470 Bangladesh Journal of Medical Science Vol. 21 No. 02 April’22 Case report Orthodontic Loop-guided Piezocision (OLP): An innovative precision aid in accelerated tooth movement. Pritam Mohanty 1 , Jugajyoti Pathi 2 , Rajeev Ranjan 3 , Balaji Manohar 4 , Suravi Chatterjee 5 , Samarendra Dash 6 , Swati Verma 7 , Mohammad Khursheed Alam 8 Abstract The Accelerated osteogenic Orthodontics (AOO) is an emerging contemporary approach for rapid movement of teeth. The acceptable length of orthodontic treatment is contested, however the need for speeding appears to be universally agreed upon. Various surgical adjuncts have been developed to expedite orthodontic tooth movement and to retain optimal occlusal results while shortening treatment timeframes. Despite this, a variety of crucial treatment decisions and approaches may have a greater impact. The purpose of present case study is to suggest a minimally invasive novel orthodontic Loop-guided Piezocision (OLP) approach for quick movement of teeth, without refection of the fap, with higher precision and minimum post- operative problems. This technique may aid in preventing orthodontic relapse, broaden spectrum of malocclusion correction. This may also eliminates requirement of conventional ortho-surgical procedure, and completes treatment in relatively shorter active orthodontic treatment period. Keywords: Periodontally accelerated osteogenic orthodontics, Orthodontic Loop guided Piezocision, Rapid orthodontic. Correspondence: 1. Dr. Swati Verma, Division of Orthodontics and Dentofacial Deformities, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi 110029, India; dr.swativerma20@gmail.com (S.V.) 2. Dr Mohammad Khursheed Alam, Orthodontic Division, Preventive Dentistry Department, College of Dentistry, Jouf University, Sakaka, 72341, Saudi Arabia; dralam@gmail.com (M.K.A.) 1. Dr. Pritam Mohanty, Department of orthodontics and Dentofacial orthopedics, Kalinga institute of Dental sciences, Bhubaneswar 751024, Odisha, India; drpritammohanty@gmail.com (P.M.) 2. Dr. Jugajyoti Pathi, Department of Oral and maxillofacial Surgery, Kalinga institute of Dental sciences, Bhubaneswar 751024, Odisha, India; jpathi@kims.ac.in (J. P) 3. Dr. Rajeev Ranjan, Community Health Center, Ministry of Health and Family Welfare, Government of Jharkhand, Bero, Ranchi 835202, Jharkhand, India; ranjan.rajeev_84@yahoo.com (R.R ) 4. Dr. Balaji Manohar, Department of Periodontology, Kalinga institute of Dental sciences, Bhubaneswar 751024, Odisha, India; manohar_balaji@hotmail.com (B.M ) 5. Dr. Suravi Chatterjee, Community Health Center, Government of Odisha, Dhenkanal 759001, Odisha, India; riya. junk@gmail.com (S.C.) 6. Dr. Samarendra Dash, Department of orthodontics and Dentofacial orthopedics, Kalinga institute of Dental sciences, Bhubaneswar 751024, Odisha, India; sam.dashing4@gmail.com (S.D) 7. Dr. Swati Verma, Division of Orthodontics and Dentofacial Deformities, Centre for Dental Education and Research, All India Institute of Medical Sciences, New Delhi 110029, India; dr.swativerma20@gmail.com (S.V.) 8. Dr Mohammad Khursheed Alam, Orthodontic Division, Preventive Dentistry Department, College of Dentistry, Jouf University, Sakaka, 72341, Saudi Arabia; dralam@gmail.com (M.K.A.) Bangladesh Journal of Medical Science Vol. 21 No. 02 April’22 Page : 470-476 DOI: http://doi.org/10.3329/bjms.v21i2.58085 Introduction The Periodontically accelerated osteogenic Orthodontics (PAOO) has created a great interest among all the current approaches for rapid orthodontic movement of teeth. It has lately become the focus of several research studies, due to its rationale to shorten the overall treatment time through the timely bone density modifcation along with extensive and difuse demineralization, fewer complications adding to the compliance and satisfaction of the patient. [1] In this article we aim to propose a novel, minimally invasive new Orthodontic Loop-guided Piezocision