Corticotomy – what is the procedure?

Corticotomy - what is the procedure?

In the field of dentistry, various treatments are performed to treat the teeth of patients, periodontal tissues, or eliminate existing malocclusions or prevent their formation. In the case of orthodontics, which is one of the branches of dental science, a corticotomy procedure is mentioned. What is he and who will be recommended?

Corticotomy - what is it?

Corticotomy is a procedure in the field of dental surgery performed primarily in adults after they have reached the age of 20 with fully developed jaw bones. It consists of a vertical incision of the bone plaque, exactly between the roots of the teeth, just under the gum. This can be done either through the gum or with the unveiling of the gingival flap. Corticotomy, according to the instructions of the dentist and orthodontist, may be partial, ie performed only on a certain section of the dental arch or it may be a full corticotomy, covering the entire arch.

Why is a corticotomy performed?

This treatment is performed for many different purposes:

reducing the pain that accompanies the forces acting on the teeth while wearing a permanent orthodontic appliance,
to facilitate the movement of teeth, i.e. to reduce bone resistance,
facilitate treatment and shorten the time of wearing orthodontic appliances,
elimination of the risk of disappearing of the roots of the moved teeth,
eliminating the risk of unveiling of the neck after treatment,
elimination of risk of tooth mobility after removal of the orthodontic appliance.
Corticotomy can be performed by the dentist also in case of necessity:

widening of the dental arch,
closing the space between teeth,
treatment of rotation, intrusion, extrusion, etc.
It is recommended to perform a corticotomy only after insertion of a fixed device, because about 7 days after the visit at the orthodontist, the appropriate strength starts to affect the teeth, and the bones have some chemical reactions that can cause pain.

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