Scientific Support Summary for the AOO^TM Procedure

Use of the AOO^TM procedure will move teeth 3 to 4 times faster than conventional orthodontics. 

Figure 1A	Figure 1B

Figure 2A	Figure 2B

Figures 1A and 2A show the surface CT scans of a 24-year-old male prior to treatment and figures 1B and 2B show the same patient 2 months following treatment. This case was treated through expansion and was completed in approximately 6 months from bracketing to debracketing. The intercanine distance was increased by almost 8 millimeters. Please note that not only has the height of the alveolar crest been maintained but that the layer of the alveolar bone over the roots has thickened. At 12 months post-debracketing there has been no relapse and this case is being retained with only invisible retainers.

Over 30 different combinations of decorticating schemes, membranes, and grafting materials in carrying solutions have been utilized. We know what works best in the different orthodontic scenarios and we know what does not work. You may be surprised! Our results have been verified with not only surface and cross-sectional CT scan analysis but also with conventional radiography including pre and post-treatment cephs, pans and periapical radiographs. Additionally, many of the cases have been re-entered and about 40 core samples have been taken for histologic analysis.

Figure 3A	Figure 3B
Human histology 9 months post-grafting, the PDL is indicated by P and the immature bone is indicated by B.

Figures 3A and 3B show the histologic findings in a core sample taken from the facial of a lower anterior tooth. This was in a 37-year-old female whose case had been treated through expansion and was completed in 3½ months. The core sample was taken approximately 9 months after the augmentation procedure was performed. The biopsies were processed and analyzed by Dr. J.E. Boquot, a diplomat, American Board of Oral and Maxillofacial Pathology.¹  Most of the original grafting material has already been replaced with newly formed bone. The bone immaturity is demonstrated by a somewhat irregular pattern with the use of the polarizing light. Also notice that portions of the new bone show the regular laminar pattern of mature bone. This core sample was approximately 4mm in thickness. It is imperative to determine the consequences of any treatment that we render to our patients and as concerns the AOO^TM procedure we have done exactly that!

1 Dr. J.E. Boquot, DDS, MSD, Director of Research, The Maxillofacial Center for Diagnostics and Research, 165, Suite 101, Morgantown, WV 26505-8802