Change of periodontal tissue following augmented-corticotomy assisted orthodontics using concentrated growth factor
Article Sidebar
Main Article Content
Abstract
Using concentrated growth factors (CGF) in augmented-corticotomy assisted orthodontics (ACAO) has been proven to be an effective procedure for gaining labial bone thickness at middle 1/3 and apical 1/3 of root length as well as accelerated orthodontic tooth movement after surgery. This continued study aimed to evaluate the periodontal status after using CGF with ACAO in adult orthodontic patients at each treatment period. The periodontal status of 8 patients was evaluated using 5 clinical parameters: probing depth (PD), gingival margin level (CEJ-GM), clinical attachment loss (CAL), attached gingiva width (AG), and tooth stability (TS). The data were collected before surgery (T0), six months after surgery (T6), and one year after surgery (T12). For the results, the mean PD significantly decreased from T0 to T6 and T12. CEJ-GM significantly increased from T0 to T6 and T12. CAL had no significant change from T0 to T6 and T12.AG significantly increased from T0-T6 and then significantly decreased from T6-T12. TS decreased at T6, T12 when compared to the baseline (T0). For conclusions, ACAO using CGF had both positive and negative effects, this procedure can reduce PD, maintain CAL and TS within the safety limit, and increase AG after surgery, however the increased CEJ-GM might be the disadvantage of this technique.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
The opinions and content expressed in the articles are solely those of the individual authors and do not necessarily reflect the views of the journal or the authors’ affiliated institutions. Authors are fully responsible for the accuracy and correctness of their work.
Any reuse, reproduction, or redistribution of the articles, content, data, or images in other forms requires prior written permission from the Thai Journal of Oral and Maxillofacial Surgery
References
Bagga DK. Adult orthodontics versus adolescent orthodontics: an overview. J Oral Health Comm Dent. 2010;4:42-7.
Keim RG, Gottlieb EL, Nelson AH, Vogels D III. Orthodontic practice study. Part 1: trends. J Clin Orthod. 2005;39:641
Tarraf NE. The adult orthodontic patient: more options than ever before! Dentistry. 2015;5:1.
Cano J, Campo J, Bonilla E, Colmenero C. Corticotomy-assisted orthodontics. J Clin Exp Dent. 2012;4:e54.
Hoogeveen EJ, Jansma J, Ren Y. Surgically facilitated orthodontic treatment: a systematic review. Am J Orthod Dentofacial Orthop. 014;145:S51-64.
Liou EJ. The development of submucosal injection of platelet rich plasma for accelerating orthodontic tooth movement and preserving pressure side alveolar bone. APOS Trends Orthod. 2016;6:5.
Wilcko MT, Wilcko WM, Pulver JJ, Bissada NF, Bouquot JE. Accelerated osteogenic orthodontics technique: a 1-stage surgically facilitated rapid orthodontic technique with alveolar augmentation. J Oral Maxillofac Surg. 2009;67: 2149-59.
Wilcko WM, Wilcko MT, Bouquot J, Ferguson DJ. Rapid orthodontics with alveolar reshaping: two case reports of decrowding. Int J Periodontics Restorative Dent. 2001;21:9-20.
Ackerman JL, Proffit WR. Soft tissue limitations in orthodontics: treatment planning guidelines. Angle Orthodontist. 1997;67:327-36.
Dorfman HS. Mucogingival changes resulting from mandibular incisor tooth movement. Am J Orthod Dentofacial Orthop. 1978;74:286-97.
Kumchai H, Susuki B, Suzuki EY, Kumchai T. Change of labial thickness in augmented corticotomy assisted orthodontics combined with concentrated growth factor (CGF): a cone-beam computed tomography study. Thai J Oral Maxillofac Surg. 2020;34:35-43.
Visetsiri S, Suzuki EY, Suzuki B, Kumchai T. Effectiveness of augmented corticotomy assisted orthodontics, using concentrated growth factor. Proceedings of the 8th National and 4th International Bangkokthonburi University Meeting, Bangkok, Apr 26, 2020.
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.
Theilade J. An evaluation of the reliability of radiographs in the measurement of bone loss in periodontal disease. U Toronto Undergrad Dent J. 1965;2:19
Lang NP, Hill RW. Radiographs in periodontics. J Clin Periodontol. 1977;4:16-28.
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.
Bhat SG, Singh V, Bhat MK. PAOO technique for the bimaxillary protrusion: perio-ortho interrelationship. J Indian Soc Periodontol. 2012;16:584.
Greenstein G. Contemporary interpretation of probing depth assessments: diagnostic and therapeutic implications: a literature review. J Periodontol. 1997;68:1194-205.
Newman MG, Takei H, Klokkevold PR, Carranza FA. Carranza's clinical periodontology. 11th ed. Philadelphia: Elsevier Health Sciences; 2011. p. 586-7.
Jati AS, Furquim LZ, Consolaro A. Gingival recession: its causes and types, and the importance of orthodontic treatment. Dent Press J Orthod. 2016;21:18-29.
Ellegaard B. Bone grafts in periodontal attachment procedures. J Clin Periodontol. 1976;3:1-54.
Wilcko MT, Ferguson DJ, Makki L, Wilcko WM. Keratinized gingiva height increases after alveolar corticotomy and augmentation bone grafting. J Periodontol. 2015;86:1107-15.
Tanne K, Inoue Y, Sakuda M. Biomechanical behavior of the periodontium before and after orthodontic tooth movement. Angle Orthodontist. 1995;65:123-8.
Wilcko WM, Wilcko T, Bouquot JE, Ferguson DJ. Rapid orthodontics with alveolar reshaping: two case reports of decrowding. Int J Periodontics Restorative Dent. 2001;21:9-19.
Proffit WR, Fields Jr HW, Sarver DM. Contemporary orthodontics. Philadelphia: Elsevier Health Sciences; 2006. p.606-7.