Role of Periodontal Therapy in Rapid Tooth Movement

Abstract

Periodontally accelerated osteogenic orthodontics (PAOO) or Wilckodontics is a clinical procedure that combines selective alveolar corticotomy, particulate bone grafting and the application of orthodontic forces. The most important factor in the success of PAOO is proper case selection and careful surgical and orthodontic treatment. An increasing amount of orthodontic patients seeking orthodontic treatment, make them prone to periodontal complications since their teeth are confined to the nonflexible alveolar bone. Interdisciplinary orthodontic treatment along with tissue engineering principles can create rapid orthodontic tooth movement as well as reducing side effects such as root resorption, relapse, inadequate basal bone and infection. Many of these challenging aspects facilitate the necessities of special concepts where PAOO technique opened doors and offered solutions to many limitation in orthodontic treatment. The aim of this article was to provide an overview of the literature including the historical background, indications, contraindication, the biological aspect of PAOO and the surgical technique and modifications of the same.