Optimization approach for the mesialization of lower molars: a case report





Movement, Acceleration, Alveolar bone loss, Mesial movement


Premature molar loss results in inclination of teeth adjacent to the edentulous gap, uneven marginal ridges, posterior collapse of bite, and atrophy of the residual bone width. The orthodontic treatment aimed at closing post-extraction spaces, is one possible treatment plan. However, in many cases this movement is compromised by the collapse of cortical plates and the decrease of the osseous corridor. Due to this problem, flexicorticotomy may be considered as an alternative in the mesialization of molars to improve residual bone width and to accelerate orthodontic movement. A 22-year-old female patient underwent extraction of the right mandibular first molar. A flexicorticotomy was performed to accelerate the mesial movement of teeth number 37 and 38, using a miniscrew for absolute anchorage. This technique helped mesialize teeth number 37 and 38, attaining a stable class I relationship, thus finding an orthodontic solution to a problem that was historically treated only prosthetically. In conclusion, this technique facilitates the mesial movement of molars, reaching treatment goals more effectively, and saving costs by avoiding further prosthetic treatment.


= 1455 veces | FIGURAS (ESPAÑOL (ESPAÑA))
= 0 veces| | PDF
= 0 veces|


Download data is not yet available.

Author Biographies

Virginia Beatriz Montilla-Puente, Universidad de Carabobo

DDS. Specialist in Dentofacial Orthopedics and Orthodontics. Adjunct Professor. School of Dentistry, Universidad de Carabobo

María Valentina Martínez-Morales, Universidad de Carabobo

DDS. PhD in Dental Sciences, Specialist in Dentofacial Orthopedics and Orthodontics. School of Dentistry, Universidad de Carabobo.

Dayanna Tomich-Biber, Universidad de Carabobo

DDS. PhD in Dental Sciences. Oral and Maxillofacial Surgeon. Associate Professor. School of Dentistry, Universidad de Carabobo.


Mejía Burgos E. Flexicorticotomia: una solución al colapso del reborde alveolar. Revista Odontos. 200(7); 27-31.

Boj Quesada JR, Cortés Lilo O, Canalda Sahli C. Tratamiento de un molar permanente inmaduro necrótico mediante pulpotomía. Endodoncia. 1995; 13(3): 148-52.

Müller F, Naharro M, Carlsson GE. What are the prevalence and incidence of tooth loss in the adult and

elderly population in Europe? Clin Oral Impl Res. 2007; 18(Suppl 3): 2–14 DOI: https://doi.org/10.1111


Wheeler NN. Anatomía dental, fisiología y oclusión. 7ª ed. Con formato en español Colombia: McGraw

Hill; 1995.

Alvarez JO, Navia JM. Nutritional, tooth eruption, and dental caries, a review. Am J Clin Nutr. 1989; 49(3): 417-26. DOI: https://doi.org/10.1093/ajcn/49.3.417

Pérez, G. Curas Formocresoladas en dientes permanentes. Acta Odontol Venez. 1995; 33(1): 17-22.

Midgerr RJ, Shaye R, Fruge JF. The effect of altered bone metabolism on orthodontic tooth movement. Am J Othod. 1981; 80(3): 256–62. DOI: https://doi.org/10.1016/0002-9416(81)90289-x

Bermudez S, González AV, Márquez JD, Restuccia G, Kammann MA, Zambrano O et al. Prevalencia de caries y tratamientos realizados en el primer molar permanente en la población de Rio Chio. Estado Miranda, Venezuela. Acta Odontol Venez. 2013; 51(4).

Melsen B. Limitations in adult orthodontics. In: Melsen B, editor. Current Controversies in Orthodontics. Chicago, IL: Quintessence; 1991. pp. 147–80.

Miyajima K, Nagahara K, Lizuka T. Orthodontic treatment for a patient after menopause. Angle Orthod. 1996; 66(3): 173- 80. DOI: https://doi.org/10.1043/0003-3219(1996)066%3C0173:OTFAPA%3E2.3.CO;2

Hernández Duque C, Herrera Herrera A, Diaz Caballero A, Antines Freitas D. Unión de técnicas ortodónticas con flexicorticotomía periodontal para el manejo de tratamiento ideal. Salud Uninorte. 2012; 28(3): 419-24

Sharpe W, Reed B, Subtelny JD, Polson A. Orthodontic relapse, apical root resorption, and crestal alveolar bone levels. Am J Orthod Dentofacial Orthop. 1987; 91(3): 252–8. DOI: https://doi.org/10.1016/0889-5406(87)90455-0

Graber LW, Vanarsdall RL. Fisiología metabolismo y biomecánica del hueso en la práctica ortodóncica. 2006.

Scott P, DiBiase AT, Sherriff M, Cobourne MT. Alignment efficiency of Damon 3 self-ligating and conventional orthodontic bracket systems: a randomized clinical trial. Am J Orthod Dentofacial Orthop. 2008; 134(4): 470.e1-8. DOI: https://doi.org/10.1016/j.ajodo.2008.04.018

Roberts E, Huja S, Roberts Jeffery. Bone modeling: biomechanics, molecular mechanisms, and clinical perspectives. Semin Orthod. 2004; 10(2) 123-61. DOI: https://doi.org/10.1053/j.sodo.2004.01.003

Chung KR, Oh MY, Ko SJ. Corticotomy-assisted orthodontics. J. Clin Orthod 2001; 35(5): 331-9.

