Piezocision: a minimally invasive, periodontally accelerated orthodontic tooth movement procedure.

An increasing number of adult patients have been seeking orthodontic treatment, and a short treatment time has been a recurring request. To meet their expectations, a number of surgical techniques have been developed to accelerate orthodontic tooth movement. However, these have been found to be quite invasive, leading to low acceptance in patients and the dental community. The authors are introducing a new, minimally invasive procedure, combining microincisions with selective tunneling that allows for hard- or soft-tissue grafting and piezoelectric incisions. This novel approach is leading to short orthodontic treatment time, minimal discomfort, and great patient acceptance, as well as enhanced, or stronger, periodontium. Because of the added grafting (bone and/or soft tissue), the periodontium is much thicker buccally.