Corticotomy Assisted Treatment for Complicated Case Correction: Five Case Report

Today’s orthodontic practice is not driven by professional clinical decisions only, it is also highly influenced by the patient’s different demands. Nowadays internet has enabled a direct access to information, thus enabling the patient to become more easily self-informed and determined in his/her requests. In this poster, presentation of possibilities of combining corticotomy and its RAP phenomenon, TADs and cortical plates, shall be based on real cases with “what if…?” moments, when the patients posed different kinds of demand, such as: What if we try to save this tooth? What if I don’t want to extract my premolars? What if we only help my GP to place implants and prosthetics by segmental orthodontics instead having braces on all teeth? What if we do it by shortening the treatment to 9 (or 3) months, because otherwise I cannot accept it?

Objectives: To present cases with clear interdisciplinary case-dependant cooperation of an orthodontist, maxillofacial surgeon, general dentist and prosthodontist.

Methods: Different micro and mini invasive surgical technics are used e.g. corticotomy, TAD’s and cortical plates in combination with fixed orthodontic appliances.

Results: Cases are presented in before, progress and after treatment status, so everyone can objectively see the impact of the total procedures done.

Conclussion: Individualised and patient-oriented approach can end up with more then satisfying, very predictable and faster results, when using corticotomy assisted orthodontics, TAD’s and cortical plates.

Clinical experience of our team work (together with my surgeon) shows that when corticotomies are used together with aPRF (advanced platelet rich fibrin), in average there is 1 out of 10 patients, and even less, that are subjected to antibiotics prescription.