Corticotomy as a stage of complex treatment of orthodontic patients: Review

Abstract

In recent years, adult patients are increasingly seeking orthodontic care. This study focused on the acceleration of treatment in adult patients using surgical support, an urgent problem of modern orthodontic dentistry. Traditional orthodontic treatment follows a long course, ranging from 24 to 36 months, which requires long-term cooperation of patients and doctors. In adult patients, this process is more complex and longer, which often causes refusal of treatment. This review considers two well-known methods of corticotomy: piezosurgery, including piezocision and laser corticotomy. The review also discussed the biological basis of orthodontic tooth movement associated with alveolar bone restructuring and research aimed at accelerating this process. Various methods of corticotomy and other innovative approaches to reduce treatment time and improve results were discussed. The introduction of minimally invasive and predictable surgical methods was also provided. The literature analyses reflect the results of domestic and foreign authors who performed corticotomy and described their advantages and disadvantages.