The Significance of Utilizing A Corticotomy on Periodontal and Orthodontic Outcomes: A Systematic Review and Meta-Analysis
Purpose: This systematic review compares the clinical and radiographic outcomes for patients who received only a corticotomy or periodontal accelerated osteogenic orthodontics (PAOO) with those who received a conventional orthodontic treatment. Methods: An electronic search of four databases and a h...
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| Format: | Article |
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MDPI AG
2021-08-01
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| Online Access: | https://www.mdpi.com/2079-7737/10/8/803 |
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| author | Jonathan Gao Trung Nguyen Snehlata Oberoi Heesoo Oh Sunil Kapila Richard T. Kao Guo-Hao Lin |
| author_facet | Jonathan Gao Trung Nguyen Snehlata Oberoi Heesoo Oh Sunil Kapila Richard T. Kao Guo-Hao Lin |
| author_sort | Jonathan Gao |
| collection | DOAJ |
| description | Purpose: This systematic review compares the clinical and radiographic outcomes for patients who received only a corticotomy or periodontal accelerated osteogenic orthodontics (PAOO) with those who received a conventional orthodontic treatment. Methods: An electronic search of four databases and a hand search of peer-reviewed journals for relevant articles published in English between January 1980 and June 2021 were performed. Human clinical trials of ≥10 patients treated with a corticotomy or PAOO with radiographic and/or clinical outcomes were included. Meta-analyses were performed to analyze the weighted mean difference (WMD) and confidence interval (CI) for the recorded variables. Results: Twelve articles were included in the quantitative analysis. The meta-analysis revealed a localized corticotomy distal to the canine can significantly increase canine distalization (WMD = 1.15 mm, 95% CI = 0.18–2.12 mm, <i>p</i> = 0.02) compared to a conventional orthodontic treatment. In addition, PAOO also showed a significant gain of buccal bone thickness (WMD = 0.43 mm, 95% CI = 0.09–0.78 mm, <i>p</i> = 0.01) and an improvement of bone density (WMD = 32.86, 95% CI = 11.83–53.89, <i>p</i> = 0.002) compared to the corticotomy group. Conclusion: Based on the findings of the meta-analyses, the localized use of a corticotomy can significantly increase the amount of canine distalization during orthodontic treatment. Additionally, the use of a corticotomy as a part of a PAOO procedure significantly increases the rate of orthodontic tooth movement and it is accompanied by an increased buccal bone thickness and bone density compared to patients undergoing a conventional orthodontic treatment. |
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| language | English |
| last_indexed | 2024-03-10T09:00:33Z |
| publishDate | 2021-08-01 |
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| record_format | Article |
| series | Biology |
| spelling | doaj.art-94b2433c43474807946f20bd3b8a6d312023-11-22T06:50:43ZengMDPI AGBiology2079-77372021-08-0110880310.3390/biology10080803The Significance of Utilizing A Corticotomy on Periodontal and Orthodontic Outcomes: A Systematic Review and Meta-AnalysisJonathan Gao0Trung Nguyen1Snehlata Oberoi2Heesoo Oh3Sunil Kapila4Richard T. Kao5Guo-Hao Lin6Department of Orofacial Sciences, School of Dentistry, University of California San Francisco, San Francisco, CA 94131, USADepartment of Orofacial Sciences, School of Dentistry, University of California San Francisco, San Francisco, CA 94131, USADepartment of Orofacial Sciences, School of Dentistry, University of California San Francisco, San Francisco, CA 94131, USADepartment of Orthodontics, Arthur A. Dugoni School of Dentistry, University of the Pacific, San Francisco, CA 94103, USADepartment of Orofacial Sciences, School of Dentistry, University of California San Francisco, San Francisco, CA 94131, USADepartment of Orofacial Sciences, School of Dentistry, University of California San Francisco, San Francisco, CA 94131, USADepartment of Orofacial Sciences, School of Dentistry, University of California San Francisco, San Francisco, CA 94131, USAPurpose: This systematic review compares the clinical and radiographic outcomes for patients who received only a corticotomy or periodontal accelerated osteogenic orthodontics (PAOO) with those who received a conventional orthodontic treatment. Methods: An electronic search of four databases and a hand search of peer-reviewed journals for relevant articles published in English between January 1980 and June 2021 were performed. Human clinical trials of ≥10 patients treated with a corticotomy or PAOO with radiographic and/or clinical outcomes were included. Meta-analyses were performed to analyze the weighted mean difference (WMD) and confidence interval (CI) for the recorded variables. Results: Twelve articles were included in the quantitative analysis. The meta-analysis revealed a localized corticotomy distal to the canine can significantly increase canine distalization (WMD = 1.15 mm, 95% CI = 0.18–2.12 mm, <i>p</i> = 0.02) compared to a conventional orthodontic treatment. In addition, PAOO also showed a significant gain of buccal bone thickness (WMD = 0.43 mm, 95% CI = 0.09–0.78 mm, <i>p</i> = 0.01) and an improvement of bone density (WMD = 32.86, 95% CI = 11.83–53.89, <i>p</i> = 0.002) compared to the corticotomy group. Conclusion: Based on the findings of the meta-analyses, the localized use of a corticotomy can significantly increase the amount of canine distalization during orthodontic treatment. Additionally, the use of a corticotomy as a part of a PAOO procedure significantly increases the rate of orthodontic tooth movement and it is accompanied by an increased buccal bone thickness and bone density compared to patients undergoing a conventional orthodontic treatment.https://www.mdpi.com/2079-7737/10/8/803orthodonticsaccelerationperiodonticstooth movement techniquebone remodeling |
| spellingShingle | Jonathan Gao Trung Nguyen Snehlata Oberoi Heesoo Oh Sunil Kapila Richard T. Kao Guo-Hao Lin The Significance of Utilizing A Corticotomy on Periodontal and Orthodontic Outcomes: A Systematic Review and Meta-Analysis Biology orthodontics acceleration periodontics tooth movement technique bone remodeling |
| title | The Significance of Utilizing A Corticotomy on Periodontal and Orthodontic Outcomes: A Systematic Review and Meta-Analysis |
| title_full | The Significance of Utilizing A Corticotomy on Periodontal and Orthodontic Outcomes: A Systematic Review and Meta-Analysis |
| title_fullStr | The Significance of Utilizing A Corticotomy on Periodontal and Orthodontic Outcomes: A Systematic Review and Meta-Analysis |
| title_full_unstemmed | The Significance of Utilizing A Corticotomy on Periodontal and Orthodontic Outcomes: A Systematic Review and Meta-Analysis |
| title_short | The Significance of Utilizing A Corticotomy on Periodontal and Orthodontic Outcomes: A Systematic Review and Meta-Analysis |
| title_sort | significance of utilizing a corticotomy on periodontal and orthodontic outcomes a systematic review and meta analysis |
| topic | orthodontics acceleration periodontics tooth movement technique bone remodeling |
| url | https://www.mdpi.com/2079-7737/10/8/803 |
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