Download Devin Brooks Dr. Heingar 3/29/15 Research proposal Background

Devin
Brooks
Dr. Heingar
3/29/15
Research proposal
Background: Anybody who has ever had to wear braces knows how much of a pain they
could be. Braces cause a lot of problems, from the constant time consuming appointments,
having to eat differently, and the overall pain of having to be in them for so long. One of the
most frequently asked questions among patients are “how long will I have to wear them
(braces).” The answer to that question varies depending on your personal profile. The average
time a person wears braces is between one to two years but again it varies. Most patients
would love to be in braces for less than a year and still get the same results, so how is that
possible? A surgical technique called accelerated osteogenics can reduce the time patients are
in braces by 3-8. Accelerated osteogenics orthodontics or AOO focuses on enhancing the
manner in which the region around the teeth and the bone that the teeth are embedded in
respond to applied orthodontic forces. AOO is sometimes also referred to as Wilckodontics
because of the Wilcko brothers who invented it. Roots of this technique go back 30 years but
within the last 10 years it has really took off.
Literature review: I want to explore the evolution of pre- surgery in orthodontics followed by
orthodontic treatment.” Surgery first” or pre surgery in orthodontics wasn’t an option until the
late 1960’s. In the 1990’s pre surgery was proposed by Brachvogel (Brachvogel et al., 1991) as a
means to reduce fixed orthodontic treatment time (braces). Pre surgery in orthodontics has
been around for almost 70 years now but wasn’t brought to the forefront until recently. Still to
this day new techniques are being tested in order to fit each patient’s specific case.
Prior to 1991, pre surgery was only used in server cases. Orthodontist weren’t fully aware of
the benefits pre surgery presented at the time. In 1995 the Wilcko brothers created a
technique that is still one of the most popular treatments in orthodontics. Accelerated
osteogenics orthodontics or AOO was developed by Thomas and William Wilcko based off of
Distraction osteogenesis, a technique used in orthodontics since the early 1900’s. An
orthopedic surgeon named Dr. Gabriel Ilizarov popularized Distraction osteogenics by the
1950’s. Dr. Ilizarov inadvertently discovered that if a bone gets cut surgically, new bone will
grow in its place eliminating the need for bone graft. Fast forward 40 years later the Wilcko
brothers use his technique to reduce the time a patient has to wear braces. The Wilcko
brothers would cut patients bone above the teeth therefore weakening g the bone, allowing
braces to move teeth almost twice as fast. Within 20-55 days new bone forms where the bone
was first originally cut. In today’s time this exact technique is still widely used. The cost for the
surgery is almost as expensive as braces, costing anywhere between $4000 and $8000
depending on various factors. The surgery is minimally invasive procedure and if done properly
your time in braces could be reduced as much as 8 months.
Key terms:
Orthodontics- The branch of dentistry dealing with the prevention and correction of irregular
teeth.
Braces- The use of devices to move teeth or adjust underlying bone.
Accelerated osteogenics orthodontics- focuses on enhancing the manner in which the region
around the teeth and the bone that the teeth are embedded in respond to applied orthodontic
forces.
Osteopenia- is decreased bone density.
Distraction osteogenesis- Is a procedure that moves two segments of a bone slowly apart in
such a way that new bone fills in the gap.
Thomas/ William Wilcko- The brothers that invented Accelerated Osteogenic Orthodontics.
Minimum Invasive Surgery- is a surgery minimizing surgical incisions to reduce trauma to the
body
Research question: will pre orthodontic surgery reduce the amount of time spent in braces
significantly?
Research method: the purpose of this experiment will be to see if Accelerated Osteogenic
Orthodontics can reduce the time patients spend and braces while also testing their satisfaction
will the procedure. I will have a group of approximately 50 people adults and children each with
different teeth and jaw malfunctions. I will perform the surgery on my test group and every two
weeks have them come in and record their satisfaction, pain and progress. My goal is have all
50 of my patents out of braces in less than a year while having them extremely satisfied with
procedure and the results.
HYPOTHESIS: I believe that for the most part I will be able to get all of my patients out of braces
in less than a year. For the people with extreme mouth deformities I will have to do some extra
work that will have them in braces longer. At the end of the process all of my patients will be
satisfied and will recommend this surgery to anyone that wants to reduce their time in braces.
Bibliography:
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