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Accelerating orthodontic tooth movement using surgical and non-surgical approaches
1Barts and The London School of Medicine and Dentistry, Institute of Dentistry, Queen Mary University of London, UK.
Evidence-Based Dentistry
|December 20, 2014
Summary
Low intensity laser therapy and corticotomy show promise for accelerating orthodontic tooth movement. However, evidence for other methods is weak, and further research is needed due to study limitations.
Area of Science:
- Orthodontics
- Biomaterials Science
- Regenerative Medicine
Background:
- Accelerated orthodontic tooth movement (AOTM) aims to reduce treatment duration.
- Various interventions are being explored to enhance tooth movement efficiency.
- Understanding the efficacy of different AOTM techniques is crucial for clinical application.
Purpose of the Study:
- To systematically review and synthesize evidence on interventions for AOTM.
- To evaluate the effectiveness of different methods, including laser therapy, corticotomy, and others.
- To assess the quality of evidence supporting these AOTM interventions.
Main Methods:
- A systematic review and meta-analysis of randomized controlled trials (RCTs) and controlled clinical trials (CCTs).
- Searches conducted in PubMed, Embase, Google Scholar, and Cochrane Databases.
- Data extraction and quality assessment using the Cochrane risk of bias tool.
Main Results:
- Eighteen studies involving 342 patients were included.
- Low intensity laser therapy and corticotomy demonstrated significantly higher canine retraction rates.
- Evidence quality was moderate for laser therapy and low for corticotomy.
Conclusions:
- Low intensity laser therapy and corticotomy show effectiveness in AOTM.
- Evidence for interseptal bone reduction, photobiomodulation, and pulsed electromagnetic fields is weak.
- Further research is essential due to study limitations and heterogeneity.
