Ok, so I’m much less knowledgeable than many of the people on this forum but as I research I can’t stop wondering about this potential technique for maximizing some of the already existing devices. I’d be interested in hearing your thoughts! So:
1) When skin has damage, such as scars or wrinkles, two of the most effective ways of reversing it come from making tiny areas of damage. Microneedling and fractional laser make tiny wounds, via puncture or heat, respectively, which then trigger the body to come in with lots of collagen and elastin etc to heal it and therefore the skin improves, even scars that have been unchanging for decades. Also, of course, muscles grow from microtraumas to their fibers etc...
2) There is a tooth moving system that is meant to be much faster than normal braces, I believe by making small injuries to the bone.
3) Piezo surgery can supposedly cut bone using ultrasonic technology that does not cut through soft tissues...
Now I don’t fully understand the process through which bone remodels (I’m sure some of you do!) but I can’t help wondering whether making some small injuries to the bone of the adult maxilla, (not enough to destabilize) perhaps at the midpalatal or premaxillary suture, might demand the body send more attention/growth factors to the area and increase the effectiveness of whatever MSE/AGGA type device one was using, while avoiding problems of full osteotomy...
thoughts?
Bones develop through stress. Check out Wolfe's law: in essence it is, bones remodel to adapt to the amount of stress they are placed under.
There are a few strategies that are already under heavy discussion on this forum that are designed to increase the load and haste remodeling. Hard mewing, thumb pulling, and chewing regimens are all intended to promote bone growth through stress, which could be described as microtraumas. AGGA also works under the same principle--stimulus, but not brute force. The one strategy that I have not seen discussed are the vibrational devices that orthodontists use to stimulate faster movement of the teeth in invisalign treatment, which I think it what you're referring to in point 2. Studies are mixed on whether they are effective, though, and even generic ones from ebay will set you back a hundred and fifty bucks.
I recommend Stephen Galella's two-article series"Guiding Facial Growth Back to Normal" for a good introduction to bone remodeling.
I was actually thinking of something a bit more aggressive than the vibrational devices, which I’ve heard have lackluster results even for teeth moving...
Something more like the micro-perforations mentioned in piezocision or Propel:
https://www.topdoctors.co.uk/medical-articles/what-is-accelerated-orthodontics
my thought was that something even more stressful than pressure from a tongue or device might turn on a higher level of response from the body...
thanks for the article suggestion... I’ll take a look!
So it looks like someone is already experimenting with piezocision assisted palate expansion.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6352492/
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