Journal of Prevention and Treatment for Stomatological Diseases ›› 2021, Vol. 29 ›› Issue (7): 496-499.doi: 10.12016/j.issn.2096-1456.2021.07.011

• Review Articles • Previous Articles     Next Articles

Research progress on micro-osteoperforation-assisted orthodontic treatment

LI Meng1(),CHEN Xiaotao2(),TUEDI Ayguli2   

  1. 1. School of Stomatology, Xinjiang Medical University, Urumqi 832000, China
    2. Department of Stomatology, People′s Hospital of Xinjiang Uygur Autonomous Region, Urumqi 830000, China
  • Received:2020-05-08 Revised:2021-03-24 Online:2021-07-20 Published:2021-04-19
  • Contact: Xiaotao CHEN E-mail:1470581090@qq.com;xiaotaochen@163.com
  • Supported by:
    National Natural Science Foundation of China(81660185)

Abstract:

As a minimally invasive procedure, micro-osteoperforations (MOPs) achieve desired therapeutic effect with minimal surgical intervention. The operation is relatively simple, and the effect of assisted orthodontic treatment is obvious. However, due to the lack of long-term follow-up studies, there is no unified consensus on the long-term stability of the procedure. This article reviews the research status of MOPs, biological and biomechanical mechanisms, clinical applications and limitations. MOPs can shorten orthodontic treatment time and accelerate tooth movement by exerting regional acceleratory phenomena (RAP). At the same time, this procedure will not damage the health of the periodontal tissue, and the postoperative bleeding and postoperative reaction are minor. In addition, the pain and discomfort of patients were relatively mild and acceptable. However, it also has limitations, mainly including the limited time of the RAP effect of MOPs. Although this procedure is a minimally invasive surgery, there is still a risk of treating regional bone defects. At present, it is still necessary to increase the sample size and extend the follow-up time to evaluate the long-term stability of MOPs.

Key words: micro-osteoperforations, orthodontic tooth movement, biomechanical mechanism, alveolar bone reconstruction, regional acceleratory phenomenon, root resorption, alveolar bone thickness, periodontal health, subjective perception

CLC Number: 

