Journal of Prevention and Treatment for Stomatological Diseases ›› 2018, Vol. 26 ›› Issue (4): 205-210.doi: 10.12016/j.issn.2096-1456.2018.04.001

• Expert Forum •     Next Articles

Clinical advances in corticotomy-assisted orthodontic treatments

Yang CAO1(), Zhuannong ZHAO2()   

  1. 1. Department of Orthodontics, Hospital of Stomatology, Guanghua School of Stomatology, Sun Yat-sen University, Guangzhou 510055, China
    2. Department of Orthodontics, Stomatological Hospital, Southern Medical University, Guangzhou 510280, China
  • Received:2017-06-26 Revised:2017-12-29 Online:2018-04-20 Published:2018-08-31


Recently, corticotomy-assisted orthodontic treatments have gathered increasing clinical attention and have been applied more frequently. This technique evolved from traditional corticotomies on the buccal and palatal sides to buccal flapless corticotomies. Accumulating clinical studies suggest that this method leads to accelerated tooth movement, augmented alveolar bone and improved periodontal tissue health. This paper provides an overview of the development of this surgical technique and clinical research results.

Key words: Corticotomy, Periodontally accelerated osteogenic orthodontics, Accelerated tooth movement, Alveolar bone volume, Root resorption

Figure 1

Surgical corticotomy procedure"

Figure 2

Surgical procedure of flapless corticotomy"

