Biological Anchorage and Canine Orthodontic Movement Rate with a New Technique for Micro-Osteoperforations

Introduction. The differential management of anchorage and the acceleration of tooth movement are some of the current greatest challenges for orthodontists. Diverse techniques and devices to reinforce anchorage and increase the rate of tooth movement have been proposed. Whether micro-osteoperforatio...

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Main Authors: Andrés Arredondo, Daniela Pérez, Oscar Zapata-Noreña, Claudia Ramírez, Álvaro Carvajal-Flórez, Elsa Arango, Diana Barbosa-Liz, Jorge Gil, Paula Duque, Juan Gallego, Catalina Castaño, Sonia Patricia Plaza-Ruíz
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/2022/5469453
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author Andrés Arredondo
Daniela Pérez
Oscar Zapata-Noreña
Claudia Ramírez
Álvaro Carvajal-Flórez
Elsa Arango
Diana Barbosa-Liz
Jorge Gil
Paula Duque
Juan Gallego
Catalina Castaño
Sonia Patricia Plaza-Ruíz
author_facet Andrés Arredondo
Daniela Pérez
Oscar Zapata-Noreña
Claudia Ramírez
Álvaro Carvajal-Flórez
Elsa Arango
Diana Barbosa-Liz
Jorge Gil
Paula Duque
Juan Gallego
Catalina Castaño
Sonia Patricia Plaza-Ruíz
author_sort Andrés Arredondo
collection DOAJ
description Introduction. The differential management of anchorage and the acceleration of tooth movement are some of the current greatest challenges for orthodontists. Diverse techniques and devices to reinforce anchorage and increase the rate of tooth movement have been proposed. Whether micro-osteoperforations (MOPs) can be used for both purposes is currently investigated. Objectives. To propose and describe a new technique for biological anchorage, which involves six MOPs performed every four weeks, and to present its results in a clinical case of upper premolar extraction. Intervention. In a dental class II patient who met the selection criteria, three MOPs both on the buccal and palatine sides on the intervention side were performed on the extraction area following the protocol described. No MOPs were performed on the control side. The allocation of the intervention was randomised. The MOPs were performed three times at an interval of four weeks. A 0.019×0.025-inch stainless steel wire was activated with calibrated NiTi springs. The three-dimensional movement of the first molars and upper canines was evaluated. In addition, the comfort, periodontal status, and canine root resorption of the patient were evaluated. Results. Clinical and radiographic results suggest that the MOPs had a positive effect in reducing the loss of biological anchorage of the posterior sector and in the rate of canine tooth movement, without damaging changes in the soft and hard tissues. Conclusion. The proposed protocol involving six MOPs every four weeks improved the behaviour of biological anchorage and increased distalization on the intervention side in this clinical case.
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spelling doaj-art-2cbf1dfe3ff74b5c9582d6d82efbc6802025-08-20T02:24:18ZengWileyCase Reports in Dentistry2090-64552022-01-01202210.1155/2022/5469453Biological Anchorage and Canine Orthodontic Movement Rate with a New Technique for Micro-OsteoperforationsAndrés Arredondo0Daniela Pérez1Oscar Zapata-Noreña2Claudia Ramírez3Álvaro Carvajal-Flórez4Elsa Arango5Diana Barbosa-Liz6Jorge Gil7Paula Duque8Juan Gallego9Catalina Castaño10Sonia Patricia Plaza-Ruíz11Faculty of DentistryFaculty of DentistryOrthopedic Maxillary and Orthodontic Postgraduate ProgramOrthodontic Graduate ProgramOrthopedic Maxillary and Orthodontic Postgraduate ProgramOrthodontic Graduate ProgramOrthopedic Maxillary and Orthodontic Postgraduate ProgramFaculty of DentistryOrthodontic Graduate ProgramOrthodontic Graduate ProgramFaculty of DentistryOrthodontic Graduate ProgramIntroduction. The differential management of anchorage and the acceleration of tooth movement are some of the current greatest challenges for orthodontists. Diverse techniques and devices to reinforce anchorage and increase the rate of tooth movement have been proposed. Whether micro-osteoperforations (MOPs) can be used for both purposes is currently investigated. Objectives. To propose and describe a new technique for biological anchorage, which involves six MOPs performed every four weeks, and to present its results in a clinical case of upper premolar extraction. Intervention. In a dental class II patient who met the selection criteria, three MOPs both on the buccal and palatine sides on the intervention side were performed on the extraction area following the protocol described. No MOPs were performed on the control side. The allocation of the intervention was randomised. The MOPs were performed three times at an interval of four weeks. A 0.019×0.025-inch stainless steel wire was activated with calibrated NiTi springs. The three-dimensional movement of the first molars and upper canines was evaluated. In addition, the comfort, periodontal status, and canine root resorption of the patient were evaluated. Results. Clinical and radiographic results suggest that the MOPs had a positive effect in reducing the loss of biological anchorage of the posterior sector and in the rate of canine tooth movement, without damaging changes in the soft and hard tissues. Conclusion. The proposed protocol involving six MOPs every four weeks improved the behaviour of biological anchorage and increased distalization on the intervention side in this clinical case.http://dx.doi.org/10.1155/2022/5469453
spellingShingle Andrés Arredondo
Daniela Pérez
Oscar Zapata-Noreña
Claudia Ramírez
Álvaro Carvajal-Flórez
Elsa Arango
Diana Barbosa-Liz
Jorge Gil
Paula Duque
Juan Gallego
Catalina Castaño
Sonia Patricia Plaza-Ruíz
Biological Anchorage and Canine Orthodontic Movement Rate with a New Technique for Micro-Osteoperforations
Case Reports in Dentistry
title Biological Anchorage and Canine Orthodontic Movement Rate with a New Technique for Micro-Osteoperforations
title_full Biological Anchorage and Canine Orthodontic Movement Rate with a New Technique for Micro-Osteoperforations
title_fullStr Biological Anchorage and Canine Orthodontic Movement Rate with a New Technique for Micro-Osteoperforations
title_full_unstemmed Biological Anchorage and Canine Orthodontic Movement Rate with a New Technique for Micro-Osteoperforations
title_short Biological Anchorage and Canine Orthodontic Movement Rate with a New Technique for Micro-Osteoperforations
title_sort biological anchorage and canine orthodontic movement rate with a new technique for micro osteoperforations
url http://dx.doi.org/10.1155/2022/5469453
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