Alveolar decortication with augmentation bone grafting technique combined with orthodontics is called periodontally accelerated osteogenic orthodontics or PAOO. It accelerates orthodontic tooth movement and malocclusions are resolved 3–4 times faster, treatment times for complex cases average 6 months compared to 18–27 months. From an aesthetic perspective the PAOO technique not only addresses tooth alignment, but also facial features. With the increasing number of adults considering orthodontic treatment, the propensity for adults and even some non-growing adolescents for periodontal problems, the PAOO technique can be an especially attractive treatment option and be a “win-win” situation for the orthodontist, the periodontist and the patient.

This article represents the case report of two patients who underwent periodontally accelerated osteogenic orthodontics treatment.