[en] OBJECTIVE:
The aim of this study was to investigate the effects of piezocision (surgical protocol with sutures) in orthodontic treatment using CAD/CAM (computer-aided design and computer-aided manufacturing) customized orthodontic appliances.
DESIGN:
The study is designed as a parallel group, randomized controlled trial (RCT).
SETTING:
University Hospital.
ETHICAL APPROVAL:
The study was approved by the ethic committee of the University Hospital Liege, Belgium.
SUBJECTS AND METHODS:
This RCT was conducted on 24 adult patients requiring orthodontic treatment to release mild overcrowding. Patients were all treated with a customized appliance and randomly assigned by means of sealed envelopes containing group codes to either a test group treated with piezocision or a control group without any further treatment. A blinded orthodontist validated appliance removal or further adjustments based on the model study.
OUTCOME MEASURES:
The overall treatment time and the time between archwire changes were recorded. Moreover, clinical and radiological features such as tooth resorption, gingival recessions, and the presence of scars were evaluated.
RESULTS:
A total of 24 patients (12 control and 12 test) completed the study. The overall treatment time was significantly shorter in the test group than the control group. Likewise, the time difference between all arch changes was significantly lower when piezocision was performed, except for the first arch at the mandible and the last arches at both maxillae. During the fine-tuning phase, no significant difference was found between the two groups. All periodontal and radiographic parameters remained stable from the start to the end of treatment in both the groups. However, minor scars were found in 66 per cent cases.
LIMITATIONS:
This trial was a single-centre trial.
CONCLUSIONS:
Piezocision seems to be an effective method to accelerate orthodontic treatment in cases of mild overcrowding. However, the effect was only observed during the alignment phase and a greater efficiency was found in the maxilla. The technique may be contraindicated in patients with a high smile line since the risk of slight scarring exists.
REGISTRATION:
ClinicalTrails.gov (Identifier: NCT03406130).
Research Center/Unit :
d‐BRU - Dental Biomaterials Research Unit - ULiège [BE]
Disciplines :
Dentistry & oral medicine
Author, co-author :
CHARAVET, Carole ; Centre Hospitalier Universitaire de Liège - CHU > Département de dentisterie > Service d'orthopédie dento-faciale
LECLOUX, Geoffrey ; Centre Hospitalier Universitaire de Liège - CHU > Département de dentisterie > Service de médecine dentaire
JACKERS, Nastasia
Albert, Adelin ; Université de Liège - ULiège > Département des sciences de la santé publique > Département des sciences de la santé publique
LAMBERT, France ; Centre Hospitalier Universitaire de Liège - CHU > Département de dentisterie > Service de médecine dentaire
Language :
English
Title :
Piezocision-assisted orthodontic treatment using CAD/CAM customized orthodontic appliances: a randomized controlled trial in adults.
Wilcko, W. and Wilcko, M.T. (2013) Accelerating tooth movement: the case for corticotomy-induced orthodontics. American Journal of Orthodontics and Dentofacial Orthopedics, 144, 4–12.
Kole, H. (1959) Surgical operations on the alveolar ridge to correct occlusal abnormalities. Oral Surgery, Oral Medicine, and Oral Pathology, 12, 515–29 concl.
Sebaoun, J.D., Kantarci, A., Turner, J.W., Carvalho, R.S., Van Dyke, T.E. and Ferguson, D.J. (2008) Modeling of trabecular bone and lamina dura following selective alveolar decortication in rats. Journal of Periodontology, 79, 1679–1688.
Baloul, S.S., Gerstenfeld, L.C., Morgan, E.F., Carvalho, R.S., Van Dyke, T.E. and Kantarci, A. (2011) Mechanism of action and morphologic changes in the alveolar bone in response to selective alveolar decortication-facilitated tooth movement. American Journal of Orthodontics and Dentofacial Orthopedics, 139, S83–101.
Wang, L., Lee, W., Lei, D.L., Liu, Y.P., Yamashita, D.D. and Yen, S.L. (2009) Tisssue responses in corticotomy- and osteotomy-assisted tooth movements in rats: histology and immunostaining. American Journal of Orthodontics and Dentofacial Orthopedics, 136, 770.e1–11; discussion 770.
Frost, H.M. (1983) The regional acceleratory phenomenon: a review. Henry Ford Hospital Medical Journal, 31, 3–9.
Frost, H.M. (1989) The biology of fracture healing. An overview for clinicians. Part II. Clinical Orthopaedics and Related Research, 248, 294–309.
