[Accelerated tooth movement by alveolar corticotomy or piezocision]

Area of Science:

• Orthodontics and Dental Surgery
• Periodontology
• Biomedical Engineering

Background:

• Corticotomies and piezocision are recent innovations in orthodontics.
• These techniques aim to accelerate tooth movement and reduce overall treatment time.
• Debate exists regarding the underlying biological mechanisms, with mechanistic versus biological conceptions.

Purpose of the Study:

• To analyze existing publications on corticotomies and piezocision.
• To determine the correct biological explanation for accelerated tooth movement.
• To assess the adherence to evidence-based medicine (EBM) principles in relevant studies.

Main Methods:

• Literature review and analysis of publications on corticotomies and piezocision.
• Evaluation of mechanistic and biological explanations for treatment acceleration.
• Assessment of study methodologies against EBM standards.

Main Results:

• The biological explanation, centered on the Regional Acceleratory Phenomenon (RAP), is deemed correct.
• A significant portion of the studies reviewed do not adhere to evidence-based medicine (EBM) principles.
• The mechanistic concept is less supported by the analyzed literature.

Conclusions:

• The Regional Acceleratory Phenomenon (RAP) provides the correct biological basis for accelerated orthodontic tooth movement using corticotomies and piezocision.
• There is a critical need to improve the application of evidence-based medicine (EBM) in research on these orthodontic techniques.
• Further high-quality research adhering to EBM is necessary to validate and refine these tooth movement acceleration methods.