Abd Elhafeez Hazem, Fathy Aboelmahasen Mahmoud M, Saleh Mohamed Helmi, Alfeqy Ahmed Ahmed Hussein, Abouelnour Ahmed Mohammed
Department of Orthodontics, Faculty of Dental Medicine, Cairo, Boys, Al-Azhar University, Egypt.
Department of Oral and Maxillofacial surgery, Faculty of Dental Medicine, Cairo, Boys, Al-Azhar University, Egypt.
J Orthod Sci. 2025 Mar 25;14:4. doi: 10.4103/jos.jos_97_24. eCollection 2025.
The self-ligating bracket system and corticision are two methods for acceleration of orthodontic tooth movement (OTM).
The current study aimed to assess the effect of a self-ligating bracket system combined with corticision on the rate of OTM.
The present study was conducted on 16 female patients divided into two groups: an experimental group of eight patients treated by self-ligating bracket systems used as fixed orthodontic appliances combined with a corticision as a minimally invasive surgical technique for accelerating OTM, and a control group of eight patients treated only by self-ligating bracket systems used as fixed orthodontic appliances. The primary outcome was the percentage of change in Little's Index of Irregularity (LII). The secondary outcome was the time taken to finish the leveling and alignment stage.
In a comparison of the percentage of change in LII for the upper arch between the two groups, the experimental group recorded values that were significantly greater than those recorded in the control group at all time intervals T0-T7, except for T8-T10, which were similar. Both groups recorded (100 ± 0%), with no significant difference between groups ( = 1).
The combination of two methods for acceleration of OTM, a self-ligating bracket system combined with corticision, accelerates the rate of OTM more than in the case of using a self-ligating bracket system only.
自结扎托槽系统和皮质切开术是加速正畸牙齿移动(OTM)的两种方法。
本研究旨在评估自结扎托槽系统联合皮质切开术对OTM速率的影响。
本研究对16名女性患者进行,分为两组:实验组8名患者,采用自结扎托槽系统作为固定正畸矫治器,并结合皮质切开术这一加速OTM的微创外科技术进行治疗;对照组8名患者,仅采用自结扎托槽系统作为固定正畸矫治器进行治疗。主要观察指标是Little不规则指数(LII)的变化百分比。次要观察指标是完成整平排齐阶段所需的时间。
在比较两组上颌牙弓LII变化百分比时,除T8 - T10时两组相似外,实验组在所有时间间隔T0 - T7记录的值均显著高于对照组。两组记录值均为(100 ± 0%),组间无显著差异( = 1)。
自结扎托槽系统联合皮质切开术这两种加速OTM的方法,比仅使用自结扎托槽系统更能加速OTM速率。