Journal of Oral Science Research ›› 2025, Vol. 41 ›› Issue (11): 1009-1014.DOI: 10.13701/j.cnki.kqyxyj.2025.11.016

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Bilateral Periodontally Accelerated Osteogenic Orthodontics as Adjuvant Therapy for Patient with Skeletal Class Ⅲ Malocclusion: A 4-Year Follow-Up Case Report

ZHANG Maoqi1,2, WU Jing1, HE Hong1,3, CAO Zhengguo1,4*, WANG Xiaoxuan1,4*   

  1. 1. State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, Wuhan 430079, China;
    2. The Affiliated Stomatological Hospital, Jiangxi Medical College, Nanchang University, Jiangxi Provincial Key Laboratory of Oral Diseases. Jiangxi Provincial Clinical Research Center for Oral Diseases, Nanchang 330006, China;
    3. Department of Orthodontic, School & Hospital of Stomatology, Wuhan University, Wuhan 430079, China;
    4. Department of Periodontology, School & Hospital of Stomatology, Wuhan University, Wuhan 430079, China
  • Received:2025-10-31 Online:2025-11-28 Published:2025-11-25

Abstract: Patients with skeletal Class Ⅲ malocclusion typically need combined orthodontic-orthognathic treatment for complex morphological and functional issues, and the "thin-scalloped" periodontal phenotype further complicates this treatment. Periodontally accelerated osteogenic orthodontics (PAOO) significantly improves the safety and feasibility of such combined treatment. This article presents a 4-year follow-up of a skeletal Class Ⅲ malocclusion patient who underwent bilateral PAOO as auxiliary therapy. Results demonstrated that PAOO notably reduced the treatment risk, increased buccal and lingual bone thickness in the surgical area, deepened the vestibular sulcus, maintained long-term stable therapeutic effects, and caused no complications like infection or gingival recession.

Key words: periodontally accelerated osteogenic orthodontics, bilateral, skeletal class Ⅲ malocclusion, combined orthodontic-orthognathic treatment