Overview

Malpositioned teeth are responsible for esthetic and occlusal aberrations in many adults. Patients often forgo orthodontic treatment because of its long duration.Every orthodontic patient requires that their treatment should be completed in a short duration of time.The search for new approaches to shorten the treatment time without foregoing optimal results has become a primary goal of orthodontics. Low friction and selfligating bracket systems, robot preformed archwires, rapid canine retraction and alveolar corticotomies are examples of approaches that aim to reduce the time required for orthodontic therapy.Orthodontic treatment of adults is different and challenging as well as necessitate special concepts and procedures, such as the use of invisible appliances, shorter periods of treatment, the use of lighter forces and more precise tooth movements.The development of corticotomy-assisted orthodontic treatment (CAOT) opened doors and offered solutions to many limitations in the orthodontic treatment of adults. A corticotomy is defined as a surgical procedure whereby only the cortical bone is cut, perforated, or mechanically altered. The medullary bone is not changed.