PT - JOURNAL ARTICLE AU - Manal A. Bakathir AU - Ali H. Hassan AU - Maha A. Bahammam TI - Piezocision as an adjunct to orthodontic treatment of unilateral posterior crossbite AID - 10.15537/smj.2017.4.16390 DP - 2017 Apr 01 TA - Saudi Medical Journal PG - 425--430 VI - 38 IP - 4 4099 - http://smj.org.sa/content/38/4/425.short 4100 - http://smj.org.sa/content/38/4/425.full SO - Saudi Med J2017 Apr 01; 38 AB - Piezocision (corticotomy) is a minimally invasive approach that involves micro-incisions, piezoelectric incisions, and selective tunnelling for soft or hard tissue grafting. Piezocision has many uses in orthodontics, but its uses in cross-bite cases are limited. This case report illustrates the outcomes of a 19-year-old female patient with unilateral cross-bite that was treated with a minimally invasive piezocision with bone grafting in the affected side. In addition, she also had a functional shift, severe crowding, and mid-line shift. Therefore, the shift was eliminated using a quad helix expansion, she was treated with a fixed appliance, and a bimaxillary extraction of the first premolars was performed. The patient followed-up at 18 months, and the occlusion was stable with a pleasant profile. Piezocision can be used as an adjunct to the orthodontic treatment of adults to facilitate the treatment of complicated cases.