Orthodontically Driven Osteogenesis

Orthodontically Driven Osteogenesis

Federico Brugnami, Alfonso Caiazzo, Simonetta Meuli

A fully updated new edition of this state-of-the art reference for improving orthodontic outcomes

Orthodontically Driven Osteogenesis, Second Edition, offers a cutting-edge and comprehensive overview of regenerative corticotomy surgical techniques and their applications to dental practice. Covering all aspects of incorporating these techniques, the book includes information on selecting treatment options, improving orthodontic efficiency, and minimizing surgical exposure, with detailed step-by-step surgical techniques. The Second Edition has been rewritten with a new focus on 3D treatment planning and clear aligners, adding chapters completely dedicated to digitalization, minimally invasive tunnel technique, and orthognathic surgery, in addition to updates and new advances throughout.

Chapters are written by leading experts in the field, offering an authoritative, comprehensive resource with hundreds of high-quality images. A companion website provides video clips, the figures from the book in PowerPoint, and tables. Readers of the Second Edition of Orthodontically Driven Osteogenesis will also

A new emphasis on digitalization, 3D planning, and clear aligner therapyDiscussions of the process of selecting treatment options, improving orthodontic efficiency, and minimizing surgical exposure with a very strong emphasis on the osteogenic abilities of the techniqueBrand-new chapters on tunnel regenerative corticotomy and orthognathic surgery, as well as a new treatment of digitalization, 3D planning, and clear alignersA companion website with video clips, downloadable figures, and more Orthodontically Driven Osteogenesis is ideal for orthodontists, periodontists, oral surgeons, and other general dentists with an interest in this topic.

Publisher

Wiley-Blackwell

Publication Date

10/15/2024

ISBN

9781119700562

Pages

352

Categories

Professional Skills

Questions & Answers

Orthodontically Driven Osteogenesis (ODO) is a significant advancement in modern orthodontic treatment. It involves selectively removing the outer layer of bone (corticotomy) to facilitate tooth movement and simultaneously stimulating bone regeneration. This differs from traditional methods in several ways:

  1. Bone Regeneration: While traditional orthodontics focuses on tooth movement within existing bone, ODO actively encourages new bone growth, enhancing the stability and longevity of the treatment outcomes.
  2. Reduced Extraction Needs: By expanding the bone base, ODO can accommodate crowded teeth without the need for extracting healthy teeth, preserving the natural dentition.
  3. Improved Periodontal Health: The increased bone thickness can help prevent periodontal recession during treatment, leading to better long-term oral health.
  4. Enhanced Treatment Outcomes: ODO allows for more complex tooth movements and can correct skeletal discrepancies, offering a broader range of treatment options.
  5. Minimally Invasive: ODO is less invasive than traditional surgical options, leading to quicker recovery times and reduced patient discomfort.

Overall, ODO offers a more comprehensive, patient-friendly approach to orthodontic treatment, combining the benefits of orthodontics and tissue engineering for improved outcomes.

Corticotomy facilitates osteogenesis and accelerates orthodontic treatment by intentionally disrupting the alveolar cortical bone, reducing resistance to tooth movement. This surgical technique creates a localized osteopenia, which weakens the bone's trabeculae, allowing for faster tooth movement. The process also triggers rapid alveolar remineralization post-treatment, enhancing bone strength.

Benefits include reduced treatment time, improved treatment outcomes, and the potential to avoid tooth extractions. It can also enhance the periodontium, reduce the risk of root resorption, and potentially alter the lower third of the face. However, risks include potential complications from surgery, such as infection, pain, and swelling, and the need for careful patient selection and treatment planning.

Regenerative orthodontics, particularly Orthodontically Driven Osteogenesis (ODO), involves key principles and techniques that enhance orthodontic treatment. The primary principle is the selective alveolar decortication (SAD), which creates a therapeutic, reversible regional osteopenia to facilitate accelerated tooth movement. This osteopenic state is extended by the strain of tooth movement or indefinitely by transmucosal perturbations (TMP).

Techniques include:

  1. Corticotomy: This involves cutting the cortical bone to allow tooth movement and stimulate bone regeneration.
  2. Bone Grafting: Combining corticotomy with bone grafting can expand the alveolar bone base, reduce the need for extractions, and strengthen the periodontium.
  3. Tissue Engineering: This involves manipulating the bone and periodontal tissues to enhance orthodontic treatment outcomes.

ODO's success lies in its ability to:

  • Expand Alveolar Bone: This allows for more space for crowded teeth and reduces the need for extractions.
  • Strengthen Periodontium: This helps prevent recession during or after orthodontic movement.
  • Modify Lower Third of the Face: This can improve the patient's profile and reduce the need for orthognathic surgery in some cases.

The use of 3D digital planning and technology significantly impacts the implementation of Orthodontically Driven Osteogenesis (ODO). It allows for precise visualization of the patient's anatomy, enabling clinicians to plan the osteogenic procedures with greater accuracy. This technology offers several advantages over traditional methods:

  1. Enhanced Visualization: 3D imaging provides a comprehensive view of the patient's oral and facial structures, allowing for better understanding of the treatment area and potential complications.

  2. Improved Planning: Digital planning software allows for simulation of the osteogenic process, helping to predict outcomes and optimize treatment plans.

  3. Reduced Risk: By visualizing the treatment area in 3D, clinicians can minimize the risk of complications and ensure the procedure is performed safely.

  4. Enhanced Communication: Digital models and simulations can be easily shared with patients, improving communication and patient satisfaction.

  5. Cost and Time Efficiency: 3D planning can reduce the need for multiple surgeries and postoperative visits, saving both time and money.

Overall, 3D digital planning and technology make ODO implementation more precise, efficient, and safe, leading to better patient outcomes.

Orthodontically Driven Osteogenesis (ODO) has significant implications for the future of orthodontic treatment. It offers a minimally invasive approach to accelerate tooth movement, reduce the need for extractions, and potentially modify facial structures. This technique could influence orthodontic training and practice in several ways:

  1. Training: Orthodontists will need to be trained in surgical techniques, tissue engineering, and interdisciplinary collaboration with periodontists and oral surgeons. This will likely lead to a more integrated approach in dental education.

  2. Practice: ODO could become a standard part of orthodontic treatment planning, requiring orthodontists to consider bone biology and regeneration alongside traditional mechanics. This may lead to more predictable and efficient treatment outcomes.

  3. Patient Care: ODO can improve patient satisfaction by reducing treatment time and the risk of complications. It may also provide alternative solutions for patients with complex cases who were previously considered unsuitable for orthodontic treatment.

  4. Research: ODO's potential for modifying facial structures and its impact on periodontal health will likely spur further research, leading to better understanding and refinement of the technique.

Overall, ODO could revolutionize orthodontic treatment, making it faster, safer, and more effective, while also influencing the way orthodontists are trained and practice.

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