CLINICAL USE OF CORTICOTOMIES IN ADULT ORTHODONTICS

성인 교정치료를 위한 피질골절단술(Corticotomy)의 임상 적용

  • Lee, Baek-Soo (Department of Oral and Maxillofacial Surgery, College of dentistry, KyungHee University) ;
  • Hwang, Hye-Wook (Department of Oral and Maxillofacial Surgery, College of dentistry, KyungHee University) ;
  • Chung, Kyu-Rhim (Department of Orthodontics, College of dentistry, KyungHee University)
  • 이백수 (경희대학교 치과대학 구강악안면외과학교실) ;
  • 황혜욱 (경희대학교 치과대학 구강악안면외과학교실) ;
  • 정규림 (경희대학교 치과대학 치과교정학교실)
  • Received : 1999.06.14
  • Accepted : 1999.07.19
  • Published : 1999.09.30

Abstract

In adult patients, the corrections of their malocclusion may be more difficult and require longer treatment time due to thicker layer of cortical bone and reduced blood supply. Recently, various methods such as surgery, implant for anchorage and corticotomy have been tried to overcome these problems. Corticotomy is a surgical technique in which a fissure is made through the cortical bone that surrounds a tooth so that the tooth is embedded within a block of bone that is connected to adjacent blocks through only the medullary bone. Technique of corticotomy has been widely used for correction of maxillary transverse deficiency, but hasn't actively in other fields of orthodontics. We applied corticotomies in many types of orthodontic treatment and had satisfactory results. We suggested clinical application of corticotomy in adult orthodontics to reduce treatment period and to achieve better stability after orthodontic treatment.

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