Periodontal Accelerated Osteogeneic Orthodontics (PAOO) (Wilckodontics)- A Revisit

PAOO or Wilckodontics is an emerging technology in the field of dentistry.PAOO procedure has solved the dilemma of rapid orthodontic movement by exploiting the dynamic of bone physiology and redirecting the emphasis in tooth movement to the manner in which the supporting bone responds to orthodontic forces rather than just concentrating on the manner in which the forces are applied to the teeth.By stimulating and harnessing the innate potentials of living bone the teeth can be made to move through the bone very rapidly and when the tooth movement is completed the bone around the roots of the teeth will rebuild itself.It is an interdisciplinary orthodontic tooth movement (OTM) utilizing tissue engineering principles with periodontal regenerative surgery to create rapid tooth movement and reduce side effects like root resorption, relapse, inadequate basal bone, and bacterial time-load factors.Favorably positioned teeth, plus an enhanced muco-gingival complex, facilitates ideal esthetic, restorative and reconstructive dental treatment.The aim of this article is to present a comprehensive review of PAOO which includes Historical background , Biologic rationale , the surgical cases , Indications, Contraindications ,Benefits and Side effects of PAOO.