Periodontally Accelerated Osteogenic Orthodontics (PAOO) vs Osteoperforations (A Review on Periodontal Reactions to Orthodontic Tooth Movement)
Authors: Dr. Miral Agrawal (1*), Dr. Shefali Sharma (2), Dr. Parmeshwari Rathod (3)
BDS, MDS, Agrawal’s Dental Clinic, Dahod, India (1,2,3)
Email: miral_agarwal@yahoo.co.in
Doi: doi.org/10.52132/Ajrsp.e.2021.32.2
A high number of adult patients are undertaking orthodontic treatment now
because of the newer methods, technology, and innovations available in the
market. Orthodontic profession is continually looking for new ways to perform
treatment effectively for such patients, as there are many differences in the
biology, motivation, and treatment objectives between adults and children.
Aligner therapy and mini-implants are some of the ways of managing orthodontic
treatment for adult patients. Treatment time is a concern for adult patients and
methods to accelerate the orthodontic tooth movement have been a focus in the
orthodontic field. Periodontal accelerated osteogenic orthodontics (PAOO) is a
surgical procedure that is performed with a combination of alveolar corticotomy,
bone grafting, followed by orthodontic treatment. This procedure uses the principle
of regional acceleratory phenomenon (RAP). Another procedure commonly used for
accelerated orthodontic tooth movement is osteoperforations. This is a minimally
invasive procedure, which does not include a flap surgery. The purpose of this
article is to describe the differences between adult and children periodontal
tissues, the use of different appliances for adult treatment, how orthodontic
treatment has been modified for adult patients, and the detailed explanation
of procedures for accelerating orthodontic tooth movement such as PAOO and
osteoperforations and the potential complications
Periodontics, Orthodontics, Periodontal accelerated osteogenic orthodontics, Adults.
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