Frost, H.M. (1989) The biology of fracture healing. An overview for clinicians. Part I. Clinical Orthopaedics and Related Research, 248, 283–93.
Cho, K.W., Cho, S.W., Oh, C.O., Ryu, Y.K., Ohshima, H. and Jung, H.S. (2007) The effect of cortical activation on orthodontic tooth movement. Oral Diseases, 13, 314–319.
Iino, S., Sakoda, S., Ito, G., Nishimori, T., Ikeda, T. and Miyawaki, S. (2007) Acceleration of orthodontic tooth movement by alveolar corticotomy in the dog. American Journal of Orthodontics and Dentofacial Orthopedics, 131, 448.e1–448.e8.
Mostafa, Y.A., Mohamed Salah Fayed, M., Mehanni, S., ElBokle, N.N. and Heider, A.M. (2009) Comparison of corticotomy-facilitated vs standard tooth-movement techniques in dogs with miniscrews as anchor units. American Journal of Orthodontics and Dentofacial Orthopedics, 136, 570–577.
Sanjideh, P.A., Rossouw, P.E., Campbell, P.M., Opperman, L.A. and Buschang, P.H. (2010) Tooth movements in foxhounds after one or two alveolar corticotomies. European Journal of Orthodontics, 32, 106–113.
Fischer, T.J. (2007) Orthodontic treatment acceleration with corticotomy-assisted exposure of palatally impacted canines. The Angle Orthodontist, 77, 417–420.
Lee, J.K., Chung, K.R. and Baek, S.H. (2007) Treatment outcomes of orthodontic treatment, corticotomy-assisted orthodontic treatment, and anterior segmental osteotomy for bimaxillary dentoalveolar protrusion. Plastic and Reconstructive Surgery, 120, 1027–1036.
Aboul-Ela, S.M., El-Beialy, A.R., El-Sayed, K.M., Selim, E.M., El-Mangoury, N.H. and Mostafa, Y.A. (2011) Miniscrew implant-supported maxillary canine retraction with and without corticotomy-facilitated orthodontics. American Journal of Orthodontics and Dentofacial Orthopedics, 139, 252–259.
Shoreibah, E.A., Salama, A.E., Attia, M.S. and Abu-Seida, S.M. (2012) Corticotomy-facilitated orthodontics in adults using a further modified technique. Journal of the International Academy of Periodontology, 14, 97–104.
Kim, Y.S., Kim, S.J., Yoon, H.J., Lee, P.J., Moon, W. and Park, Y.G. (2013) Effect of piezopuncture on tooth movement and bone remodeling in dogs. American Journal of Orthodontics and Dentofacial Orthopedics, 144, 23–31.
Alikhani, M., et al. (2013) Effect of micro-osteoperforations on the rate of tooth movement. American Journal of Orthodontics and Dentofacial Orthopedics, 144, 639–648.
Dibart, S., Sebaoun, J.D. and Surmenian, J. (2009) Piezocision: a minimally invasive, periodontally accelerated orthodontic tooth movement procedure. Compendium of Continuing Education in Dentistry (Jamesburg, NJ: 1995), 30, 342–344, 346, 348–350.
Charavet, C., Lecloux, G., Bruwier, A., Vandenberghe, B., Le Gall, M. and Lambert, F. (2018) Selective piezocision-assisted orthodontic treatment combined with minimally invasive alveolar bone regeneration: a proof-of-concept. International Orthodontics, 16, 652–664.
Dibart, S., Yee, C., Surmenian, J., Sebaoun, J.D., Baloul, S., Goguet-Surmenian, E. and Kantarci, A. (2014) Tissue response during Piezocision-assisted tooth movement: a histological study in rats. European Journal of Orthodontics, 36, 457–464.
Ruso, S., Campbell, P.M., Rossmann, J., Opperman, L.A., Taylor, R.W. and Buschang, P.H. (2014) Bone response to buccal tooth movements-with and without flapless alveolar decortication. European Journal of Orthodontics, 36, 613–623.
Aksakalli, S., Calik, B., Kara, B. and Ezirganli, S. (2016) Accelerated tooth movement with piezocision and its periodontal-transversal effects in patients with class II malocclusion. The Angle Orthodontist, 86, 59–65.
Abbas, N.H., Sabet, N.E. and Hassan, I.T. (2016) Evaluation of corticotomy-facilitated orthodontics and piezocision in rapid canine retraction. American Journal of Orthodontics and Dentofacial Orthopedics, 149, 473–480.
