Abstract
BackgroundThe aim of this systematic review was to evaluate the effects of piezocision in accelerating orthodontic tooth movement (OTM) and its possible adverse effects.Material and MethodsThe Databases Medline, Embase, CENTRAL and LILACS were searched until March 2019, for randomized controlled trials (RCTs) and controlled clinical trials (CCTs) that used piezocision associated with orthodontic treatment. A manual search was also performed. The search, studies selection, assessment of risk of bias and data collection were carried out by two independent reviewers.ResultsEleven publications were included in this review (4 CCTs and 7 RCTs). No study presented low risk of bias. Different types of tooth movement were evaluated: lower anterior alignment, en-masse retraction, overall orthodontic treatment and canine distalization. A total of 240 participants were analyzed in the included studies. Seven studies found significant acceleration in the piezocision group, while two studies found no differences. Adverse effects regarding patient’s satisfaction, pain perception, or worsening of periodontal parameters were not observed. There was no consensus concerning anchorage loss and root resorption.ConclusionsThe literature does not provide high-quality evidence to confirm that Piezocision results in significant OTM acceleration. Therefore, high-quality RCTs should be conducted to allow reliable conclusions about the effects of piezocision in orthodontics. Key words:Piezosurgery, tooth movement techniques, orthodontics.
Highlights
The long treatment duration is a common complaint of a significant number of orthodontic patients
The aim of the present systematic review was to evaluate the effects of piezocision in accelerating orthodontic tooth movement (OTM) and to assess secondary effects on anchorage loss, periodontal parameters, root resorption, patient satisfaction and pain perception
Material and Methods The present systematic review was carried out using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis: the PRISMA statement. -Protocol and Registration The protocol was registered on the PROPERO National Institute of Health Research Database. -Eligibility Criteria The following selection criteria were applied: 1. Study design: controlled clinical trials (CCTs) and randomized controlled trials (RCTs), including split-mouth design; 2
Summary
The long treatment duration is a common complaint of a significant number of orthodontic patients. Several studies investigating different techniques aiming to reduce treatment time have been conducted (1-7) In this regard, surgical techniques generate trauma in the alveolar bone to alter the physiological response and cause a local transitory increase in bone metabolism and a decrease in its density (8). Since alveolar corticotomies are considered an invasive technique, other alternatives to obtain RAP and consequent acceleration of OTM have been proposed (12-16) In this regard, the use of a piezoelectric tip has been proposed as a substitute to surgical burs in an attempt to decrease the trauma, since it allows more accurate cuts, reducing the chances of developing osteonecrosis (12). The aim of the present systematic review was to evaluate the effects of piezocision in accelerating OTM and to assess secondary effects on anchorage loss, periodontal parameters, root resorption, patient satisfaction and pain perception
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
