PERİODONTAL OLARAK HIZLANDIRILMIŞ OSTEOJENİK ORTODONTİ: BİR LİTERATÜR DERLEMESİ

Year 2013, Volume: 2 Issue: 1, 54 - 61, 30.04.2013

Yener Özat Ruhi Nalçacı

Abstract

AMAÇ: Periodontologlar ve ortodontistler arasındaki sinerji, her iki disiplini de ilgilendiren kombine terapilerin klinik sonuçlarını geliştirmek için önemli fırsatlar yaratır.

YÖNTEMLER: Bu iki uzmanlık alanının işbirliği, ortodontik tedaviye bağlı olarak periodontal sağlığın daha iyi düzeye ulaşmasına ve buna karşılık doğru periodontal idame ile ortodontik terapinin başarısının artmasına yol açar. Periodontoloji ve ortodontinin beraberliği konvansiyonel tedavilerin yanı sıra, ‘periodontal olarak hızlandırılmış osteojenik ortodonti™ (PAHOO)’ gibi yeni gelişen tedavi alternatifleri açısından da önemli rol oynar.

BULGULAR: PAHOO™ tekniği, ‘ortodontik tedavi ile kombine edilmiş alveolar kortikotomiye ilave olarak kemik ogmentasyonuna yönelik gretfleme’ olarak tanımlanır. Sağlıklı dokulardaki deminerilizasyon-reminerilizasyon süreçlerinin çabuk ve geçici doğasına dayalı destekleyici ve umut veren bir teknik olarak PAHOO™, alveolar kortikotomi ile labial ve palatinal/lingual yüzeylerin kemik greftlemesini takiben ortodontik kuvvet uygulanmasından oluşur. Azalmış ortodontik tedavi süresi, artmış kemik hacmi ve post-ortodontik stabilite PAHOO™ tekniğinin en önemli avantajları olarak sıralanmaktadır. Kortikotomi-yardımlı ortodontinin tarihsel kökenleri 1800’lü yıllara kadar dayansa da, literatürde az sayıda hayvan deneyi ve klinik olgu sunumu izlenmekte ve bu tekniğin uzun dönem başarısını doğrulamak için kontrollü, prospektif ve histolojik araştırmalara ihtiyaç duyulmaktadır.

SONUÇ: Bu bağlamda derlememizin amacı PAHOO™ tekniğini tarihsel gelişim, biyolojik esaslar ve klinik düşünceler çerçevesinde gözden geçirmektir.

Keywords

Hızlandırılmış ortodonti, alveolar dekortikasyon

PERIODONTALLY ACCELERATED OSTEOGENIC ORTHODONTICS: A REVIEW OF THE LITERATURE

Abstract

OBJECTIVE: Synergism between periodontists and orthodontists creates crucial opportunities to enhance clinical outcomes of combined therapies regarding both disciplines. METHODS: Collaboration of these specialties leads to promoted periodontal health as a result of orthodontic treatment or intensified orthodontic therapy due to proper periodontal maintenance, reciprocally. Co-operative approaches of periodontology and orthodontics play significant role not only in conventional therapies but also in emerging treatment alternatives such as periodontal accelerated osteogenic orthodontics™ (PAOO). 

RESULTS: PAOO™ technique is defined as the orthodontic treatment combined with alveolar corticotomy plus bone augmentation grafting. As a promising adjuvant technique based on the transient nature of demineralization-remineralisation process in healthy tissues, PAOO™ consists of alveolar corticotomy and bone grafting of labial and palatal/lingual surfaces, followed by orthodontic force. Main benefits of PAOO™ are listed as reduced orthodontic treatment time, increased bone volume and post-orthodontic stability. Although the historical background of corticotomy-assisted orthodontics lies back to 1800s, modern literature offers a few animal studies and human clinical cases, where controlled prospective and histologic studies are needed to confirm the long-term success of this technique.

CONCLUSION: On this basis, our review aimed to revise the perspective of PAOO™ technique through historical background, biologic basis and clinical considerations.



Keywords

Accelerated orthodontics, alveolar corticotomy

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