Dentoalveolar Distraction Osteogenesis for Rapid Maxillary Canine Retraction: An Overview of Technique, Treatment, and Outcomes

Oral Maxillofac Surg Clin North Am. 2020 Feb;32(1):83-88. doi: 10.1016/j.coms.2019.09.005. Epub 2019 Nov 1.

Abstract

Patients and orthodontists seek to reduce treatment time in braces. Rapid canine retraction through dentoalveolar distraction osteogenesis is one of several treatment approaches to reduce treatment in braces. This article provides an overview of technique of dentoalveolar distraction osteogenesis to accomplish rapid canine retraction and associated outcomes. When this treatment protocol is implemented well, rapid canine retraction is achieved predictably with minimal side effects. Although current evidence suggests that adverse sequelae, such as root resorptions and pulp devitalization, are rare, prospective clinical studies that are adequately powered and documenting long-term follow-up of these outcomes are lacking.

Keywords: Canine retraction; Dentoalveolar distraction osteogenesis; Distraction osteogenesis; Rapid tooth movement.

Publication types

  • Review

MeSH terms

  • Humans
  • Maxilla
  • Oral Surgical Procedures / methods*
  • Orthodontic Anchorage Procedures* / adverse effects
  • Orthodontic Anchorage Procedures* / instrumentation
  • Orthodontic Appliance Design*
  • Orthodontic Appliances
  • Orthognathic Surgical Procedures
  • Osteogenesis, Distraction / methods*
  • Osteotomy / methods*
  • Prospective Studies
  • Tooth Movement Techniques / methods*
  • Treatment Outcome