EXTRACTION OF A RETAINED PRIMARY TOOTH #29 AND PLACEMENT OF IMPLANT THE SAME DAY
Accelerated orthodontic techniques are intended to accelerate the orthodontic movement of teeth through the process of biological healing after bone de-cortications. This is also referred to as Rapid Accelerated Phenomena (RAP).
Accelerated orthodontics can be accomplished using three different techniques:
Wilckodontics – In addition to accelerating orthodontic movement, Wilckodontics increases the width of alveolar bone to facilitate orthodontic expansion. Bone grafting is part of this technique and results in new bone formation. Wilckodontics is called Accelerated Osteogenic Orthodontics (AOO) because osteogenesis occurs after bone grafting. Wilckodontics also provides the optimal rapid accelerated movement (RAP) duration ranging from 4 weeks to 6 months after surgery.
Piezo Surgery – The period of time for greatest accelerated movement (RAP) is from 4 weeks to 4 months after surgery.
Propel - The period of time for greatest accelerated movement (RAP) is from the day of procedure to 8 weeks after procedure. Propel can be repeated as needed.
Suggestions for deciding what procedure is best for your patient:
AOO (Wilckodontics) – Can be used for lower incisor crowding with thin labial bone that requires labial expansion to align the teeth non-extraction.
AOO is excellent for select areas and does not have to be full mouth. Bone grafting will lead to osteogenesis of the labial plate. Soft tissue grafting can also be completed at the same appointment if needed.
Piezo surgery is best for thick biotypes where decortications are needed for accelerated movement, but do not need osteogenesis.
Propel is best for isolated areas such as a high cuspid.