Which is Better Piezosurgery or Piezosurgery With Laser in Accelerating Orthodontic Tooth Movement

Launched by DAMASCUS UNIVERSITY · Dec 15, 2022

Keywords

ClinConnect Summary

Regarding the Piezocision, vertical soft-tissue incisions will be made on the buccal and palatal gingiva. One incision will be made between the roots of the six upper anterior teeth, and two incisions will be made between the upper canines and the second premolars. The incisions will be 5 mm long and start 4 mm apical to the interdental papilla. Then a piezosurgery knife will be inserted to perform the cortical alveolar incisions with 3-mm in-depth and 8 mm in length. No suturing will be needed.

Regarding the piezocision with the later application of low-level laser therapy (LLLT):

After ...

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • 1. Adult healthy patients, Male and female, Age range: 17-28 years.
• 2. Class II Division 1 malocclusion :
• • Mild/moderate skeletal Class II (sagittal discrepancy angle ≤7)
• • Overjet ≤10
• • Normal or excessive facial height (Clinically and then cephalometrically assessed using these three angles: mandibular/cranial base angle, maxillary/mandibular plane angle, and facial axis angle)
• • Mild to moderate crowding ≤ 4
• • 3. Permanent occlusion.
• • 4. Existence of all the upper teeth (except third molars).
• 5. Good oral and periodontal health:
• • Probing depth \< 4 mm
• • No radiographic evidence of bone loss.
• • Gingival index ≤ 1
• • Plaque index ≤ 1
• Exclusion Criteria:
• • 1. Medical problems that affect tooth movement (corticosteroid, nonsteroidal anti-inflammatory drugs (NSAIDs), ...)
• • 2. Presence of primary teeth in the maxillary arch
• • 3. Missing permanent maxillary teeth (except third molars).
• 4. Poor oral hygiene or Current periodontal disease:
• • Probing depth ≥ 4 mm
• • radiographic evidence of bone loss
• • Gingival index \> 1
• • Plaque index \> 1
• • 5. The patient had previous orthodontic treatment

Trial Officials