What Is Rapid Orthodontics?

Corticotomies are small cuts made in the gum and cortical bone that help the teeth move more quickly during orthodontic treatment. They can be performed using conventional orthodontics or Invisalign®. It is a painless and minimally invasive procedure.

With age and as the years go by, bone remodeling—which refers to the rate at which bone cells act to cause tooth movement—slows down.

In these cases, orthodontic treatment does not progress as quickly as we would like.

Corticotomy causes trauma to the cortical bone and the gum, which induces RAP (Regional Acceleratory Phenomenon), a transient phenomenon characterized by regional acceleration of bone remodeling (demineralization/remineralization of the bone).

They would also be indicated when we need to perform large dentoalveolar movements but the thickness or type of the patient’s gum tissue prevents us from doing so. By using corticotomies, we can prevent problems such as gum recession or dental dehiscence, which can occur when there is crowding or compression in patients with a very fine biotype.

In summary, orthodontic treatment using corticotomies is a good option when we want to achieve faster results or when we need to make large movements without causing side effects in the patient’s periodontium.

Treatment Process

The process begins with a careful evaluation: rapid orthodontic treatment is indicated only in selected cases involving mild problems localized in the front teeth. We take photographs, perform scans, and, in many cases, create a digital simulation of the result. If your case is a good candidate, we’ll determine the treatment plan (braces in the front teeth or aligners) and the timeline. Visits are scheduled every 3–4 weeks, since activation occurs more frequently. At the end of treatment, we remove the braces and provide retainers. If we discover during the evaluation that the case requires more extensive treatment, we discuss this honestly before moving forward.

Recovery time

There is no surgical treatment. After having braces or aligners fitted, you may experience mild pressure-related discomfort for 24–48 hours, which can be managed with mild pain relievers. Any chafing caused by braces can be treated with orthodontic wax. Oral hygiene requires special attention, including brushing after every meal and using an interdental brush. With aligners, the appliances are removed for eating and oral hygiene, and are worn for at least 22 hours a day. It is easy to adapt to and compatible with work and social life.

Expected Results

The results of properly indicated rapid orthodontic treatment are visible within the first few weeks. At the end of treatment, the anterior teeth are aligned, improving both aesthetics and function. Stability depends on the correct use of the retainer: without it, the teeth may tend to shift back into their original positions, especially if the original cause (crowding due to lack of space) has not been fully resolved. We document the results with comparative photographs and maintenance inspections included in the plan. The change in one’s smile is usually noticeable.

Duration of treatment

The typical duration of accelerated orthodontic treatment is 4 to 9 months. Visits are scheduled every 3–4 weeks. After removing the appliance, we provide a fixed lingual retainer and, in many cases, a night guard. Follow-up visits are scheduled at 6 and 12 months. It’s the fastest option when the case is truly compatible. If you are looking for more significant changes or comprehensive treatment of your entire bite, a complete orthodontic treatment plan is recommended; although it takes longer, it addresses the underlying cause.

Frequently Asked Questions About Rapid Orthodontics

This is a short-term orthodontic treatment (4 to 9 months) designed for mild cases: moderate crowding of the front teeth, small gaps, and minor adjustments prior to cosmetic treatment. It can be done with braces or aligners. At Clínica Birbe in Barcelona, we recommend it only when the case is truly suitable, to avoid incomplete results.

No. Cases involving significant bite problems, severely misaligned teeth, or skeletal abnormalities require comprehensive orthodontic treatment. Attempting rapid orthodontic treatment in these cases would lead to unsatisfactory results. The initial assessment determines whether your case is a candidate for short-term treatment.

Since it is a short course of treatment, it is usually more affordable than a full course of treatment. The price depends on the system (braces or aligners) and the number of visits. After the assessment, we provide a fixed-price quote, including the retainer. We offer financing. An initial consultation is the best way to find out if your case qualifies.

The results are stable when the orthodontist’s instructions are followed and the retainer is worn. As with any orthodontic treatment, without a retainer, the teeth may tend to shift back into their original positions. That’s why we provide a custom retainer and follow-up checkups included in the plan, to ensure long-term stability.

Dr. Joan Birbe: Rapid Orthodontics Using the ABOMS Clinical Criteria

A fast orthodontic treatment is only a good option if the case allows for it. Starting treatment without a thorough prior diagnosis is counterproductive. Dr. Birbe’s ABOMS certification allows for the proper selection of candidates: patients with limited mobility and specific aesthetic goals. When a case is more complex, we explain it frankly and propose a comprehensive plan—not a shortcut.

Why Choose Clínica Birbe for Your Fast Orthodontic Treatment?

Fast orthodontic treatment, yes—but only when the case allows it. That’s why we screen candidates before promising short turnaround times.
• Preliminary digital diagnosis to confirm that the case is a candidate for short-course treatment.
• Discreet orthodontic systems (braces or aligners) based on the patient’s preference.
• Clinical honesty: If the case requires a more comprehensive plan, we explain it straight away.
• Coordination with cosmetic dentistry to enhance the results, if appropriate.
• Planned retention to maintain the results achieved.

→ Schedule an appointment at Clínica Birbe Barcelona, and let’s see if you’re a candidate for fast orthodontics.

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