Impact of extracorporeal shock wave therapy (ESWT) on orthodontic tooth movement—a randomized clinical trial

Falkensammer, Frank; Arnhart, Christoph; Krall, Christoph; Schaden, Wolfgang; Freudenthaler, Josef; Bantleon, Hans-Peter

doi:10.1007/s00784-014-1199-0

Cited by 15 publications

(22 citation statements)

References 26 publications

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“…The efficiency of shock waves in improving tooth mobility did not prove to be significant, considering the fact that tooth mobility was identical to the mobility of the control group after treatment, its reduction over time being more rapid compared to the placebo group, which indicates extremely modest effects on alveolar bone regeneration. Experimental shock wave studies report similar results (26,27,28). In comparison, laser therapy also offers very good results, including in diabetic patients, with respect to alveolar bone regeneration, providing a radiological appearance similar to the use of pulsed short waves assessed at one year (29,30).…”

Section: A B Cmentioning

confidence: 65%

Pulsed short waves in the remineralization of alveolar bone structures of the jaw in patients with diabetes mellitus – a series of cases

Alexandru

Popa

Dogaru

et al. 2019

BALNEO

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This clinical study included three patients aged between 50 and 78 years who had chronic marginal periodontitis and type 2 diabetes mellitus, diseases that are frequently associated due to changes occurring in polymorphonuclear cells, as well as to alterations of microcirculation. No bone augmentation therapies were performed. Bone regeneration was strictly influenced by conventional periodontal therapy, supplemented with ten pulsed short wave sessions applied to the lower face shortly after closed periodontal curettage. The allocated time was ten minutes for the first two sessions, and 15 minutes for the following 8 sessions. Clinical and radiological evaluations were performed at the time of presentation, as well as after initiation of pulsed short wave therapy: in the first case, three weeks after initiation of therapy and three years after the end of complex oral rehabilitation; in the second case, eight weeks after the onset of pulsed short wave therapy and in the third case, five weeks after the onset of pulsed short wave therapy. The results were significant in all three cases, demonstrated radiologically by the same type of radiological examination at identical scales. Bone remineralization was obvious in the alveolar processes of the jaw. Although further studies in this direction are necessary, the results are both clinically and radiologically significant. Key words: pulsed short waves, alveolar bone resorption, periodontal disease, diabetes,

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Section: A B Cmentioning

confidence: 65%

Pulsed short waves in the remineralization of alveolar bone structures of the jaw in patients with diabetes mellitus – a series of cases

Alexandru

Popa

Dogaru

et al. 2019

BALNEO

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“…Non sono disponibili, al momento della revisione, metanalisi in merito all'argomento in oggetto. Nel nostro studio sono stati selezionati cinque studi clinici randomizzati (RCT) [22][23][24][25][26] . Di questi, quattro da parte dello stesso gruppo di ricerca hanno analizzato l'applicazione delle onde d'urto in ortodonzia valutando outcome diversi, non analizzabili attraverso metanalisi per questo motivo.…”

Section: Introductionunclassified

“…Di questi, quattro da parte dello stesso gruppo di ricerca hanno analizzato l'applicazione delle onde d'urto in ortodonzia valutando outcome diversi, non analizzabili attraverso metanalisi per questo motivo. In particolare, essi hanno valutato: l'effetto delle onde d'urto sulla stabilità delle miniviti (TAD, Temporary Anchorage Devices) in pazienti che presentavano mesializzazione del secondo molare [22] , l'efficacia della ESWT sul movimento ortodontico di molari inferiori [23] , la mobilità dei denti in pazienti che avevano completato il trattamento ortodontico con apparecchi fissi [24] e, infine, il flusso di sangue a livello pulpare (PBF) mediante analisi laser Doppler a partire dal giorno in cui erano stati rimossi i bracket [25] .…”

Section: Introductionunclassified

Applicazioni delle onde d’urto in odontoiatria: revisione narrativa

et al. 2019

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“…Recently ESWT has been reported to induce interleukin-1β (IL-1β), a potent cytokine for bone resorption, during 3 days of tooth movement in rats and no long-term observation was studied [ 19 ]. However, a study in human s failed to show any accelerated effect on second mandibular mesialization [ 20 ] after a single treatment of ESWT. Though ESWT promotes healing and induces tissue regeneration, the effect on tooth movement is controversial with different parameters /applications and tested species and subjects [ 19 , 20 ].…”

Section: Introductionmentioning

confidence: 99%

“…However, a study in human s failed to show any accelerated effect on second mandibular mesialization [ 20 ] after a single treatment of ESWT. Though ESWT promotes healing and induces tissue regeneration, the effect on tooth movement is controversial with different parameters /applications and tested species and subjects [ 19 , 20 ]. This study evaluated whether ESWT affects tooth movement in a rat model to gain better insight into underlying mechanisms.…”

Section: Introductionmentioning

confidence: 99%

Extracorporeal shockwave treatment impedes tooth movement in rats

Atsawasuwan¹,

Chen²,

Ganjawalla³

et al. 2018

Head Face Med

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BackgroundAccelerated tooth movement has been a topic of interest for orthodontic research recently. Surgically facilitated orthodontic treatment has been shown to be an effective approach to accelerate tooth movement; however, it remains invasive, requires additional surgery, and may increase post-operative complications. In this study, we evaluate the effects of extracorporeal shockwave treatment (ESWT), a non-invasive approach to regenerate alveolar bone, on orthodontic tooth movement in rats.Materials and methodsSeventy-two male rats, aged 10 weeks old, were subjected to 10-cN closed-coil nickel-titanium springs for unilateral maxillary first molar tooth movement. One group of rats received a single treatment of extracorporeal shockwave treatment at 500 impulses at energy flux density 0.1 mJ/mm2, with a pulse rate of 5 pulses per second immediately after spring installation while the non-ESWT-treated group served as a control group. The rats were sacrificed at day 3, 7, 14, 21 and 28 for tooth movement evaluation and sample analyses. Faxitron radiography, histological, double bone labeling and gene expression analyses were performed. Serum biochemistry was evaluated at day 3, 7 and 28 of the study. Kruskal-Wallis analysis of variance was used to determine the mean difference among groups, and multiple comparisons were analyzed by Mann-Whitney-U tests with a significance level = 0.05.ResultsThe results demonstrated that tooth movement in the ESWT-treated rats (0.11 ± 0.07 mm) was impeded compared to the tooth movement in the non-ESWT-treated rats (0.44 ± 0.09 mm). ESWT up-regulated several osteoblastic and osteoclastic gene markers and cytokines; however, the effects on osteoclasts were only transient. Double-fluorescence bone labeling demonstrated that osteoblastic activity increased after ESWT treatment. There was no difference in systemic RANKL/OPG ratio between groups.ConclusionsESWT at 500 impulse at energy flux density 0.1 mJ/mm2 increased osteoblast and osteoclast activities and imbalanced bone remodeling resulting in impeded tooth movement in rats.

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Impact of extracorporeal shock wave therapy (ESWT) on orthodontic tooth movement—a randomized clinical trial

Abstract: Shock waves showed no harmful effects in the investigated area. Their clinical use for lithotripsy during orthodontic therapy might be permitted.

Cited by 15 publications

References 26 publications

Pulsed short waves in the remineralization of alveolar bone structures of the jaw in patients with diabetes mellitus – a series of cases

Pulsed short waves in the remineralization of alveolar bone structures of the jaw in patients with diabetes mellitus – a series of cases

Applicazioni delle onde d’urto in odontoiatria: revisione narrativa

Extracorporeal shockwave treatment impedes tooth movement in rats

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