Since June 2012, we have been using the PAOO™ procedure to improve the quality of our orthodontic care. We are the ﬁrst and only practice in Joplin to be certiﬁed and licensed to perform it. Here is an overview of what a PAOO™ is and why we use it.
A remarkable process has been developed to overcome a problem seen in orthodontic treatment. The process has been adapted for use in various scenarios. Over four years of research by Doctors Thomas and William Wilcko resulted in a technique to use the remodeling and healing capacity of bone to enable tooth movements in a faster and safer way in difﬁcult circumstances. This is now know as Wilckodontics®. A less invasive and less expensive surgical procedure for those patients.
Orthodontics tooth movements are limited by the availability of suitable bone to support the teeth. In the past in order to correct more severe malocclusions it was either necessary to extract teeth or undergo jaw surgery. The former often resulted in a ﬂat or dished in facial proﬁle and diminished airway space. The latter is major invasive surgery which moves the jaw but does not change the bone support around the teeth.
The PAOO™ is a procedure which creates more bone around the teeth. It is indicated where a mild to moderate overbite is present. More space for the tongue is created, thus improving the airway. Very solid bone support around the teeth results. Improvement in lower lip support is seen. It is performed either with local anesthetic and analgesia in the dental ofﬁce or, if preferred, general anesthesia at an outpatient surgery center is available. The cost is about 20-25% of jaw surgery.
We use the PAOO™ as a part of Biological Orthodontic Therapy™ in our practice. Biological Orthodontic Therapy™ includes treatment of facial , TMJ, and airway conditions as well as moving teeth more rapidly than conventional orthodontics. Therefore quality and long term stability, not speed, are the reasons for incorporating it where indicated.
By means of low, but constant forces on teeth using special alloy wires and precision brackets, tooth movement occurs more rapidly that conventional braces.