Wilckodontics: The State-of-the-Art Combination of Periodontics and Orthodontics – A Narrative Review
Keywords:
Accelerated Orthodontics, Regional Acceleratory Phenomenon, Periodontally Accelerated Osteogenic Orthodontics, CorticotomyAbstract
Wilckodontics, or Periodontally Accelerated Osteogenic Orthodontics (PAOO), integrates periodontal and orthodontic techniques to achieve rapid tooth movement through selective alveolar decortication, bone grafting, and orthodontic forces. This method accelerates treatment timelines by leveraging the regional acceleratory phenomenon to enhance alveolar bone remodeling. The procedure employs corticotomy to reduce bone density temporarily, facilitating tooth displacement and enhancing post-treatment stability. Bone grafts promote osteogenesis, ensuring denser alveolar architecture and reducing relapse risk. Introduced in the late 19th century and refined by Henrich Köle and the Wilcko brothers, Wilckodontics has evolved with advancements like laser-assisted corticotomy, micro-osteoperforation, and vibration therapy. These innovations enhance efficiency, reduce invasiveness, and improve patient outcomes. Despite higher costs and surgical demands, Wilckodontics minimizes treatment duration, appliance-associated discomfort, and root resorption while supporting periodontal health. The present narrative review describes this paradigm shift in orthodontics, offering a patient-centered, efficient, and stable alternative to conventional techniques
Downloads
Metrics
References
Adusumilli S, Yalamanchi L, Yalamanchili PS. Periodontally accelerated osteogenic orthodontics: An interdisciplinary approach for faster orthodontic therapy. J Pharm Bioallied Sci. 2014;6(Suppl 1):S2-5.
Jaswani M, Jaiswal P, Reche A. Wilckodontics: a multidisciplinary approach for orthodontic treatment. Cureus. 2023;15(10):e47590.
Lee W. Corticotomy for orthodontic tooth movement. J Korean Assoc Oral Maxillofac Surg. 2018;44(6):251-8.
Nisha N, Ravi RS, Anthraper AJ, Shewale A, Sainu R, Kurian SR. Wilckodontics-A Magical Wand for Rapid Success-A Review. Ann Int Med Den Res. 2015;1(3):110-4.
Sirisha K, Srinivas M, Ravindranath D, Gowd P. Wilckodontics-a novel synergy in time to save time. J Clin Diagn Res. 2014;8(1):322.
Singh R, Chourasia S, Sharma P, Gupta S, Singh GB, Srivastava A. Wilckodontics: the periodontal orthodontics. Dent J Adv Stud. 2018;6(2/3):53-6.
Murphy NC, Bissada NF, Davidovitch ZE, Kucska S, Bergman RT, Dashe J, Enlow DH. Corticotomy and tissue engineering for orthodontists: A critical history and commentary. Semin Orthod. 2012;18(4):295-307.
Köle H. Surgical operations on the alveolar ridge to correct occlusal abnormalities. Oral Surg Oral Med Oral Pathol. 1959;12:515-29.
Sagane V, Kangane S, Ambekar A, Marure P, Joshi Y, Khanapure C. Periodontally Accelerated Osteogenic Orthodontics-The Past and the Future. IOSR J Dent Med Sci. 2016;15(1):9-14.
Wilcko WM, Wilcko MT, Bouquot JE, et al. Rapid orthodontics with alveolar reshaping: two case reports of decrowding. Int J Periodontics Restorative Dent. 2001;21(1):9-19.
Wilcko MT, Wilcko WM, Bissada NF. An evidence-based analysis of periodontally accelerated orthodontic and osteogenic techniques. Semin Orthod. 2008;14:305-16.
Wilcko MT, Wilcko WM, Pulver JJ, Bissada NF, Bouquot JE. Accelerated osteogenic orthodontics technique: a 1-stage surgically facilitated rapid orthodontic technique with alveolar augmentation. J Oral Maxillofac Surg. 2009;67:2149-59.
Düker J. Experimental animal research into segmental alveolar movement after corticotomy. J Maxillofac Surg. 1975;3:81-4.
Frost HM. The biology of fracture healing. An overview for clinicians. Part II. Clin Orthop Relat Res. 1989;294-309.
Schilling T, Müller M, Minne HW, Ziegler R. Influence of inflammation-mediated osteopenia on the regional acceleratory phenomenon and the systemic acceleratory phenomenon during healing of a bone defect in the rat. Calcif Tissue Int. 1998;63:160-6.
Gantes B, Rathbun E, Anholm M. Effects on the periodontium following corticotomy-facilitated orthodontics. Case reports. J Periodontol. 1990;61:234-8.
Sebaoun JD, Kantarci A, Turner JW, Carvalho RS, Van Dyke TE, Ferguson DJ. Modeling of trabecular bone and lamina dura following selective alveolar decortication in rats. J Periodontol. 2008;79:1679-88.
Lee W, Karapetyan G, Moats R, Yamashita DD, Moon HB, Ferguson DJ, Yen S. Corticotomy-/osteotomy-assisted tooth movement microCTs differ. J Dent Res. 2008;87:861-7.
Nowzari H, Yorita FK, Chang HC. Periodontally accelerated osteogenic orthodontics combined with autogenous bone grafting. Compend Contin Educ Dent. 2008;29:200-6.
Wang L, Lee W, Lei DL, Liu YP, Yamashita DD, Yen SL. Tissue responses in corticotomy- and osteotomy-assisted tooth movements in rats: histology and immunostaining. Am J Orthod Dentofacial Orthop. 2009;136:770.e1-11.
Guiol J, Stephen S, Jean D. Autografting Le Fort I, 21st ICOMS. Abstracts Oral Papers. 2013;xx:1329-30.
