Orthodontic treatment enhanced using PRP: An alternative to Orthognathic surgery?

Abstract

Background: The aim was to use an alternative technique to orthognathic surgery with similar functional and aesthetic outcome with the added advantages of being less invasive and comfortable to a patient. Here, we evaluate the efficacy of PRP in the acceleration of Orthodontic treatment using Invisalign to correct a malocclusion of Class III with functional reverse bite in a patient who declined surgery but requested the least visible and time consuming procedure. Methods: PRP was applied three times during the course of the therapy. The orthodontic treatment lasted 10 months. The patient was further provided with restorative care. Protrusion of teeth 11, 21, and 22 by bodily movement, shaping of the upper dental arch and rectification of lower incisors were achieved with no adverse effect to the patient’s dental health. Since we assumed that the pathophysiology of the effect of PRP is the same as for corticotomy, we must assume an effect lasting only three months. The great advantage of our method is the fact that it is a minimally invasive technique and hence we could repeat the procedure thrice. Results: Three applications of PRP significantly shortened the length of orthodontic therapy from 21 months to 10 months. Conclusions: We can conclude that although the technique is perhaps a bit lengthy in terms of time taken to achieve the desired results after surgery but it provides a safe alternative approach for patients who decline surgery or instances where surgery cannot be carried out. Keywords: PRP; corticotomy; orthodontic; aligner; Invisalign;