Commentary on: periodontally accelerated osteogenic orthodontics (PAOO) - a clinical dilemma.
It is apparent that tooth movement is enhanced by procedures that elevate the remodeling of alveolar bone, and of periodontal and gingival fibrous tissues. The periodontally accelerated osteogenic orthodontics (PAOO) also termed as Wilckodontics, involves full-thickness labial and lingual alveolar flaps accompanied with limited selective labial and lingual surgical scarring of cortical bone (corticotomy). Most of the authors suggest that the RAP is the major stimulus for alveolar bone remodeling, enabling the PAOO. However, we propose that detachment of the bulk of dentogingival and interdental fibers from coronal part of root surfaces by itself should suffice to stimulate alveolar bone resorption mainly on its PDL surfaces, leading to widening of the periodontal ligament space which largely attributes to accelerated osteogenic orthodontics. Moreover this limited fiberotomy also disrupts transiently the positional physical memory of dentition (PPMD), allowing accelerated tooth movement. During retention period, a new biological and physical connectivity is generated that could be termed as new positional memory of the dental arch.
Binderman
Itzhak
I
Sackler Faculty of Medicine and Department of Bio-Engineering, Department of Oral Biology, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Tel Aviv, Israel. binderman.itzhak@gmail.com
Gadban
Nasser
N
Bahar
Hila
H
Herman
Avishai
A
Yaffe
Avinoam
A
D000539:Alveolar Process / Q000502:physiology*; D016723:Bone Remodeling / Q000502:physiology*; D003799:Dental Stress Analysis; D005881:Gingiva / Q000601:surgery*; D006801:Humans; D010513:Periodontal Ligament / Q000502:physiology*; D012008:Recurrence; D014087:Tooth Movement Techniques