Curriculum vitae

Raffaele Spena received his postgraduate degree in orthodontics in 1988 from the Dental School of the University of Pennsylvania, Philadelphia, USA and in 2003 from the University of Ferrara, Italy. Dr Spena was adjunct clinical professor at the Orthodontic Department of the Dental School of the University of Pennsylvania from 1988 to 2000, adjunct professor at the University of Parma, Italy from 1996 to 2000, and, from 2003, adjunct professor at the University of Ferrara, Italy.
He has been Scientific Secretary (2009) and President (2010) of the Italian Academy of Orthodontists. He has been an active member of the Angle Society of Europe since 2005. He has been a member of the Italian Board of Orthodontics since 2001 and of the European Board of Orthodontics from 2008. He practices orthodontics in Napoli, is a speaker at national and international meetings and a reviewer for numerous journals. He has published several articles and chapters in orthodontic books.
Dr. Spena’s interests extend from non-extraction procedures to development of new efficient fixed appliances and to biological procedures to enhance orthodontic tooth movement.

Abstract

Fast lane orthodontics. Is it advisable? ***
Fast orthodontic treatment to satisfy a patient’s needs and reduce negative side-effects such as decalcifications, root resorption and periodontal problems is one of the hot trends today. Clinicians have tried to speed up treatments by increasing, on one side, the efficiency of the biomechanical systems and, on the other side, the patient’s biological response. Alveolar decortication has been shown to effectively and positively influence bone metabolism. It has always been associated with orthodontic treatment to accelerate tooth movement and reduce treatment time. While acceleration of tooth movement has been clearly demonstrated, reduction of treatment time is still a popular topic and is certainly unpredictable and difficult to evaluate. Fast treatment is attractive – but it should not be at the expense of the quality of the end result.
A different view of the biological and biomechanical orthodontic advantages of corticotomy will be proposed, based on research and clinical findings. The different aspects, the indications, the contraindications and the limits of piezocision, segmental corticotomy, periodontal accelerated osteogenic orthodontics, and osteotomy will be elucidated. The indications, the surgical procedures, the role of grafting and the associated orthodontic treatment will be described. Numerous clinical cases will be shown.

Aims, Objectives & Learning Outcomes

  • Aims: To provide an in-depth overview of the real benefits and disadvantages of alveolar decortication. A different (and, for the author, more sound) perspective will be given to this procedure.
  • Objectives: This lecture will provide an enhanced understanding of alveolar corticotomy and its clinical indications.
  • Learning outcomes: Participants will be able to discern the different surgical procedures to stimulate alveolar bone metabolism and orthodontic tooth movement, their applications in everyday clinical practice and their management in the most diverse clinical cases.