Korean J Orthod 2009; 39(1): 54-65 https://doi.org/10.4041/kjod.2009.39.1.54
First Published Date February 28, 2009, Publication Date February 28, 2009
Copyright © The Korean Association of Orthodontists.
Seong-Hun Kim, DMD, MSD, aKye-Bok Lee, DMD, bKyu-Rhim Chung, DMD, MSD, PhD, cGerald Nelson, DDS, d and Tae-Woo Kim, DDS, MSD, PhDe
aPostgraduate student, Department of Orthodontics, School of Dentistry and Dental Research Institute, Seoul National University, and Assistant Professor, Department of Orthodontics, The Catholic University of Korea, Uijongbu St. Mary's Hospital, Korea.
bPrivate Practice.
cPresident of the Korean Society of Speedy Orthodontics.
dClinical professor and Vice Chair, Department of Orthodontics, The University of California San Francisco, USA.
eProfessor and Chairman, Department of Orthodontics, School of Dentistry and Dental Research Institute, Seoul National University, Korea.
Correspondence to: Tae-Woo Kim. Department of Orthodontics, School of Dentistry and Dental Research Institute, Seoul National University, 28-2, Yeongeon-dong, Jongno-gu, Seoul 110-744, Korea. +82 2 2072 2671; Email: taewoo@snu.ac.kr
This paper describes the case of a 50-year-old female with a Class II malocclusion who presented with severe bimaxillary protrusion and generalized alveolar bone loss due to adult periodontitis. The treatment plan consisted of extracting both upper and lower first premolars and periodontal treatment. Anterior segmental osteotomy (ASO) of the mandible and upper anterior segment retraction using compression osteogenesis after peri-segmental corticotomy (Speedy orthodontics) was performed. Correct overbite and overjet, facial balance, and improvement of lip protrusion were obtained. However, a slight root resorption tendency was observed on the lower anterior dentition. The active treatment period was 9 months and the results were stable for 27 months after debonding. This new type of treatment mechanics can be an effective alternative to orthognathic surgery.
Keywords: Corticotomy, Speedy orthodontics, Skeletal anchorage, Compression osteogenesis, Anterior segment osteotomy, Adult periodontitis
Korean J Orthod 2009; 39(1): 54-65 https://doi.org/10.4041/kjod.2009.39.1.54
First Published Date February 28, 2009, Publication Date February 28, 2009
Copyright © The Korean Association of Orthodontists.
Seong-Hun Kim, DMD, MSD, aKye-Bok Lee, DMD, bKyu-Rhim Chung, DMD, MSD, PhD, cGerald Nelson, DDS, d and Tae-Woo Kim, DDS, MSD, PhDe
aPostgraduate student, Department of Orthodontics, School of Dentistry and Dental Research Institute, Seoul National University, and Assistant Professor, Department of Orthodontics, The Catholic University of Korea, Uijongbu St. Mary's Hospital, Korea.
bPrivate Practice.
cPresident of the Korean Society of Speedy Orthodontics.
dClinical professor and Vice Chair, Department of Orthodontics, The University of California San Francisco, USA.
eProfessor and Chairman, Department of Orthodontics, School of Dentistry and Dental Research Institute, Seoul National University, Korea.
Correspondence to: Tae-Woo Kim. Department of Orthodontics, School of Dentistry and Dental Research Institute, Seoul National University, 28-2, Yeongeon-dong, Jongno-gu, Seoul 110-744, Korea. +82 2 2072 2671; Email: taewoo@snu.ac.kr
This paper describes the case of a 50-year-old female with a Class II malocclusion who presented with severe bimaxillary protrusion and generalized alveolar bone loss due to adult periodontitis. The treatment plan consisted of extracting both upper and lower first premolars and periodontal treatment. Anterior segmental osteotomy (ASO) of the mandible and upper anterior segment retraction using compression osteogenesis after peri-segmental corticotomy (Speedy orthodontics) was performed. Correct overbite and overjet, facial balance, and improvement of lip protrusion were obtained. However, a slight root resorption tendency was observed on the lower anterior dentition. The active treatment period was 9 months and the results were stable for 27 months after debonding. This new type of treatment mechanics can be an effective alternative to orthognathic surgery.
Keywords: Corticotomy, Speedy orthodontics, Skeletal anchorage, Compression osteogenesis, Anterior segment osteotomy, Adult periodontitis