Surgical adjunctive procedures for accelerating orthodontic treatment

Fleming, Padhraig S.; Fedorowicz, Zbys; El‐Angbawi, Ahmed; Pandis, Nikolaos

doi:10.1002/14651858.cd010572.pub2

Cited by 55 publications

(73 citation statements)

References 20 publications

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“…CAOOT shows statistically meaningful albeit temporary acceleration in the rate of tooth movement by 2.5‐fold when compared to COT . In short term, the pooled estimate shows a higher tooth movement of about 0.61‐0.65 mm at 1 month, 1.41 at 2 months and 2.03 mm at 3 months when compared to COT …”

Section: Introductionmentioning

confidence: 83%

“…13,14 In short term, the pooled estimate shows a higher tooth movement of about 0.61-0.65 mm at 1 month, 1.41 at 2 months and 2.03 mm at 3 months when compared to COT. [15][16][17] Various systematic reviews found CAOOT to have no deleterious effects on periodontal status, tooth vitality, pain perception, satisfaction, root resorption, iatrogenic damage or anchorage control. 13,14,16 No significant difference was found in the pain perception at 1 month and adverse effects at 4-month follow-up.…”

Section: Rationalementioning

confidence: 99%

“…No significant difference was found in the pain perception at 1 month and adverse effects at 4‐month follow‐up . But Cochrane review shows the data on periodontal effects and pain assessment were not clearly reported . In addition, complications including pain, swelling (subcutaneous hematomas of face and neck), dentinal hypersensitivity and increase in gingival index (GI) scores on the operated side at 4 months have been reported .…”

Section: Introductionmentioning

confidence: 99%

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Short‐ and long‐term potential effects of accelerated osteogenic orthodontic treatment: A systematic review and meta‐analysis

Dab

Chen

Flores‐Mir

2019

Orthod Craniofacial Res

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Structured Abstract Objective To better understand the potential effects after corticotomy accelerated osteogenic orthodontic treatment (CAOOT). Setting and sample population Systematic review with meta‐analysis. Materials and methods A literature search up to August 2018 was conducted to identify randomized clinical studies (RCTs) on CAOOT reporting periodontal parameters, bone changes, patient‐centred and short‐ and long‐term adverse outcomes. A random‐effects meta‐analysis was performed on various parameters (bone density, buccal bone thickness, anchorage loss, visual analog scale, root resorption and retraction time) to quantify weighted treatment effects. Results A total of five split mouth, four parallel arms, one regular RCTs and two prospective CCTs were included (206 patients). Pooled data showed increase in bone thickness by 0.68 mm (95% CI: 1.17, 0.19) and reduced retraction time by 2.80 months (95% CI: −4.17, −1.43). There were statistically insignificant differences for root resorption 0.24 mm (95% CI: −0.49, 0.96), anchorage loss 0.49 mm (95% CI: −1.38, 0.40), worsening of periodontal parameters (gingival index) by 0.30 (95% CI: −0.83, 0.23) and mean increase in bone density of 7.07% on the corticotomy side at 6 months (95% CI: −3.24, 17.38). Conclusion Current evidence suggests a very low to low level of certainty (GRADE assessment) in regard to quantified effects after CAOOT. Although CAOOT procedures show insignificant increase in the density following the use of bone graft and anchorage loss, they appear to accelerate the tooth movement during the first few months, to increase the buccal bone thickness and to show good tolerance by the patients; the clinical significance of these changes may be considered questionable.

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Section: Introductionmentioning

confidence: 83%

Section: Rationalementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Short‐ and long‐term potential effects of accelerated osteogenic orthodontic treatment: A systematic review and meta‐analysis

Dab

Chen

Flores‐Mir

2019

Orthod Craniofacial Res

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“…Acceleration of tooth movement and reduction of treatment time has been of interest, not only to orthodontists but also to patients, especially adults, who constitute a continuously increasing percentage of the orthodontic population . A variety of interventions to accelerate tooth movement have been proposed in recent years, some of them being particularly invasive. As it has been observed that adults report significantly more discomfort and pain under such procedures, if pain relievers, like ibuprofen and indomethacin, that reduce the rate of tooth movement are consumed, treatment duration could be affected.…”

Section: Discussionmentioning

confidence: 99%

Do analgesics used for the pain experienced after orthodontic procedures affect tooth movement rate? A systematic review based on animal studies

Kaklamanos

Makrygiannakis²,

Athanasiou

2019

Orthod Craniofacial Res

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Background Using analgesics for a short period to relieve the pain following specific orthodontic procedures is common. Such medications may influence orthodontic tooth movement biochemical pathways; however, the information originating from human studies is limited. Objectives To systematically investigate current evidence from animal experiments on the effect of administering analgesics for a few days, which is consistent with usual clinical practice, on the speed of orthodontic tooth movement. Search methods Eight databases were searched without restrictions, and hand searching was conducted until June 2019. Selection criteria Animal controlled studies assessing the short‐term impact of analgesics that can be consumed for orthodontic pain on the speed of orthodontic tooth movement. Data collection and analysis Subsequent to retrieving relevant studies and information extraction, the SYRCLE’s Risk of Bias Tool was used for risk of bias assessment. Results Finally, seven studies were selected, and most of them were assessed at unclear risk of bias. Short‐term administration of acetaminophen did not affect significantly the speed of tooth movement, while ibuprofen and indomethacin were reported to decrease it. After administering acetylsalicylic acid and celecoxib, the noted effects were inconsistent. The quality of the available evidence for the animal setting was considered as moderate at most. Conclusions Consuming specific analgesics for a few days may influence the speed of orthodontic tooth movement in animals. Clinicians should be aware of the relevant implications and be capable to identify those substances that may not interfere with treatment processes.

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“…Although there is some evidence from several studies that these interventions can accelerate tooth movement, the results should be considered with caition. 5 This is mainly because the effect of the intervention was evaluated for few months (e.g. space closure stage) and not the whole duration of treatment; which may question the clinical significance of the intervention.…”

mentioning

confidence: 99%