Guide Surgery Corticotomy System (GSCS) a New Device in Orthodontic Treatment

Giuseppe Salvato, Carlo Chiavenna and Maria Costanza Meazzini

Department of Maxillofacial Surgery, ISI Istituto Stomatologico Italiano, University of Milano, Milan, Italy
Department of Orthodontics, San Paolo Hospital, University of Milan, Italy
Department of Maxillofacial Surgery, and orthodontic consultant, Cleft Lip and Palate Center, University of Milan, Milan, Italy

^*Correspondance to: Carlo Chiavenna 

 PDF  Full Text DOI: 10.25107/2474-1647.1507

Abstract

Introduction: This article proposes an innovative diagnostic and therapeutic protocol for performing corticotomies in office under local anaesthesia with piezoelectric surgery using a surgical acrylic guide produced through software-based planning.Methods: The method was applied in late adolescent or adult patients that request short treatment time, patients with mild dentoskeletal discrepancies and patients with poor periodontal support. Performing a preoperative CT with a special splint, optical scanning of the models and subsequent planning with software has enabled us to produce a model with rapid prototyping with the design of the corticotomies on which the surgical guide was shaped. The use of the guide associated with piezoelectric surgery, allowed to perform surgery under local anaesthesia, with minimal invasiveness and high accuracy.Results: Immediate movement of teeth after corticotomies allows a reduction of the treatment times up to one year, with preservation of the roots of teeth involved. Corticotomies allow the orthodontist to achieve with accuracy the objectives required by the treatment plan.Conclusion: GSCS is a new method, which, utilizing 3D optical scanning images of models, software and piezoelectric surgery, allows to perform dental movements which may be difficult or dangerous for the periodontal support, with orthodontics only. It dramatically reduces total surgicalorthodontic treatment time, with obvious great patient satisfaction.

Keywords

Corticotomy system; Orthodontic Treatment; Anaesthesia

Cite the article

Salvato G, Chiavenna C, Meazzini MC. Guide Surgery Corticotomy System (GSCS) a New Device in Orthodontic Treatment. Clin Surg. 2017; 2: 1507.