Blossoming Smile: A visual representation of modern orthodontics.

Smile Makeover: The Future of Braces is Here!

Kai Mendoza in Health & Wellness November 2025 • 4 min read.

"Discover how piezocision and minimally invasive bone regeneration are revolutionizing orthodontic treatments for faster, safer, and more aesthetic results."

Orthodontic treatment is no longer just for teens. Adults are increasingly seeking ways to straighten their teeth and improve their smiles. However, the lengthy treatment times associated with traditional braces can be a major deterrent. Surgical techniques, such as corticotomies, have been used to accelerate the process, but these methods often involve extensive procedures, leading to discomfort and potential complications.

Enter piezocision, a minimally invasive alternative that's revolutionizing the field of orthodontics. This technique involves micro-incisions and small corticotomies to stimulate bone remodeling and accelerate tooth movement. Now, researchers are taking it a step further by combining piezocision with minimally invasive alveolar bone regeneration to address bone deficiencies and further enhance treatment outcomes.

This article delves into a proof-of-concept study exploring the benefits of combining selective piezocision with minimally invasive bone regeneration. Discover how this innovative approach can reduce treatment time, minimize complications, and create beautiful, healthy smiles.

Piezocision and Bone Regeneration: A Winning Combination

Blossoming Smile: A visual representation of modern orthodontics.

The key to understanding this innovative approach lies in the concept of the regional acceleratory phenomenon (RAP). Piezocision creates a localized area of bone demineralization and remineralization, triggering increased bone turnover. This allows teeth to move more quickly and efficiently. However, in some cases, patients may have pre-existing bone deficiencies that could compromise the results of orthodontic treatment. This is where minimally invasive alveolar bone regeneration comes in.

By combining piezocision with bone regeneration, orthodontists can address both the speed and stability of tooth movement. The bone regeneration procedure involves grafting biocompatible materials to thicken the buccal bone plate, reducing the risk of gingival recession and bone loss – common complications associated with traditional orthodontic treatments, especially in cases where the bone is thin or defects already exist.

Reduced Treatment Time: Piezocision accelerates tooth movement.
Minimally Invasive: Small incisions mean less discomfort.
Addresses Bone Deficiencies: Bone regeneration enhances stability.
Improved Aesthetics: Reduces the risk of gum recession.

A recent case study demonstrated the potential of this combined approach. A 20-year-old woman with an asymmetrical class II malocclusion, crowding, and bone deficiencies in the lower front teeth was treated using selective piezocision and alveolar bone regeneration. The results were remarkable: the class II malocclusion and crowding were completely corrected, and the patient experienced no gingival recession. Imaging confirmed the absence of bone dehiscences, and three years after treatment, there was no relapse.

A Promising Future for Orthodontics

This proof-of-concept study suggests that combining selective piezocision with minimally invasive alveolar bone regeneration offers significant advantages for orthodontic patients. By accelerating tooth movement, addressing bone deficiencies, and minimizing complications, this approach has the potential to transform the way we think about braces. While further research is needed to validate these findings on a larger scale, the future of orthodontics looks brighter than ever.

About this Article -

This article was crafted using a human-AI hybrid and collaborative approach. AI assisted our team with initial drafting, research insights, identifying key questions, and image generation. Our human editors guided topic selection, defined the angle, structured the content, ensured factual accuracy and relevance, refined the tone, and conducted thorough editing to deliver helpful, high-quality information.See our About page for more information.

This article is based on research published under:

DOI-LINK: 10.1016/j.ortho.2018.09.021, Alternate LINK

Title: Selective Piezocision-Assisted Orthodontic Treatment Combined With Minimally Invasive Alveolar Bone Regeneration: A Proof-Of-Concept

Subject: Orthodontics

Journal: International Orthodontics

Publisher: Elsevier BV

Authors: Carole Charavet, Geoffrey Lecloux, Annick Bruwier, Bart Vandenberghe, Michel Le Gall, France Lambert

Published: 2018-12-01

Everything You Need To Know

How does piezocision accelerate orthodontic treatment compared to traditional methods?

Piezocision speeds up orthodontic treatment by creating localized bone demineralization and remineralization. This stimulates increased bone turnover through the regional acceleratory phenomenon (RAP), allowing teeth to move more quickly. Traditional methods rely on slower, natural bone remodeling, making piezocision a faster alternative. While corticotomies can also accelerate tooth movement, they are generally more invasive than piezocision. The combination of piezocision with alveolar bone regeneration further enhances the process.

Why is minimally invasive alveolar bone regeneration important in conjunction with orthodontic treatment?

Minimally invasive alveolar bone regeneration is used to address bone deficiencies that may compromise orthodontic treatment results. By grafting biocompatible materials to thicken the buccal bone plate, it reduces the risk of gingival recession and bone loss. This is particularly important in cases where patients have thin bone or pre-existing defects. Without bone regeneration, orthodontic treatment could lead to unstable results and aesthetic issues.

What are the key benefits of combining selective piezocision with minimally invasive alveolar bone regeneration for orthodontic patients?

The combined approach of selective piezocision and minimally invasive alveolar bone regeneration reduces treatment time, minimizes discomfort, addresses bone deficiencies, and improves aesthetics. Piezocision accelerates tooth movement, while bone regeneration enhances stability and reduces the risk of gum recession. Traditional methods often involve longer treatment times and higher risks of complications, which this innovative method seeks to minimize.

What is the 'regional acceleratory phenomenon' (RAP) and how does it relate to piezocision?

The regional acceleratory phenomenon (RAP) is the key to how piezocision works. Piezocision creates a localized area of bone demineralization and remineralization, triggering increased bone turnover. This allows teeth to move more quickly and efficiently. Understanding RAP helps orthodontists leverage the body's natural healing processes to accelerate tooth movement during orthodontic treatment. The bone responds more readily than typical orthodontic movement alone.

Can you describe a specific case where the combined approach of piezocision and bone regeneration showed promising results?

The case study featured a 20-year-old woman with an asymmetrical class II malocclusion, crowding, and bone deficiencies. Selective piezocision and alveolar bone regeneration were used to correct her malocclusion and crowding. Post-treatment imaging confirmed the absence of bone dehiscences, and there was no relapse three years later. This case highlights the potential of this approach to achieve stable and aesthetically pleasing results, even in complex cases. However, further studies are needed to validate these findings on a larger scale.