Piezocision as an adjunct to orthodontic treatment of unilateral posterior crossbite

Piezocision (corticotomy) is a minimally invasive approach that involves micro-incisions, piezoelectric incisions, and selective tunnelling for soft or hard tissue grafting. Piezocision has many uses in orthodontics, but its uses in cross-bite cases are limited. This case report illustrates the outc...

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Bibliographic Details
Published in:Saudi medical journal 2017-04, Vol.38 (4), p.425-430
Main Authors: Bakathir, Manal A, Hassan, Ali H, Bahammam, Maha A
Format: Article
Language:English
Subjects:
Asymmetry
Bone Transplantation
Case Report
Case reports
Cementation
Dental Arch - surgery
Female
Humans
Malocclusion - surgery
Oral hygiene
Orthodontics
Orthodontics, Corrective - methods
Patients
Piezosurgery - methods
Radiography, Panoramic
Skin & tissue grafts
Surgery
Teeth
Tooth Extraction
Young Adult
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Summary:Piezocision (corticotomy) is a minimally invasive approach that involves micro-incisions, piezoelectric incisions, and selective tunnelling for soft or hard tissue grafting. Piezocision has many uses in orthodontics, but its uses in cross-bite cases are limited. This case report illustrates the outcomes of a 19-year-old female patient with unilateral cross-bite that was treated with a minimally invasive piezocision with bone grafting in the affected side. In addition, she also had a functional shift, severe crowding, and mid-line shift. Therefore, the shift was eliminated using a quad helix expansion, she was treated with a fixed appliance, and a bimaxillary extraction of the first premolars was performed. The patient followed-up at 18 months, and the occlusion was stable with a pleasant profile. Piezocision can be used as an adjunct to the orthodontic treatment of adults to facilitate the treatment of complicated cases.
ISSN:0379-5284
1658-3175
DOI:10.15537/smj.2017.4.16390