Evaluation of the Efficacy of 3D-guided Piezosurgery in Accelerating Mandibular Orthodontic Teeth Alignment: A Randomized Controlled Trial in Adults.

Forfattere

DOI:

https://doi.org/10.5195/d3000.2022.281

Nøgleord:

3D surgical guide, Piezosurgery, accelerated tooth movement, minimally invasive surgery

Resumé

Objective: the aim of this study was to investigate the effects of 3D guided piezocision (a minimally invasive surgical technique) in accelerating orthodontic tooth movements (OTM) since the literature does not provide high-quality evidence to confirm that Piezocision results in significant OTM acceleration. Furthermore, no randomized controlled trial (RCT) has utilized 3D piezo-surgical guides to accelerate severe orthodontic de-crowding.

Study design: A Parallel-group randomized controlled trial was conducted on patients with severe mandibular teeth irregularity. Sample size was 34 patients (19 females and 15 males), then subjects were divided into two parallel groups using Minitab® Version 17 software. First group received conventional orthodontic treatment, whereas the second group received 3D- guided piezo-assisted orthodontic one. Little irregularity index (LII) changes were studied using dental cast in four time points before inserting the first archwire (T0), after 1 month of treatment onset  (T1), after 2 months (T2), and at the end of the alignment stage (T3) and the overall alignment time (OAT) required to complete anterior alignment of the mandibular arch was also measured.

Results: Ninety-five severe dental crowding patients were evaluated for eligibility, 46 of them fulfilled the inclusion criteria. Thirty-four participants were allocated to the treatment groups randomly. There were no withdrawals during the trial phases. Accordingly, the results of 34 patients were statistically analyzed. OAT was reduced by 48% in the experimental group compared to the control group, with a statistically significant difference between the two groups . Likewise, the time difference between all arch changes was significantly lower when 3D guided piezocision was performed, except for the first arch (T0) and the last arches (T3).

Conclusion: Minimally invasive 3D guided Piezocision seems to be a very effective and easy technique in accelerating orthodontic tooth movement.

Forfatterbiografi

Maher Al-assaf, Department of Oral Histology and Pathology, Faculty of Dentistry, Damascus University, Damascus, Syria.

Department of Oral Histology and Pathology

Referencer

Does low level laser therapy relieve the pain caused by the placement of the orthodontic separators?--A meta-analysis. Shi Q, Yang S, Jia F, Xu J. Head Face Med. 2015 Aug 28;11:28. doi: 10.1186/s13005-015-0085-6. PMID: 26315965.

Adverse effects of orthodontic treatment: A clinical perspective. Talic NF. Saudi Dent J. 2011 Apr;23(2):55-59. doi: 10.1016/j.sdentj.2011.01.003. PMID: 24151415.

Corticotomy facilitated orthodontics: Review of a technique. Alghamdi AS. Saudi Dent J. 2010 Jan;22(1):1-5. doi: 10.1016/j.sdentj.2009.12.008. PMID: 23960473.

Efficacy of piezocision-based flapless corticotomy in the orthodontic correction of severely crowded lower anterior teeth: a randomized controlled trial. Gibreal O, Hajeer MY, Brad B. Eur J Orthod. 2019 Mar 29;41(2):188-195. doi: 10.1093/ejo/cjy042. PMID: 29931294.

Acceleration of tooth movement during orthodontic treatment--a frontier in orthodontics. Nimeri G, Kau CH, Abou-Kheir NS, Corona R. Prog Orthod. 2013 Oct 29;14:42. doi: 10.1186/2196-1042-14-42. PMID: 24326040.

Localized Piezoelectric Alveolar Decortication for Orthodontic Treatment in Adults: A Randomized Controlled Trial. Charavet C, Lecloux G, Bruwier A, Rompen E, Maes N, Limme M, Lambert F. J Dent Res. 2016 Aug;95(9):1003-1009. doi: 10.1177/0022034516645066. PMID: 27129491.

Piezocision™-assisted orthodontics: Past, present, and future. Dibart S, Keser E, Nelson D. Semin Orthod. 2015;21(3):170-175. doi: 10.1053/j.sodo.2015.06.003.

The regional acceleratory phenomenon: a review. Frost HM. Henry Ford Hosp Med J. 1983;31(1):3-9. PMID: 6345475.

Mechanism of action and morphologic changes in the alveolar bone in response to selective alveolar decortication-facilitated tooth movement. Baloul SS, Gerstenfeld LC, Morgan EF, Carvalho RS, Van Dyke TE, Kantarci A. Am J Orthod Dentofacial Orthop. 2011 Apr;139(4 Suppl):S83-101. doi: 10.1016/j.ajodo.2010.09.026. PMID: 21435543.

