Evaluation of the Efficacy of 3D-guided Piezosurgery in Accelerating Mandibular Orthodontic Teeth Alignment: A Randomized Controlled Trial in Adults.
DOI:
https://doi.org/10.5195/d3000.2022.281Nøgleord:
3D surgical guide, Piezosurgery, accelerated tooth movement, minimally invasive surgeryResumé
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.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.
Downloads
Publiceret
Nummer
Sektion
Licens
Authors who publish with this journal agree to the following terms:
- The Author retains copyright in the Work, where the term “Work” shall include all digital objects that may result in subsequent electronic publication or distribution.
- Upon acceptance of the Work, the author shall grant to the Publisher the right of first publication of the Work.
- The Author shall grant to the Publisher and its agents the nonexclusive perpetual right and license to publish, archive, and make accessible the Work in whole or in part in all forms of media now or hereafter known under a Creative Commons Attribution 4.0 International License or its equivalent, which, for the avoidance of doubt, allows others to copy, distribute, and transmit the Work under the following conditions:
- Attribution—other users must attribute the Work in the manner specified by the author as indicated on the journal Web site;
- The Author is able to enter into separate, additional contractual arrangements for the nonexclusive distribution of the journal's published version of the Work (e.g., post it to an institutional repository or publish it in a book), as long as there is provided in the document an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post online a prepublication manuscript (but not the Publisher’s final formatted PDF version of the Work) in institutional repositories or on their Websites prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work. Any such posting made before acceptance and publication of the Work shall be updated upon publication to include a reference to the Publisher-assigned DOI (Digital Object Identifier) and a link to the online abstract for the final published Work in the Journal.
- Upon Publisher’s request, the Author agrees to furnish promptly to Publisher, at the Author’s own expense, written evidence of the permissions, licenses, and consents for use of third-party material included within the Work, except as determined by Publisher to be covered by the principles of Fair Use.
- The Author represents and warrants that:
- the Work is the Author’s original work;
- the Author has not transferred, and will not transfer, exclusive rights in the Work to any third party;
- the Work is not pending review or under consideration by another publisher;
- the Work has not previously been published;
- the Work contains no misrepresentation or infringement of the Work or property of other authors or third parties; and
- the Work contains no libel, invasion of privacy, or other unlawful matter.
- The Author agrees to indemnify and hold Publisher harmless from Author’s breach of the representations and warranties contained in Paragraph 6 above, as well as any claim or proceeding relating to Publisher’s use and publication of any content contained in the Work, including third-party content.
Revised 7/16/2018. Revision Description: Removed outdated link.