Bissada interdisciplinary orthodontic tooth movement otm can synthesize tissue engineering principles with periodontal regenerative surgery to create rapid. An evidencebased analysis of periodontally accelerated orthodontic and osteogenic techniques. International journal of orthodontic rehabilitation, india. Periodontally accelerated osteogenic orthodontics the. Periodontally accelerated osteogenic orthodontics is often used from the outset of treatment to dramatically reduce treatment times for. Periodontally accelerated osteogenic orthodontics sometimes referred to as wilckodontics is a technique that involves inducing the bones that surround the teeth into a process called rapid acceleratory phenomenon rap. Winner of the standing ovation award for best powerpoint templates from presentations magazine. In dental realm, a treatment procedure known as wilckodontics or periodontally accelerated osteogenic orthodontics paoo is a new procedure which was developed by dr. The alveolar stimulus through the paoo is a procedure that allows the. Only recently was it modified to assist in straightening teeth and fix bites. A novel approach in periodontally accelerated osteogenic. Accelerated orthodontic tooth movement decisions in. Proper case selection and careful surgical and orthodontic treatment is. A 41yearold man, with class ii, division 2 crowded occlusion, was treated with the paoo procedure.
The nature of orthodontic tooth movement needs to be revisited, for research to develop a novel treatment method combining selective alveolar decortication, alveolar augmentation and orthodontic treatment. A 41yearold man, with class ii, division 2 crowded occlusion. Periodontal accelerated osteogenic orthodontics paoo is a clinical procedure that combines. Periodontally accelerated osteogenic orthodontics paoo. Based on the concept, following case report showed the application of paoo in anterior space closure. Periodontally accelerated osteogenic orthodontics paoo, regional acceleratory phenomenon rap, wilckodontics, corticotomy introduction malaligned dentition can impair quality of life by affecting function, appearance and psychological wellbeing of patient thereby necessitating to seek orthodontic care. Periodontal accelerated osteogenic orthodontics technique for rapid orthodontic tooth movement.
Since his paper, others have investigated the efficacy of corticotomy treatment. Differences between the experimental and the control group were. Periodontally accelerated osteogenic orthodontics combined with. Periodontally accelerated osteogenic orthodontics paoo which is also known as wilckodontics is one such wonderful treatment modality which helps in reducing the orthodontic treatment time of patients.
In 2001, the wilcko brothers introduced a procedure that involved raising a mucoperiosteal flap and decorticating the buccal and lingualpalatal sides of alveolar bone and adding particulate bone graft material under the periosteum. Pdf periodontally accelerated osteogenic orthodontics with. Periodontally accelerated osteogenic orthodontics paoo is a technique involving combination of a selective decorticationfacilitated orthodontic technique and alveolar augmentation. Wilckodontics tm also known as accelerated osteogenic orthodontics aoo tm is a relatively new treatment in the orthodontic realm. Pdf periodontally accelerated osteogenic orthodontics. Worlds best powerpoint templates crystalgraphics offers more powerpoint templates than anyone else in the world, with over 4 million to choose from. This is called periodontally accelerated osteogenic orthodontics paoo technique. A new modified bone grafting technique for periodontally. Theyll give your presentations a professional, memorable appearance the kind of sophisticated look that todays audiences expect. It reduces treatment time, increases stability of teeth, and prevents relapse of orthodontic tooth movement otm. Periodontal accelerated osteogenic orthodontics technique for. The present case report highlights the technique and principles of paoo for rapid otm.
The purpose of this case report was to evaluate clinical and radiographic outcomes of periodontally accelerated osteogenic orthodontics paoo combined with soft tissue enhancement in a patient with thin biotype and lack of buccal plate. This new patented method is a combination of timetested and proven techniques from the fields of orthodontics and periodontics and is called the accelerated osteogenic orthodontics tm aoo tm procedure. This procedure is theoretically based on the bone healing pattern known as the regional acceleratory phenomenon rap. Periodontally accelerated osteogenic orthodontics paoo technique is a combination of a selective decorticationfacilitated orthodontic technique and alveolar augmentation. Patients in both groups were first treated using unity 0. This requires a periodontist and an orthodontist and involves periodontal procedures, including alveolar bone perfora. It is a combination of a selective decorticationfaciliated orthodontic technique and alveolar augementation. The technique may frequently be referred to as wilcodontics, a term coined for the pair of dentists wilco brothers who popularized the procedure. Bryan in 1893 who first introduced corticotomyfacilitated tooth movement1. Accordingly, periodontally accelerated osteogenic orthodontics paoo has been proposed as an alternative therapeutic approach for narrow alveolar ridge to facilitate tooth movement by a combination of selective alveolar bone decortication and bone augmentation with particulate grafting material. Hence, newer surgical methods have arrived with the help of piezosurgery, fiberotomy, microosteoperforations etc. Department of orthodontics and dentofacial orthopaedics, guru nanak dev dental college and research centre, sunam, punjab. Periodontally accelerated osteogenic orthodontics paoo is a surgical. Periodontally accelerated osteogenic orthodontic procedure has become useful adjunct to reduce orthodontic treatment time as compared with conventional orthodontics.
