Methods of accelerating orthodontic tooth movement: A review of contemporary literature

Abstract

Technological progress and the introduction of modern therapeutic methods are constantly changing contemporary orthodontics. More and more orthodontic patients are working adults, who expect satisfactory therapeutic effects as soon as possible, increasing the importance of methods accelerating tooth movement. The aim of this study was to review the current literature regarding methods of accelerating tooth movement and reducing the duration of the active phase of therapy. The literature was collected from the PubMed and EBSCO databases using "accelerated orthodontic tooth movement" as the search key words. The methods described were categorized as conservative and surgical. The pharmacological agents used in conservative treatment, such as growth hormone, parathyroid hormone, thyroxine, and vitamin D, are especially worth mentioning. They stimulate osteoclasts to increase resorption through a variety of mechanisms. Effective methods also include physical stimuli, e.g., vibrations or photobiomodulation. Most studies describing the effects of pharmacological agents were based on animal subjects and they may therefore lack clinical relevancy. Corticotomy and its modifications based on the regional acceleratory phenomenon (RAP) might prove to be a useful augmentation of orthodontic treatment, especially in adults, including patients with periodontal disease.

Challenges in the management of late developing malocclusions in adulthood: A case report of acromegaly

“…Vitamin D has a key role in bone turnover as it has been shown to increase osteoclast and osteoblast proliferation and activity (Kale et al, 2004). Accordingly, vitamin D deficiencies may cause decelerated tooth movement (Kacprzak and Strzecki, 2018) which is of particular relevance to orthodontic treatment and has a bearing on treatment length.…”

“Caries infantil y nivel sérico de 25-Hidroxi-vitamina D”

“…Aunque el mecanismo de prevención de la caries y la vitamina D se relaciona con el metabolismo del calcio, el efecto también involucra el papel de esta vitamina en la inducción de los antimicrobianos catelicidinas y defensinas, importantes en periodontitis y en reducir el riesgo de caries, a través de atacar las bacterias orales relacionadas con ésta (W.B., 2011). Se ha relacionado también con la velocidad del movimiento ortodóncico debido a su papel anabólico del tejido óseo (Alicja Kacprzak, 2018).…”

Photodynamic Therapy in Orthodontics: A Literature Review

“…From the clinician’s perspective, the desired factor is the acceleration of teeth movement without side effects, such as root resorption. Corticotomy is a more widely described method for this purpose, but it is an invasive procedure [ 8 , 9 ]. The use of lasers in this field in the form of biomodulation is known, making it possible to accelerate the movement of teeth and shorten the treatment time [ 10 , 11 ].…”