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Osseous evidence behind micro-osteoperforation technique in accelerating orthodontic tooth movement: A 3-month study

Published:August 18, 2020DOI:https://doi.org/10.1016/j.ajodo.2019.09.022

      Highlights

      • Canine retraction difference between control and micro-osteoperforation (MOP) was significant.
      • The 4-week group showed a significant difference in bone volume fraction compared with control.
      • Canine retraction and BV/TV ratio at the MOP side were negatively correlated in the 4-week group.
      • The rate of orthodontic tooth movement can be accelerated by using the MOP technique.

      Introduction

      The study aimed to investigate the effects of micro-osteoperforations (MOPs) on the mandibular bone volume/tissue volume (BV/TV) ratio changes and the rate of orthodontic tooth movement using cone-beam computed tomography images. Another objective was to evaluate the effects of MOP frequency intervals (4 weeks, 8 weeks, and 12 weeks) on the BV/TV ratio and rate of tooth movement.

      Methods

      In 24 participants, 140-200 g of force was applied for mandibular canine retraction. Three MOPs were made according to the scheduled intervals of the 3 different groups: group 1 (MOP 4 weeks), group 2 (MOP 8 weeks), and group 3 (MOP 12 weeks) directly at the mandibular buccal cortical bone of extracted first premolars sites. Cone-beam computed tomography scans were obtained at the 12th week after MOP application. Computed tomography Analyzer software (version 1.11.0.0; Skyscan, Kontich, Belgium) was used to compute the trabecular alveolar BV/TV ratio.

      Results

      A significant difference was observed in the rate of canine movement between control and MOP. Paired t test analysis showed a significant difference (P = 0.001) in the mean BV/TV ratio between control and MOP sides in all the frequency intervals groups. However, the difference was significant only in group 1 (P = 0.014). A strong negative correlation (r = −0.86) was observed between the rate of canine tooth movement and the BV/TV ratio at the MOP side for group 1 and all frequency intervals together (r = −0.42).

      Conclusions

      The rate of orthodontic tooth movement can be accelerated by the MOP technique with frequently repeated MOPs throughout the treatment.
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      Linked Article

      • Osseous evidence behind micro-osteoperforation
        American Journal of Orthodontics and Dentofacial OrthopedicsVol. 159Issue 2
        • Preview
          We read the article reporting osseous evidence behind micro-osteoperforation (MOP) when it was first published online ahead of print (Asif MK, Ibrahim N, Sivarajan S, Heng Khiang Teh N, Chek Wey M. Osseous evidence behind micro-osteoperforation technique in accelerating orthodontic tooth movement: a 3-month study. Am J Orthod Dentofacial Orthop 2020;158:579-86.e1). The study highlighted important aspects related to the acceleration of orthodontic tooth movement. We have some questions regarding the trial and would like the authors to enlighten us regarding the same.
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