Corticotomy Essay

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What happens after Orthodontic Acceleration? Surgical Procedures for Accelerating Orthodontic Treatment In the last decade, many interesting studies were published in the literature about the use of surgery to speed up biological tooth movement in the context of orthodontics. These procedures may involve Distraction of the periodontal ligament (PDL), Distraction of the dento-alveolus, Alveolar decortication, and Corticision. Some of these procedures add bioabsorbable grafts to increase the bone volume. If we look to these studies as evidence-based orthodontics, we will have a bias in most of them but I will not speak about this issue in this post??. Furthermore, If we concentrate on the design of these studies, we will find that most of them look for canine retraction and this good, hence there are three points to consider; First, we have an cases with extraction of the first premolar, but what will happen if we do not need to extract teeth in the desired region of acceleration? Second, can we apply this acceleration to any tooth and in any situation? Third, what happen after the acceleration? These are still largely a matter of opinion. In this figure there is a corticotomy case with a bone graft in three times. In my humble opinion I noticed from my own cases that the process of acceleration passes through…show more content…
The first stage starts with osteoblastic activation of osteoclast differentiation, fusion, and activation. The second stage or reversal stage begins after the formation of resorption lacunae, since the osteoclasts leave the area and mononucleated cells of uncertain origin appear and “clean up” the organic matrix remnants left by the osteoclast. This stage takes about 2-4 weeks, and the third stage is when osteoblasts begin filling the lacunae with new bone and this stage takes between 4-6
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