The Periodontally Accelerated Osteogenic Orthodontics (PAOO) technique is a duel-specialty in-office treatment requiring the expertise of both a trained periodontist/surgeon and an orthodontist. It can provide for a 300% to 400% increase in the rate of tooth movement, making it possible to dramatically reduce treatment time and increase range of tooth movement. This overview will acquaint the specialist with an understanding of both the physiologic and morphologic conditions that must be merged to provide for the facilitated tooth movement and dispel the confusion that has plagued corticotomy-based orthodontics for four decades. Examples will be given to demonstrate the severity of malocclusions that can be corrected once different treatment-planning parameters are mastered. The advantages of being able to increase the alveolar volume will be addressed in relationship to resolving preexisting alveolar deficiencies over vital root surfaces, compensating for any corticotomy-related reduction in bone volume, providing additional support for the dentition in retention, and accomplishing minor facial reshaping. The potential advantages of signaling agents will also be explored.
M. Thomas Wilcko, DMD, received his DMD from the University of Pittsburgh School of Dental Medicine and his certificate in periodontics from the Harvard University School of Dental Medicine. He currently maintains a private practice limited to periodontics in Erie, Pennsylvania, and is a clinical associate professor in periodontics at Case Western University in Cleveland, Ohio. His research has included free radical stability, ultrasound bone analyses, PH-related bone stimulation, porcelain shrinkage, and alveolar augmentation in conjunction with facilitated tooth movement. He has published and lectured extensively on the periodontal enhancement of orthodontic treatment.
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