  • R78
[1] Tsichlaki A, Chin SY, Pandis N, et al. How long does treatment with fixed orthodontic appliances last? A systematic review[J]. Am J Orthod Dentofacial Orthop, 2016,149(3):308-318. doi: 10.1016/j.ajodo.2015.09.020.
doi: 10.1016/j.ajodo.2015.09.020 pmid: 26926017
[2] Chan E, Dalci O, Petocz P. Physical properties of root cementum: part 26. Effects of micro-osteoperforations on orthodontic root resorption: a microcomputed tomography study[J]. Am J Orthod Dentofacial Orthop, 2018,15(3):204-213. doi: 10.1016/j.ajodo.2017.05.036.
[3] Kole H. Surgical operations on the alveolar ridge to correct occlusal abnormalities[J]. Oral Surg Oral Med Oral Pathol, 1959, 12(3):277-88 contd. doi: 10.1016/0030-4220(59)90177-x.
doi: 10.1016/0030-4220(59)90177-x pmid: 13633223
[4] Wm W, Wilcko T, 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.
pmid: 11829041
[5] 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. doi: 10.1016/j.ajodo.2013.06.017.
doi: 10.1016/j.ajodo.2013.06.017 pmid: 24182579
[6] Alansari S, Sangsuwon C, Vongthongleur T, et al. Biological principles behind accelerated tooth movement[J]. Semin Orthod, 2015,21(3):151-161. doi: 10.1053/j.sodo.2015.06.001.
doi: 10.1053/j.sodo.2015.06.001
[7] Chen L, Mo S, Hua Y. Compressive force-induced autophagy in periodontal ligament cells downregulates osteoclastogenesis during tooth movement[J]. J Periodontol, 2019,90(10):1170-1181. doi: 10.1002/JPER.19-0049.
doi: 10.1002/JPER.19-0049 pmid: 31077358
[8] Verna C, Cattaneo PM, Dalstra M. Corticotomy affects both the modus and magnitude of orthodontic tooth movement[J]. Eur J Orthod, 2018,40(1):107-112. doi: 10.1093/ejo/cjx041.
pmid: 28591765
[9] 赵云鹤, 李娇, 雷浪, 等. 牙槽骨微穿孔术促进大鼠正畸牙移动的机制研究[J]. 口腔医学研究, 2018,34(9):960-963. doi: 10.13701/j.cnki.kqyxyj.2018.09.010.
Zhao YH, Li J, Lei L, et al. Mechanism of alveolar bone microperforation to promote orthodontic tooth movement in rats[J]. J Oral Sci Res, 2018,34(9):960-963. doi: 10.13701/j.cnki.kqyxyj.2018.09.010.
[10] Verna C. Regional acceleratory phenomenon[J]. Front Oral Biol, 2016,18(3):28-35. doi: 10.1159/000351897.
[11] Bansal M, Sharma R, Kumar D, et al. Effects of mini-implant facilitated micro-osteoperforations in alleviating mandibular anterior crowding: a randomized controlled clinical trial[J]. J Orthod Sci, 2019,8(8):19. doi: 10.4103/jos.JOS_112_18.
doi: 10.4103/jos.JOS_112_18
[12] Shahabee M, Shafaee H, Abtahi M, et al. Effect of micro-osteoperforation on the rate of orthodontic tooth movement-a systematic review and a meta-analysis[J]. Eur J Orthod, 2020,42(2):211-221. doi: 10.1093/ejo/cjz049.
doi: 10.1093/ejo/cjz049 pmid: 31215993
[13] Sivarajan S, Doss JG, Papageorgiou SN, et al. Mini-implant supported canine retraction with micro-osteoperforation: a split-mouth randomized clinical trial[J]. Angle Orthod, 2019,89(2):183-189. doi: 10.2319/011518-47.1.
doi: 10.2319/011518-47.1 pmid: 30372126
[14] Caruso S, Darvizeh A, Zema S, et al. Management of a facilitated aesthetic orthodontic treatment with clear aligners and minimally invasive corticotomy[J]. Dent J (Basel), 2020,8(1):19. doi: 10.3390/dj8010019.
[15] Aboalnaga AA, Salah Fayed MM, El-Ashmawi NA, et al. Effect of micro-osteoperforation on the rate of canine retraction: a split-mouth randomized controlled trial[J]. Prog Orthod, 2019,20(1):21. doi: 10.1186/s40510-019-0274-0.
pmid: 31155698
[16] Agrawal AA, Kolte AP, Kolte RA, et al. Comparative CBCT analysis of the changes in buccal bone morphology after corticotomy and micro-osteoperforations assisted orthodontic treatment - case series with a split mouth design[J]. Saudi Dent J, 2019,31(1):58-65. doi: 10.1016/j.sdentj.2018.10.003.
pmid: 30705570
[17] Haugland L, Kristensen KD, Sa L, et al. The effect of biologic factors and adjunctive therapies on orthodontically induced inflammatory root resorption: a systematic review and meta-analysis[J]. Eur J Orthod, 2018,40(3):326-336. doi: 10.1093/ejo/cjy003.
doi: 10.1093/ejo/cjy003 pmid: 29617793
[18] Chan E, Dalci O, Petocz P, et al. Physical properties of root cementum: part 26. Effects of micro-osteoperforations on orthodontic root resorption: a microcomputed tomography study[J]. Am J Orthod Dentofacial Orthop, 2018,153(2):204-213. doi: 10.1016/j.ajodo.2017.05.036.
doi: 10.1016/j.ajodo.2017.05.036 pmid: 29407497
