A comparative evaluation of maxillary canine retraction using flap and flapless corticotomy: A clinical study

Sarvesh P Agrawal; Shreya Iyengar; Udita A Thakkar; Reema Agrawal; Syed Mohammed Ali; Vinod Sargaiyan

doi:10.4103/INPC.INPC_12_19

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ORIGINAL ARTICLE

Year : 2018 \| Volume : 5 \| Issue : 4 \| Page : 57-59

A comparative evaluation of maxillary canine retraction using flap and flapless corticotomy: A clinical study Sarvesh P Agrawal¹, Shreya Iyengar², Udita A Thakkar², Reema Agrawal³, Syed Mohammed Ali⁴, Vinod Sargaiyan⁵ ¹ Reader, Department of Orthodontics and Dentofacial Orthopaedics, Manubhai Patel Dental College and Hospital, Vadodara, Gujarat, India ² Senior Lecturer, Department of Orthodontics and Dentofacial Orthopaedics, Manubhai Patel Dental College and Hospital, Vadodara, Gujarat, India ³ Senior lecturer, Department of Public Health Dentistry, Manubhai Patel Dental College and Hospital, Vadodara, Gujarat, India ⁴ Ex-Associate Professor, Department of Orthodontics and Dentofacial Orthopaedics, Government Dental College, Aurangabad, Maharashtra, India ⁵ Reader, Department of Oral Pathology and Microbiology, Maharana Pratap College of Dentistry and Research Centre, Gwalior, Madhya Pradesh, India Correspondence Address: Dr. Sarvesh P Agrawal Department of Orthodontics and Dentofacial Orthopaedics, Manubhai Patel Denta College, Vadodara, Gujarat India Source of Support: None, Conflict of Interest: None DOI: 10.4103/INPC.INPC_12_19

Objective: The objective of this study is to compare and evaluate the effectiveness of maxillary canine retraction using flap and flapless corticotomy. Materials and Methods: A sample of 10 adult patients undergoing orthodontic treatment requiring therapeutic extraction of maxillary first premolars bilaterally were selected, compliant with the inclusion criteria. By random allocation, one site was selected for flap corticotomy-facilitated orthodontics (CFO) and opposite site for flapless CFO. After corticotomy procedure, maxillary canine retractions were done on both the sides using sliding mechanics. A paired t-test was used to determine the statistical significance of the difference in the amount of tooth movement between the flap and flapless sides. Results: There were statistically significant differences (P ≤ 0.01) in the rates of anteroposterior movement of the canines between the flap and flapless sides at all measurement times, and the rates of canine retraction were consistently higher in the flap side than in the flapless side. Conclusions: Flap corticotomy technique is more effective as compared to that of flapless corticotomy technique. Clinical Relevance: Flap corticotomy will be more effective clinically; however, the histologic correlation in regard to the changes in both the technique would be more beneficial.



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