Roberts WE. Bone physiology, metabolism, and biomechanics in orthodontic practice. In: Graber T, Vanarsdall R (eds). Orthodontics Current Principles and Techniques. St Louis, MO: Mosby, 2000. pp 193-257.

Roberts WE, Arbuckle GR, Analoui M. Rate of mesial translation of mandibular molars using implantanchored mechanics. Angle Orthod. 1996; 66(5): 331–38. DOI: https://doi.org/10.1043/0003-3219(1996)066%3C0331:ROMTOM%3E2.3.CO;2

Sebaoun J, Kantarci A, Turner JW, Carvalho RS, Van Dyke TE, Ferguson DJ. Modeling of trabecular bone and lamina dura following selective alveolar decortication in rats. J Periodontol. 2008; 79(9): 1679–88. DOI: https://doi.org/10.1902/jop.2008.080024

Yeo A, Ong MM. Principles and implications of site preservation for alveolar ridge development. Singapure Dent J. 2004; 26(1): 15-20.

Frost HM. The biology of fracture healing. An overview for clinicians. Part I. Clin Orthop Related Res. 1989; (248): 283-93.

Goldie RS, King GJ. Root resorption and tooth movement in orthodontically treated, calcium-deficient, and lactating rats. Am J Orthod. 1984; 85(5): 424–30. DOI: https://doi.org/10.1016/0002-9416(84)90163-5

Engström C, Granström G, Thilander B. Effect of orthodontic force on periodontal tissue metabolism: a histologic and biochemical study in normal and hypocalcemic young rats. Am J Orthod Dentofacial Orthop. 1988; 9(6)3: 486–95. DOI: https://doi.org/10.1016/0889-5406(88)90077-7

Roberts WE, Goodwin WC Jr, Heiner SR. Cellular response to orthodontic force. Dent Clin North Am. 1981; 25(1): 3–17.

Martínez MA, Tomich D, Ucero CT, Spina MN. La Flexicorticotomía como procedimiento para la mesialización de un molar inferior en pacientes adultos: reporte de un caso. Acta Odontol Venez. 2013; 51(3).

Köle H. Surgical operation on the alveolar ridge to correct occlusal abnormalities. Oral Surg Oral Med Oral Pathol Oral. Radiol Endod. 1959; 12(5): 515-29. DOI: https://doi.org/10.1016/0030-4220(59)90153-7

Suya H. Corticotomy in orthodontics. In: Hosl E, Baldauf A, editors. Mechanical and biological basics in

orthodontic therapy. Germany: Huthig Buch Verlag; 1991. p. 207-226

Verna C, Dalstra M, Melsen B. The rate and the type of orthodontic tooth movement is influenced by bone

turnover in a rat model. Eur J Orthod 2000; 22(4): 343-52. DOI: https://doi.org/10.1093/ejo/22.4.343

J Hu, J Li, D Wang, MJ Buckley, Agarwal S. Differences in mandibular distraction osteogenesis after corticotomy and osteotomy. Int J Oral Maxillofac Surg. 2002; 31(2): 185-9. DOI: https://doi.org/10.1054/ijom.2001.0193

Hajji SS. The influence of accelerated osteogenic response on mandibular decrowding [thesis]. St Louis: St Louis University; 2000.

Discacciati M, Létora M. Primer molar permanente: riesgo y afecciones en los primeros años: cátedra de odontopeditría. Argentina: Universidad Nacional del Nordeste de Argentina; 2004.

Murray C, Ezzati DM, López AD, Rodgers A, Hoorn SV. Comparative quantification of heath risks conceptual framework and methodological issues. Popul Health Metr. 2003; 1(1): 1-73. DOI: https://doi.org/10.1186/1478-7954-1-1

Wilcko WM, Wilcko MT, Bouquot JE, Ferguson DJ. Rapid orthodontics with alveolar reshaping: two case reports of decrowding. Int J Periodontics Restorative Dent. 2001; 21(1): 9-19.

Martínez MV, Tomich D, Ucero CT. Aceleración del movimiento ortodóntico mediante corticotomías alveolares. Acta Odontol Venez. 2012; 50(4)

Herrera A, Simancas Pallares M, Díaz Caballero A. Uso de la flexicorticotomia como técnica quirúrgica coadyuvante para el tratamiento de ortodoncia. Acta Odontol Venez. 2011; 49(4).

Díaz Caballero A, Herrera Barrios F, Herrera Herrera A Flexicorticotomía: una técnica quirúrgica para tratamiento de ortodoncia. Reporte de un caso. Av Odontoestomatol. 2010: 26(5).

Cervera A, Perara R, Cervera AJ. Movimiento mesial de molares inferiores con la tecnica de arco recto-C. 1era parte: biomecannica de laboratorio. Rev Esp Ortod. 2000; 30: 317-24



How to Cite

Montilla-Puente, V. B., Martínez-Morales, M. V. . ., & Tomich-Biber, D. (2020). Optimization approach for the mesialization of lower molars: a case report. Revista Facultad De Odontología Universidad De Antioquia, 32(1), 89–103. https://doi.org/10.17533/udea.rfo.v32n1a9

Similar Articles

1 2 3 4 5 6 7 8 9 10 > >> 

You may also start an advanced similarity search for this article.