[1] Rupprecht R, Horning G, Nicoll B, et al.Prevalence of dehiscences and fenestrations in modern American skulls[J]. J Periodontal, 2001, 72(6): 722-729.
[2] Amit G, Jps K, Pankaj B, et al.Periodontally accelerated osteogenic orthodontics (PAOO) - a review[J]. J Clin Exp Dent, 2012, 4(5):e292-e296.
[3] Zimmo N, Saleh MH, Mandelaris GA, et al Corticotomy-accelerated orthodontics:a comprehensive review and update[J]. Compend Contin Educ Dent. 2017, 38(1): 17-25.
[4] Wilcko W, Wilcko MT, Bouquot JE, et al.Rapid orthodontics with alveolar reshaping: two case reports of decrowding[J]. Int J Periodontics Restorative Dent, 2001, 21(1): 9-19.
[5] Wilcko W, Wilcko MT.Accelerating tooth movement: the case for corticotomy-induced orthodontics[J]. Am J Orthod Dentofacial Orthop, 2013, 144(1): 4-12.
[6] Choi HJ, Lee DY, Kim TW.Dynamics of alloplastic bone grafts on an early stage of corticotomy-facilitated orthodontic tooth movement in beagle dogs[J]. Biomed Res Int. 2014(3): 417541.
[7] Lee DY, Ahn HW, Herr Y, et al.Periodontal responses to augmented corticotomy with collagen membrane application during orthodontic buccal tipping in dogs[J]. Biomed Res Int. 2014(6): 873918.
[8] Murphy KG, Wilcko MT, Wilcko WM, et al.Periodontal accelerated osteogenic orthodontics: a description of the surgical technique[J]. J Oral Maxillofac Surg, 2009, 67(10) : 2160-2166.
[9] Ahn HW, Lee DY, Park YG, et al.Accelerated decompensation of mandibular incisors in surgical skeletal class Ⅲ patients by using augmented corticotomy: a preliminary study[J]. Am J Orthod Dentofacial Orthop, 2012, 142(2): 199-206.
[10] Charavet C, Lecloux G, Bruwier A, et al.Localized piezoelectric alveolar decortication for orthodontic treatment in adults: a randomized controlled trial[J]. J Dent Res, 2016, 95(9): 1003-1009.
[11] Abbas NH, Sabet NE, Hassan IT.Evaluation of corticotomy-facilitated orthodontics and piezocision in rapid canine retraction[J]. Am J Orthod Dentofacial Orthop, 2016, 149(4): 473-480.
[12] Alikhani M, Raptis M, Zoldan B, et al.Effect of micro-osteoperforations on the rate of tooth movement[J]. Am J Orthod Dentofacial Orthop, 2013, 144(5): 639-648.
[13] Ahn HW, Seo DH, Kim SH, et al.Morphologic evaluation of dentoalveolar structures of mandibular anterior teeth during augmented corticotomy-assisted decompensation[J]. Am J Orthod Dentofacial Orthop, 2016, 150(4): 659-669.
[14] Ma ZG, Yang C, Xie QY, et al.A novel surgical technique for augmented corticotomy-assisted orthodontics: bone grafting with periosteum[J]. J Oral Maxillofac Surg, 2016, 74(1): 170-180.
[15] Coscia G, Coscia V, Peluso V, et al.Augmented corticotomy combined with accelerated orthodontic forces in class Ⅲ orthognathic patients: morphologic aspects of the mandibular anterior ridge with cone-beam computed tomography[J]. J Oral Maxillofac Surg, 2013, 71(10): 1760-1761.
[16] Bhattacharya P, Bhattacharya H, Anjum A, et al.Assessment of corticotomy facilitated tooth movement and changes in alveolar bone thickness-a CT scan study[J]. J Clin Diagn Res, 2014, 8(10): C26-C30.
[17] Wang B, Shen G, Fang B, et al.Augmented corticotomy-assisted surgical orthodontics decompensates lower incisors in class Ⅲ malocclusion patients[J]. J Oral Maxillofac Surg, 2014, 72(3): 596-602.
[18] Wang B, Shen G, Fang B, et al.Augmented corticotomy-assisted presurgical orthodontics of class III malocclusions: a cephalometric and cone-beam computed tomography study[J]. J Craniofac Surg, 2013, 24(6): 1886-1890.
[19] Medeiros RB, Pires FR, Kantarci A, et al.Tissue repair after selective alveolar corticotomy in orthodontic patients: a preliminary study[J]. Angle Orthod, 2018, 88(2): 179-186.
[20] Wilcko MT, Wilcko WM, Pulver JJ, et al.Accelerated osteogenic orthodontics technique: a 1-stage surgically facilitated rapid orthodontic technique with alveolar augmentation[J]. J Oral Maxillofac Surg, 2009, 67(10): 2149-2159.
[21] Shoreibah EA, Salama AE, Attia MS, et al.Corticotomy-facilitated orthodontics in adults using a further modified technique[J]. J Int Acad Periodontol, 2012, 14(4): 97-104.
[22] Aboul-Ela SM, El-Beialy AR, El-Sayed KM, et al.Miniscrew implant-supported maxillary canine retraction with and without corticotomy-facilitated orthodontics[J]. Am J Orthod Dentofacial Orthop, 2011, 139(2): 252-259.
[23] Cassetta M, Giansanti M, Di Mambro A, et al.Minimally invasive corticotomy in orthodontics using a three-dimensional printed CAD/CAM surgical guide[J]. Int J Oral Maxillofac Surg, 2016, 45(9): 1059-1064.
[24] Abed SS, Al-Bustani AI.Corticotomy assisted orthodontic canine retraction[J]. J Bagh College Dentistry, 2013, 25(Special Issue 1): 160-166.
[25] Fischer TJ.Orthodontic treatment acceleration with corticotomy-assisted exposure of palatally impacted canines[J]. Angle Orthod, 2007, 77(3): 417-420.
[26] Wilcko MT, Ferguson DJ, Makki L, et al.Keratinized gingiva height increases after alveolar corticotomy and augmentation bone grafting[J]. J Periodontol, 2015, 86(10): 1107-1115.
[27] Jahanbakhshi MR, Motamedi AM, Feizbakhsh M, et al.The effect of buccal corticotomy on accelerating orthodontic tooth movement of maxillary canine[J]. Dent Res J (Isfahan), 2016, 13(4): 303-308.
[28] Al-Naoum F, Hajeer MY, Al-Jundi A.Does alveolar corticotomy accelerate orthodontic tooth movement when retracting upper canines? a split-mouth design randomized controlled trial[J]. J Oral Maxillofac Surg, 2014, 72(10): 1880-1889.
[29] Sakthi S V, Vikraman B, Shobana V R, et al.Corticotomy-assisted retraction: an outcome assessment[J].Indian J Dent Res, 2014,25(6):748-754.
[30] Lee JK, Chung KR, Baek SH, et al.Treatment outcomes of orthodontic treatment, corticotomy-assisted orthodontic treatment, and anterior segmental osteotomy for bimaxillary dentoalveolar protrusion[J]. Plast Reconstr Surg 2007,120: 1027-1036.
[31] Gil APS, Haas OL Jr, Méndez-Manjón I, et al. Alveolar corticotomies for accelerated orthodontics: a systematic review[J]. J Craniomaxillofac Surg.2018. pii: S1010-5182(17)30462-30466.
[32] Gkantidis N, Mistakidis I, Kouskoura T, et al.Effectiveness of non-conventional methods for accelerated orthodontic tooth movement: a systematic review and meta-analysis[J]. J Dent. 2014, 42(10): 1300-1319.
[33] Uribe F, Davoody L, Mehr R, et al.Efficiency of piezotome-corticision assisted orthodontics in alleviating mandibular anterior crowding-a randomized clinical trial[J]. Eur J Orthod, 2017.
[34] Patterson BM, Dalci O, Papadopoulou AK, et al.Effect of piezocision on root resorption associated with orthodontic force: A microcomputed tomography study[J]. Am J Orthod Dentofacial Orthop, 2017, 151(1): 53-62.
[35] Zawawi KH.Patients′ acceptance of corticotomy-assisted orthodontics[J]. Patient Prefer Adherence, 2015, 9: 1153-1158.
[36] Ma Z, Xu G, Yang C, et al.Efficacy of the technique of piezoelectric corticotomy for orthodontic traction of impacted mandibular third molars[J]. Br J Oral Maxillofac Surg, 2015, 53(4): 326-331.
[37] 王林. 牙周辅助加速成骨正畸治疗技术[J]. 口腔医学, 2016, 36(1): 1-5.
[38] Addanki P, Gooty JR, Palaparthy R.Clinical and radiographic comparative evaluation of buccal and palatal corticotomy with buccal corticotomy in periodontally accelerated osteogenic orthodontics with surgical bur[J]. Contemp Clin Dent. 2017, 8(2): 321-326.
[39] Kurohama T, Hotokezaka H, Hashimoto M, et al.Increasing the amount of corticotomy does not affect orthodontic tooth movement or root resorption, but accelerates alveolar bone resorption in rats[J]. Eur J Orthod. 2017, 39(3): 277-286.
[1] Xiao-wei JIA,Lei CHEN,Jun SHAO,Xiao-fang XU,Ya-di YUAN,Chang-jing WU. Micro-CT study of the influence of orthodontic force on the root resorption and orthodontic tooth movement [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2016, 24(8): 454-458.
Full text



