Updated : Jan 26, 2020 in Literature


Periodontally accelerated osteogenic orthodontics is often used from the outset of treatment to dramatically reduce treatment times for. Visit the Website of Board Certified Oral & Maxillofacial Surgeon Dr. David Gilbert and read about Accelerated Osteogenic Orthodontics. ☎ Periodontal accelerated osteogenic orthodontics (PAOO) is a clinical procedure that combines selective alveolar corticotomy, particulate bone.

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Accelerate Canine Retraction after Premolar Extraction 3. Vertical and horizontal grooves, lingual view Click here to view.

No effect on the vitality of the pulps of the teeth in the area of corticotomy was reported 8. This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.

Author information Article notes Copyright and License information Disclaimer. Preexisting thin labial bony cortical plate with lower anteriors was covered.

Periodontally accelerated osteogenic orthodontics (PAOO) – a review

Posttreatment Lat Ceph and orthopantomogram Click here to view. A schematic of the cortical scarification or decortication pattern. This facilitates an increase in bone volume that results in more stable long-term outcomes.

For esthetic purposes the papilla between the maxillary central incisors should be preserved on osteogehic labial and palatal aspects. Flap Closure and Postoperative Care The integrity of the flaps needs to be appreciated; therefore, incisions vertically and at the base of the flaps need accelertaed be avoided as much as possible. However, in systemically healthy individuals even severe malocclusion can be adequately managed.

Initial bonding photographs Click here to view. Difficult orthodontic scenarios in adolescents and adults can be successfully treated with stable results. Surgical intervention to affect the alveolar housing and tooth movement has been described in various forms for over a hundred years.


Rapid tooth movement was demonstrated in both cases and stability up to 8 years of retention. Flap acxelerated photographs Click here to view. J Oral Maxillofac Surg.

Rapid orthodontics with alveolar reshaping: In fact, due to the ability to increase the tissue turnover rate by two- to three-fold by PAOO treatment, ortuodontics can be viewed as a boon for older population.

Corticotomy was used to facilitate orthodontic tooth movement and to overcome some shortcomings of conventional orthodontic treatment, such as the long required duration, limited envelope of tooth movement and difficulty of producing movements in certain directions.

A proper flap design is essential for the success of any surgical procedure. Department of Periodontics and Implantology, Drs. Periodontally accelerated osteogenic orthodontic PAOO treatment is also known as alveolar osteogenic orthodontics or Wilckodontics.

Accelerated Osteogenic Orthodontics | Upland | Inland Empire

Orthodontics is combined with full-thickness flap reflection, selective alveolar decortication, ostectomy, and bone oosteogenic to accomplish complete orthodontic treatment. Resolve Crowding and Shorten Treatment Time 2. Two case reports of decrowding. Rapid orthodontic tooth movement aided by alveolar surgery in beagles. Search Pubmed for Bhandari SM. The orthodontic adjustments are generally performed at 2-week intervals. The RAP begins within a few days of injury, typically peaks at 1—2 months, usually lasts 4 months in bone and may take 6 to more than 24 months to subside 34.

Periodontally accelerated osteogenic orthodontics (PAOO) – a review

RAP usually occurs after a fracture, arthrodesis, osteotomy, or bone-grafting procedure, and may involve recruitment and activation of precursor wccelerated necessary for wound healing concentrated at the site of injury 13 No packing is required. International Society of Musculoskeletal and Neuronal Interactions. Placement of grafting material, lingual Click here to view. Graft placement photographs Click here to view.


None, Conflict of Interest: Adequate bio-absorbable grafting material is placed over the decortications site and sutured. Influence of inflammation-mediated osteopenia on the regional acceleratory phenomenon and the systemic acceleratory phenomenon during healing of a bone defect in the rat.

The bone grafting procedure or alveolar augmentation that is performed in conjunction with the bone activation at the time of PAOO surgery will provide for additional alveolar volume over vital root surfaces. Shih and Norrdin 15 demonstrated that when intraoral cortical bone was injured by corticotomy, RAP accelerated the normal regional healing processes by transient bursts of hard- and soft-tissue remodeling.

The patient must be made aware of the limitations of the procedure and potential complications in the final outcome, and explained about compliance, especially in regard to keeping up with the orthodontic adjustment appointments every 2 weeks. The orthodontist has a limited amount of time to accomplish accelerated tooth movement. The flap should be extended beyond the corticotomy sites mesially and distally so that vertical releasing incisions are not required.

A 1-stage surgically facilitated rapid orthodontic technique with alveolar augmentation. For avcelerated, maxillary expansion generally requires accekerated time than correction of mild mandibular anterior crowding.