Interventions for accelerating orthodontic tooth movement: a systematic review.

Angle Orthod

State Key Laboratory of Oral Diseases, Department of Orthodontics, West China School of Stomatology, Sichuan University, Chengdu, Sichuan, China.

Published: January 2013

AI Article Synopsis

  • The study aimed to evaluate different interventions that can speed up orthodontic tooth movement by analyzing various controlled trials published from 1990 to 2011.
  • Nine eligible studies were included, focusing on five interventions: corticotomy, low-level laser therapy, electrical current, pulsed electromagnetic fields, and distraction methods, each with six measured outcomes related to tooth movement.
  • It concluded that corticotomy is effective and safe for accelerating tooth movement, while low-level laser therapy doesn't work; the efficacy of electrical current and pulsed electromagnetic fields is still uncertain, and distraction methods show potential but need more evidence.

Article Abstract

Objective: To evaluate the effectiveness of interventions on accelerating orthodontic tooth movement.

Materials And Methods: We searched the databases of PubMed, Embase, Science Citation Index, CENTRAL, and SIGLE from January 1990 to August 2011 for randomized or quasi-randomized controlled trials that assessed the effectiveness of interventions on accelerating orthodontic tooth movement. The processes of study search, selection, and quality assessment were conducted independently in duplicate by two review authors. Original outcome data, if possible, underwent statistical pooling by using Review Manager 5.

Results: Through a predefined search strategy, we finally included nine eligible studies. Among them, five interventions were studied (ie, low-level laser therapy, corticotomy, electrical current, pulsed electromagnetic fields, and dentoalveolar or periodontal distraction). Six outcomes were evaluated in these studies (ie, accumulative moved distance or movement rate, time required to move tooth to its destination, anchorage loss, periodontal health, pulp vitality, and root resorption).

Conclusion: Among the five interventions, corticotomy is effective and safe to accelerate orthodontic tooth movement, low-level laser therapy was unable to accelerate orthodontic tooth movement, current evidence does not reveal whether electrical current and pulsed electromagnetic fields are effective in accelerating orthodontic tooth movement, and dentoalveolar or periodontal distraction is promising in accelerating orthodontic tooth movement but lacks convincing evidence.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8805534PMC
http://dx.doi.org/10.2319/031512-224.1DOI Listing

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