{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T11:25:47Z","timestamp":1780485947440,"version":"3.54.1"},"reference-count":24,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2012,5,1]],"date-time":"2012-05-01T00:00:00Z","timestamp":1335830400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Periodontology"],"published-print":{"date-parts":[[2012,5]]},"abstract":"<jats:p><jats:bold>Background:<\/jats:bold> The dental community has expressed low acceptance of traditional corticotomy techniques for corticotomy\u2010facilitated orthodontics. These procedures are time consuming, entail substantial postoperative morbidity and periodontal risks, and are often perceived as highly invasive.<\/jats:p><jats:p><jats:bold>Methods:<\/jats:bold> A total of 114 interdental sites were treated in nine consecutive patients. Under local anesthesia, a tunnel approach requiring one to three vertical incisions per arch (depending on the targeted teeth) was used. Piezosurgical corticotomies and elective bone augmentation procedures were performed under endoscopic assistance. Postoperative cone\u2010beam computerized tomography evaluation was used to confirm adequate corticotomy depth.<\/jats:p><jats:p><jats:bold>Results:<\/jats:bold> Procedures were completed in a mean time of 26 minutes. Follow\u2010up evaluations revealed no loss of tooth vitality, no changes in periodontal probing depth, good preservation of the papillae, and no gingival recession. No evidence of crestal bone height reduction or apical root resorption was detected.<\/jats:p><jats:p><jats:bold>Conclusions:<\/jats:bold> The tunnel approach minimizes soft\u2010tissue debridement and permits effective cortical cuts. The combination of piezosurgery technique with endoscopic assistance provides a quick, reliable means to design and perform these corticotomies while maximizing root integrity preservation. Moreover, the sites needing bone augmentation are selected under direct vision. Compared to traditional corticotomies, this procedure has manifest advantages in surgical time, technical complexity, patient morbidity, and periodontium preservation.<\/jats:p>","DOI":"10.1902\/jop.2011.110233","type":"journal-article","created":{"date-parts":[[2011,9,26]],"date-time":"2011-09-26T13:42:03Z","timestamp":1317044523000},"page":"574-580","source":"Crossref","is-referenced-by-count":26,"title":["Endoscopically Assisted Tunnel Approach for Minimally Invasive Corticotomies: A Preliminary Report"],"prefix":"10.1002","volume":"83","author":[{"given":"Federico","family":"Hern\u00e1ndez\u2010Alfaro","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raquel","family":"Guijarro\u2010Mart\u00ednez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2012,5]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajodo.2007.03.036"},{"key":"e_1_2_6_3_1","first-page":"325","article-title":"Orthodontic microsurgery: A new surgically guided technique for dental movement","volume":"27","author":"Vercellotti T","year":"2007","journal-title":"Int J Periodontics Restorative Dent"},{"key":"e_1_2_6_4_1","first-page":"7","article-title":"Corticotomy\u2010facilitated orthodontics","volume":"14","author":"Anholm JM","year":"1986","journal-title":"CDA J"},{"key":"e_1_2_6_5_1","first-page":"216","article-title":"Combined surgical and orthodontic management of anterior open bite using corticotomy","volume":"36","author":"Generson RM","year":"1978","journal-title":"J Oral Surg"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/0030-4220(59)90153-7"},{"key":"e_1_2_6_7_1","first-page":"207","volume-title":"Mechanical and Biological Basics in Orthodontic Therapy","author":"Suya H","year":"1991"},{"key":"e_1_2_6_8_1","first-page":"9","article-title":"Rapid orthodontics with alveolar reshaping: Two case reports of decrowding","volume":"21","author":"Wilcko WM","year":"2001","journal-title":"Int J Periodontics Restorative Dent"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2009.04.095"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.1990.61.4.234"},{"key":"e_1_2_6_11_1","first-page":"342","article-title":"Piezocision: A minimally invasive, periodontally accelerated orthodontic tooth movement procedure","volume":"30","author":"Dibart S","year":"2009","journal-title":"Compend Contin Educ Dent"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/154405910808700904"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.2008.080024"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1051\/orthodfr:2007025"},{"key":"e_1_2_6_15_1","doi-asserted-by":"crossref","first-page":"294","DOI":"10.1097\/00003086-198911000-00046","article-title":"The biology of fracture healing. 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