Accelerating the Orthodontic Treatment Using Periodontally Accelerated Osteogenic Orthodontics (PAOO): A Periodontic-Orthodontic Interrelationship

Periodontally accelerated osteogenic orthodontics (PAOO) is a periodontal-orthodontic interrelationship procedure that helps in accelerating orthodontic treatment by periodontal procedure reinforcement. This depends on the principle of the regional acceleratory phenomenon which involves inducing changes in the biology of periodontal tissues to fasten the orthodontic tooth movement by creating a surge in the osteopenic environment for tooth movement followed by bone deposition and mineralisation to stabilise the tooth in newly moved position. This PAOO involves the intentional creation of surgical corticotomy cuts followed by a grafting procedure to maintain bone resorption and thickness. Numerous modifications have been incorporated to reduce surgical complications and to improve treatment results by minimally invasive techniques. Hence, this case report incorporated piezosurgery-assisted corticotomy cuts involving the buccal side along with particulate bone grafting to fasten the orthodontic tooth movement, reducing the overall treatment time, root resorption and stabilising the orthodontic treatment results.