Article (Scientific journals)
Localized Piezoelectric Alveolar Decortication for Orthodontic Treatment in Adults: A Randomized Controlled Trial
CHARAVET, Carole; LECLOUX, Geoffrey; BRUWIER, Annick et al.
2016In Journal of Dental Research
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Keywords :
Accelerated orthodontics; Adult orthodontic treatment; Minimally invasive surgical procedure; Piezosurgery; Time factors; T@ooth movement
Abstract :
[en] AIMS : This randomized controlled trial aimed to evaluate the benefits and clinical outcomes of piezocision, which is a minimally invasive approach to corticotomy that is used in orthodontic treatments. MATERIALS AND METHODS : Twenty-four adult patients presenting with mild overcrowdings were randomly allocated to either a control group that was treated with conventional orthodontics or a test group that received piezo-assisted orthodontics. The piezocisions were performed 1 wk week after the placement of the orthodontic appliances. Neither grafting material nor sutures were used. All patients were followed every 2 wk, and archwires were changed only when they were no longer active. The periods required for the completion of the overall orthodontic treatments were calculated, and the periodontal parameters were evaluated at baseline and at the end of the orthodontic treatment. Patient-centered outcomes were assessed with a visual analog scale; analgesic use following the procedures was also recorded. RESULTS : The patient characteristics were similar between the 2 groups. The overall treatment time was significantly reduced by 43% in the piezocision group as compared with the control group. In both groups, periodontal parameters (i.e., recession depth, pocket depth, plaque index, and papilla bleeding index) remained unchanged between the baseline and treatment completion time points. No increase in root resorption was observed in either group. Scars were observed in 50% of the patients in the piezocision group. Analgesic consumption was similar following orthodontic appliance placement and piezocision surgery. Patient satisfaction was significantly better in the piezocision group than in the control group. CONCLUSION : In these conditions, the piezocision technique seemed to be effective in accelerating orthodontic tooth movement. No gingival recessions were observed. The risk of residual scars might limit the indications for piezocision in patients with a high smile line (ClinicalTrials.gov NCT02590835)
Research center :
d‐BRU - Dental Biomaterials Research Unit - ULiège [BE]
Disciplines :
Dentistry & oral medicine
Author, co-author :
CHARAVET, Carole ;  Centre Hospitalier Universitaire de Liège - CHU > Service d'orthopédie dento-faciale
LECLOUX, Geoffrey ;  Centre Hospitalier Universitaire de Liège - CHU > Service de médecine dentaire
BRUWIER, Annick  ;  Centre Hospitalier Universitaire de Liège - CHU > Service d'orthopédie dento-faciale
ROMPEN, Eric ;  Centre Hospitalier Universitaire de Liège - CHU > Service de médecine dentaire
MAES, Nathalie ;  Centre Hospitalier Universitaire de Liège - CHU > Service des informations médico économiques (SIME)
Limme, Michel ;  Université de Liège > Département de sciences dentaires > Département de sciences dentaires
Lambert, France ;  Université de Liège > Département de sciences dentaires > Biomatériaux dentaires
Language :
English
Title :
Localized Piezoelectric Alveolar Decortication for Orthodontic Treatment in Adults: A Randomized Controlled Trial
Publication date :
April 2016
Journal title :
Journal of Dental Research
ISSN :
0022-0345
eISSN :
1544-0591
Publisher :
International & American Associations for Dental Research
Peer reviewed :
Peer Reviewed verified by ORBi
Available on ORBi :
since 15 June 2016

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