[19] Alqadasi B, Aldhorae K, Halboub E, et al. The effectiveness of micro-osteoperforations during canine retraction: a three-dimensional randomized clinical trial[J]. J Int Soc Prev Community Dent, 2019,9(6):637-645. doi: 10.4103/jispcd.JISPCD_233_19.
doi: 10.4103/jispcd.JISPCD_233_19 pmid: 32039085
[20] Attri S, Mittal R. Comparison of rate of tooth movement and pain perception during accelerated tooth movement associated with conventional fixed appliances with micro-osteoperforations-a randomized controlled trial[J]. J Orthod, 2018,45(4):1-9. doi: 10.1080/14653125.2018.1528746.
doi: 10.1080/14653125.2018.1440792
[1] MENG Qingyan,LIU Jun. Research progress on factors related to the difficulty of orthodontic tooth movement [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2021, 29(5): 340-345.
[2] CHEN Zece,LONG Qian,GUAN Xiaoyan,LIU Jianguo. Research progress on microRNA-21 in regulating osteoclast and osteogenic differentiation in orthodontic treatment [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2021, 29(3): 211-216.
[3] WANG Huixia,LI Peilin,ZHAO Zhihe. Influencing factors of functional orthopedic appliances on skeletal class Ⅱ malocclusion in adolescents [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2020, 28(2): 112-117.
[4] MA Hong. Effect observation of onlays on the posterior teeth with subgingival defects after deep margin elevation [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2019, 27(9): 582-585.
[5] CHEN Yueming,LI Yerong,WANG Bin. Influence of the SmartClip self-ligating bracket on plaque control in orthodontic patients [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2019, 27(8): 531-534.
[6] SHEN Jiaoxiang,SU Jingjing,HUANG Wenxia. CBCT study of the alveolar bone remodeling after retraction of the maxillary incisors assisting with micro-implant anchorage in maxillary protrusion adults [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2019, 27(12): 769-774.
[7] MA Yao,JIANG Zhaowei,JIN Yunyi,MIAO Qian,ZHANG Chunxiang,ZHANG Linkun. Gene ontology analysis of the TNF signaling pathway in early orthodontic tooth movement of rats with periodontitis [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2019, 27(11): 695-702.
[8] PAN Xumeng,LIU Yi. The role of myofibroblasts in orthodontic tooth movement [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2019, 27(10): 667-672.
[9] Yang CAO, Zhuannong ZHAO. Clinical advances in corticotomy-assisted orthodontic treatments [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2018, 26(4): 205-210.
[10] 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.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
[1] . [J]. journal1, 2016, 24(1): 58 -60 .
[2] Ming-wen FAN. Procedure refinement, easy operation--root canal treatment progress[J]. Journal of Prevention and Treatment for Stomatological Diseases, 2016, 24(3): 133 -136 .
[3] Juan LI,Ting HUANG,Wen XUE,Hai-yan LI. Clinical efficacy of basic periodontal therapy combined with local medication for erosive oral lichen planus[J]. Journal of Prevention and Treatment for Stomatological Diseases, 2016, 24(3): 162 -165 .
[4] Yan-mei YAN,Tao HE,Can-can MA,Pin-xuan ZHENG,Qi LIU. Research progress of the influence of vitamin D on periodontitis[J]. Journal of Prevention and Treatment for Stomatological Diseases, 2016, 24(2): 114 -117 .
[5] Zeng-wen YUE,Jin-zhong LIU,Bao-yu ZHU,Zheng-guang CHEN. Expression of transketolase-like protein 1 in human tongue carcinoma and its meaning[J]. Journal of Prevention and Treatment for Stomatological Diseases, 2016, 24(3): 150 -153 .
[6] . [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2016, 24(5): 317 -320 .
[7] Ming CHEN,Xi CHEN,Zhen-ting ZHANG. The precision comparison of the denture occlusal plane preparation by the occlusal plane plate between experienced and newly-graduated dentists[J]. Journal of Prevention and Treatment for Stomatological Diseases, 2016, 24(3): 173 -176 .
[8] Zhen ZHANG,Hong-yu ZHAO. Chronic periodontitis and its related microRNA[J]. Journal of Prevention and Treatment for Stomatological Diseases, 2016, 24(6): 378 -380 .
[9] Hong-chang LAI,Jun-yu SHI. Maxillary sinus floor elevation[J]. Journal of Prevention and Treatment for Stomatological Diseases, 2017, 25(1): 8 -12 .
[10] 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 .
This work is licensed under a Creative Commons Attribution 3.0 License.