The use of micro-osteoperforation concept for accelerating differential tooth movement

      Abstract

      Purpose

      To evaluate the effectiveness of micro-osteoperforation technique for rapid canine retraction.

      Methods and Materials

      Twenty adult patients with a mean average age of 28 years (12 men and 8 women) having Class I dental malocclusion who required extraction of the four first premolars were included in this single-blinded prospective split-mouth clinical trial. Each side of the patients' jaws were randomly divided into interventional and control groups. The interventional group of maxilla and mandible received micro-osteoperforations with two holes using a bone screw and a handheld screwdriver. The primary predictor variable was the micro-osteoperforations. The outcome variable was the rate of canine movement, which was estimated by comparing pre- and posttreatment location of canine and second premolars through digital models in Ortho Analyzer software, after 28 days. The statistical evaluation of the findings was performed using SPSS software. Parametric tests (t test) were used to compare the treatment efficacy.

      Results

      Micro-osteoperforations significantly increased the rate of tooth movement by more than 2-fold (P = 0.000). However, comparing the differences in the rate of tooth movement when maxillary and mandibular canine retraction, in both interventional and control side yielded insignificant results (P > 0.05).

      Conclusions

      Micro-osteoperforations with two holes by application of the simple and less costly method presented in this study is an effective and time-preserving treatment modality.

      Keywords

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      References

        • Safavi S.M.
        • Heidarpour M.
        • Izadi S.S.
        • Heidarpour M.
        Effects of flapless bur decortications on movement velocity of dogs' teeth.
        Dent Res J (Isfahan). 2012; 9: 783-789
        • Alikhani M.
        • Raptis M.
        • Zoldan B.
        • et al.
        Effect of micro-osteoperforations on the rate of tooth movement.
        Am J Orthod Dentofacial Orthop. 2013; 144: 639-648
        • Frost H.M.
        The regional acceleratory phenomenon: a review.
        Henry Ford Hosp Med J. 1983; 31: 3-9
        • Frost H.M.
        The biology of fracture healing. An overview for clinicians. Part I.
        Clin Orthop Relat Res. 1989; 248: 283-293
        • Kole H.
        Surgical operations on the alveolar ridge to correct occlusal abnormalities.
        Oral Surg Oral Med Oral Pathol. 1959; 12: 413-420
        • Wilcko W.M.
        • Wilcko T.
        • Bouquot J.E.
        • Ferguson D.J.
        Rapid orthodontics with alveolar reshaping: two case reports of decrowding.
        Int J Periodontics Restorative Dent. 2001; 21: 9-19
        • Suya H.
        Corticotomy in orthodontics.
        in: Hosl E. Baldauf A. Mechanical and biological basics in orthodontic therapy. Huthig Buch Verlag, Heidelberg, Germany1991: p. 207-p. 226
        • Baloul S.S.
        • Gerstenfeld L.C.
        • Morgan E.F.
        • Carvalho R.S.
        • Van Dyke T.E.
        • Kantarci A.
        Mechanism of action and morphologic changes in the alveolar bone in response to selective alveolar decortication-facilitated tooth movement.
        Am J Orthod Dentofacial Orthop. 2011; 139: S83-S101
        • Proffit W.R.
        • Fields H.W.
        • Sarver D.M.
        Contemporary orthodontics.
        4th ed. Mosby Elsevier, St. Louis2013: 293
        • Usumi-Fujita R.
        • Hosomichi J.
        • Ono N.
        • et al.
        Occlusal hypofunction causes periodontal atrophy and VEGF/VEGFR inhibition in tooth movement.
        Angle Orthod. 2013; 83: 48-56
        • Shpack N.
        • Davidovitch M.
        • Sarne O.
        • Panayi N.
        • Vardimon A.D.
        Duration and anchorage management of canine retraction with bodily versus tipping mechanics.
        Angle Orthod. 2008; 78: 95-100
        • Lee B.W.
        The force requirements for tooth movement, part I: tipping and bodily movement.
        Aust Orthod J. 1995; 13: 238-248
        • Bridges T.
        • King G.
        • Mohammed A.
        The effect of age on tooth movement and mineral density in the alveolar tissues of the rat.
        Am J Orthod Dentofacial Orthop. 1988; 93: 245-250
        • Kyomen S.
        • Tanne K.
        Influences of aging changes in proliferative rate of PDL cells during experimental tooth movement in rats.
        Angle Orthod. 1997; 67: 67-72
        • Ren Y.
        • Maltha J.C.
        • Van 't Hof M.A.
        • Kuijpers-Jagtman A.M.
        Age effect on orthodontic tooth movement in rats.
        J Dent Res. 2003; 82: 38-42
        • Ren Y.
        • Kuijpers-Jagtman A.M.
        • Maltha J.C.
        Immunohistochemical evaluation of osteoclast recruitment during experimental tooth movement in young and adult rats.
        Arch Oral Biol. 2005; 50: 1032-1039
        • Haruyama N.
        • Igarashi K.
        • Saeki S.
        • Otsuka-Isoya M.
        • Shinoda H.
        • Mitani H.
        Estrous-cycle-dependent variation in orthodontic tooth movement.
        J Dent Res. 2002; 81: 406-410
        • Zittermann A.
        • Schwarz I.
        • Scheld K.
        • et al.
        Physiologic fluctuations of serum estradiol levels influence biochemical markers of bone resorption in young women.
        J Clin Endocrinol Metab. 2000; 85: 95-101
        • Knop L.A.
        • Shintcovsk R.L.
        • Retamoso L.B.
        • Ribeiro J.S.
        • Tanaka O.M.
        Non-steroidal and steroidal anti-inflammatory use in the context of orthodontic movement.
        Eur J Orthod. 2012; 34: 531-535
        • Bartzela T.
        • Turp J.C.
        • Motschall E.
        • Maltha J.C.
        Medication effects on the rate of orthodontic tooth movement: a systematic literature review.
        Am J Orthod Dentofacial Orthop. 2009; 135: 16-26
        • de Albuquerque Taddei S.R.
        • Queiroz-Junior C.M.
        • Moura A.P.
        • et al.
        The effect of CCL3 and CCR1 in bone remodeling induced by mechanical loading during orthodontic tooth movement in mice.
        Bone. 2013; 52: 259-267
        • Tsai C.Y.
        • Yang T.K.
        • Hsieh H.Y.
        • Yang L.Y.
        Comparison of the effects of micro-osteoperforation and corticision on the rate of orthodontic tooth movement in rats.
        Angle Orthod. 2016; 86: 558-564
        • Teixeira C.C.
        • Khoo E.
        • Tran J.
        • et al.
        Cytokine expression and accelerated tooth movement.
        J Dent Res. 2010; 89: 1135-1141
        • Cho K.W.
        • Cho S.W.
        • Oh C.O.
        • Ryu Y.K.
        • Ohshima H.
        • Jung H.S.
        The effect of cortical activation on orthodontic tooth movement.
        Oral Dis. 2007; 13: 314-319
        • Patterson B.M.
        • Dalci O.
        • Darendeliler M.A.
        • Papadopoulou A.K.
        Corticotomies and orthodontic tooth movement: a systematic review.
        J Oral Maxillofac Surg. 2016; 74: 453-473
        • Deguchi T.
        • Takano-Yamamoto T.
        • Yabuuchi T.
        • Ando R.
        • Roberts W.E.
        • Garetto L.P.
        Histomorphometric evaluation of alveolar bone turnover between the maxilla and the mandible during experimental tooth movement in dogs.
        Am J Orthod Dentofac Orthop. 2008; 133: 889-897