Nimeri G, Kau CH, Abou-Kheir NS, Corona R. Acceleration of tooth movement during orthodontic treatment - a frontier in orthodontics. Prog Orthod. 2013;14:42.
Mathews DP, Kokich VG. Accelerating tooth movement: the case against corticotomy-induced orthodontics. Am J Orthod Dentofacial Orthop. 2013;144:5.
Murphy KG, Wilcko MT, Wilcko WM, Ferguson DJ. Periodontal accelerated osteogenic orthodontics: a description of the surgical technique. J Oral Maxillofac Surg. 2009;67:2160-6.
Adusumilli S, Yalamanchi L, Yalamanchili PS. Periodontally accelerated osteogenic orthodontics: An interdisciplinary approach for faster orthodontic therapy. J Pharm Bioallied Sci. 2014;6:S2-5.
Vercellotti T, Podesta A. Orthodontic microsurgery: a new surgically guided technique for dental movement. Int J Periodontics Restorative Dent. 2007;27:325-31.
Hwei PC, Thomas JT. Role of periodontal therapy in rapid tooth movement. J Med Dent Sci. 2014;13:62-5.
Alikhani M, Raptis M, Zoldan B, et al. Effect of micro-osteoperforations on the rate of tooth movement. Am J Orthod Dentofacial Orthop. 2013;144:639-48.
Park YG. Corticision: a flapless procedure to accelerate tooth movement. Front Oral Biol. 2016;18:109-17.
Dibart S, Sebaoun JD, Surmenian J. Piezocision: a minimally invasive, periodontally accelerated orthodontic tooth movement procedure. Compend Contin Educ Dent. 2009;30:348-50.
Abbas NH, Sabet NE, Hassan IT. Evaluation of corticotomy-facilitated orthodontics and piezocision in rapid canine retraction. Am J Orthod Dentofacial Orthop. 2016;149:473-80.
Al-Khalifa KS, Baeshen HA. Micro-osteoperforations and its effect on the rate of tooth movement: a systematic review. Eur J Dent. 2021;15:158-67.
Kamal AT, Fida M, Sukhia RH. Does periodontally accelerated osteogenic orthodontics improve orthodontic treatment outcome? A systematic review and meta-analysis. Int Orthod. 2019;17(2):193-201.
Mahantesha S, Yashi P, Karan P, Ashwini S, Prashanth GS. Wilckodontics. A novel synergy in time to save time: A case report. Int J Appl Dent Sci. 2017;3:5-7.
Thind SK, Chatterjee A, Arshad F, Sandhu PS, Thind MS, Nahin J. A clinical comparative evaluation of periodontally accelerated osteogenic orthodontics with piezo and surgical bur: An interdisciplinary approach. J Indian Soc Periodontol. 2018;22(4):328-33.
Khurana R, Kudva PB. Wilckodontics—a gift of time. EC Dent Sci. 2016;4(5):869-73.
Joshi S, Mazumdar S, Avadhani V, Singhavi HR, Thaker A, Kabre V. Surgically facilitated rapid Orthodontic technique with alveolar augmentation-Wilckodontics-A Case Report. Clin Dent. 2015;9(4).
Muñoz F, Jiménez C, Espinoza D, Vervelle A, Beugnet J, Haidar Z. Use of leukocyte and platelet-rich fibrin (L-PRF) in periodontally accelerated osteogenic orthodontics (PAOO): Clinical effects on edema and pain. J Clin Exp Dent. 2016;8(2):e119.
Mishra A, Hussain MW. WILCKODONTICS: Periodontally Accelerated Osteogenic Orthodontics. J Periodont Pract. 2016;1(2).
Alfawal AM, Hajeer MY, Ajaj MA, Hamadah O, Brad B. Evaluation of piezocision and laser-assisted flapless corticotomy in the acceleration of canine retraction: a randomized controlled trial. Head Face Med. 2018;14:1-2.
Bertossi D, Galzignato PF, Conti G, Luciano U, Gualdi A, Corega C, et al. Histological evaluation of periodontal ligament in human after orthodontic treatment with piezosurgery and monolateral tooth dislocation and ligament distraction technique: a first morphologic and histologic evaluation. J Biol Regul Homeost Agents. 2018;32(2 Suppl 2):9-13.
Pakhare VV, Khandait CH, Shrivastav SS, Dhadse PV, Baliga VS, Seegavadi VD. Piezosurgery®-assisted periodontally accelerated osteogenic orthodontics. J Indian Soc Periodontol. 2017;21(5):422-6.
Ahsan Z, Khan M, Jan A, Shah TI, Naeem S. The use of micro-osteoperforation concept for accelerating differential tooth movement. Pak Armed Forces Med J. 2021;71(3):844-8.
Asif MK, Ibrahim N, Sivarajan S, Teh NH, Wey MC. Osseous evidence behind micro-osteoperforation technique in accelerating orthodontic tooth movement: A 3-month study. Am J Orthod Dentofacial Orthop. 2020;158(4):579-86.
Garcia Vega MF, Lopez Perez-Franco LM, Dib Kanán A, Román Méndez CD, Soto Sainz JE, Reyes Cervantes E, et al. Are mechanical vibrations an effective alternative to accelerate orthodontic tooth movement in humans? A systematic review. Appl Sci. 2021;11(22):10699.
Ge MK, He WL, Chen J, Wen C, Yin X, Hu ZA, Liu ZP, Zou SJ. Efficacy of low-level laser therapy for accelerating tooth movement during orthodontic treatment: a systematic review and meta-analysis. Lasers Med Sci. 2015;30:1609-18
.
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
Terms:
- Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
