ACCELERATED
ORTHODONTICS
PRESENTED BY - DR. TANNU
CHHAPARWAL
IIIMDS
1
CONTENTS
Introduction
Historical background
Biological basis
Different methods of accelerating tooth movement
1. Chemical agents
2. Surgical Techniques
3. Device assisted Treatment
Conclusion
References
2
INTRODUCTION
3
Historical Background
Om P. Kharbanda orthodontics: Diagnosis and management of Malocclusion and Dentofacial Deformities, 3rd edition
BIOLOGICAL BASIS
Om P. Kharbanda orthodontics: Diagnosis and management of Malocclusion and Dentofacial Deformities, 3rd edition
6
Om P. Kharbanda orthodontics: Diagnosis and management of Malocclusion and Dentofacial Deformities, 3rd edition
DIFFERENT METHODS OF
ACCELERTAING TOOTH MOVEMENT
Pharmacological
approach
Surgical approach
Mechanical approach
7
PHARMACOLOGICAL
APPROACH
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PROSTAGLANDIN
9
Yamasaki K, Miura F, Suda T. Prostaglandin as a mediator of bone resorption induced by experimental tooth
movement in rats. Journal of dental research. 1980 Oct;59(10):1635-42.
10
Kale S, Kocadereli I, Atilla P, Aşan E. Comparison of the effects of 1, 25 dihydroxycholecalciferol and prostaglandin E2 on orthodontic tooth movement
American Journal of Orthodontics and Dentofacial Orthopedics. 2004 May 1;125(5):607-14.
VITAMIN D
11
Collins MK, Sinclair PM. The local use of vitamin D to increase the rate of orthodontic tooth movement. American
Journal of Orthodontics and Dentofacial Orthopedics. 1988 Oct 1;94(4):278-84
PARATHYROID HORMONE
12
Soma S, Matsumoto S, Higuchi Y, Takano-Yamamoto T, Yamashita K, Kurisu K, Iwamoto M. Local and chronic application of
PTH accelerates tooth movement in rats. J Dent Res. 2000 Sep;79(9):1717-24.
RELAXIN
Human relaxin does not accelerate orthodontic tooth movement in
rats; it can reduce the level of PDL organization, reduce PDL
mechanical strength, and increase tooth mobility at early time points
13
Madan MS, Liu ZJ, Gu GM, King GJ. Effects of human relaxin on orthodontic tooth movement and periodontal
ligaments in rats. Am J Orthod Dentofacial Orthop. 2007 Jan;131(1):8.e1-10.
SURGICAL APPROACH
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SURGICAL APPROACH
Piezocision
Micro-osteo perforation (MOP)
Corticision
Corticotomy facilitated orthodontic treatment (CFOT)
1. Selective alveolar decortication
2. Periodontally accelerated osteogenic orthodontics(PAOO) /Accelerated osteogenic
orthodontics(AOO) / Wilckodontics
Dentoalveolar distraction osteogensis
15
PIEZOCISION
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Om P. Kharbanda orthodontics: Diagnosis and management of Malocclusion and Dentofacial Deformities, 3rd edition
INDICATIONS
Correction
Class I m/o of
with Correction Can be used mucogingiv
Distalization
moderate/ of deep bite/ with clear al defects
of molars
severe open bite aligners occurring
crowding during ortho
t/t
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Om P. Kharbanda orthodontics: Diagnosis and management of Malocclusion and Dentofacial Deformities, 3rd edition
CONTRAINDICATIONS
Patients
Medically taking drugs Non-
Patient with
compromised modifying compliant
pacemaker
patients bone patient
morphology
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Om P. Kharbanda orthodontics: Diagnosis and management of Malocclusion and Dentofacial Deformities, 3rd edition
Micro osteo perforation
Based on the philosophy that controlled
micro trauma in the form MOP would
amplify the expression of inflammatory
markers during orthodontic t/t.
19
Om P. Kharbanda orthodontics: Diagnosis and management of Malocclusion and Dentofacial Deformities, 3rd edition
Corticision
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Om P. Kharbanda orthodontics: Diagnosis and management of Malocclusion and Dentofacial Deformities, 3rd edition
CORTICOTOMY FACILIATATED
ORTHODONTIC TREATMENT
Periodontally
accelerated
osteogenic
Selective alveolar
orthodontics(PAOO
decortication
) /Accelerated
(SAD)
osteogenic
orthodontics(AOO)
/ Wilckodontics
21
Om P. Kharbanda orthodontics: Diagnosis and management of Malocclusion and Dentofacial Deformities, 3rd edition
Selective alveolar decortication (SAD)
22
Om P. Kharbanda orthodontics: Diagnosis and management of Malocclusion and Dentofacial Deformities, 3rd edition
Periodontally accelerated osteogenic
orthodontics (PAOO)
23
Om P. Kharbanda orthodontics: Diagnosis and management of Malocclusion and Dentofacial Deformities, 3rd edition
Inter dental/ periodontal distraction
osteogensis
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Om P. Kharbanda orthodontics: Diagnosis and management of Malocclusion and Dentofacial Deformities, 3rd edition
Dentoalveolar distraction
osteogenesis
25
Om P. Kharbanda orthodontics: Diagnosis and management of Malocclusion and Dentofacial Deformities, 3rd edition
TECHNIQUE
Pre- Surgical Phase
Surgical Phase
Post- surgical phase
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Om P. Kharbanda orthodontics: Diagnosis and management of Malocclusion and Dentofacial Deformities, 3rd edition
Modified surgical approaches for inter-dental distraction. (A) Buccal access. (B)
Deepening of alveolus being undertaken under direct visualisation. (C) Horizontal
corticotomy is being performed through buccal access.
