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International journal of odontostomatology

On-line version ISSN 0718-381X

Abstract

ARISTIZABAL, Juan Fernando; BELLAIZA, Wilhelm; ORTIZ, Mario Alejandro  and  FRANCO, Leonardo. Clinical and Systemic Effects of Periodontally Accelerated Osteogenic Orthodontics: A Pilot Study. Int. J. Odontostomat. [online]. 2016, vol.10, n.1, pp.119-127. ISSN 0718-381X.  http://dx.doi.org/10.4067/S0718-381X2016000100019.

The aim of this study was to describe periodontal effects and treatment time of Periodontally Accelerated Osteogenic Orthodontics (PAOO) and to determine if Deoxypyridinoline could be used as a biochemical marker of bone turnover in patients undergoing PAOO. We compared 5 patients undergoing PAOO (5 males, mean age: 29.6±9.8 years) with 5 control patients undergoing self-ligating orthodontics (5 males, mean age: 28.5±6.3 years). All patients were evaluated using panoramic and lateral x-rays and CBCT and randomly selected in experimental and control groups. Both groups underwent self-ligating orthodontics using Damon Q braces. Only the experimental group underwent PAOO. The patients were evaluated periodontally at T1 (before surgery and orthodontic movement) and T2 (after orthodontic treatment). The total treatment time for the experimental group was 8.2±3.3 months and for the control group was 13.4±7.3 months. There were no differences between T2-T1 periodontal variables in either of the groups. Gingival recession was 0.49±0.26 mm at T1 and 0.42±0.3 mm at T2 in the experimental group. Gingival recession was 0.55±0.31 mm at T1 and 1.19±0.24 mm at T2 in the control group. Deoxypyridinoline urine levels showed great variance between individuals and between groups. There is a reduction in treatment time for patients undergoing PAOO with DAMON Q braces. There is no difference in the periodontal condition between PAOO and conventional orthodontics.

Keywords : periodontally accelerated osteogenic orthodontics (PAOO); self-ligating orthodontics; Wilckodontics; corticotomy; deoxypyridinoline; regional acceleratory phenomenon (RAP).

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