What is Accelerated Osteogenic Orthodontics?
Simply stated Accelerated Osteogenic Orthodontics (AOS)is a unique surgical approach to orthodontics which can enhance outcomes and reduce treatment times and help with complex TMJ pain and cosmetic dentistry bite related issues. In some cases, it can help achieve better cosmetic dentistry results as well. There are a large number patient’s who would like orthodontics but will not or cannot commit to 18-36 months of treatment. Other times, periodontal disease and too much movement might be indicated.
How Long Has Accelerated Osteogenic Orthodontics Been Around?
This process has been around for a decade and was originally started as a way to move teeth faster for adults who really wanted shortened treatment time. Through the years it has been found that this procedure has enabled teeth to be moved further than through conventional procedures.
Is there any professional research behind this?
An article in, Decisions in Dentistry, May 2016, describes some key points that ASO entails:
-it is a surgical procedure that involves scoring the bone along with hard and or soft tissue grafting
-it decreases the time needed for tooth movement
-the procedure has gravitated from its original intent ot move tooth faster to being able to move teeth further and still provide stable long term bone support.
Another positive advantage of accelerated osteogenic orthodontics, is that is can help provide better bone support when teeth are moved. Many times after conventional orthodontic treatment, the bone that supports teeth is thinned. This can also lead to gum recession and further complications long term.
Are there any cosmetic dental advantages?
Yes, another factor that is very interesting is the use of lingual (tongue sided) braces as opposed to conventional braces. Not only is this cosmetically appealing, but from a mechanical perspective, the forces placed on the bone and teeth are actually much better.
These types of braces were hard to place and work with years ago. New technology, scanning and improved bracket form have resolved these issues.
Where is Accelerated Osteogenic Orthodontics Headed?
This treatment is certainly not mainstream or well known in the profession at this time. There is a time and place for these procedures and certainly individuals who can benefit from this treatment in terms of time and in terms of health.
Continued research and observations are needed. Professionally, I can see this procedure being utilized to help reduce the need for orthognathic surgery cases and periodontally involved restorative/orthodontic cases. ASO might help to more conservatively treat some difficult cases combined with functional orthodontic care.