Effect of micro-osteoperforations on the rate of tooth movement

Am J Orthod Dentofacial Orthop. 2013 Nov;144(5):639-48. doi: 10.1016/j.ajodo.2013.06.017.

Abstract

Introduction: Our objectives were to study the effect of micro-osteoperforations on the rate of tooth movement and the expression of inflammatory markers.

Methods: Twenty adults with Class II Division 1 malocclusion were divided into control and experimental groups. The control group did not receive micro-osteoperforations, and the experimental group received micro-osteoperforations on 1 side of the maxilla. Both maxillary canines were retracted, and movement was measured after 28 days. The activity of inflammatory markers was measured in gingival crevicular fluid using an antibody-based protein assay. Pain and discomfort were monitored with a numeric rating scale.

Results: Micro-osteoperforations significantly increased the rate of tooth movement by 2.3-fold; this was accompanied by a significant increase in the levels of inflammatory markers. The patients did not report significant pain or discomfort during or after the procedure, or any other complications.

Conclusions: Micro-osteoperforation is an effective, comfortable, and safe procedure to accelerate tooth movement and significantly reduce the duration of orthodontic treatment.

Publication types

  • Comparative Study
  • Randomized Controlled Trial

MeSH terms

  • Adolescent
  • Adult
  • Chemokine CCL2 / analysis
  • Chemokine CCL3 / analysis
  • Chemokine CCL5 / analysis
  • Cuspid / pathology
  • Female
  • Follow-Up Studies
  • Gingival Crevicular Fluid / immunology
  • Humans
  • Inflammation Mediators / analysis
  • Interleukin-1alpha / analysis
  • Interleukin-1beta / analysis
  • Interleukin-6 / analysis
  • Interleukin-8 / analysis
  • Male
  • Malocclusion, Angle Class II / therapy
  • Maxilla / surgery
  • Microsurgery / methods*
  • Middle Aged
  • Orthodontic Anchorage Procedures / instrumentation
  • Osteotomy / methods*
  • Single-Blind Method
  • Time Factors
  • Tooth Movement Techniques / methods*
  • Tumor Necrosis Factor-alpha / analysis
  • Young Adult

Substances

  • CCL2 protein, human
  • CCL3 protein, human
  • CCL5 protein, human
  • CXCL8 protein, human
  • Chemokine CCL2
  • Chemokine CCL3
  • Chemokine CCL5
  • IL6 protein, human
  • Inflammation Mediators
  • Interleukin-1alpha
  • Interleukin-1beta
  • Interleukin-6
  • Interleukin-8
  • Tumor Necrosis Factor-alpha