I don't claim to do Wilcko procedures as I have never attended their courses, but I have been competing PAOO procedures for several local orthodontists. These procedures have been described as upregulating the osteogenic response via surgical injury and then providing a substrate and proper forces to allow tooth movement to occur quickly and with a superior bone profile following treatment. In this case I completed the PAOO bilaterally and this particular ortho group (both are geniuses) elected to couple the tooth movement to invisalign tray movement on the order of 4-5 days as opposed to 2 weeks.
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