{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T04:40:32Z","timestamp":1760676032833,"version":"build-2065373602"},"reference-count":25,"publisher":"MDPI AG","issue":"10","license":[{"start":{"date-parts":[[2025,10,15]],"date-time":"2025-10-15T00:00:00Z","timestamp":1760486400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100006582","name":"UTHSC College of Dentistry","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100006582","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Colin Richman Perio-ortho interface award"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Dentistry Journal"],"abstract":"<jats:p>Background: Periodontally accelerated osteogenic orthodontics (PAOO) is a surgical procedure to accelerate orthodontic tooth movement and minimize periodontal complications. This study surveyed U.S. periodontists to assess various aspects of the procedure as regards prevalence, training, and execution. Methods: The authors developed a unique questionnaire, the first national study of this type, housed on the Qualtrics\u00ae survey platform, to analyze trends in PAOO training and use. Unique recruitment emails were sent to 3154 members of the American Academy of Periodontology. 449 U.S. periodontists\/3154 surveyed (14.2%) responded to this web-based, anonymized survey. IBM statistical software (SPSS V28) was used for data analysis. Results: Among respondents, PAOO training was received during residency (32.7%) and by continuing education (CE) (50.8%), with higher CE (57.3%) by those who did not receive PAOO residency training (p &lt; 0.001). 38.5% of periodontists perform PAOO, and those most likely to perform PAOO had both PAOO residency training and CE, with 78.5% performing 1\u20135 cases\/year. Most (87.7%) received 1\u20132 PAOO referrals\/year from orthodontists or general dentists. Differences in techniques and materials were the type of bone graft or membrane used, the position of corticotomies, and the timing of orthodontic movement. The primary PAOO goal was \u201crapid tooth movement\u201d (41.1%) and to \u201cincrease the alveolar housing\u201d (37.2%). The secondary (38%) and tertiary (37.2%) ranked goals were \u201caugment dehiscence or fenestration\u201d, with the \u201cprevention of apical root resorption\u201d ranked as their quaternary goal. Conclusions: The results of this survey provide data on the trends, training, and use of PAOO among U.S. periodontists. This information may aid in developing residency curriculum and performing PAOO research.<\/jats:p>","DOI":"10.3390\/dj13100468","type":"journal-article","created":{"date-parts":[[2025,10,15]],"date-time":"2025-10-15T10:12:29Z","timestamp":1760523149000},"page":"468","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Periodontists\u2019 Attitudes and Professional Behavior Towards Surgically Facilitated Orthodontic Tooth Movement\u2014A U.S. National Survey"],"prefix":"10.3390","volume":"13","author":[{"given":"John J.","family":"Schuetz","sequence":"first","affiliation":[{"name":"Department of Periodontology, College of Dentistry, University of Tennessee Health Science Center, Memphis, TN 38163, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Trevor D.","family":"Richmond","sequence":"additional","affiliation":[{"name":"Department of Periodontology, College of Dentistry, University of Tennessee Health Science Center, Memphis, TN 38163, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark","family":"Scarbecz","sequence":"additional","affiliation":[{"name":"Department of Bioscience Research, College of Dentistry, University of Tennessee Health Science Center, Memphis, TN 38163, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ayman Al","family":"Dayeh","sequence":"additional","affiliation":[{"name":"Department of Orthodontics, College of Dentistry, University of Tennessee Health Science Center, Memphis, TN 38163, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sidney","family":"Stein","sequence":"additional","affiliation":[{"name":"Department of Periodontology, College of Dentistry, University of Tennessee Health Science Center, Memphis, TN 38163, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0842-8733","authenticated-orcid":false,"given":"Vrushali","family":"Abhyankar","sequence":"additional","affiliation":[{"name":"Department of Periodontology, College of Dentistry, University of Tennessee Health Science Center, Memphis, TN 38163, USA"},{"name":"Department of Orthodontics, College of Dentistry, University of Tennessee Health Science Center, Memphis, TN 38163, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,10,15]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"420","DOI":"10.1067\/mod.2002.126597","article-title":"Periodontic and orthodontic treatment in adults","volume":"122","author":"Ong","year":"2002","journal-title":"Am. J. Orthod. Dentofac. Orthop."},{"key":"ref_2","first-page":"28","article-title":"Complications of orthodontic treatment","volume":"2","author":"Thilander","year":"1992","journal-title":"Curr. Opin. Dent."},{"key":"ref_3","first-page":"1716","article-title":"Accelerated orthodontics: A descriptive bibliometric analysis from 2012 to 2023","volume":"14","author":"Alsulaiman","year":"2024","journal-title":"Dent. J."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"e292","DOI":"10.4317\/jced.50822","article-title":"Periodontally accelerated osteogenic orthodontics (PAOO)\u2014A review","volume":"4","author":"Amit","year":"2012","journal-title":"J. Clin. Exp. Dent."},{"key":"ref_5","first-page":"9","article-title":"Rapid orthodontics with alveolar reshaping: Two case reports of decrowding","volume":"21","author":"Wilcko","year":"2001","journal-title":"Int. J. Periodontics Restor. Dent."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1016\/j.ortho.2019.03.006","article-title":"Does periodontally accelerated osteogenic orthodontics improve orthodontic treatment outcome? A systematic review and meta-analysis","volume":"17","author":"Kamal","year":"2019","journal-title":"Int. Orthod."