Abstract

Abstract: Background: Addressing the needs of young adults undergoing orthodontic for
faster treatment with unrealistic requirements has become challenge in modern era to
orthodontists. So, to meet the treatment needs of the patients a combined multidisciplinary
approach of orthodontists and oral surgeon is required. Various techniques are emerging in
accelerated orthodontics field. Piezosurgery being a novel minimally invasive technique has
shown to be a emerging trend with good results with the piezocision technique. Objectives: We
aim to evaluate and compare the conventional corticotomy with piezo-guided corticotomy in
accelerated osteogenic orthodontic treatment. Methods: This randomized comparative study
has sample size of 24 subjects equally divided in two groups, i.e. conventional corticotomy
group done with bur and piezo-guided corticotomy group. The time required for the surgical
procedure, rate and amount of tooth movement and total treatment time required for
completion of space closure was measured. Along with this, secondary parameters like
gingival recession, periodontal pocket formation and dehiscence/ fenestration formation were
also assessed. Results: Piezosurgery being minimally invasive requires more time for surgical
procedure, however, it more efficiently moved tooth with reduced total treatment time when
compared to conventional corticotomy. The piezosurgical group resulted in faster rate as well
as amount of tooth movement than bur group. Although there was no statistically significant
difference evident in complications associated with accelerated orthodontics tooth movement.
Conclusion: A novel, minimally invasive approach for surgical orthodontics with better
patient acceptance is equally effective in accelerating orthodontic tooth movement and
definitely widen the scope of surgically accelerated orthodontic treatment with prognostically
satisfactory clinical outcomes.