Alveolar corticotomies for accelerated orthodontics: A new mini-invasive technique.

Orthodontic and surgical techniques are constantly evolving and practitioners are facing an increasing demand for shorter treatments, with an expectation of results equivalent to conventional treatments. Corticotomies have made it possible to partly meet this need by facilitating dental movement in adult orthodontic care. Many surgical corticotomy techniques were proposed in the past presenting advantages but also a certain number of disadvantages. After retracing the various surgical techniques proposed and explaining the biological principles, we will introduce a new minimally invasive technique, without mucoperiosteal flap and without piezosurgery. This technique can be performed in the dental chair under local anaesthesia or sedation. It is simple and reproducible. This type of treatment combines comfort, speed and periodontal protection. Our objective is to provide more patients and practitioners with corticotomies while controlling the benefit/risk ratio.

Three-dimensional imaging control of osteogenesis induced by minimally invasive corticotomies: Perspectives from a case report.

Corticotomies are now an integral part of the orthodontist's therapeutic arsenal in adult orthodontics. In recent years, the number of publications about different surgical techniques has increased significantly. This shows that practitioners and patients have a common interest. It is now accepted that corticotomies cause a regional acceleratory phenomenon, which enables a faster dental movement, a reduction in treatment time, as well as a reduction in the risk of root resorption. The perspective of osteogenesis induced by corticotomies has already been mentioned in literature. It could provide a real advantage in maintaining the periodontium, reducing the risk of fenestration or dehiscence and the stability of long-term treatment by increasing the dental bone envelope. Through a clinical case, treated by mini- invasive surgical technique (as described in the previous article), we highlight the potential for osteogenesis induced by alveolar corticotomies and the utility of this procedure in adults.