[1] Hong-chang LAI,Jun-yu SHI. Maxillary sinus floor elevation[J]. Journal of Prevention and Treatment for Stomatological Diseases, 2017, 25(1): 8 -12 .
[2] Pin ZHOU, Yang-fei LI. MRI study of temporomandibular joint disc position in asymptomatic volunteers[J]. Journal of Prevention and Treatment for Stomatological Diseases, 2017, 25(4): 239 -244 .
[3] Xinxin XIA, Fang FANG, Lijuan CHENG. Shaping ability of Pathfile and WaveOne in simulated root canals[J]. Journal of Prevention and Treatment for Stomatological Diseases, 2017, 25(6): 365 -368 .
[4] Yuanhong LI, Xinyi FANG, Yu QIU, Lei CHENG. Experimental study on the effects of green tea on salivary flow rate and pH value[J]. Journal of Prevention and Treatment for Stomatological Diseases, 2017, 25(9): 560 -564 .
[5] Chengzhang LI. Masticatory muscles in occlusion[J]. Journal of Prevention and Treatment for Stomatological Diseases, 2017, 25(12): 755 -760 .
[6] . [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2018, 26(1): 1 .
[7] Zhirong WU, Shiguang Huang. Research progress on the etiology, clinical examination and treatment of peri-implantitis[J]. Journal of Prevention and Treatment for Stomatological Diseases, 2018, 26(6): 401 -405 .
[8] Xiaowu YAO, Shisheng CHEN, Zizheng LU, Minxiao LIN. Clinical report and literature review on the amyloidosis of salivary glands[J]. Journal of Prevention and Treatment for Stomatological Diseases, 2018, 26(8): 533 -536 .
[9] Lan LIAO, Lijun ZENG. Updated research on digitalization in aesthetic restoration[J]. Journal of Prevention and Treatment for Stomatological Diseases, 2018, 26(7): 409 -414 .
[10] Yu LU, Chengxia LIU, Zhongjun LIU. Role of TRAF6 in inflammatory responses of human osteoblast-like cells with Enterococcusfaecalis[J]. Journal of Prevention and Treatment for Stomatological Diseases, 2017, 25(7): 420 -425 .
This work is licensed under a Creative Commons Attribution 3.0 License.