In Ganeo, Italy, Prof. Tomaso Vercelloti and Dr. Andrea Podesta have developed a new orthodontic-surgical technique that can restrict duration required for orthodontic treatment to three months only. This technique is called Mono-cortical Tooth Dislocation and Ligament Distraction (MTDLD) technique; it utilizes 2 completely different forms of dental movements that act continuously yet separately on opposing root surfaces. In order to reduce the resistance of cortical bone, 2 microsurgical corticotomies; vertical and horizontal, are made around the root of each tooth with a piezosurgical microsaw corresponding to the direction of dental movement, either buccal or palatal. Then immediate normal orthodontic bio-mechanical forces are applied. Generally, dental movement in this technique is achieved by dislocation of cortical bone and roots together, without periodontal ligament compression or bone resorption. Therefore, MTDLD technique lowers the risks for bone resorption, severe periodontal problems, as well as ligament ankylosis.
Two men and six women suffering from different types of malocclusions; deep bite, open bite and cross-bite, were treated using MTDLD technique; six of these eight patients have received upper jaw treatment , while the other two patients have received treatment in their mandibles. All surgical procedures were performed under local anesthesia, and only two patients have received I.V sedation.
The results were amazing, all eight cases had succeeded. The required dental movements were reached in 2 months for maxillary treatments and 3.5 months for mandibular corrections, with reduction in average duration of orthodontic treatment to 70% in maxilla, and 60% in mandible.
In conclusion, orthodontic micro-surgery offers a new hope for effective, simple and rapid orthodontic treatment for adult patients. At last, you can the smile of your dreams in 90 days.

