Piezocisionen mit simultanen Augmentationen zur Unterstützung der Engstandauflösung in der Unterkieferfront – Fallbericht

Zusammenfassung

Anhand von 2 Patientenfällen wird die erfolgreiche chirurgische Unterstützung der kieferorthopädischen Engstandauflösung mittels Piezocisionen und simultaner Augmentationen demonstriert. Dabei sollen die interradikulären Osteotomien die Engstandauflösung erleichtern bzw. beschleunigen und die Augmentationen das Risiko von Rezessionen reduzieren. Trotz einer Ausgangssituation mit sehr schmalem Alveolarfortsatz und ausgeprägter kieferorthopädischer Protrusionsbewegung konnte in beiden Fällen nach Abschluss der Behandlung sowohl klinisch als auch radiologisch im Bereich der Unterkieferfront eine stabile parodontale Situation ohne Zeichen für Rezessionsbildung festgestellt werden.

Abstract

Based on 2 patient cases, successful surgical support of orthodontic crowding correction by means of piezocisions and simultaneous augmentations is demonstrated. In the process, interradicular osteotomies are used to facilitate and/or accelerate decrowding, while augmentations serve to reduce the risk of recession. After treatment completion, a stable periodontal situation with no signs of recession in the mandibular front was clinically and radiologically observable in both patients, despite a very narrow alveolar process and pronounced orthodontic protrusion movement prior to treatment.

Schlüsselwörter

Piezocision - Augmentation - Unterkiefer-Engstand - Rezession - Protrusion

Key words

Piezocision - bone-grafting - lower anterior crowding - gingival recession - protrusion