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Om P. Kharbanda orthodontics: Diagnosis and management of Malocclusion and Dentofacial Deformities, 3rd edition
A case of canine distraction. (A) Indigenous canine distraction prepared from a
mandibular expansion screw. (B) The distractor is cemented. (C) The first premolar is
extracted. (D) Canine retraction completed in 1 week.
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Om P. Kharbanda orthodontics: Diagnosis and management of Malocclusion and Dentofacial Deformities, 3rd edition
DEVICE ASSISTED
TREATMENT
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LOW LEVEL LASER
THERAPY
Tooth movement is accelerated by ATP synthesis
and cytochrome C30 activation, while RANK or
RANKL and macrophage colony stimulating
factor and its receptor expression improve tooth
moving velocity
30
Ambashikar VR, Kangane SK, Ambekar S A, Joshi YS. Fast track orthodontics: A review on methods of accelerating
orthodontic treatment. Int J Orthod Rehabil 2021;12:72-8
VIBRATIONS
31
Ambashikar VR, Kangane SK, Ambekar S A, Joshi YS. Fast track orthodontics: A review on methods of accelerating
orthodontic treatment. Int J Orthod Rehabil 2021;12:72-8
DIRECT ELECTRIC
CURRENT STIMULATION
Electric current causes a rise in the population of
osteoblasts in the periodontal ligament due to
increased cellular activity, according to
histological investigations
32
Ambashikar VR, Kangane SK, Ambekar S A, Joshi YS. Fast track orthodontics: A review on methods of accelerating
orthodontic treatment. Int J Orthod Rehabil 2021;12:72-8
ELECTROMAGNETIC
FIELD
By modifying the rate of sodium calcium exchange in the cell membrane, an
electromagnetic field increases the amount of a group of enzymes involved in
the regulation of intracellular metabolism and, as a result, cellular
proliferation.
Alveolar bone remodelling enhances not only bone cell activity in the
magnetic field but also the production of new bone in the stress zone,
according to histological investigations
33
Vedanti Mundhada, Vikrant Jadhao, Review Article on Accelerated Orthodontics, J Res Med Dent
Sci, 2022, 10 (11):182-185
CLINICAL APPLICATIONS FOR
FUTURE
Exogenous biological molecules’ administration to quicken tooth
movement during orthodontic treatments has been mostly tested on
animal experiments. However, clinical trials on humans are restricted
since they are to be administered local injections, which can be
discomforting and painful.
34
Ambashikar VR, Kangane SK, Ambekar S A, Joshi YS. Fast track orthodontics: A review on methods of accelerating
orthodontic treatment. Int J Orthod Rehabil 2021;12:72-8
CONCLUSION
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REFERENCES
Om P. Kharbanda orthodontics: Diagnosis and management of Malocclusion and Dentofacial
Deformities, 3rd edition
Yamasaki K, Miura F, Suda T. Prostaglandin as a mediator of bone resorption induced by
experimental tooth movement in rats. Journal of dental research. 1980 Oct;59(10):1635-42.
Kale S, Kocadereli I, Atilla P, Aşan E. Comparison of the effects of 1, 25
dihydroxycholecalciferol and prostaglandin E2 on orthodontic tooth movement. American
Journal of Orthodontics and Dentofacial Orthopedics. 2004 May 1;125(5):607-14
Collins MK, Sinclair PM. The local use of vitamin D to increase the rate of orthodontic tooth
movement. American Journal of Orthodontics and Dentofacial Orthopedics. 1988 Oct
1;94(4):278-84
Soma S, Matsumoto S, Higuchi Y, Takano-Yamamoto T, Yamashita K, Kurisu K, Iwamoto M.
Local and chronic application of PTH accelerates tooth movement in rats. J Dent Res. 2000
Sep;79(9):1717-24.
Madan MS, Liu ZJ, Gu GM, King GJ. Effects of human relaxin on orthodontic tooth movement
and periodontal ligaments in rats. Am J Orthod Dentofacial Orthop. 2007 Jan;131(1):8.e1-10.
Nimeri, G., Kau, C.H., Abou-Kheir, N.S. et al. Acceleration of tooth movement during
orthodontic treatment - a frontier in Orthodontics. Prog Orthod. 14, 42 (2013)
Ambashikar VR, Kangane SK, Ambekar S A, Joshi YS. Fast track orthodontics: A review on
methods of accelerating orthodontic treatment. Int J Orthod Rehabil 2021;12:72-8
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