Sandeep Kumar, Pranav Parashar
Abstract
Wilckodontics also known as Periodontally Accelerated Osteogenic Orthodontics (PAOO) is an emerging technology in the field of dentistry. Wilckodontics has solved the dilemma of rapid orthodontic movement by exploiting the dynamics of bone physiology and redirecting the emphasis in tooth movement to the manner in which the supporting bone responds to orthodontic forces. By stimulating and harnessing the innate potential of living bone the teeth can be made to move through the bone very rapidly and when the tooth movement is completed the bone around the roots of the teeth will rebuild itself. It is an interdisciplinary treatment approach utilizing tissue engineering principles with periodontal regenerative surgery to create rapid orthodontic tooth movement and reduce side effects like root resorption, relapse, inadequate basal bone, and bacterial time-load factors. Favorably positioned teeth, plus an enhanced mucogingival complex, facilitates ideal esthetics, restorative and reconstructive dental treatment. The aim of this article is to present a comprehensive review about Wilckodontics or PAOO technique which includes its historical background, biological rationale, case selection criteria, the surgical technique, orthodontic involvement, clinical applications, modification, benefits, complications and side effects.