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Carole Charavet

Speaker for dental conference 2017 - Carole Charavet

Title: Innovative Orthodontic Treatment Using Piezo-Ultrasonic Surgery

Carole Charavet

University and CHU of Liege, Belgium

Biography

2016-2017 Adjunct Head of Clinic
Clinical Practice & Research - Education
Department of Orthodontics and DentoFacial Orthopedics
University and CHU of Liège, Belgium

2015- Present PhD Candidate in Dental Science
University of Liège, Belgium
Dental Biomaterials Research Unit (d-Bru)
« Innovative Orthodontic Treatment using Piezo-Ultrasonic
Surgery » Promotor: Prof France Lambert

2015-2016 Consultant
Department of Orthodontics and DentoFacial Orthopedics
CHU of Liège, Belgium
2015 Internship
Boston University, US

2011 - 2015 Post Graduate Program in Orthodontics – Full Time Resident
University of Liège, Belgium
Highest Award - summa cum laude

2006 - 2011 Graduate Dental School
University of Liège, Belgium
Highest Award - summa cum laude

2003 - 2006 Bachelor’s degree - Geographic Science
University of Avignon, France
Promotion winner

2003 High-school degree
Academy of Montpellier, France
 

Abstract

An increasing number of adult patients are seeking orthodontic treatment for functional or aesthetic reason, and several methods have been developed to reduce treatment times. Some authors have proposed recently minimally invasive technics that employ piezoelectric devices, reinforced scapels and mallets, piezopuncture or micro-osteoperforations.
More especially, piezocision is a localized piezoelectric alveolar decortication approach that combines buccal micro-incisions and minimally invasive corticotomies that are performed with a piezotome. The biological process of piezocision and the facilitation of tooth movement were demonstrated in animal studies (Baloul et al. 2011, Dibart et al. 2014) and the technique proved to reduce treatment time of 40% in cases of minor overcrowding (Charavet et al. 2016). Gingival recession, bone dehiscence and increase in root resorption were not observed with this minimally invasive surgery. Patient centered outcomes revealed a high level of acceptance and satisfaction (Charavet et al. 2016). These osteotomies lead a localized bone injury and inflammation process called the regional acceleratory phenomemon (RAP) increasing the bone turn over and decreasing the mineral content of the bone (Baloul et al. 2011, Sebaoun 2009, Sebaoun et al. 2008, Wang et al. 2009).

Furthermore, the piezocision technique offers the possibility to simultaneously perform hard and soft tissues regeneration using tunneling approaches to increase the scope of orthodontic corrections and to correct gingival recessions / bone deficiencies before the orthodontic treatment.


The success of this new approach depends on the planification of the piezocision. As described by some authors, the minimally osteotomies were made selectively around the teeth requiring a movement (Dibart 2016, Nelson and Dibart, 2014). Therefore, benefits of piezocision-assisted orthodontic treatment would be increase by the use of customized orthodontics brackets.
Innovative orthodontic treatment using piezo-ultrasonic surgery seemed to be a new therapeutic tool.