Wilckodontics At Smile Mantra

Wilckodontics/Periodontally Accelerated Osteogenic Orthodontics (PAOO): Overview and Benefits

Wilckodontics, also known as Periodontally Accelerated Osteogenic Orthodontics (PAOO), is an advanced orthodontic treatment that combines traditional orthodontic techniques with a surgical procedure to significantly speed up the movement of teeth. This method not only reduces the overall treatment time but also enhances the outcomes of orthodontic treatment, making it an attractive option for patients seeking faster results.

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What is Wilckodontics/PAOO?

  • Procedure:
    • PAOO involves a surgical procedure performed by a periodontist or oral surgeon in conjunction with an orthodontist. The surgery, known as corticotomy, involves selectively removing a small amount of the outer surface of the bone (cortical bone) around the teeth. This is followed by placing bone graft material, which enhances bone remodeling and healing.
    • After the surgery, conventional orthodontic appliances like braces or aligners are used to move the teeth into the desired position.
    • The bone graft helps to stimulate new bone growth, which allows teeth to move more quickly and reduces the risk of root resorption (shortening of the tooth roots) that can sometimes occur with traditional orthodontic treatments.
  • Mechanism:
    • The surgical process induces a temporary condition known as the “Regional Acceleratory Phenomenon” (RAP), where the bone becomes more pliable and responsive to orthodontic forces. This phenomenon significantly accelerates the tooth movement process, allowing for more rapid alignment and correction of dental issues.

Benefits of Wilckodontics/PAOO

  1. Faster Treatment Time:
    • One of the most significant advantages of Wilckodontics is the reduction in overall treatment time. Traditional orthodontic treatments can take anywhere from 18 to 36 months, but with PAOO, this time can be reduced to 6 to 9 months.
  1. Enhanced Bone Support:
    • The addition of bone graft material not only supports faster tooth movement but also increases the bone density around the teeth. This can lead to a more stable and lasting outcome, reducing the likelihood of teeth shifting back to their original positions (relapse).
  1. Broader Range of Treatments:
    • PAOO can be used to treat more complex cases that might be challenging with traditional orthodontics alone. This includes severe crowding, misalignment, and even certain cases that would otherwise require extractions or surgery.
  1. Improved Aesthetic and Functional Outcomes:
    • The faster movement of teeth allows orthodontists to achieve more precise and ideal alignment of teeth, improving both the aesthetic appearance and the functional bite. Patients often experience enhanced facial aesthetics as a result of better-proportioned dental arches.
  1. Decreased Risk of Root Resorption:
    • Because PAOO speeds up the process of tooth movement, it reduces the time that the teeth are under constant pressure, thereby minimizing the risk of root resorption, a common complication in longer orthodontic treatments.
  1. Comprehensive Dental and Periodontal Health:
    • The surgical aspect of PAOO often involves periodontal care, which can improve the overall health of the gums and bone structure. This is particularly beneficial for adult patients who might have pre-existing periodontal issues.

Who is a Candidate for Wilckodontics/PAOO?

  • Ideal Candidates:
    • Patients with complex orthodontic cases that require significant tooth movement.
    • Adults who prefer a shorter treatment duration.
    • Patients with periodontal concerns that need to be addressed alongside orthodontic treatment.
  • Considerations:
    • Not all patients are suitable for PAOO. The procedure requires a healthy bone structure and a commitment to maintaining good oral hygiene.
    • A thorough evaluation by an orthodontist and periodontist is necessary to determine if PAOO is the right treatment option.

The Wilckodontics/PAOO Procedure: Step-by-Step

  1. Consultation and Planning:
    • The orthodontist and periodontist collaborate to assess the patient’s dental and periodontal health. Detailed planning is conducted to determine the specific tooth movements required.
  1. Surgical Phase (Corticotomy):
    • Under local anesthesia, the periodontist makes small incisions in the gum tissue to access the bone. The cortical bone is selectively perforated, and bone graft material is placed to promote rapid bone regeneration.
  1. Orthodontic Treatment:
    • After a brief healing period, the orthodontist begins active tooth movement using braces or clear aligners. The RAP effect allows teeth to move more quickly and efficiently.
  1. Monitoring and Adjustment:
    • Regular visits to the orthodontist are required to monitor progress and make necessary adjustments. The entire process is typically completed in 6 to 9 months.
  1. Retention Phase:
    • After the active treatment phase, retainers are used to maintain the new tooth positions and prevent relapse.

Wilckodontics/PAOO is a revolutionary treatment option for patients seeking faster orthodontic results without compromising the quality of the outcome. By combining orthodontics with periodontal surgery, this technique offers a quicker, more efficient path to a beautiful and functional smile, particularly for those with more complex dental issues. If you are considering orthodontic treatment and are interested in reducing treatment time, discussing Wilckodontics with your orthodontist could be a valuable option.

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