Authors : Mehak Bansal, Rekha Sharma, Dhiraj Garg
DOI : 10.18231/j.jco.2019.035
Volume : 3
Issue : 4
Year : 2019
Page No : 19-22
Background: The long treatment duration of fixed orthodontic therapy is one of the major concerns associated with orthodontic treatment and hence various methods to reduce treatment time are being researched nowadays. Of the various methods employed for accelerating the tooth movement, the surgical methods which work on RAP (regional acceleratory phenomenon) show the most promising result. However, the invasiveness of these procedures limits their clinical acceptability. Micro-osteoperforations is surgical method of accelerating tooth movement which is gaining popularity due to its promising results and reduced invasiveness.
Aim: To show micro-osteoperforations facilitated rapid alignment in crowding cases.
Method: In this case series, we treated dental crowding malocclusion (Little’s irregularity index between 4-6mm) with mini-implant facilitated micro-osteoperforations. Six MOPs were performed using mini-implant, two MOPs each mesial to the canines on both sides and between central incisors in the midline on labial aspect of mandible. The outcome measures were to -Reduced overall treatment time needed to complete alignment of mandibular anterior teeth. -Improved patient reported outcome measures i.e. subject’s perception of pain, comfort and satisfaction.
Results: In all cases, the treatment time for complete alignment of mandibular incisors was reduced remarkably along with patient satisfaction.
Conclusion: MI-facilitated MOPs accelerated tooth movement without any significant pain and discomfort.
Keywords: Accelerated orthodontics, regional acceleratory phenomenon (RAP), micro-osteoperforations, dental crowding.