Speedy Surgical Orthodontic Treatment With Skeletal Anchorage in Adults—Sagittal Correction and Open Bite Correction

Chung, Kyu-Rhim; Mitsugi, Masaharu; Lee, Baek-Soo; Kanno, Takahiro; Lee, Won; Kim, Seong-Hun

doi:10.1016/j.joms.2009.07.002

« Previous Next »Journal of Oral and Maxillofacial Surgery
Volume 67, Issue 10 , Pages 2130-2148, October 2009

Speedy Surgical Orthodontic Treatment With Skeletal Anchorage in Adults—Sagittal Correction and Open Bite Correction

Kyu-Rhim Chung, DMD, PhD
- President of the Korean Society of Speedy Orthodontics
Masaharu Mitsugi, DDS, PhD
- Chairman, Division of Oral and Maxillofacial Surgery, Kagawa Prefectural Central Hospital, Kagawa, Japan
Baek-Soo Lee, DDS, PhD
- Professor, Department of Oral and Maxillofacial Surgery, Kyung Hee University School of Dentistry, Seoul, South Korea
Takahiro Kanno, DDS, PhD
- Clinical Fellow, Division of Oral and Maxillofacial Surgery, Kagawa Prefectural Central Hospital, Kagawa, Japan
Won Lee, DDS, PhD
- Associate Professor, Division of Oral and Maxillofacial Surgery, Department of Dentistry, The Catholic University of Korea, Uijongbu St. Mary's Hospital, Uijeongbu, Gyeonggi-do, South Korea
Seong-Hun Kim, DMD, PhD
- Assistant Professor, Division of Orthodontics, Department of Dentistry, The Catholic University of Korea, Uijongbu St. Mary's Hospital, Uijeongbu, Gyeonggi-do, South Korea
- Address correspondence and reprint requests to Dr Kim: Division of Orthodontics, Department of Dentistry, The Catholic University of Korea, Uijongbu St. Mary's Hospital, 65-1 Geumoh-dong, Uijeongbu, Gyeonggi-do 480-717 South Korea

Purpose

The present report describes a new type of corticotomy-assisted orthodontic treatment called Speedy orthodontics, which allows faster movements of the dental segments using skeletal anchorage.

Materials and Methods

To minimize the risk of necrosis, 2 procedures are performed. During the initial surgery, bilateral and horizontal corticotomies are performed in the palatal area with the patient under local anesthesia. After 2 to 3 weeks, a second buccal corticotomy is performed and 500 to 900 g of force per side is immediately applied to the corticotomized segment.

Results

Successful alveolar bone bending can be obtained in cases of adult protrusion or open bite.

Conclusions

Speedy orthodontics allows for more precise control of anterior segment retraction in adult protrusion patients and can be used for posterior segment intrusion. This technology is powerful, easy to apply, and provides a significant advance in surgical orthodontics.