A modified protocol for periodontally accelerated osteogenic orthodontics using piezocision and platelet.rich fibrin in accelerating extraction space closure

Abstract

Periodontally accelerated osteogenic orthodontics, a newly evolved technique, involves a combination of corticotomy followed by placement of bone graft and orthodontic force application for the closure of extraction space. This interdisciplinary approach has solved the issue of increased treatment duration by accelerating extraction space closure. The index case describes corticotomy procedure done using piezocision technique along with platelet-rich fibrin placement that has enhanced tooth movement, improved wound healing, and reduced adverse effects including root resorption and damage to periodontium. It was concluded that the orthodontic tooth movement was increased postsurgery, thereby lessening treatment duration and patient discomfort.