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"S97","DOI":"10.4103\/JPBS.JPBS_298_18","article-title":"Periodontal Accelerated Osteogenic Orthodontics Technique for Rapid Orthodontic Tooth Movement: A Systematic Review","volume":"11","author":"Vannala","year":"2019","journal-title":"J. Pharm. Bioallied Sci."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1016\/j.ajodo.2012.03.028","article-title":"Accelerated decompensation of mandibular incisors in surgical skeletal class III patients by using augmented corticotomy: A preliminary study","volume":"142","author":"Ahn","year":"2012","journal-title":"Am. J. Orthod. Dentofac. Orthop."},{"key":"ref_9","unstructured":"American Association of Orthodontists (2025). 2025 Member Survey: Orthodontic Patient Numbers at All-Time High, AAO. Available online: https:\/\/www2.aaoinfo.org\/member-survey-indicates-orthodontic-patient-numbers-at-all-time-high."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"515","DOI":"10.1016\/0030-4220(59)90153-7","article-title":"Surgical operations on the alveolar ridge to correct occlusal abnormalities","volume":"12","author":"Kole","year":"1959","journal-title":"Oral. Surg. Oral. Med. Oral. Pathol."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1016\/S0301-0503(75)80022-1","article-title":"Experimental animal research into segmental alveolar movement after corticotomy","volume":"3","year":"1975","journal-title":"J. Maxillofac. Surg."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"2149","DOI":"10.1016\/j.joms.2009.04.095","article-title":"Accelerated osteogenic orthodontics technique: A 1-stage surgically facilitated rapid orthodontic technique with alveolar augmentation","volume":"67","author":"Wilcko","year":"2009","journal-title":"J. Oral. Maxillofac. Surg."},{"key":"ref_13","first-page":"3","article-title":"The regional acceleratory phenomenon: A review","volume":"31","author":"Frost","year":"1983","journal-title":"Henry Ford. Hosp. Med. J."},{"key":"ref_14","first-page":"g5","article-title":"Practice profile of periodontists in Canada: A national survey","volume":"82","author":"Patel","year":"2016","journal-title":"J. Can. Dent. Assoc."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"925","DOI":"10.1902\/jop.2014.130482","article-title":"A survey: How periodontists and other dental professionals view the scope of periodontics","volume":"85","author":"Chang","year":"2014","journal-title":"J. Periodontol."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"830","DOI":"10.1902\/jop.2011.110493","article-title":"Use of intravenous sedation in periodontal practice: A national survey","volume":"83","author":"Tingey","year":"2012","journal-title":"J. Periodontol."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"643","DOI":"10.1016\/j.annepidem.2007.03.013","article-title":"Participation rates in epidemiologic studies","volume":"17","author":"Galea","year":"2007","journal-title":"Ann. Epidemiol."},{"key":"ref_18","unstructured":"Trotman, M. (2007). The effect of reminder intervals on response rates for web surveys. Survey and Statistical Computing IV. The Impact of Technology on the Survey Process, Association for Survey Computing."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"217","DOI":"10.3109\/0142159X.2015.1105945","article-title":"Improving response rates and evaluating nonresponse bias in surveys. AMEE Guide No. 102","volume":"38","author":"Phillips","year":"2016","journal-title":"Med. Teach."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"651","DOI":"10.2501\/IJMR-2013-056","article-title":"Should the third reminder be sent? The role of survey response timing on web survey results","volume":"55","author":"Rao","year":"2013","journal-title":"Int. J. Mark. Res."},{"key":"ref_21","unstructured":"Zong, Z. (2019, March 14). How Often Should You Use Email Reminders. Surveymonkey.com ND. 2019. Available online: https:\/\/www.surveymonkey.com\/curiosity\/how-often-should-you-use-email-reminders\/."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"1835","DOI":"10.3390\/children9121835","article-title":"Adverse effects of surgically accelerated orthodontic techniques: A systematic review","volume":"9","author":"Pouliezou","year":"2022","journal-title":"Children"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"526","DOI":"10.1016\/j.ajodo.2024.02.009","article-title":"Adult orthodontics, motivations for treatment, choice, and experience of appliances","volume":"166","author":"Johal","year":"2024","journal-title":"Am. J. Orthod. Dentofac. Orthop."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1186\/s13005-024-00409-1","article-title":"The efficacy and safety of corticotomy and periodontally accelerated osteogenic orthodontic interventions in tooth movement: An updated meta-analysis","volume":"20","author":"Zhou","year":"2024","journal-title":"Head Face Med."},{"key":"ref_25","first-page":"11","article-title":"Clinical research progress on corticotomy and modified techniques for orthodontic acceleration: A review","volume":"16","author":"Zhong","year":"2024","journal-title":"Int. J. Oral. Sci."}],"container-title":["Dentistry Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2304-6767\/13\/10\/468\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T04:25:51Z","timestamp":1760675151000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2304-6767\/13\/10\/468"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,15]]},"references-count":25,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2025,10]]}},"alternative-id":["dj13100468"],"URL":"https:\/\/doi.org\/10.3390\/dj13100468","relation":{},"ISSN":["2304-6767"],"issn-type":[{"type":"electronic","value":"2304-6767"}],"subject":[],"published":{"date-parts":[[2025,10,15]]}}}