Accelerated orthodontic treatment
Accelerated orthodontic treatment (or accelerated osteogenic orthodontics (AAO)) is a dental displacement method that reduces the time needed to permanently move teeth into a desired position by creating a weakened bone condition. Developed in 1996 by two brothers, orthodontist Thomas and periodontist William Wilcko, the procedure can reduce a two-year orthodontics treatment to one that takes from three to six months.
Typical orthodontic treatment can take 18–36 months. The treatment time depends on the distances the teeth need to be moved, treatment goals, the type of techniques employed and the cooperation of the patient. Rapid tooth movement following decortication, commonly known as Wilckodontics or accelerated osteogenic orthodontics is well documented and results in treatment outcomes routinely produced in 6 to 9 months of active orthodontic care. The out-patient decortication surgery induces a transient osteopenia (bone healing) condition that favors accelerated orthodontic treatment. The basis for the therapy is biological in nature and the biological changes are well documented. The main drawback is that the surgery can be invasive. New surgical, less invasive approaches may be available, depending on orthodontic needs. Also a segmental fashion (only in a part of the mouth) can be performed. Patients, as in every oral surgery procedure, should follow a liquid and cold diet for the first 24 hours and a liquid /soft diet for the rest of the week. Corticotomy should not impair working activity. A certain degree of swelling may be expected.
The type of braces used to correct malocclusion is unrelated to the biology necessary for accelerated orthodontic treatment. Self-ligating brackets are a type of bracket that is reputed to shorten treatment time, but current research does not support this claim. While some dentists choose to undertake orthodontic treatment on a non-extraction basis occasionally incorporating tooth size reduction, this method is not always appropriate as dental extractions are occasionally unavoidable if crowding is to be alleviated.
While dentists may treat some orthodontic conditions in very short time periods, for example, "Six Month Smiles", this approach may not address all the features which would otherwise be treated in an extended orthodontic treatment program. The ideal use of accelerated orthodontics is to offer a patient a viable alternative to porcelain veneers when they want straight teeth but do not want to invest years in traditional orthodontics. The exception to this is when braces are used in combination with alveolar decortication to produce a rapid orthodontic outcome wherein the patient’s malocclusion is treated comprehensively.
- Dofka, Charline M. (2012), "Accelerated Orthodontics", Dental Terminology, Cengage Learning, pp. 214–215, ISBN 1133019714, retrieved 12 January 2013
- Meade, Walker (September 10, 2006), Head to toe. Teeth: You only have to take care of the ones you want to keep!, Sarasota Herald Tribune, p. L16 in Healthy Living section, retrieved 11 January 2013
- Murphy, Kevin G.; Wilcko, M. Thomas; Wilcko, William M.; Ferguson, Donald J. (2009), "Periodontal Accelerated Osteogenic Orthodontics: A Description of the Surgical Technique", Journal of Oral and Maxillofacial Surgery, 67 (10): 2160–6, doi:10.1016/j.joms.2009.04.124, PMID 19761909
- Wilcko, M. Thomas; Wilcko, William M.; Pulver, Jeffrey J.; Bissada, Nabil F.; Bouquot, Jerry E. (2009), "Accelerated Osteogenic Orthodontics Technique: A 1-Stage Surgically Facilitated Rapid Orthodontic Technique with Alveolar Augmentation", Journal of Oral and Maxillofacial Surgery, 67 (10): 2149–59, doi:10.1016/j.joms.2009.04.095, PMID 19761908
- U.S. Patent 6,109,916, Orthodontic method and device, M. Thomas Wilcko et al. (patent of original invention)