Accelerated Orthodontics


Periodontally-Accelerated Osteogenic Orthodontics (PAOO) involves orthodontic treatment in combination with different types of periodontal procedures designed to dramatically increase the rate of tooth movement without harm to the teeth being moved.

During the periodontal phase of the treatment, tooth supporting bone is “wounded” to facilitate a process of rapid bone remodeling. This treatment is based on a well-established concept in orthopaedic research called Regional Acceleratory Phenomena or RAP (Frost 1983). Since during orthodontic treatment, the teeth are moved through bone to a more favorable position in the arch, accelerating the restructuring of the supporting bone leads to enhanced tooth movement.

Research has shown that results of treatment using this technique are long-term and as stable as those of conventional treatment with ‘braces’ alone. Much of this research was conducted at the Boston University Departments of Orthodontics and Periodontology/Oral Biology where Dr. Black obtained her Certificate in Orthodontics and her Ph.D., respectively.

PAOO was initially introduced by the Wilcko brothers (Accelerated Osteogenic Orthodontics ™ AOO ™/Wilckodontics ®). A mentor of Dr. Black’s, Dr. Serge Dibart, recently published a more conservative surgical technique called ‘piezocision’ that achieves the same effect of safe, rapid tooth movement as AOO ™. Thus, Dr. Black has a significant background in using both PAOO procedures in association with orthodontic treatment and is experienced in implementing these techniques for achieving optimal results for her patients.

Periodontally-Accelerated Osteogenic Orthodontics is not for everyone. To determine if you can achieve the smile you’ve always dreamed of, in a shorter time, contact us to make an appointment and discuss your options. Once we have established if you would benefit from this procedure, we will work closely with a local periodontist to ensure you attain the straight beautiful smile you desire, in the shortest time possible!

Read more about the benefits of PAOO.


Research references and resources:
  • Serge Dibart, DMD; Jean David Sebaoun, DDS, MS; Jerome Surmenian, DDS, MS (2009, July/August). Piezocision: A Minimally Invasive, Periodontally Accelerated Orthodontic Tooth Movement Procedure. Compendium of Continuing Education in Dentistry, Volume 30, Issue 6, available online.
  • Wilckodontics, Inc. List of research resources for dental professionals available online.