Learn more about interdisciplinary treatment planning for corticotomy-facilitated orthodontics and read about a real-world case. Increased societal demands have led patients to request shorter orthodontic is the dual-specialty in-office corticotomy-facilitated bone augmentation approach. Alveolar corticotomies in orthodontics: Indications and effects on tooth movement. Dauro Douglas Oliveira*, Bruno Franco de Oliveira**.

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The aim of this article is to present a comprehensive review of the literature, including historical background, orthodohtics clinical techniques, indications, contraindications, complications and side effects. This method claims to have several advantages.

In an adult female patient, an impacted second premolar was facilitated to erupt spontaneously using corticotomy after creating enough space as a part of an overall fixed orthodontic treatment, which included extraction of the first premolars and bilateral corticotomy-assisted expansion.

The CAOT Technique Case selection is a very important step; both the orthodontist and the periodontist should agree upon the need for corticotomy, treatment plan and corticotlmy extent and location of the decortication cuts. The final restorative treatment plan may influence the ideal orthodontucs position. The final finishing and detailing stages of the patient’s treatment were completed within the same time frame as with any orthodontic case.

Calif Dent Assoc J. Introduction Dental arch crowding is one of the most common form of malocclusion. Post-treatment intra-oral photographs of the patient seen in Fig. It was concluded that neither the pulp nor the periodontium was damaged following orthodontic tooth movement after corticotomy surgery Duker, Surgical operation on the alveolar ridge to correct occlusal abnormalities.


This technique is similar to conventional corticotomy except that selective decortication in the form of lines and points is performed over all of the teeth that are to be moved. The improved stability was attributed to the increased turnover of tissues adjacent to the surgical site.

J Jpn Oral Surg Soc. Closure of an unusually large palatal fistula in a cleft patient by bony transport and corticotomy-assisted expansion.

The patient was seen every two weeks in order to assess the treatment progress and to advance the orthodontic tooth movement. Scand J Dent Res.

Corticotomy-facilitated Orthodontics and Goal-oriented Treatment Planning

Stability was reported as one of the advantages of corticotomy-assisted orthodontics [ 24 ]. Effects on the periodontium of vertical bone cutting for segmental osteotomy. Corticotomy can be used to expedite the movement of individual teeth impacted canine in this case.

In the other corticogomy study, Wang et al. Bone graft should be applied directly over the bone cuts and the flap sutured in place. Care should be taken not to injure the anterior loop of the inferior alveolar nerve that could extend several millimeters mesial to the mental foramen and be positioned just beneath the buccal cortical plate. Tissue reaction to orthodontic tooth movement in different bone turnover conditions.

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Rapid orthodontic tooth movement into newly distracted bone after mandibular distraction osteogenesis in a canine model. It was first introduced in by Kole as a mean for rapid tooth movement. Open in a separate window. Published online Aug Corticotomy facilitated orthodontics has been employed in various forms over the past to speed up orthodontic treatments.

Experimental animal research into segmental alveolar movement after corticotomy. Controlled clinical and histological studies are needed to orghodontics the biology orthodontids tooth movement with this procedure, the effect on teeth and bone, post-retention stability, measuring the volume of mature bone formation, and determining the status of the periodontium and roots after treatment.


Corticotomy, decortication, review, orthodontic treatment. Anterior segmental osteotomy is recommended for bimaxillary dentoalveolar protrusion patients with gummy smile, basal bone prognathism, relatively normal incisor inclination, and relatively underdeveloped chin position Lee et al.

Corticotomy facilitated orthodontics: Review of a technique

In addition, some post-operative swelling and pain is expected for several days. Manipulation of Anchorage CAOT was used in the treatment of bimaxillary protrusion as an adjunct to manipulate skeletal anchorage without any adverse side effects in only one-third of the regular treatment time [ 41 ].

Acceleration of orthodontic tooth movement by alveolar corticotomy in the dog. Unfortunately many potential orthodontic patients jeopardize their dental health and decline treatment, due to this long treatment orthodotics. He suggested that since the blocks of bone was being moved rather than the individual teeth, the root resorption would not occur and retention time will be minimized. A study was conducted on 65 Korean adult female patients with bimaxillary dentoalveolar protrusion to compare orthodontic treatment outcomes, anterior segmental osteotomy, and corticotomy-assisted orthodontic treatment; it was concluded that orthodontic treatment and corticotomy-assisted orthodontic treatment are indicated for patients with severe incisor proclination with normal basal bone position, although corticotomy-assisted orthodontic treatment has the advantage of shorter treatment duration.