Effects of Corticision on paradental remodeling in orthodontic tooth movement. Kim SJ, Park YG, Kang SG. Angle Orthod. 2009 Mar;79(2):284-291. doi: 10.2319/020308-60.1. PMID: 19216591.

Effect of corticision and different force magnitudes on orthodontic tooth movement in a rat model. Murphy CA, Chandhoke T, Kalajzic Z, Flynn R, Utreja A, Wadhwa S, Nanda R, Uribe F. Am J Orthod Dentofacial Orthop. 2014 Jul;146(1):55-66. doi: 10.1016/j.ajodo.2014.03.024. PMID: 24974999.

Evaluation of the levels of pain and discomfort of piezocision-assisted flapless corticotomy when treating severely crowded lower anterior teeth: a single-center, randomized controlled clinical trial. Gibreal O, Hajeer MY, Brad B. BMC Oral Health. 2019 Apr 16;19(1):57. doi: 10.1186/s12903-019-0758-9. PMID: 30991984.

Piezocision™: Accelerating Orthodontic Tooth Movement While Correcting Hard and Soft Tissue Deficiencies. Dibart S. Front Oral Biol. 2016;18:102-108. doi: 10.1159/000351903. PMID: 26599123.

The irregularity index: a quantitative score of mandibular anterior alignment. Little RM. Am J Orthod. 1975 Nov;68(5):554-563. doi: 10.1016/0002-9416(75)90086-x. PMID: 1059332.

Orthodontic method and device. Wilcko MT, Wilcko WM. United States patent US 6,109,916. 2000 Aug.

Piezocision-assisted orthodontic treatment using CAD/CAM customized orthodontic appliances: a randomized controlled trial in adults. Charavet C, Lecloux G, Jackers N, Albert A, Lambert F. Eur J Orthod. 2019 Sep;41(5):495-501. doi: 10.1093/ejo/cjy082. PMID: 30649257.

Piezocorticision-assisted orthodontics: Efficiency, safety, and long-term evaluation of the inflammatory process. Strippoli J, Durand R, Schmittbuhl M, Rompré P, Voyer R, Chandad F, Nishio C. Am J Orthod Dentofacial Orthop. 2019 May;155(5):662-669. doi: 10.1016/j.ajodo.2018.06.013. PMID: 31053282.

Efficiency of piezotome-corticision assisted orthodontics in alleviating mandibular anterior crowding-a randomized clinical trial. Uribe F, Davoody L, Mehr R, Jayaratne YSN, Almas K, Sobue T, Allareddy V, Nanda R. Eur J Orthod. 2017 Nov 30;39(6):595-600. doi: 10.1093/ejo/cjw091. PMID: 28371882.

Cytokine expression and accelerated tooth movement. Teixeira CC, Khoo E, Tran J, Chartres I, Liu Y, Thant LM, Khabensky I, Gart LP, Cisneros G, Alikhani M. J Dent Res. 2010 Oct;89(10):1135-1141. doi: 10.1177/0022034510373764. PMID: 20639508.

Evaluation of piezocision and laser-assisted flapless corticotomy in the acceleration of canine retraction: a randomized controlled trial. Alfawal AMH, Hajeer MY, Ajaj MA, Hamadah O, Brad B. Head Face Med. 2018 Feb;14(1):4. doi: 10.1186/s13005-018-0161-9. PMID: 29454369.

Accelerated tooth movement with piezocision and its periodontal-transversal effects in patients with Class II malocclusion. Aksakalli S, Calik B, Kara B, Ezirganli S. Angle Orthod. 2016 Jan;86(1):59-65. doi: 10.2319/012215-49.1. PMID: 25989211.

Evaluation of corticotomy-facilitated orthodontics and piezocision in rapid canine retraction. Abbas NH, Sabet NE, Hassan IT. Am J Orthod Dentofacial Orthop. 2016 Apr;149(4):473-480. doi: 10.1016/j.ajodo.2015.09.029. PMID: 27021451.

Efficiency of piezosurgery technique in miniscrew supported en-masse retraction: a single-centre, randomized controlled trial. Tunçer NI, Arman-Özçirpici A, Oduncuoglu BF, Göçmen JS, Kantarci A. Eur J Orthod. 2017 Nov;39(6):586-594. doi: 10.1093/ejo/cjx015. PMID: 28402521.

Accelerated osteogenic orthodontics technique: a 1-stage surgically facilitated rapid orthodontic technique with alveolar augmentation. Wilcko MT, Wilcko WM, Pulver JJ, Bissada NF, Bouquot JE. J Oral Maxillofac Surg. 2009 Oct;67(10):2149-2159. doi: 10.1016/j.joms.2009.04.095. PMID: 19761908.

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Publiceret

2022-08-11

Nummer

Sektion

Adults & the Elderly