Periodontally accelerated osteogenic orthodontics, through corticotomy, microosteoperforations and bone graft, accelerated the orthodontic dental movement, solving the case promptly as confirmed by other authors. The total treatment is decreased to one third of normal orthodontic treatment. Researchers have tried to combine the use of cao with other treatment. Wilckodontics, inc in and out of braces in 3 to 8 months. This reduces potential side ef devitalization, relapse, inadequate basal bone and bacterial time periodontal infection. The periodontally accelerated osteogenic orthodontic paoo technique combines selective decortication facilitated orthodontics with periodontal regeneration in order to create rapid orthodontic tooth movement otm. Periodontallyaccelerated osteogenic orthodontics part 3. When surgery was involved in orthodontic management the treatment duration is reduced further. Accelerated osteogenic orthodontics upland inland empire. Collaboration of these specialities leads to promoted periodontal health as a result of.
Thomas wilcko developed the phrase accelerated osteogenic orthodontics. Periodontal accelerated osteogenic orthodontics paoo is a clinical procedure that combines selective alveolar corticotomy, particulate bone. Hajji ss the influence of accelerated osteogenic response on mandibular decrowding thesis. Periodontal accelerated osteogenic orthodontics paoo is a clinical procedure that combines selective alveolar corticotomy, particulate bone grafting, and the application of orthodontic forces. Cao is effective and safe for shortening the orthodontic treatment time, as well as. This protocol allows conventional otm 300% to 400% faster, increases the envelope of movement 2 to 3fold and alveolar augmentation periodontally accelerated osteogenic orthodontics or paoo, and increases alveolar volume providing an alternative to bicuspid extraction. Periodontally accelerated osteogenic orthodontics dolas s. Accelerated tooth movement secondary to periodontally accelerated osteogenic orthodontics paoo was first brought center stage at the 20 annual meeting of the american association of orthodontists with a focused pointcounterpoint verbal debate followed later by publications reflecting the divergent views. Numerous modifications exist from the originally described technique by drs. Periodontally accelerated osteogenic orthodontics paoo is a method of surgically assisted tooth movement achieved through a combination of corticotomy and bone grafting allowing. Wilckodontics a novel synergy in time to save time. Effectiveness of bovinederived xenograft versus bioactive. A more recent surgical orthodontic therapy was introduced by wilcko which included the innovative strategy of combining corticotomy surgery with alveolar grafting in a technique referred to as accelerated osteogenic orthodontics aoo wilcko et al. It has helped the dental practitioners to reduce the treatment taken to complete an orthodontic.
Get in and out of braces in 3 to 8 months with the accelerated osteogenic othrodontics procedure from wilckodontics, inc. Periodontally accelerated osteogenic orthodontics dental xp. Accelerated osteogenic orthodontics is a technique that can predictably reduce total treatment time to 38 months. Piezosurgery has been applied in dentistry for many years.
It is also referred to as periodontally accelerated osteogenic orthodontics paoo. As a result, the treatment time for most orthodontic cases can be reduced to 3 to 8 months. Paoo is a clinical procedure that combines selec tive alveolar corticotomy, particulate bone grafting, and the. Periodontallyaccelerated osteogenic orthodontics part 3 description. An evidencebased analysis of periodontally accelerated.
Periodontal accelerated osteogenic orthodontics paoo is a clinical procedure that combines selective alveolar. Sir, i am doing dissertation on periodontally accelerated osteogenic orthodontics. Colin richman describes the advantages of paoo in clinical practice. The concept of periodontally accelerated osteogenic orthodontics further accelerated the orthodontic movement thereby reducing the treatment time. Periodontally accelerated osteogenic orthodontics, through corticotomy, microosteoperforations and bone graft, accelerated the. Maxillary central incisor gingival papilla and zenith heights with and without periodontally accelerated osteogenic orthodontics year. Paoo, as claimed by distinguished authors, helps in an. Case reports, including patients exhibiting ankylosed andor very prominent roots, as well as a patient with an open bite are featured in detail to highlight the benefits of. These combine bonehealing mechanisms with orthodontic loads to accelerate tooth. Synergism between periodontists and orthodontists creates crucial opportunities to enhance clinical outcomes of combined therapies regarding both disciplines. Alveolar growth stimulated by periodontally accelerated. Periodontal accelerated osteogenic orthodontics technique. Background periodontally accelerated osteogenic orthodontics found to be effective in accelerating orthodontic treatment.
David gilbert and read about accelerated osteogenic orthodontics. Buccal mucoperiosteal flaps were reflected, and selected vertical and horizontal corticotomy was performed around the roots in both the maxillary and. Acceleratory phenomenon or periodontally accelerated osteogenic orthodontics. This technique has roots in orthopedics, dating back to the early 1900s. Periodontally accelerated osteogenic orthodontics paoo is a clinical procedure that incorporates selective corticotomy, particulate grafting, and application of optimal orthodontic forces. Hence, it becomes increasingly important to evaluate the periodontium for any existing problems or potential issues that could be caused by orthodontic treatment. An evidence based analysis of periodontally accelerated orthodontic and osteogenic techniques. Accelerated orthodontics, alveolar corticotomies, orthodontic tooth movement, orthodontic treatment, regional.
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