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INDIAN DENTAL ACADEMY
Leader in continuing Dental Education
www.indiandentalacademy.com
Conventional Orthodontics
 Pressure and tension in the PDL causes bone
resorption or deposition
 Rate of tooth movement is limited by bone
resorption
www.indiandentalacademy.com
Accelerated Osteogenic
Orthodontics
www.indiandentalacademy.com
www.indiandentalacademy.com
Indian Dental academy
• www.indiandentalacademy.com
• Leader continuing dental education
• Offer both online and offline dental
courses
Biological Principles of AOO
 Regional Accelerated Phenomenon
 (RAP)
 􀂉 A large insult to bone (fracture, surgery) can
 initiate a localized “burst” of remodeling to
 repair the bone
Red = active bone resorption
Green = uncalcified osteoid
Gray = mineralized, mature
bone
www.indiandentalacademy.com
 This remodeling induces Ca2+ release from
 adjacent trabecular bone, causing localized
 osteopenia
 􀂉 Osteopenia: Decreased calcification or
 density of bone
 􀂉 Osteopenia can be induced by surgically
 removing select portions of the alveolar cortex
www.indiandentalacademy.com
 Osteopenia softens bone and allows for more
 rapid tooth movement by orthodontics
 􀂉 Dr. Kole introduced this to single-tooth
 orthodontics in 1959
 􀂉 Drs. Thomas and William Wilcko applied this to all
 the teeth desired to be moved (1995)
www.indiandentalacademy.com
Selective decortication, followed by osteopenia
Remineralization begins 20-55 days after surgery
Orthodontic forces prolong remineralization (6
months?)
Complete recovery by 2 years
Bone grafts are used to increase bone height
and width
www.indiandentalacademy.com
www.indiandentalacademy.com

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Accelerated osteogenic orthodontics/endodontic courses

  • 1. INDIAN DENTAL ACADEMY Leader in continuing Dental Education www.indiandentalacademy.com
  • 2. Conventional Orthodontics  Pressure and tension in the PDL causes bone resorption or deposition  Rate of tooth movement is limited by bone resorption www.indiandentalacademy.com
  • 4. www.indiandentalacademy.com Indian Dental academy • www.indiandentalacademy.com • Leader continuing dental education • Offer both online and offline dental courses
  • 5. Biological Principles of AOO  Regional Accelerated Phenomenon  (RAP)  􀂉 A large insult to bone (fracture, surgery) can  initiate a localized “burst” of remodeling to  repair the bone Red = active bone resorption Green = uncalcified osteoid Gray = mineralized, mature bone www.indiandentalacademy.com
  • 6.  This remodeling induces Ca2+ release from  adjacent trabecular bone, causing localized  osteopenia  􀂉 Osteopenia: Decreased calcification or  density of bone  􀂉 Osteopenia can be induced by surgically  removing select portions of the alveolar cortex www.indiandentalacademy.com
  • 7.  Osteopenia softens bone and allows for more  rapid tooth movement by orthodontics  􀂉 Dr. Kole introduced this to single-tooth  orthodontics in 1959  􀂉 Drs. Thomas and William Wilcko applied this to all  the teeth desired to be moved (1995) www.indiandentalacademy.com
  • 8. Selective decortication, followed by osteopenia Remineralization begins 20-55 days after surgery Orthodontic forces prolong remineralization (6 months?) Complete recovery by 2 years Bone grafts are used to increase bone height and width www.indiandentalacademy.com