Logo IFED 8th World Congress in Munich 2013


Dr. Raffaele Spena

Periodontally facilitated orthodontics

Thursday, September 19th, 2013
Session 2: 12:05-12:30
Dr. Raffaele Spena


In the past decade, thanks to the clinical studies and the researches of Wilcko & Wilcko, a new technique has been developed in clinical orthodontics : the Periodontally Accelerated Osteogenic Orthodontics (PAOO). The initial finding of acceleration of orthodontic tooth movement has evolved in other possible positive effects depending on the type of grafting and surgical procedure: arch transverse and sagittal development, non-extraction treatment, and so forth.
Today, the term Periodontally Facilitated Orthodontics (PFO) is preferred to identify those (surgical and orthodontic) procedures that may be used to enhance, facilitate and, eventually, accelerate tooth movement. PFO is considered a surgical biomechanical aid acting on bone metabolism. The aim of all these procedures (with different indications and limitations) is to reduce resistance, enhance and allow the orthodontic movement of those teeth that require it, thus making the modulation of tooth movement (desired vs. undesired) easier especially in difficult cases.
Different surgical procedures have been proposed by different authors. Each one of them has indications and limitations depending on anatomical, biomechanical and clinical considerations. The author will try to elucidate the different aspects of piezocision, segmental corticotomy, PAOO, osteotomies. Several clinical cases and research results will be presented.


Dr. Raffaele Spena received his degree in Odontoiatria e Protesi Dentaria at the II FacoltÓ di Medicina e Chirurgia of Napoli in 1984. In 1988, he received his Certificate in Orthodontics at the Dental School of the University of Pennsylvania, Philadelphia.
In 2003, he received the degree of "Specialty in Orthodontics" at the University of Ferrara.
He has been and still is involved in several research projects, but he has mainly co-worked for more than 15 years with dr. Norman Cetlin with whom Dr Spena has given courses in Italy, Europe and USA.
He has been speaker at both Italian (SIDO,SITEBI,ANDI,Italian Accademy of Orthodontics) and international meetings (AAO, EOS, Israel Ortho Society, Israeli Periodontal & Osteointegration Society, Sociedad Espanola de Ortodoncia, Nederlandse Vereniging Voor Orthodontische Studie, Hungarian Ortho Society, etc. ).
In July 1998, he published an atlas about "Il trattamento senza estrazioni"(Nonextraction technique).
In 2000, he published with the drs. R. L. Vanarsdall and N. M. Cetlin a chapter "Nonextraction Treatment" in the textbook "Orthodontics – Current principles and techniques" by T. M. Graber e R. M. Vanarsdall. A updated chapter, written with the same co-authors, has been included in the new editions (2005 and 2011) of the same book edited by T. M. Graber, R. M. Vanarsdall e K. W. L. Vig.
In 2002 he published "Nonextraction Treatment : an atlas on Cetlin's mechanics" edited by Fenske Media Corporation.
Dr. Spena has been Adjunct Clinical Professor at the Orthodontic Department of the Dental School of the University of Pennsylvania since 1988 where he has given courses about nonextraction therapy and cephalometric analysis.
He has also been Adjunct Clinical Professor at the University of Parma from 1996 to 2000. At the moment, he is Clinical Professor at the University of Ferrara.
He is a member of the American Association of Orthodontists, SocietÓ Italiana di Ortodonzia, Societa' Italiana di Odontoiatria Pediatrica, World Federation of Orthodontists and European Orthodontic Society.
Dr. Spena has been President of the Italian Accademy of Orthodontics for the year 2010 and has been Scientific Secretary of the same society in the years 2008-2009.
He is an active member of the Angle Society of Europe.
In 2001, he has received the Certificate of Excellence in Orthodontics in Italy and, in 2008, the E.B.O. (European Board of Orthodontics) in Lisbona.
He practices orthodontics in Napoli.

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