If treatment time is a concern to you, Dr. James Miller at Advances in Orthodontics, P.A. has options to accelerate your care at advancesortho.com
Propel is a device designed to use the body’s reparative response to cause faster tooth movement. It is designed to stimulate a process called Regional Acceleratory Phenomenon (RAP). Essentially, there are small perforations made with this FDA approved Device in-between the roots of certain teeth to cause an inflammatory reaction and RAP. Scientists have known for years that inflammation makes teeth move faster; Propel, simply introduces inflammation to the teeth. It works best when used on a particular area of concern instead of the entire mouth. The effects of Propel generally last about 6 months.
Wilckodontics is a procedure where a Surgeon or Periodontist accesses the underlying bone and creates osteo-perforations (little holes or divots) to damage the bone and cause inflammation. The site is packed with freeze dried bone and sutured. Orthodontics commences very rapidly due to the RAP described above. This effect can last 6 months or so but it can cut treatment time in half or more. It is not for everyone due to the invasive nature of the surgery.
Piezocision is less invasive than Wilckodontics but it still involves an oral and maxillofacial surgeon or periodontist. Vertical incisions are made through the gums and a piezoelectric bone device is then used to create vertical perforations through the outer layer of bone in-between the roots. It causes RAP and tooth movement effects similar to Wilckodontics.