Speedy surgical orthodontic treatment with skeletal anchorage in adults--sagittal correction and open bite correction

J Oral Maxillofac Surg. 2009 Oct;67(10):2130-48. doi: 10.1016/j.joms.2009.07.002.

Abstract

Purpose: The present report describes a new type of corticotomy-assisted orthodontic treatment called Speedy orthodontics, which allows faster movements of the dental segments using skeletal anchorage.

Materials and methods: To minimize the risk of necrosis, 2 procedures are performed. During the initial surgery, bilateral and horizontal corticotomies are performed in the palatal area with the patient under local anesthesia. After 2 to 3 weeks, a second buccal corticotomy is performed and 500 to 900 g of force per side is immediately applied to the corticotomized segment.

Results: Successful alveolar bone bending can be obtained in cases of adult protrusion or open bite.

Conclusions: Speedy orthodontics allows for more precise control of anterior segment retraction in adult protrusion patients and can be used for posterior segment intrusion. This technology is powerful, easy to apply, and provides a significant advance in surgical orthodontics.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Female
  • Humans
  • Male
  • Malocclusion / surgery
  • Malocclusion / therapy*
  • Malocclusion, Angle Class I / surgery
  • Malocclusion, Angle Class III / surgery
  • Mandible / abnormalities
  • Mandible / surgery
  • Maxilla / abnormalities
  • Maxilla / surgery
  • Open Bite / surgery
  • Open Bite / therapy*
  • Orthodontic Anchorage Procedures / instrumentation
  • Orthodontic Anchorage Procedures / methods*
  • Orthognathic Surgical Procedures*
  • Osteotomy / methods*
  • Palate / surgery
  • Stress, Mechanical
  • Tooth Movement Techniques / instrumentation
  • Tooth Movement Techniques / methods*
  • Traction / instrumentation