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Accelerated orthodontic treatment - what's the evidence?
1Seton Hill University, Department of Orthodontics, PA, USA.
Australian Dental Journal
|March 16, 2017
Summary
Accelerating orthodontic treatment can reduce risks like decalcification and root resorption. Current evidence for methods like low-level laser therapy and corticotomy is limited, requiring more research.
Area of Science:
- Orthodontics
- Dental Research
Background:
- Increasing demand for orthodontic care coincides with patient desire for shorter treatment durations.
- Extended orthodontic treatment poses risks such as decalcification, gingival recession, and root resorption.
Purpose of the Study:
- To review current methods for accelerating orthodontic tooth movement.
- To evaluate the level of clinical evidence supporting these acceleration techniques.
Main Methods:
- Systematic review of existing literature on orthodontic acceleration.
- Assessment of evidence quality for various proposed techniques.
Main Results:
- Low-level laser therapy (LLLT) shows some potential for accelerating tooth movement.
- Corticotomy procedures involving a muco-periosteal flap also suggest accelerated movement.
- The current evidence quality for these methods is low to moderate.
Conclusions:
- While LLLT and corticotomy show promise, further high-quality clinical trials are necessary.
- Routine clinical application of current acceleration techniques cannot be recommended without more robust evidence.

