Comparative evaluation of periodontally accelerated osteogenic orthodontics (PAOO) versus traditional camouflage orthodontic treatment in adult patients with skeletal class III malocclusion

• Published in: BMC oral health 2024-12, Vol.24 (1), p.1479-11
• Main Authors: Jiang, Jing, Wu, Jiajing, Yu, Wenke, Yu, Junyi, Xiong, Qin, Liu, Dixin, Xiong, Ziyun, Feng, Jianying, Xuan, Dongying
• Format: Article
• Language: English
• Subjects: Adult; Aesthetic; Alveolar bone; Alveolar bone augmentation; Alveolar Process - diagnostic imaging; Alveolar Process - pathology; Axial skeleton; Camouflage orthodontic; Care and treatment; Cephalometry; Comparative analysis; Computed tomography; Cone-Beam Computed Tomography; Dental occlusion; Dental roots; Female; Humans; Incisors; Male; Malocclusion; Malocclusion, Angle Class III - diagnostic imaging; Malocclusion, Angle Class III - therapy; Maxilla; Mechanical properties; Methods; Orthodontic appliances; Orthodontics; Orthodontics, Corrective - methods; Orthognathic surgery; PAOO; Patient outcomes; Patients; Retrospective Studies; Skeletal class III; Surgery; Sutures; Teeth; Tooth Movement Techniques - methods; Treatment Outcome; Young Adult
• ISSN: 1472-6831; 1472-6831
• DOI: 10.1186/s12903-024-05263-w

Existing literature supports the efficacy of PAOO in augmenting alveolar bone volume and facilitating orthodontic tooth movement. However, there is a paucity of literature addressing its application in the treatment of adults with skeletal Class III malocclusion. This retrospective clinical study aimed to compare the clinical efficacy of camouflage orthodontic treatment combined with and without PAOO in adult patients presenting with skeletal Class III malocclusion. A retrospective study was performed in 38 patients with mild to moderate skeletal Class III malocclusion who underwent orthodontic treatment. Patients were divided into two cohorts: the experimental group, which underwent the PAOO procedure combined with orthodontic treatment, and the control group, which received traditional camouflage orthodontic treatment alone. Radiographic assessments, including lateral cephalograms and cone-beam computed tomography (CBCT) scans, were conducted before treatment (T0) and after treatment (T1) to evaluate changes in maxillary incisor inclination, alveolar bone thickness, and various skeletal and soft tissue parameters. The experimental group exhibited a significant reduction in the axial inclination of the maxillary incisors after treatment (P