Charavet, C., Lecloux, G., Bruwier, A., Rompen, E., Maes, N., Limme, M. and Lambert, F. (2016) Localized piezoelectric alveolar decortication for orthodontic treatment in adults: a randomized controlled trial. Journal of Dental Research, 95, 1003–1009.
Alfawal, A.M.H., Hajeer, M.Y., Ajaj, M.A., Hamadah, O. and Brad, B. (2018) Evaluation of piezocision and laser-assisted flapless corticotomy in the acceleration of canine retraction: a randomized controlled trial. Head and Face Medicine, 14, 4.
Gibreal, O., Hajeer, M.Y. and Brad, B. (2018) Efficacy of piezocision-based flapless corticotomy in the orthodontic correction of severely crowded lower anterior teeth: a randomized controlled trial. European Journal of Orthodontics. First published on June 20, 2018, 10.1093/ejo/cjy042
Brown, M.W., Koroluk, L., Ko, C.C., Zhang, K., Chen, M. and Nguyen, T. (2015) Effectiveness and efficiency of a CAD/CAM orthodontic bracket system. American Journal of Orthodontics and Dentofacial Orthopedics, 148, 1067–1074.
Little, R.M. (1975) The irregularity index: a quantitative score of mandibular anterior alignment. American Journal of Orthodontics, 68, 554–563.
Andrews, L.F. (1972) The six keys to normal occlusion. American Journal of Orthodontics, 62, 296–309.
Garib, D.G., Calil, L.R., Leal, C.R. and Janson, G. (2014) Is there a consensus for CBCT use in Orthodontics? Dental Press Journal of Orthodontics, 19, 136–149.
Malmgren, O., Goldson, L., Hill, C., Orwin, A., Petrini, L. and Lundberg, M. (1982) Root resorption after orthodontic treatment of traumatized teeth. American Journal of Orthodontics, 82, 487–491.
Penning, E.W., Peerlings, R.H.J., Govers, J.D.M., Rischen, R.J., Zinad, K., Bronkhorst, E.M., Breuning, K.H. and Kuijpers-Jagtman, A.M. (2017) Orthodontics with customized versus noncustomized appliances: a randomized controlled clinical trial. Journal of Dental Research, 96, 1498–1504.
Tunçer, N.I., Arman-Özçirpici, A., Oduncuoglu, B.F., Göçmen, J.S. and Kantarci, A. (2017) Efficiency of piezosurgery technique in miniscrew supported en-masse retraction: a single-centre, randomized controlled trial. European Journal of Orthodontics, 39, 586–594.
Uribe, F., Davoody, L., Mehr, R., Jayaratne, Y.S.N., Almas, K., Sobue, T., Allareddy, V. and Nanda, R. (2017) Efficiency of piezotome-corticision assisted orthodontics in alleviating mandibular anterior crowding-a randomized clinical trial. European Journal of Orthodontics, 39, 595–600.
Frost, H. (1981) The regional accelerated phenomenon. Orthopedic Clinics of North America, 12, 725–6.
Wilcko, M.T., Wilcko, W.W. and Bissada, N.F. (2008) An evidence-based analysis of periodontally accelerated orthodontic and osteogenic techniques: a synthesis of scientific perspectives. Seminars in Orthodontics, 14, 305–16.
Cohen, G., Campbell, P.M., Rossouw, P.E. and Buschang, P.H. (2010) Effects of increased surgical trauma on rates of tooth movement and apical root resorption in foxhound dogs. Orthodontics and Craniofacial Research, 13, 179–190.
Medeiros, R.B., Pires, F.R., Kantarci, A. and Capelli, J. Jr. (2018) Tissue repair after selective alveolar corticotomy in orthodontic patients: a preliminary study. The Angle Orthodontist, 88, 179–186.
Strippoli, J., Durand, R., Schmittbuhl, M., Voyer, R., Rompré, P. and Nishio, C. (2017) Pain and quality of life in patients undergoing guided piezocorticision- assisted orthodontic treatment. Journal of Clinical Orthodontics, 51, 792–799.
Radiology AAoOaM. (2013) Clinical recommendations regarding use of cone beam computed tomography in orthodontics. Position Statement. Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology, 116, 238–57.
Horner, K., Islam, M., Flygare, L., Tsiklakis, K. and Whaites, E. (2009) Basic principles for use of dental cone beam computed tomography: consensus guidelines of the European Academy of Dental and Maxillofacial Radiology. Dento Maxillo Facial Radiology, 38, 187–195.