Acceleration of tooth movement during orthodontic treatment - a frontier in Orthodontics

Abstract

Nowadays, there is an increased tendency for researches to focus on accelerating methods for tooth movement due to the huge demand for adults for a shorter orthodontic treatment time. Unfortunately, long orthodontic treatment time poses several disadvantages like higher predisposition to caries, gingival recession, and root resorption. This increases the demand to find the best method to increase tooth movement with the least possible disadvantages. The purpose of this study is to view the successful approaches in tooth movement and to highlight the newest technique in tooth movement. A total of 74 articles were reviewed in tooth movement and related discipline from 1959 to 2013. There is a high amount of researches done on the biological method for tooth movement; unfortunately, the majority of them were done on animals. Cytokine, PTH, vitamin D, and RANKL/RANK/OPG show promising results; on the other hand, relaxin does not accelerate tooth movement, but increases the tooth mobility. Low-level laser therapy has shown positive outcome, but further investigation should be done for the best energy and duration to achieve the highest success rate. Surgical approach has the most predictable outcomes but with limited application due to its aggressiveness. Piezocision technique is considered one of the best surgical approaches because it poses good periodontal tissue response and excellent aesthetic outcome. Due to the advantages and disadvantages of each approach, further investigations should be done to determine the best method to accelerate tooth movement.

The effect of mechanical vibration on orthodontically induced root resorption

“…RR is a physiological or pathological process that involves breakdown of root structure, specifically mineralized cementum and dentin and nonmineralized dentin. 2,4,5 Physiological RR occurs naturally and is responsible for the RR of deciduous teeth, whereas pathological RR is usually inflammatory in nature.…”

“…1 Numerous noninvasive approaches have been studied to decrease total treatment time. 2,3 Longer duration of orthodontic treatment is associated with increased chances of inflammatory root resorption. 2 Orthodontically induced root resorption (RR) is an inevitable sequela of OTM.…”

“…2,3 Longer duration of orthodontic treatment is associated with increased chances of inflammatory root resorption. 2 Orthodontically induced root resorption (RR) is an inevitable sequela of OTM. RR is a physiological or pathological process that involves breakdown of root structure, specifically mineralized cementum and dentin and nonmineralized dentin.…”

Effects of Robusta coffee (Coffea canephora) brewing on levels of RANKL and TGF- β1 in orthodontic tooth movement

“…4 Application of orthodontic mechanical force on teeth is marked with inflammation activating macrophages, then releasing cytokines and growth factors. 5 Those grow factors are receptor activator of nuclear factor κβ ligand (RANKL) and transforming growth factor β (TGF-β1). RANKL is a regulator of bone remodeling during the orthodontic movement process.…”

The role of active ingredients nanopowder Stichopus hermanii gel to bone resorption in tension area of orthodontic tooth movement

“…27 Accelerated bone formation in the tension area will induce bone resorption indirectly into the pressure area, thereby increasing biometric orthodontic tooth movement. 28 Chondroitin sulphate is one glycosaminoglycan which have effect on another functionally with cytokines, kemokins, and growth factors in the alveolar bone element and structures where osteoblasts and osteoclasts cooperate to coordinate the process of bone remodeling. Glycosaminoglycan may help control osteoclastogenesis in microenvironments where osteoblasts/osteoclasts inherent.…”