Teeth Movement Bifasic Theory Applied by Micro-Osteo-Perforations

2019 • Volume 13 • Issue 2

Carolina Minte Hidalgo; Mani Alikhani; Cristina Teixeira & Paulo Sandoval Vidal



A common challenge in orthodontics is the task of space closures in long gaps with significant bone loss due to early extractions, site of traumatic extractions or expansions in adults with thin vestibular table. The purpose of this article is to disseminate a theory of dental movement developed from a series of investigations that try to test it in animals as human beings. The two phases of bone remodeling are the “activation – resorption” (catabolic process) and “activation-formation” (anabolic process) of bone surfaces, resulting in changes in bone size, shape and position. Inflammation is necessary for tooth movement. Both phases can be stimulated by small perforations of the bone that can be performed safely on the vestibular or lingual surface of the cortical boards, which may be superficial or deep. Clinical examples of patients treated with the biphasic theory approach by transgingival bone stimulation are shown. It is concluded that this biphasic theory allows to explain the favorable response observed in complex clinical situations when the movement is stimulated with micro-osteoperforations.

KEY WORDS: tooth movement techniques, orthodontics, orthopedics, sutureless surgical procedures, bone resorption.


How to cite this article

MINTE, H. C.; ALIKHANI, M.; TEIXEIRA, C. & SANDOVAL, V. P. Teeth movement bifasic theory applied by micro-osteoperforations. Int. J. Odontostomat., 13(2):180-183, 2019.


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