歯槽部皮質骨骨切り術を併用した歯列矯正治療の臨床的検討

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  • A clinical study of orthodontic treatment with alveolar corticotomy.

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To shorten the treatment period and to prevent relapse, Köle recommends that corticotomy be performed in adults who undergo orthodontic treatment and in persons in whom such treatment is delayed. However, Köle's method has disadvantages such as gingival recession and resorption of the alveolar crest, because it entails cutting the alveolar crest with a bur. To avoid these disadvantages, we modified Kole's method and cut the alveolar crest with only a chisel.<BR>This modified procedure was performed in 19 patients undergoing preoperative orthodontic treatment for maxillofacial deformity and in 5 patients receiving adjunctive treatment for conventional orthodontic therapy. With this procedure, the duration of tooth movement was shortened and no complications, including recession of the interdental papilla, occurred during the course of treatment. The esthetic outcome was also satisfactory.

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