Adverse Effects of Surgically Accelerated Orthodontic Techniques: A Systematic Review

Abstract

Evidence on the potential adverse effects of surgically accelerated orthodontic techniques is scarce. The aim of this review was to evaluate the available scientific evidence regarding the adverse effects on periodontium, tooth vitality, and root resorption, associated with these surgical procedures in children, adolescents, and adults. The reporting of this review was based on the PRISMA2020 guidelines. Seven databases and three registers were searched for randomized clinical trials (RCTs) and controlled clinical trials (CCTs) published up to 22 June 2022. Hand searching of the reference lists of the included studies was also performed. The quality of the evidence was assessed with the Cochrane risk of bias and ROBINS-I tools. A total of 887 records were initially screened. Finally, 33 RCTs (713 patients), six CCTs (103 patients), and six ongoing protocols were eligible for this systematic review. The current review indicated that there are no significant adverse effects of surgically accelerated orthodontic techniques on periodontium, root length, or tooth vitality. High-quality clinical trials with less risk of bias should be conducted to allow reliable conclusions regarding the adverse effects of the surgical procedures associated with the acceleration of orthodontic treatment on children, adolescents, and adults.

Comparative Efficacy of Traditional Corticotomy and Flapless Piezotomy in Facilitating Orthodontic Tooth Movement: A Systematic Review and Meta-Analysis

“…A prior study suggested that surgically accelerated orthodontic methods did not produce notable negative impacts on the periodontium, root length, or tooth vitality [51]. Another report demonstrated similar adverse effects associated with both surgical and non-surgical interventions [52].…”

“…Computed tomography has been integrated with the piezocision method to allow for computer-aided design, and computeraided surgical guides aim at averting inadvertent harm by enabling real-time tracking of the piezoelectric instruments during the surgical process [59]. The performance of high-quality clinical trials with reduced bias potential is recommended to draw dependable conclusions about the adverse consequences of the surgical procedures used to expedite orthodontic treatment in individuals of various age groups [51].…”

Convalescing Mandibular Anterior Crowding through Piezocision and the Micro-Osteoperforation Surgical Procedure—A Clinical Comparative Study

“…Two periodontic techniques-piezocision and micro-osteoperforation-are less invasive when compared to other surgical techniques like Wilkodontics and corticotomy. The acceptance of corticotomies is still low because both clinicians and patients consider them to be too invasive [15][16][17]. To solve this issue, a new minimally invasive surgical technique known as piezocision was created.…”