EC Dental Science

Review Article Volume 24 Issue 2 - 2025

Periodontally Accelerated Osteogenic Orthodontics: A Paradigm Shift in Orthodontic Treatment

Rhoshan B*, Steve Mathew Jacob, Jithesh Kumar K, Panjami Mearish and Manas G

Department of Orthodontics and Dentofacial Orthopedics, Pondicherry University, India

*Corresponding Author: Rhoshan B, 2nd Year Post Graduate, Department of Orthodontics and Dentofacial Orthopedics, Mahe Institute of Dental Sciences and Hospital, Chalakkara, Pallor, Mahe, Pondicherry, India.
Received: January 22, 2025; Published: January 31, 2025



A patient's function, attractiveness, and psychological well-being can all be negatively impacted by malaligned teeth, which makes orthodontic treatment necessary. Due to the extended treatment time, the majority of patients are hesitant to undergo fixed orthodontic therapy. Periodontally Accelerated Osteogenic Orthodontics (PAOO) is one of the new treatment options that have replaced the old treatment paradigm in the current era of interdisciplinary dentistry. The PAOO approach combines alveolar augmentation with a selective decortication-facilitated orthodontic treatment. The Regional Acceleratory Phenomenon (RAP), a pattern of bone healing, is the theoretical foundation for this process, which speeds up orthodontic tooth movement. As a result of PAOO, Alveolar bone width increases, treatment duration is shortened, posttreatment stability is improved, and alveolar bone dehiscence is reduced. The history, biology, clinical surgical techniques, indications, contraindications, and potential risks of the PAOO surgery are all covered in this article.

 Keywords: Periodontally Accelerated Osteogenic Orthodontics (PAOO); corticotomy; Regional Acceleratory Phenomenon (RAP)

  1. Mathews DP and Kokich VG. “Managing treatment for the orthodontic patient with periodontal problems”. Seminars in Orthodontics 1 (1997): 21-38.
  2. Ferguson DJ., et al. “Selective alveolar decortication for rapid surgical-orthodontic resolution of skeletal malocclusion treatment”. In: Bell WE and Guerrero C, editors, Distraction Osteogenesis of the Facial Skeleton. Decker, Hamilton, BC (2006): 199-203.
  3. Ong MM and Wang HL. “Periodontic and orthodontic treatment in adults”. American Journal of Orthodontics and Dentofacial Orthopedics 4 (2002): 420-428.
  4. Wilcko WM., et al. “Rapid orthodontics with alveolar reshaping: two case reports of decrowding”. International Journal of Periodontics and Restorative Dentistry 1 (2001): 9-19.
  5. H Kole. “Surgical operations on the alveolar ridge to correct occlusal abnormalities”. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology 5 (1959): 515-529.
  6. Düker J. “Experimental animal research into segmental alveolar movement after corticotomy”. Journal of Maxillofacial Surgery 2 (1975): 81-84.
  7. Frost HM. “The regional acceleratory phenomenon: a review”. Henry Ford Hospital Medical Journal 1 (1983): 3-9.
  8. Murphy KG., et al. “Periodontal accelerated osteogenic orthodontics: a description of the surgical technique”. Journal of Oral and Maxillofacial Surgery 10 (2009): 2160-2166.
  9. Dibart S., et al. “Piezocision: a minimally invasive, periodontally accelerated orthodontic tooth movement procedure”. Compendium of Continuing Education in Dentistry 6 (2009): 342-344.
  10. Lachard J., et al. “Kole’s operation”. Revue de Stomatologie et de Chirurgie Maxillo-faciale 5 (1987): 306-310.
  11. Wilcko MT., et al. “Accelerated osteogenic orthodontics technique: a 1-stage surgically facilitated rapid orthodontic technique with alveolar augmentation”. Journal of Oral and Maxillofacial Surgery 10 (2009): 2149-2159.
  12. Iino S., et al. “An adult bimaxillary protrusion treated with corticotomy-facilitated orthodontics and titanium miniplates”. The Angle Orthodontist 6 (2006): 1074-1082.
  13. Oztürk M., et al. “Pulpal blood flow: effects of corticotomy and midline osteotomy in surgically assisted rapid palatal expansion”. Journal of Cranio-Maxillofacial Surgery 2 (2003): 97-100.
  14. Ren A., et al. “Rapid orthodontic tooth movement aided by alveolar surgery in beagles”. American Journal of Orthodontics and Dentofacial Orthopedics 2 (2007): 160.
  15. Mathews DP and Kokich VG. “Accelerating tooth movement: The case against corticotomy-induced orthodontics”. American Journal of Orthodontics and Dentofacial Orthopedics 1 (2013): 5-13.
  16. Sebaoun J-D., et al. “Corticotomie. Alvéolaire et traitements orthodontiques rapides”. L' Orthodontie Francaise 3 (2007): 217-225.
  17. Bell WH., et al. “Accelerated orthognathic surgery and increased orthodontic efficiency: a paradigm shift”. Journal of Oral and Maxillofacial Surgery 10 (2009): 2043-2044.

Rhoshan B., et al. “Periodontally Accelerated Osteogenic Orthodontics: A Paradigm Shift in Orthodontic Treatment”.”. EC Dental Science 24.2 (2025): 01-06.