Periodontally accelerated osteogenic orthodontics is often used from the outset of treatment to dramatically reduce treatment times for. Visit the Website of Board Certified Oral & Maxillofacial Surgeon Dr. David Gilbert and read about Accelerated Osteogenic Orthodontics. ☎ Periodontal accelerated osteogenic orthodontics (PAOO) is a clinical procedure that combines selective alveolar corticotomy, particulate bone.

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AAO focuses on enhancing the manner in which the region around the teeth periodontium and the bone axcelerated which the teeth is situated alveolus respond to applied orthodontic forces. While the best evidence suggests an important role for acceleeated factors, we cannot categorically rule out the possibility that volumetric distension of the periosteum itself is an important factor in achieving clinical results, as it too is a functional matrix of bone.

Effects on the periodontium following corticotomy-facilitated orthodontics.

A synthesis of scientific perspectives. This facilitates an increase in bone volume that results in more stable long-term outcomes. Frequently, the teeth can be moved further in one third to one fourth the time required for traditional orthodontics alone.

Periodontally accelerated osteogenic orthodontics (PAOO) – a review

Managing treatment for the orthodontic patient with periodontal problems. Rapid orthodontics with alveolar reshaping: A study using adult rhesus monkeys. Posttreatment Lat Ceph and orthopantomogram Click here to view.

Accelerated osteogenic orthodontics technique: Therefore, reduced acceleratev vitality can be caused from the use of bisphosphonates or from a prolonged corticosteroid therapy, which precludes the use of this technique. This period is usually 4 to 6 months, after which finishing movements occur with a normal speed This physiologic response is consistent with the regional acceleraetd phenomenon process.


Historical Review Surgically assisted orthodontic tooth movement has been used since the s. This technique can be used to treat cases of borderline dental Class-III occlusion; however, severe skeletal Class-III situations cannot be adequately addressed with this technique. Placement of grafting material, palatal Click here to view. This fact is important, because bone morphogenetic proteins in allografts may further increase the osteogenic potential[ 15 ] as they bind to heparin sulfate, heparin and the type IV collagen in the endothelial basement membrane.

Open Dent J ;4: Int J Periodontics Restorative Dent ; The movement of the teeth maintains the osteopenic state past the usual months naturally induced by decortication or even some adjacent soft tissue surgery.

Rev Venez Ortod ; In addition, some post-operative swelling and pain is expected for several days. Acxelerated and orthodontic treatment in adults. Periodontal accelerated osteogenic orthodontics PAOO is a clinical procedure that combines selective alveolar corticotomy, particulate bone grafting, and the application of orthodontic ostekgenic.

The initial alveolar demineralization and subsequent remineralization was consistent with the cascading physiologic events associated with RAP.

The purpose of this article is to describe the history, biology, clinical surgical procedures, indications, contraindications and possible complications of the PAOO procedure.

Molar Intrusion ortuodontics Open Bite Correction 7. Support Center Support Center. Orthodontics is combined with full-thickness flap reflection, selective alveolar decortication, ostectomy, and bone grafting to accomplish complete orthodontic orthodonfics.

The regional acceleratory phenomenon: Tooth movement can be enhanced and cases completed with increased alveolar volume providing for a more intact periodontium, decreased need for extractions, degree of facial remodeling and increased bone support for teeth and overlying soft tissues, thereby augmenting gingival and facial esthetics.


The volume of the graft material used is dictated by the direction and amount of tooth movement predicted, the pretreatment thickness of the alveolar bone, and the need for labial support by the alveolar bone. Advantages Less time in brackets. Rapid orthodontic tooth movement aided by alveolar surgery in beagles. Accelerated orthognathic surgery and increased orthodontic efficiency: Flap suturing photographs Accelfrated here to view.

The amount of the bone grafting material used depends on the extent of preexisting alveolar deficiencies:.

Periodontally accelerated osteogenic orthodontics Bhandari SM – APOS Trends Orthod

This is a physiologically based treatment consistent with a regional acceleratory phenomenon and maintaining an adequate blood supply is essential. Scand J Dent Res. Accelerate Canine Retraction after Premolar Extraction 3. Incisions and flap reflection Click here to view.

Int J Periodontics Restorative Dent. Difficult orthodontic scenarios in adolescents and adults can be successfully treated with stable results. On the other hand, a case of bimaxillary dentoalveolar protrusion requiring extractions in both the arches can be treated with PAOO to hasten the result in both the arches.

Surgically assisted orthodontic tooth movement has been used since the s.

Accelerated Osteogenic Orthodontics (AAO)

Comparison of corticotomy-facilitated vs standard tooth-movement techniques in dogs with miniscrews as anchor units. However, it should be just enough to initiate the RAP response and should not create movable bone segments.

An overview for clinicians.