic treatment |
Brugnami F, Caiazzo A, Mehra P. [13] | 2018 | Retrospective study | 20 patients | Corticotomy with bone graft/maintained the alveolar bone volume around orthodontically repositioned teeth |
Germec et al. [15] | 2006 | Case report | 1 patient | Corticotomy/decreased orthodontic treatment time |
Yaffe A, Fine N, Binderman I [23] | 1994 | Clinical trial | 60 rats | Mucoperiosteal flap surgery/regional acceleratory phenomenon (RAP) phenomenon occurs |
Iino et al. [25] | 2007 | Clinical trial | 12 beagle dogs | Corticotomy/acceleration of tooth movement at least 2 weeks after corticotomy |
Wang et al. [30] | 2009 | Controlled clinical trial | 36 rats | Corticotomy/transient bone resorption around the dental roots under tension. Osteotomy-assisted tooth movement resembled distraction osteogenesis |
Vercellotti and Podesta [33] | 2007 | Clinical trial | 8 | Piezocision/acceleration of tooth movement reduced orthodontic treatment time by 70% for the upper jaw and 60% for the lower jaw |
Dibart et al. [22] | 2009 | Case report | 1 | Piezocision/acceleration of tooth movement |
Buyuk et al. [35] | 2018 | Case report | 1 | Discision/accelerated tooth movement |
Park et al. [36] | 2016 | Case report | 1 | Corticision/acceleration of tooth movement |
Alikhmai et al. [37] | 2013 | Clinical trial | 20 | Micro-osteoperforations (MOPs)/acceleration of tooth movement |
Gibreal O, Hajeer MY, Brad B [43] | 2019 | Randomized controlled trial | 36 | Piezocision/acceleration of tooth movement |
Charavet et al. [45] | 2019 | Randomized controlled trial | 24 | Piezocision/acceleration of tooth movement in cases of mild overcrowding |
Strippoli et al. [47] | 2019 | Clinical trial | 12 | Piezocision/acceleration of the tooth movement combined with orthodontic treatment |
Corticotomy Indications |
---|
Arch decrowding for moderate-to-severe crowding in cases of Class I malocclusion |
Incisor/canine retraction |
Class II malocclusion requiring extractions and/or expansion |
Mild Class III malocclusion |
Open bite/deep bite cases |
Expansion in cases of posterior cross-bite |
Treatment of over-erupted teeth |
In cases where patients reject orthognathic surgery |
Enhancing orthodontic traction of impacted teeth |
Corticotomy Contraindications |
---|
Active periodontal disease/gingival recession |
Active endodontic problems/failed endodontic treatment |
Severe posterior cross-bite cases |
Bimaxillary protrusion along with excessive gingival display |
Patients under medication with corticosteroids, NSAIDs, bisphosphonates |
Patients that underwent radiation therapy |
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Patatou, A.; Iacovou, N.; Zaxaria, P.; Vasoglou, M.; Vasoglou, G. Corticotomy-Assisted Orthodontic Treatment: A Literature Review. Oral 2023, 3, 389-401. https://doi.org/10.3390/oral3030031
Patatou A, Iacovou N, Zaxaria P, Vasoglou M, Vasoglou G. Corticotomy-Assisted Orthodontic Treatment: A Literature Review. Oral. 2023; 3(3):389-401. https://doi.org/10.3390/oral3030031
Chicago/Turabian StylePatatou, Athanasia, Niovi Iacovou, Paraskevi Zaxaria, Michail Vasoglou, and Georgios Vasoglou. 2023. "Corticotomy-Assisted Orthodontic Treatment: A Literature Review" Oral 3, no. 3: 389-401. https://doi.org/10.3390/oral3030031