Micro-osteoperforation effectiveness on tooth movement rate and impact on oral health related quality of life:

Fattori, Liana; Sendyk, Michelle; Paiva, João Batista de; Normando, David; Neto, José Rino

doi:10.2319/110819-707.1

Cited by 19 publications

(15 citation statements)

References 31 publications

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“…The case was managed and the patient was monitored until she returned to her normal condition. Later, she was contacted on the same day and confirmed that she was in good health without any symptoms [ 54 ] The monthly repetition of MOPs caused fear since some patients were afraid and asked to not undergo the perforations [ 41 ] % 2.2% Total n 8 % 8.8% Other harms Numbness n 1 Corticotomy [ 46 ] One patient had numbness in the corner of the upper lip, which lasted for approximately a month and then disappeared after being given nerve repair medication [ 46 ] % 1.1% Hematoma n 2 PAOO [ 53 ], Flapless corticotomy using bur [ 55 ] 3 out of 20 patients in the PAOO with piezocision group experienced hematoma of the chin [ 53 ] One patient developed a significant hematoma in the lower lip while applying flapless corticotomy using bur [ 55 ] % 2.2% Total n 3 % of total 3.3% Total …”

Section: Resultsmentioning

confidence: 99%

The transparency of reporting 'harms' encountered with the surgically assisted acceleration of orthodontic tooth movement in the published randomized controlled trials: a meta-epidemiological study

2023

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Background Surgical-assisted accelerated orthodontics (SAAO) has become very popular recently. Therefore, this study aimed to investigate the extent to which researchers adhere to Item 19 (harms) of the Consolidated Standards of Reporting Trials (CONSORT) in the published studies in the field of SAAO. In addition, the study evaluated the possible association between harm reporting and the human development index (HDI) of the recruited research sample country, CiteScore-based quartile (CSBQ) of the publishing journal, invasiveness of the surgical intervention (ISI), and the type of orthodontic tooth movement (TOTM). Moreover, it aimed to summarize the different possible harms and complications that maybe encountered in the course of SAAO. Materials and methods Electronic searching of six databases was conducted for SAAO-related English RCTs published between January 2000 and April 2022. For the RCTs that did not report harms, information was sought by contacting the corresponding authors. Descriptive statistics of the evaluated variables were performed. The association between 'harm reporting' and the HDI of the research team, the BDRQ of the publication journal, the ISI, and the TOTM were investigated. Binary logistic regression was used, and the odds ratios (ORs) with 95% confidence interval (CIs) of the evaluated variables were obtained. Moreover, the risk of bias of the included RCTs was assessed using the RoB2 tool. Results Among the 91 included RCTs, 54 RCTs (59.3%) did not adhere to reporting harm associated with the SAAO. The non-adherence was significantly associated with the ISI (OR 0.16; CI 0.03–0.73; p < 0.018) for invasive methods compared with minimally invasive ones). There was a significant positive correlation between harm reporting and both the CSBQ of the publishing journal and the HDI of the recruited research sample country (p = 0.001, p = 0.003, respectively). On the contrary, a non-significant association was found between harm reporting and the type of OTM (p = 0.695). The incidence of harms associated with SAAO was approximately 17.5%. Limitations Assessment was restricted to English RCTs related to SAAO. Conclusion and implications The adherence to reporting harms in the field of SAAO was deficient. Efforts should be made by authors, peer reviewers, and editors to improve compliance with the CONSORT guidelines regarding harms reporting. Additionally, there is a wide spectrum of harms that could be associated with SAAO that the practitioner should pay attention to and alert the patient to the possibility of their occurrence.

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Section: Resultsmentioning

confidence: 99%

The transparency of reporting 'harms' encountered with the surgically assisted acceleration of orthodontic tooth movement in the published randomized controlled trials: a meta-epidemiological study

2023

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“…Different randomised clinical trials (RCTs) have evaluated the rate of orthodontic canine movement [ 6 – 13 ] and anchorage loss [ 7 , 11 , 12 ] with MOPs and have found conflicting results. Some studies have found that MOPs accelerate the rate of canine retraction [ 6 , 8 , 10 , 11 , 13 ], whereas others have not found significant differences with control groups [ 7 , 9 , 12 ]. Some authors [ 14 ] performed a systematic review of the literature on the effect of MOPs on the rate of orthodontic tooth movement, where anchorage loss is evaluated as a secondary outcome.…”