• Literatur

• 1 Coscia G, Coscia V, Peluso V. et al. Augmented Corticotomy Combined With Accelerated Orhodpntic Forces in Class III Orthognathic Patients: Morphologic Aspects of the Mandibular Anterior Ridge With Cone-Beam Computed Tomography. J Oral Maxillofac Surg 2013; 71: 1760.e1-1760.e9
• 2 Ahn H-W, Seo D-H, Kim S-H. et al. Morphologic evaluation of dentoalveolar structures of mandibular anterior teeth during augmented corticotomy-assisted decompensation. Am J Orthod Dentofacial Orthop 2016; 150: 659-669
• 3 Yagci A, Veli I, Uysal T. et al. Dehiscence and fenestration in skeletal Class I, II, and III malocclusions assessed with cone-beam computed tomography. Angle Orthod 2012; 82: 67-74
• 4 Ärtun J, Krogstad O. Periodontal status of mandibular incisors following excessive proclination. A study in adults with surgically treated mandibular prognathism. Am J Orthod Dentofacial Orthop 1987; 91: 225-232
• 5 Wilcko WM, Wilcko T, Bouqout JE. et al. Rapid orthodontics with alveolar reshaping: two case reports of decrowding. Int J Periodontics Restorative Dent 2001; 21: 9-19
• 6 Cassetta M, Di Carlo S, Giansanti M. et al. The impact of osteotomy technique for corticotomy-assisted orthodontic treatment (CAOT) on oral health-related quality of life. Eur Rev Med Pharmacol Sci 2012; 16: 1735-1740
• 7 Aksakalli S, Calik B, Kara B. et al. Accelerated tooth movement with piezocision and its periodontal-transversal effects in patients with Class II malocclusion. Angle Orthod 2016; 86: 59-65
• 8 Abbas NH, Sabet NE, Hassan IT. Evaluation of corticotomy facilitated orthodontics and piezocision in rapid canine retraction. Am J Orthod Dentofacial Orthop 2016; 149: 473-480
• 9 Charavet C, Lecloux G, Bruwier A. et al. Localized piezoelectric alveolar decortication for orthodontic treatment in adults: a randomized controlled trial. J Dent Res 2016; 95: 1003-1009
• 10 Iino S, Sakoda S, Ito G. et al. Acceleration of orthodontic tooth movement by alveolar corticotomy in the dog. Am J Orthod Dentofacial Orthop 2007; 131: e441-e448
• 11 Mehr R. Efficiency of Piezotome-Corticision Assisted Orthodontics in Alleviating Mandibular Anterior Crowding: A Randomized Controlled Clinical Trial [master’s thesis]. Storrs, Conn: University of Connecticut; 2013
• 12 Buschang P, Campbell P, Ruso S. Accelerating tooth movement with corticotomies: is it possible and desirable?. Semin Orthod 2012; 18: 286-294
• 13 Köle H. Surgical operations on the alveolar ridge to correct occlusal abnormalities. Oral Surg Oral Med Oral Pathol 1959; 12: 413-420
• 14 Frost HM. The regional acceleratory phenomenon: a review. Henry Ford Hosp Med J 1983; 31: 3-9
• 15 Frost HM. The biology of fracture healing. An overview for clinicians. Part I. Clin Orthop Relat Res 1989; 283-293
• 16 Al-Naoum F, Hajeer MY, Al-Jundi A. Does alveolar corticotomy accelerate orthodontic tooth movement when retracting upper canines? A split-mouth design randomized controlled trial. J Oral Maxillofac Surg 2014; 72: 1880-1889
• 17 Kwon HJ, Pihlstrom B, Waite DE. Effects on the periodontium of vertical bone cutting for Segmental osteotomy. J Oral Maxillofac Surg 1985; 43: 952-955
• 18 Gantes B, Rathbun E, Anholm M. Effects on the periodontium following corticotomy-facilitated orthodontics: case reports. J Periodontol 1990; 61: 234-812
• 19 Oztürk M, Doruk C, Ozeç I. et al. Pulpal blood flow: effects of corticotomy and midline osteotomy in surgically assisted rapid palatal expansion. J Craniomaxillofac Surg 2003; 31: 97-100
• 20 Lon H, Pyakurel U, Wang Y. et al. Interventions for accelerating orthodontic tooth movement: a systematic review. Angle Orthod 2013; 83: 164-171
• 21 Rosvall MD, Fields HW, Ziuchkovski J. et al. Attractiveness, acceptability, and value of orthodontic appliances. Am J Orthod Dentofacial Orthop 2009; 135: 276-277
• 22 Bakhatir MA, Hassan AH, Bahammam MA. Piezocision as an adjunct to orthodontic treatment of unilateral posterior crossbite. Saudi Med J 2017; 38: 425-430
• 23 Vercellotti T. Technological characteristics and clinical indications of piezoelectric bone surgery. Minerva Stomatol. 2004; 53 5 207-214
• 24 Vercellotti T. Piezoelectric surgery in implantology: a case report – a new piezoelectric ridge expansion technique. Int J Periodontics Restorative Dent 2000; 20: 358-365
• 25 Dibart S, Sebaoun JD, Surmenian J. Piezocision: a minimally invasive, periodontally accelerated orthodontic tooth movement procedure. Compend Contin Educ Dent 2009; Jul-Aug 30: 342-344 346, 348-350
• 26 Dibart S, Surmenian J, Sebaoun JD. et al. Rapid treatment of Class II malocclusions with piezocision: two case reports. Int J periodontics Restorative Dent 2010; 30: 487-493
• 27 Keser EI, Dibart S. Sequential piezocision: a novel approach to accelerated orthodontic treatment. Am J Orthod Dentofacial Orthop 2013; 144: 879-889
• 28 Trombelli L. Which reconstructive procedures are effective for treating the periodontal intraosseous defect?. Periodontol 2000 2005; 37: 88-105
• 29 Finkemeier CG. Bone-grafting and bone-graft substitutes. Journal of Bone and Joint Surgery A 2002; 84: 454-464
• 30 Lee K-B, Lee D-Y, Ahn H-W. et al. Tooth Movement out of the Bony Wall Using Augmented Corticotomy with Nonautogenous Graft Materials for Bone Regeneration. BioMed Research International 2014; 2014: 347508 10.1155/2014/347508
• 31 Reichert C, Götz W, Smeets R. et al. The impact of non-autogenous bone graft on orthodontic treatment. Quintessence International. 2010; 41: 665-672
• 32 Naaman NB, Chaptini E, Taha H. et al. Combined bone grafting and orthodontic treatment of an iatrogenic periodontal defect: A case report with clinical reentry. J Periodontol 2004; 75: 316-321
• 33 Oltramary PV, Navarro RL, Henriques JF. et al. Orthodontic movement in bone defects filled with xenogenic graft: An experimental study in minipigs. Am J Orthod Dentofacial Orthop 2007; 131: 302.e10-e17
• 34 Chambrone L, Sukekava F, Araújo MG. et al. Root-coverage procedures for the treatment of localized recession-type defects: a Cochrane systematic review. J Periodontol 2010; 81: 452-478
• 35 Menceva Z, Dimitrovski O, Popovska M. et al. Free Gingival Graft versus Mucograft: Histological Evaluation. Open Access Maced J Med Sci 2018; 6: 675-679
• 36 Nimigean VR, Nimigean V, Beneze MA. et al. Alveolar bone dehiscences and fenestrations: an anatomical study and review. Rom J Morphol Embryol 2009; 50: 391-397
• 37 Patterson Bm, Dalci O, Papadopoulou AK. et al. Effect of piezocision on root resorption associated with orthodontic force: a microcomputed tomography tudy. Am J Orthod Dentofacial Orthop 2017; 151: 53-62
• 38 Cassetta M, Altieri F, Pandolfi S. et al. The combined uns of computer-guided, minimally invasive, flapless corticotomy and clear aligners as a novel approach to moderate crowding: A case report. Korean J Orthod 2017; 47: 130-141
• 39 Sebaoun JDM, Surmenian J, Dibart S. Accelerated orthodontic treatments with Piezocision: a mini-invasive alternative to alveolar corticotomies. Orthod Fr 2011; 82: 311-319
• 40 Araújo MG, Carmagnola D, Berlundh T. et al. Orthodontic movement in bone defects augmented with Bio-Oss^®. An experimental study in dogs. J Clin Periodontol 2001; 28: 73-80
• 41 Alfawal AM, Hajeer MY, Ajaj MA. et al. Effectiveness of minimally invasive surgical procedures in the acceleration of tooth movement: a systematic review and metaanalysis. Prog Orthod 2016; 17: 33