Tremendous advances in metallurgy and chemistry have been made in past decades. In spite of these advances, traditional orthodontic therapy ranges from 1.5 to 3 years. By stimulating and harnessing the innate potentials of living bone, the teeth can be made to move through the bone very rapidly and when the tooth movement is completed the bone around the roots of the teeth rebuilds itself. The Wilckodontics procedure was introduced by Dr. William Wilcko (Orthodontist) and Dr. Thomas Wilcko (Periodontist). It is patented as Wilckodontics. This procedure includes alveolar decortication with/without augmentation bone grafting technique combined with orthodontics and is called periodontally accelerated osteogenic orthodontics or PAOO. This procedure can be employed as a win-win strategy for the orthodontist, periodontist and especially the patient. This Case Report is of a 22 year old female, who post 1.6 years of fixed orthodontic therapy, achieved no closure in the lower premolar areas and was treated using the PAOO technique.
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