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      Effects of flapless bur decortications on movement velocity of dogs’ teeth

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          Abstract

          Background:

          Different surgical procedures that reduce orthodontic treatment time have been recommended. The aim of this study was to evaluate the effectiveness of a new less invasive surgical technique (called flapless bur decortications) for accelerating orthodontic tooth movement.

          Materials and Methods:

          This study was designed as a split-mouth study. The left and right maxillary first premolars of five dogs were extracted. An A-NiTi closed coil spring and an absolute anchorage was used for premolar protraction in both sides. In each dog, decortications were performed for one side and the other side was used as the control group. The distance between canine and second premolar was measured and the sites of decortication were evaluated histologically. The data was analyzed by paired samples t-test and multivariate analysis of two-way repeated measures ANOVA.

          Results:

          The study teeth moved more than their controls in the first month and less than their controls in the third month ( P < 0.05). The total difference between study and control movements was not significant ( P < 0.05).

          Conclusion:

          (1) Corticotomy facilitated orthodontic tooth movement is achievable with flapless bur decortication technique. (2) Velocity of tooth movement decreases in later stages of treatment due to maturation of newly formed bone at decortication sites.

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          Most cited references21

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          Rapid orthodontics with alveolar reshaping: two case reports of decrowding.

          Two case reports demonstrate a new orthodontic method that offers short treatment times and the ability to simultaneously reshape and increase the buccolingual thickness of the supporting alveolar bone. A 24-year-old man with a Class I severely crowded malocclusion and an overly constricted maxilla with concomitant posterior crossbites and a 17-year-old female with a Class I moderately to severely crowded malocclusion requested shortened orthodontic treatment times. This new surgery technique included buccal and lingual full-thickness flaps, selective partial decortication of the cortical plates, concomitant bone grafting/augmentation, and primary flap closure. Following the surgery, orthodontic adjustments were made approximately every 2 weeks. From bracketing to debracketing, both cases were completed in approximately 6 months and 2 weeks. Posttreatment evaluation of both patients revealed good results. At approximately 15 months following surgery in one patient, a full-thickness flap was again reflected. Visual examination revealed good maintenance of the height of the alveolar crest and an increased thickness in the buccal bone. The canine and premolars in this area were expanded buccally by more than 3 mm, and yet there had actually been an increase in the buccolingual thickness of the overlying buccal bone. Additionally, a preexisting bony fenestration buccal of the root of the first premolar was covered. Both of these findings lend credence to the incorporation of the bone augmentation procedure into the corticotomy surgery because this made it possible to complete the orthodontic treatment with a more intact periodontium. The rapid expansive tooth movements with no significant apical root resorption may be attributed to the osteoclastic or catabolic phase of the regional acceleratory phenomenon. Instead of bony "block" movement or resorption/apposition, the degree of demineralization/remineralization might be a more accurate explanation of what occurs in the alveolar bone during physiologic tooth movement in these patients.
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            • Record: found
            • Abstract: not found
            • Article: not found

            The regional acceleratory phenomenon: a review.

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              • Record: found
              • Abstract: not found
              • Article: not found

              Surgical operations on the alveolar ridge to correct occlusal abnormalities.

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                Author and article information

                Journal
                Dent Res J (Isfahan)
                Dent Res J (Isfahan)
                DRJ
                Dental Research Journal
                Medknow Publications & Media Pvt Ltd (India )
                1735-3327
                2008-0255
                Nov-Dec 2012
                : 9
                : 6
                : 783-789
                Affiliations
                [1 ]Dental Research Center, Dental School, Shahid Beheshti University of Medical Sciences, Tehran, Iran
                [2 ]Torabinejad Dental Research Center and Department of Orthodontics, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran
                [3 ]Veterinary Surgeon, Department of Clinical Sciences, Faculty of Veterinary Medicine, University of Tehran, Tehran, Iran
                [4 ]Department of Pathology, Medical School, Isfahan University of Medical Sciences, Isfahan, Iran
                Author notes
                Address for correspondence: Dr. Majid Heidarpour, Torabinejad Dental Research Center and Department of Orthodontics, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran. E-mail: heidarpoor@ 123456dnt.mui.ac.ir
                Article
                DRJ-9-783
                3612231
                23559959
                5b628e14-921b-4bcc-b207-d6d8f19ab452
                Copyright: © Dental Research Journal

                This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : April 2012
                : July 2012
                Categories
                Original Article

                Dentistry
                corticotomy,decorication,accelerated orthodontic tooth movement
                Dentistry
                corticotomy, decorication, accelerated orthodontic tooth movement

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