title: Minimally invasive corticotomy in orthodontics using a three-dimensional printed CAD/CAM surgical guide.
abstract: The aim of this prospective study was to evaluate the effectiveness of an innovative, minimally invasive, flapless corticotomy procedure in orthodontics. The STROBE guidelines were followed. Ten patients with severe dental crowding and a class I molar relationship were selected to receive orthodontic treatment with clear aligners and corticotomy-facilitated orthodontics. The mean age of these patients was 21 years (range 17-28, standard deviation 6.08 years); the male to female ratio was 2:1. The main outcome was a reduction in the total treatment time to correct dental crowding. The secondary outcomes were periodontal index changes, the degree of root resorption, and patient perceptions of the method used, assessed using the short-form Oral Health Impact Profile (OHIP-14). The occurrence of early surgical complications or unexpected events was also recorded. All patients completed the treatment to correct dental crowding. The average treatment time was reduced by two-thirds. The procedure did not significantly modify the periodontal indices or oral health-related quality of life. No early surgical complications or unexpected events were observed. In short, the results indicate that this new procedure is safe and accelerates tooth movement without periodontal complications or discomfort. However, the efficacy of this procedure must be confirmed in controlled clinical trials.
authors.affiliation: Department of Oral and Maxillofacial Sciences, School of Dentistry, "Sapienza" University of Rome, Rome, Italy. Electronic address: michele.cassetta@uniroma1.it.
authors.forename: M
authors.initials: M
authors.lastname: Cassetta
authors.affiliation: Department of Oral and Maxillofacial Sciences, School of Dentistry, "Sapienza" University of Rome, Rome, Italy.
authors.forename: M
authors.initials: M
authors.lastname: Giansanti
authors.affiliation: Department of Oral and Maxillofacial Sciences, School of Dentistry, "Sapienza" University of Rome, Rome, Italy.
authors.forename: A
authors.initials: A
authors.lastname: Di Mambro
authors.affiliation: Department of Oral and Maxillofacial Sciences, School of Dentistry, "Sapienza" University of Rome, Rome, Italy.
authors.forename: S
authors.initials: S
authors.lastname: Calasso
authors.affiliation: Department of Oral and Maxillofacial Sciences, School of Dentistry, "Sapienza" University of Rome, Rome, Italy.
authors.forename: E
authors.initials: E
authors.lastname: Barbato
mesh_terms: D000293:Adolescent; D000328:Adult; D000539:Alveolar Process / Q000601:surgery*; D017076:Computer-Aided Design; D005260:Female; D006801:Humans; D008297:Male; D009970:Orthodontics / Q000379:methods*; D010027:Osteotomy / Q000379:methods*; D017410:Practice Guidelines as Topic; D011446:Prospective Studies; D011788:Quality of Life; D055815:Young Adult
keywords: 3D printer; CAD/CAM; corticotomy; minimally invasive; orthodontics; surgical template