Periodontally Accelerated Osteogenic Orthodontics (PAOO) Assisted Management of Palatally Impacted Canine with Five Years Follow Up

Periodontally Accelerated Osteogenic Orthodontics (PAOO), a patented technique by the Wilcko brothers has become very popular in reducing the treatment time in Orthodontics. A 17-year-old male patient presented to the Department with a Class I skeletal and a Class I dental pattern with bilateral canine impactions. The canine impaction was buccal on the right side (13) and palatal on the left side (23). The initial treatment plan was to disimpact 13 with a piggy back wire and 23 using the K9 spring respectively and it did not involve the PAOO Technique. However, six months into treatment, the patient stopped reporting for his regular appointments and reported after a time interval of one and a half years to continue his treatment. At the time of his return, considerable bone loss around the region of 23 was noticed on radiographs. The PAOO technique was therefore, carried out to augment bone around 23 as well as reduce the time for treatment.