Change of labial bone thickness in augmented corticotomy assisted orthodontics combined with concentrated growth factor (CGF): a cone-beam computed tomography study

Main Article Content

Hattapol Kumchai
Boonsiva Suzuki
Eduardo Yugo Suzuki
Thongnard Kumchai

Abstract

Nowadays, adult patients have a dramatically increased interest in orthodontic treatment. However, treatment time and bone support are critical issues for this group of patients. In this study, 8 cases of orthodontic treatment using augmented corticotomy assisted orthodontics (ACAO), combined with concentrated growth factor (CGF) would show the ability to simultaneously reshape and increase the labial thickness of the supporting alveolar bone.The purpose of the study was to evaluate labial bone thickness (LBT) after ACAO combined with CGF in orthodontic treatment. This study observed the LBT in 8 orthodontic patients who received ACAO combined with CGF. The data were recorded using cone beam computer tomography (CBCT), before (T0), at 6 months (T1) and 12 months (T2) after the surgery. For the results,from T0 to T1, the mean LBT significantly increased, and then significantly decreased from T1 to T2 (p < 0.05). Compared the mean LBT from T0 to T2, the mean LBT significantly increased and demonstrated stable augmented bone. For conclusion, ACAO combined with CGF was considered to be a promising approach for the orthodontic treatment in adult patients.

Article Details

How to Cite
1.
Hattapol Kumchai, Boonsiva Suzuki, Eduardo Yugo Suzuki, Thongnard Kumchai. Change of labial bone thickness in augmented corticotomy assisted orthodontics combined with concentrated growth factor (CGF): a cone-beam computed tomography study. Thai J. Oral Maxillofac. Surg. [internet]. 2026 Aug. 29 [cited 2026 Sep. 1];34(1):35-43. available from: https://he02.tci-thaijo.org/index.php/thaijoms/article/view/284603
Section
Original Articles

References

Wilcko W, Wilcko MT, Bouquot JE, Ferguson DJ. Rapid orthodontics with alveolar reshaping: two case reports of decrowding. Int J Periodontics Restorative Dent 2001; 21:9-20.

Wilcko W, Thomas M. Accelerated osteogenic orthodontics technique: a 1-stage surgically facilitated rapid orthodontic technique with alveolar augmentation. J Oral Maxillofac Surg 2009;67:2149-59.

Wilcko W, Wilcko MT. Accelerating tooth movement: the case for corticotomy-induced orthodontics. Informationed aus Orthodontie und Kieferororthopaedie 2015;47:47-50.

Einy S, Horwitz J, Aizenbud D. Wilckodontics--an alternative adult orthodontic treatment method: rational and application. Alpha Omegan 2011;104:102-11.

Choukroun J, Diss A, Simonpieri A, et al. Platelet-rich fibrin (PRF): a second-generation platelet concentrate. Part IV: clinical effects on tissue healing. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006;101:e56-60.

Sohn DS, Huang B, Kim J, Park WE, Park CC. Utilization of autologous concentrated growth factors (CGF) enriched bone graft matrix (sticky bone) and CGF-enriched fibrin membrane in implant dentistry. J Implant Adv Clin Dent 2015;7:11-29.

Upadhayaya V, Arora A, Goyal A. Bioactive platelet aggregates: PRP, PRGF, PRF, CGF and sticky bone. IOSR J Dent Med Sci 2017;16:5-11.

Ludlow JB, Timothy R, Walker C, et al. Effective dose of dental CBCT—a meta-analysis of published data and additional data for nine CBCT units. Dentomaxillofac Radiol 2015;44:20140197.

Wang D, Künzel A, Golubovic V, et al. Accuracy of periimplant bone thickness and validity of assessing bone augmentation material using cone beam computed tomography. Clin Oral Invest 2013;17:1601-9.

Fuhrmann RA, Wehrbein H, Langen HJ, Diedrich PR. Assessment of the dentate alveolar process with high resolution computed tomography. Dentomaxillofac Radiol 1995;24:50-4.

Bhattacharya P, Bhattacharya H, Anjum A, et al. Assessment of corticotomy facilitated tooth movement and changes in alveolar bone thickness - a CT scan study. J Clin Diagn Res 2014;8:ZC26-30.

Wang B, Shen G, Guo Q, Fang B, Yu H. Long-term effects of augmented corticotomy-assisted orthodontics in patients with mandibular anterior alveolar defect. J Craniofac Surg 2019;30:e737-40.

Wang B, Shen G, Fang B, Yu H, Wu Y, Sun L. Augmented corticotomy-assisted surgical orthodontics decompensates lower incisors in class III malocclusion patients. J Oral Maxillofac Surg 2014;72:596-602.

Lee KM, Kim YI, Park SB, Son WS. Alveolar bone loss around lower incisors during surgical orthodontic treatment in mandibular prognathism. Angle Orthodontist 2012;82:637-44.

Pirpir C, Yilmaz O, Candirli C, Balaban E. Evaluation of effectiveness of concentrated growth factor on osseointegration. Int J Implant Dent 2017;3:7.

Talaat WM, Ghoneim MM, Salah O, Adly OA. Autologous bone marrow concentrates and concentrated growth factors accelerate bone regeneration after enucleation of mandibular pathologic lesions. J Craniofac Surg 2018;29:992-7.

Sahin IO, Gokmenoglu C, Kara C. Effect of concentrated growth factor on osteoblast cell response. J Stomatol Oral Maxillofac Surg 2018;119:477-81.

Durmuslar MC, Balli U, Dede FÖ, et al. Histological evaluation of the effect of concentrated growth factor on bone healing. J Craniofac Surg 2016;27:1494-7.

Patcas R, Müller L, Ullrich O, Peltomäki T. Accuracy of cone-beam computed tomography at different resolutions assessed on the bony covering of the mandibular anterior teeth. Am J Orthod Dentofac Orthopedics 2012;141:41-50.

Leung CC, Palomo L, Griffith R, Hans MG. Accuracy and reliability of cone-beam computed tomography for measuring alveolar bone height and detecting bony dehiscences and fenestrations. Am J Orthod Dentofac Orthopedics 2010;137:S109-19.

Sarikaya S, Haydar B, Ciǧer S, Ariyürek M. Changes in alveolar bone thickness due to retraction of anterior teeth. Am J Orthod Dentofac Orthopedics 2002;122:15-26.