CASE STUDY
Micro-osteoperforation as an adjunct to Carriere® Motion 3D™ Dr. Dave Paquette discusses a combination treatment that reduces time in orthodontic treatment
T
he concept of “accelerated orthodontic treatment” has gained much notoriety lately. Although patients of all ages want to stay in orthodontic treatment for the shortest time possible, adults are particularly sensitive to their treatment duration before committing to start the process.
For patients with sagittal issues, I believe that correcting the sagittal issue first using the Carriere® Motion 3D™ for Class II or Class III correction can significantly reduce time in either aligners or fixed appliances. The Sagittal First approach is beneficial because patients can actually see their progress early
in treatment, which tends to reinforce compliance and thus reduces treatment time. For many adults, there may be a short delay or “lag” before tooth movement begins. One method of eliminating this “lag” phase is to utilize micro-osteoperforation (MOP) using a Propel driver to stimulate the bone, and to
Patient 1: 45-year-old female half step, 6 weeks’ motion
Figures 1A-1C: A. Initial B. Place motion/MOP C. Six weeks’ motion
Patient 2: 54-year-old male two-thirds step, 4 months’ motion
Figures 2A-2C: Initial
Figures 3A-3C: Placed motion Dave Paquette, DDS, received his dental degree from UNC School of Dentistry in 1979 and a Master’s in Pediatric Dentistry from UNC in 1983. His Master’s thesis won a national research award that same year. He is board certified by the American Board of Pediatric Dentistry. He obtained his Master’s degree and specialty certificate in orthodontics from the St. Louis University in 1990. Dr. Paquette’s Master’s thesis in orthodontics won the coveted Milo Hellman award in 1991. He is an active member of the Schulman Group. Dr. Paquette is passionate about advancing the art and science of orthodontics. He has published numerous articles and lectures nationally and internationally. Dr. Paquette maintains a private practice limited to orthodontics in Charlotte, North Carolina. Disclosure: Propel Orthodontics provided financial support to the author.
24 Orthodontic practice
Volume 9 Number 2