Patients entering our practice, as well as those already undergoing active orthodontic therapy, can greatly reduce the length of time in orthodontic treatment by opting to be Fast Tracked with Accelerated Osteogenic Orthodonticstm - AOOTM.
Patients who would decline conventional orthodontics strictly due to the length of treatment now have a viable alternative. This group of patients has tended to include the older teenager, adults whose social or professional responsibilities would preclude long treatment periods and patients that are simply running out of time as an important event nears.
Over a decade of research has culminated in the development of procedures that result in accelerated orthodontics. Teeth can be moved approximately 4 times faster than ever before possible with conventional orthodontics. As a result, the treatment time for orthodontic cases can be reduced from 18-36 months to 3-8 months. Accelerated orthodontics is a combination of advanced orthodontics and time-tested and proven rudimentary procedures from the fields of periodontics and oral surgery. None of the procedures or techniques are new or unique. However, when used in combination with one another, orthodontists gain a powerful advantage in getting to the end point faster than ever thought possible. Fast Tracked patients in our practice undergo accelerated orthodontics. Although Fast Tracked patients complete their treatment in less time than traditional orthodontic patients, they are seen more often. This ultimately results in Fast Tracked patients having the same number of visits as our traditional patients. We appreciate the stressful demands that this can make on some patient’s schedules so we make every effort to accommodate their needs.
Traditionally, orthodontic treatment takes such a long time because of insufficient size, shape and responsiveness of the bone that surrounds the teeth. The slow and continual application of orthodontic forces, to an unaltered bone, triggers a resorptive/absorptive cycle resulting in extremely slow tooth transport. This is the mechanism that orthodontists have used to move teeth for the past 200 years. Accelerated orthodontics solves this dilemma by employing advanced orthodontics and by exploiting the dynamics of bone physiology of an activated tooth-supporting bone. By stimulating and harnessing the innate potentials of living bone, the teeth can be moved at an accelerated rate through newly formed viable bone.
Activation of the bone housing involves the selective vertical scratching and stippling of the outer aspects of the bone that surrounds the teeth. The procedure is performed with a piezosurgical technique by a specialty trained dental surgeon (periodontist or oral surgeon). Thanks to controlled three-dimensional ultrasound vibrations, maximal surgical precision is accomplished without soft tissue injury in a practically blood free surgical field. Artificial particulate bone grafting material is placed over the activated bone (augmentation) prior to suturing. The activated tooth-supporting bone will permit accelerated tooth movement two weeks post operatively. Both upper and lower jaws can undergo the procedures at the same in-office appointment. A single tooth can also undergo the procedures included in accelerated orthodontics.
The reactivity and responsiveness of upper and lower jaws to activation and augmentation is consistent with the cell biology and physiologic stages seen in the wound healing pattern of the regional acceleration phenomenon (RAP). Striking bursts in bone activity (demineralization and remineralization) occurs adjacent to the site of the activation and augmentation. Accelerated orthodontics demonstrates how the biologic response can be modified to the patient’s advantage. Truly: in vivo tissue engineering.
Additional benefits of rapid tooth movement through activated and augmented bone
- Repair of pretreatment bony defects in the bone that supports the teeth.
- Fewer extractions
- Less need for corrective jaw surgery
- Increased bone volume can be used to improve the esthetics by size enhancement. Bony concavities can be diminished selectively
- Post orthodontic stability increase as evidenced by a decrease in relapse tendency towards pretreatment positions
Dr. Gorin is the only orthodontist that is certified to practice the technique of Accelerated Osteogenic Orthodonticstm in our area. Dr. Gorin has studied directly under the two doctors, Bill and Tom Wilcko, who have pioneered the research efforts and developed the clinical procedures that encompass accelerated orthodontic tooth movement.
Dr. Gorin is the lead clinical architect of the largest hospital-based program in Accelerated Osteogenic Orthodontics(tm), which is presently being considered by several institutions in the New York metropolitan area.
Wilckodontics is a registered trademark, and Accelerated Osteogenic OrthodonticsTM and AOOTM are trademarks of Wilckodontics, Inc. Copyright 1998 - 2006 Wilckodontics, Inc. US Patent #6,109,916.
