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injections of prostaglandins, 1,25(OH)2 D3 (the active form of Vitamin D3), osteocalcin, and relaxin around the alveolar socket, but they have the undesirable side effects of local pain and discomfort during the injections. [4] Surgical category includes alveolar decortication, corticotomy, distraction of the periodontal ligament, and distraction of the dentoalveolus. The idea of surgically accelerated tooth movement although more than a century old has only gained momentum and interest during the past 10 years. [5] Some of the authors have claimed that the decortication combined with augmentation grafting created greater Systematic ReviewAccelerating the orthodontic tooth movement is desirable to the orthodontist because the treatment duration has been associated with increased risk of gingival inflammation, decalcification, dental caries, and especially external root resorption. Reducing the treatment time requires increasing the rate of orthodontic tooth movement. [3] Many studies have examined different methods that can increase the rate of orthodontic tooth movement like local