Wilckodontics (Accelerated Osteogenic Orthodontics)

- Wilckodontics, also known as Accelerated Osteogenic Orthodontics, involves a periodontal procedure combined with orthodontics to reach end results of straight teeth 3 to 4 times faster than conventional orthodontic treatment.

- In the 1950s, periodontists were using corticotomy procedures to increase the rate of tooth movement. An oral corticotomy is a type of surgery where cuts are made in the jaw bone that surrounds and supports your teeth, called the alveolar bone.

- In the 1990s, the Drs. Wilcko, using CT scans, concluded that a marked reduction in mineralization of the Alveolar bone was the reason for the accelerated tooth movement following corticotomies.

- In 1995, Drs. Wilcko patented the AOO (Accelerated Osteogenic Orthodontics) technique.Unlike a usual corticotomy, AOO doesn’t just cut into the bone, but decorticates it.

- Brief about AOO steps:

1- That is, some of the bone’s external surface is removed.

2- The bone then goes through a phase known as osteopenia, where its mineral content is temporarily decreased.

3- The tissues of the Alveolar bone release rich deposits of calcium, and new bone begins to mineralize in about 20 to 55 days.

4- While the bone is in this transient state, braces can move your teeth very quickly, because the bone is softer and there is less resistance to the force of the braces.

-Research has shown that the results of AOO are as stable and long-lasting as conventional orthodontic braces. There seems to be more Alveolar bone present in patients who have undergone AOO, compared to before surgery, which is advantageous if your profile needs to be built up to improve your facial aesthetics.

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Advantages of AOO:
1- Shortened treatment time (3-4 times).
2- Decreased chance of root resorption following orthodontics * Increased Alveolar bone providing better support for your teeth and facial profile.
3- Less likelihood for relapse.
4- You can choose from metal, ceramic, or gold brackets, or even Invisalign.
5- Since teeth are moving through a softened bone, there is less discomfort associated with teeth movement (following each orthodontic adjustment) compared to traditional orthodontics.

Disadvantages of AOO:
1- More expensive than conventional braces.
2- Being a mildly invasive surgery, it has its risks.
3- Expect some swelling and tenderness immediately after surgery.
4- Need to recover for a week and must stay away from school or work.

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Broken Orthodontic Braces

Braces often get damaged in some way throughout the course of treatment. Although most kids are pretty careful (or lucky), we have cases of broken braces from time to time. It is very common to have some kind of problem with braces--be careful, but expect some normal problems. Here are a few of the most common:

1. Loose Bracket- The bracket comes loose from the tooth (very common). It usually stays attached to the wire but tends to roll around or move some. This is usually not an emergency. The bracket (or a new one) can be re-bonded at the next orthodontic appointment (hint--let the office know ahead of time).

2. Wire poking - Sometimes the wire slides around to one side and can cause discomfort in the back part of the mouth and cheek. This seems to occur in the earlier stages of treatment when the teeth are beginning to move and the wire straightens out. However, it can happen anytime. Usually the wire is clipped off or the wire slid back around into place with a simple adjustment.

3. Appliance Loose/Off- Sometimes an orthodontic band, space maintainer, expander, or other dental appliance may come loose from the tooth. If only one part or side is loose, it often just moves up and down, but can be re-cemented. Sometimes the appliance is damaged and needs repair or replacement.

4. Band Broken or Appliance Damaged- Orthodontic ligatures, bands or other attachments can become damaged and create an ulcer on the soft tissues of the cheek, lips or tongue.

5. Traumatic Injury- If the lips are traumatized into orthodontic hardware, they can become "stuck" in the braces. A gentile tug can free the lip. Otherwise, the dentist can free the tissue. Braces can actually protect the teeth in cases of major trauma, preventing teeth from being knocked out or more severely displaced.

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