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

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 retraction. Sixteen patients requiring upper premolar extractions were treated wi...

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Published in:Korean journal of orthodontics (2012) 2018, 48(1), , pp.57-62
Main Authors: Tunçer, Nilüfer İrem, Arman-Özçırpıcı, Ayça, Oduncuoğlu, Bahar Füsun, Kantarcı, Alpdoğan
Format: Article
Language:English
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Summary: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 retraction. Sixteen patients requiring upper premolar extractions were treated with miniscrew-supported 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.
ISSN:2234-7518
2005-372X
DOI:10.4041/kjod.2018.48.1.57