Interventions for Accelerating Orthodontic Tooth Movement: A Systematic Review

Abstract

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

Comparison of orthodontic space closure using micro-osteoperforation and passive self-ligating appliances or conventional fixed appliances:

“…Various methods have been described in the literature for speeding up space closure. 11,26 However, only recently have attempts been made to combine the two methods and check for any synergistic effect the 27 The authors concluded that the combination was more effective than the application of each technique separately. A similar synergistic effect may be observed if MOPs are combined with any other technique.…”

“…These brackets were considered passive self-ligating appliances despite the use of nickel titanium springs as the archwire was passively held in the bracket slot. 11 Finite element analysis revealed that there was no clip stress after the insertion of 0.019 3 0.025-inch stainless steel wire, making the Smart Clip bracket effectively a passive self-ligating bracket. 17 The control consisted of patients treated with 3M Gemini brackets supplemented with MOP.…”

“…9,10 Apart from self-ligating brackets, many other attempts have been made to decrease the total treatment time, including surgical and nonsurgical methods. Currently, many investigations have been undertaken to determine the potency of various surgical methods in increasing the rate of space closure, 11 but some evidence via meta-analysis and randomized controlled trials has indicated that surgical methods may be effective in accelerating the rate of space closure. 12,13 Micro-osteoperforations (MOPs) of the alveolar bone have been employed to induce microtrauma and initiate a regional acceleratory phenomenon adjacent to the extraction space.…”

The Effectiveness of Minimal Invasive Piezocision Surgery in Accelering Tooth Movement in Orthodontic Treatment: A Review Study

“…(Hatrom et al, 2020) Piezocision demonstrated a mean improvement of 43% and required substantially less time overall than the control group. (Shirude et al, 2018) However, piezocision studies have yielded contradictory. (Hatrom et al, 2020) This is because some studies showed that corticotomy and piezocision did not show root resorption, whereas other studies showed that periodontal disorders caused root resorption in one of the six.…”