Accelerating tooth movement: The case against corticotomy-induced orthodontics

      We are pleased to participate in this Point/Counterpoint debate regarding corticotomy-facilitated orthodontics, also known as accelerated osteogenic orthodontics or periodontally accelerated osteogenic orthodontics. Drs Wilcko and Wilcko have presented their beliefs in the “Point” article. Our assignment is to present and justify an opposing viewpoint. Actually, there are some statements by Drs Wilcko and Wilcko with which we agree. We disagree with other statements. Finally, some issues regarding this procedure were not discussed, and we will raise these in our “Counterpoint” article. Our goal is to answer the following question for the orthodontic clinician: Is corticotomy-facilitated orthodontics an efficacious, effective, and efficient method of accelerating tooth movement in adult orthodontic patients? Before we begin, let us define these terms. According to accepted definitions, (1) efficacy measures how well treatment works in clinical trials or laboratory studies under ideal conditions; (2) effectiveness measures how well a treatment works in routine clinical practice; and (3) efficiency measures the outcome of a procedure by evaluating the value received relative to the costs in terms of time, money, and morbidity. With this in mind, we will divide this article into a discussion of 7 major questions.
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      Linked Article

      • Accelerating tooth movement: The case for corticotomy-induced orthodontics
        American Journal of Orthodontics and Dentofacial OrthopedicsVol. 144Issue 1
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          Increased societal demands have led patients to request shorter orthodontic treatments, yet their expectations for outstanding final results remain high. One option for reducing treatment time is the dual-specialty in-office corticotomy-facilitated bone augmentation approach called the periodontally accelerated osteogenic orthodontics procedure.1-8 Periodontally accelerated osteogenic orthodontics treatment can often be completed in one third to one fourth of the time required for traditional orthodontic treatment.
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