Section: Introductionmentioning

confidence: 99%

“…In the different studies [ 6 – 13 , 15 ], MOPs have been performed to introduce small perforations along the distal and buccal bones of the canine, with variations in the number of perforations (two or three), follow-up periods, and instruments used (propel or orthodontic mini-implants). Regarding frequency, MOPs have been performed only once in some studies [ 6 – 8 , 10 , 12 , 15 ] and every 28 days to 30 days in others [ 9 , 11 , 13 ]. As several authors have suggested, by causing greater injury to bone tissue, it produces less dense and less mature bone that may cause greater acceleration of the OTM; hence, performing MOPs both in the buccal and palatal areas would produce important effects both in distalization of the canine and in the control of the anchorage of the first molar [ 16 ].…”

Section: Introductionmentioning

confidence: 99%

Biological Anchorage and Canine Orthodontic Movement Rate with a New Technique for Micro-Osteoperforations

Arredondo

Perez

Zapata-Noreña

et al. 2022

Case Reports in Dentistry

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Introduction. The differential management of anchorage and the acceleration of tooth movement are some of the current greatest challenges for orthodontists. Diverse techniques and devices to reinforce anchorage and increase the rate of tooth movement have been proposed. Whether micro-osteoperforations (MOPs) can be used for both purposes is currently investigated. Objectives. To propose and describe a new technique for biological anchorage, which involves six MOPs performed every four weeks, and to present its results in a clinical case of upper premolar extraction. Intervention. In a dental class II patient who met the selection criteria, three MOPs both on the buccal and palatine sides on the intervention side were performed on the extraction area following the protocol described. No MOPs were performed on the control side. The allocation of the intervention was randomised. The MOPs were performed three times at an interval of four weeks. A 0.019 × 0.025 -inch stainless steel wire was activated with calibrated NiTi springs. The three-dimensional movement of the first molars and upper canines was evaluated. In addition, the comfort, periodontal status, and canine root resorption of the patient were evaluated. Results. Clinical and radiographic results suggest that the MOPs had a positive effect in reducing the loss of biological anchorage of the posterior sector and in the rate of canine tooth movement, without damaging changes in the soft and hard tissues. Conclusion. The proposed protocol involving six MOPs every four weeks improved the behaviour of biological anchorage and increased distalization on the intervention side in this clinical case.

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“…Alikhani et al reported that MOP, a minimally invasive method, resulted in a 60% increase in the tooth movement rate[ 3 4 ];however, very few studies have analyzed bone density changes using this method. [ 3 4 5 6 7 8 ]…”

Section: Introductionmentioning

confidence: 99%

A CBCT assessment of bone density changes after accelerated orthodontic retraction of canine by microosteoperforations

Alfawazan

Manas

Verghese

et al. 2022

Journal of Orthodontic Science

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AIM: The study was conducted to assess the changes in bone density before and after performing accelerated orthodontic maxillary canine retraction by microosteoperforations (MOPs). MATERIALS AND METHODS: Forty patients (120 cone-beam computed tomography [CBCT] images) within the age group of 15 to 25 years undergoing fixed orthodontic treatment with bilateral maxillary first premolar extraction were enrolled in this study. The right and left sides of the maxillary jaw in the same patients were selected as experimental and control sites. To accelerate the tooth movement, MOPs were performed distal to the canine root in the extraction space under local anesthesia with a miniscrew. Thereafter, the maxillary canine retraction was initiated using a NiTi closed coil spring. The CBCT images were taken and evaluated at the following time intervals: 1 week before MOPs(T0);1 week after MOPs(T1);3 weeks after MOPs(T2). RESULTS: A statistically significant reduction in bone density was observed at the center of resistance of canine on the experimental site (after MOPs) at 1 week and 3 weeks (T0-T1 = 0.000,0.115; T1-T2 = 0.0025,0.0117), whereas a statistically non-significant difference was found 1 week before and 3 weeks later in the control group. CONCLUSION: Accelerated orthodontics by MOPscan result in a substantial reduction in bone density during canine retraction, leading to an increase in the tooth movement rate, hence lowering the overall orthodontic treatment time.

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Micro-osteoperforation effectiveness on tooth movement rate and impact on oral health related quality of life:

Cited by 19 publications

References 31 publications

The transparency of reporting 'harms' encountered with the surgically assisted acceleration of orthodontic tooth movement in the published randomized controlled trials: a meta-epidemiological study

The transparency of reporting 'harms' encountered with the surgically assisted acceleration of orthodontic tooth movement in the published randomized controlled trials: a meta-epidemiological study

Biological Anchorage and Canine Orthodontic Movement Rate with a New Technique for Micro-Osteoperforations

A CBCT assessment of bone density changes after accelerated orthodontic retraction of canine by microosteoperforations

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