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http://dx.doi.org/10.4041/kjod.2018.48.1.57

Osseous outgrowth on the buccal maxilla associated with piezosurgery-assisted en-masse retraction: A case series  

Tuncer, Nilufer Irem (Department of Orthodontics, Faculty of Dentistry, Baskent University)
Arman-Ozcirpici, Ayca (Department of Orthodontics, Faculty of Dentistry, Baskent University)
Oduncuoglu, Bahar Fusun (Department of Periodontology, Faculty of Dentistry, Baskent University)
Kantarci, Alpdogan (Department of Applied Oral Sciences, Forsyth Institute)
Publication Information
The korean journal of orthodontics / v.48, no.1, 2018 , pp. 57-62 More about this Journal
Abstract
Piezoelectric surgery is a novel surgical approach used in orthodontic treatment for rapid tooth movement. This paper presents a case series wherein osseous outgrowths were observed in response to piezosurgery-assisted en-masse retraction. Sixteen patients requiring upper premolar extractions were treated with miniscrew-supported en-masse retraction and received minimally invasive decortication via piezosurgery. Computed tomography (CT) of the maxillary anterior region was performed to investigate the nature of the outgrowths. In 8 of the 16 patients, hemispheric or disc-shaped osseous outgrowths were observed on the sites where piezosurgery was performed during retraction. CT images revealed that these outgrowths were alveolar bone. This case series presents a previously unreported osseous response to piezosurgery-assisted tooth movement during orthodontic treatment. The response is mostly transient and is observed in 50% of the treated patients, suggesting a bone turnover that can be assessed clinically and radiographically.
Keywords
Piezosurgery; Bone biology; Osseous outgrowths; Computed tomography;
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