Introduction: Orthodontic anchorage is one of the most challenging aspects of Orthodontics.
Preventing undesired movement of teeth could result in safer and less complicated
orthodontic treatment. Recently, several reviews have been published about the
effects of different molecules on bone physiology and the clinical side effects in
Orthodontics. However, the effects of local application of these substances on the
rate of orthodontic tooth movement have not been assessed. Objectives: The aim of this research was to analyze the scientific evidence published in the
literature about the effects of different molecules on orthodontic anchorage. Methods: The literature was systematically reviewed using PubMed/Medline, Scopus and
Cochrane databases from 2000 up to July 31st, 2014. Articles were
independently selected by two different researchers based on previously
established inclusion and exclusion criteria, with a concordance Kappa index of
0.86. The methodological quality of the reviewed papers was performed.Results: Search strategy identified 270 articles. Twenty-five of them were selected after
application of inclusion/exclusion criteria, and only 11 qualified for final
analysis. Molecules involved in orthodontic anchorage were divided into three main
groups: osteoprotegerin (OPG), bisphosphonates (BPs) and other molecules (OMs).
Conclusions: Different drugs are able to alter the bone remodeling cycle, influencing
osteoclast function and, therefore, tooth movement. Thus, they could be used in
order to provide maximal anchorage while preventing undesired movements. OPG was
found the most effective molecule in blocking the action of osteoclasts, thereby
reducing undesired movements.