PAOO – Periodontally Accelerated Osteogenic Orthodontics

An increasing number of adult patients are seeking orthodontic treatment. There are several psychological, biological and clinical differences between the orthodontic treatment of adults and adolescents. Adults have more specific objectives and concerns related to facial and dental aesthetics, the type of orthodontic appliance and the duration of treatment. Growth is an almost insignificant factor in adults compared to children.

PAOO (Periodontally Accelerated Osteogenic Orthodontics)

Severe upper and lower crowding was a concern for Ms L. Main concern was: crowding severe maxillary/mandibular crowding. In the past, this patient was advised extraction of all four premolar teeth (this was not an option for the patient preferring different less invasive approach.

Orthodontic treatment challenges for adults

This makes orthodontic treatment of adults different and challenging as adults prefer:

Reduced treatment time normally 50% of the time required in traditional orthodontics

Enhanced expansion

More specific in terms of tooth movement and dentofacial aesthetics

Minimal discomfort

Improved post orthodontic stability

Reduced incidence of post orthodontic gum recessions

Increased net bone volume for supporting teeth and overlying facial soft tissue: fuller face and reduced aging.

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Concept of periodontally accelerated osteogenic orthodontics

The concept of periodontally accelerated osteogenic orthodontics (PAOO) requires minor surgical intervention that allows Dr Nalbandian to shorten the treatment time using lighter forces and more precise tooth movements. The development of PAOO has opened doors and offered solutions to many limitations in the orthodontic treatment of adults.

Dr Sarkis Nalbandian has lectured on this topic locally and internationally and cases are provided.

PAOO – Periodontally Accelerated Osteogenic Orthodontics

Case Study