Localized Piezoelectric Alveolar Decortication With Customized Orthodontic Treatment in Adults
Localized Piezoelectric Alveolar Decortication With Customized Orthodontic Treatment in Adults
The aim of the present randomized controlled clinical trial will compare Insignia orthodontic
 treatment to piezocision-assisted Insignia orthodontics in adult patients. The primary
 objective will be to determine the efficacy of piezocision-accelerated orthodontic treatment
 by measuring the treatment duration in both groups. The secondary objectives will be to
 compare periodontal health, alveolar crest changes, bone and gingival healing, analgesic
 intake and patient-centered outcomes between the 2 groups.
Inclusion Criteria:

 -  Patients requiring maxillary and mandible orthodontic treatment (both arches)

 -  Adult patients with completed growth based on the cervical vertebral maturation method
 as described by Baccetti et al. (Baccetti et al. 2002)

 -  Minimal to moderate maxillary and mandibular anterior crowding at baseline
 (irregularity index <6;(Little 1975));

 -  American Society of Anesthesiology I or II (I = nor- mal healthy patient; II = patient
 with mild systemic disease);

 -  Adequate dento-oral health (i.e., the absence of periodontal diseases, periapical
 infection, or untreated caries).

 Exclusion Criteria:

 -  controlled periodontitis with a loss of alveolar support >10%

 -  gingival recession >2 mm

 -  smokers

 -  altered bone metabolism (e.g., due to antiresorptive drug, steroid, or
 immunosuppressant use)

 -  mental or motor disabilities; and 6) pregnancy.