clinical // feature
by Karen Guinn, DDS
Presented here are two cases of vastly different clinical applications of PROPEL. Patients entering orthodontic treatment
demand real finish dates, so in order for me to deliver accelerated
finishes in a predictable fashion, I have incorporated PROPEL
into my clinical practice.
PROPEL can be completed in minutes by orthodontists in
their office during a patient's regularly scheduled office visit, and
does not require advanced surgical training. The PROPEL treatment yields very little discomfort for the patient as there is no
downtime required and the patient can immediately resume her
normal daily activities.
The results of both animal and clinical studies have demonstrated that using the system to create microosteoperforations decreases orthodontic
treatment time by 50-60 percent or more in
combination with any type of orthodontic
force. The micro-osteoperforations created
by PROPEL harness the body's own biology
to stimulate the cytokine effect that induces
bone remodeling and allows teeth to be
moved into the clinically desired position in a
predictable and faster pathway. The induction
of the cytokine cascade is modulated and controlled by the materials and design of the
device itself. Basic bone biology research, animal studies and controlled clinical trials have
demonstrated the safety and efficacy of the
treatment. The PROPEL system will allow
more patients the ability to attain their
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DECEMBER 2013 // orthotown.com
desired results and their orthodontists to achieve the predicted
results with less side effects than a non-accelerated case.
PROPEL is uniquely designed to perform micro-osteoperforations as an FDA-registered 510(k) exempt Class I medical
device designed for single-use only (Figs. 1 and 2). The device is
made with a surgical stainless-steel micro leading edge uniquely
designed and patented to be used to atraumatically perforate the
alveolus directly through keratinized gingiva as well as movable
mucosa. The device is designed to maximize the remodeling
process, while reducing soft-tissue damage, and enabling any
orthodontist the ability to shorten treatment time and deliver
more predictable finishes.
Fig. 2
Fig. 1
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Table of Contents for the Digital Edition of Orthotown December 2013