Corticotomies as a surgical procedure to accelerate tooth movement during orthodontic treatmenta systematic review

  1. Laura Fernández Ferrer 1
  2. José María Montiel Company 2
  3. Eugenia Candel Martí 3
  4. José Manuel Almerich Silla 4
  5. Miguel Peñarrocha Diago 5
  6. Carlos Bellot Arcís 6
  1. 1 Dentist, Department of Stomatology, Faculty of Medicine and Dentistry, University of Valencia, Spain
  2. 2 Teaching Assistant, Department of Stomatology, Faculty of Medicine and Dentistry, University of Valencia, Spain
  3. 3 Collaborating Lecturer, Master in Oral Surgery and Implant Dentistry, Department of Stomatology, Faculty of Medicine and Dentistry, University of Valencia, Spain
  4. 4 Tenured Lecturer, Department of Stomatology, Faculty of Medicine and Dentistry, University of Valencia, Spain
  5. 5 Head of Oral Surgery, Stomatology Department, Faculty of Medicine and Dentistry, University of Valencia, Spain
  6. 6 Associate Lecturer, Department of Stomatology, Faculty of Medicine and Dentistry, University of Valencia, Spain
Revista:
Medicina oral, patología oral y cirugía bucal. Ed. inglesa

ISSN: 1698-6946

Año de publicación: 2016

Volumen: 21

Número: 6

Páginas: 16

Tipo: Artículo

DOI: 10.4317/MEDORAL.21208 DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: Medicina oral, patología oral y cirugía bucal. Ed. inglesa

Resumen

One of the main aims of orthodontists is to reduce the treatment time as much as possible, particularly in view of the rise in demand for orthodontic treatment among adult patients. The objective of this systematic review was to examine the effectiveness of corticotomy as a surgical procedure that accelerates orthodontic tooth movement, together with its possible adverse effects. A systematic review of articles in 4 databases, Pubmed, Cochrane, Scopus and Embase, complemented by a manual search, identified 772 articles. The duplicates were eliminated and a critical reading of titles and abstracts led to the rejection of articles that did not meet the objectives of the review, leaving 69. After reading the full text of these articles, 49 were excluded because they did not meet the inclusion criteria. On applying the CONSORT criteria as a quality filter, a further 4 were eliminated due to low quality. Finally, 16 articles (4 systematic reviews and 12 controlled trials) were reviewed. All the studies agree that corticotomy prior to orthodontic treatment accelerates dental movement, reducing the treatment time. With regard to side-effects, no periodontal damage was found, although this was only studied in the short term. The evidence regarding the results of corticotomy is limited, given the small number of quality clinical studies available. Before this procedure is included as a routine practice in dental surgeries, studies of higher methodological quality are required, studying a greater number of individuals and examining the possible long-term adverse effects and the cost/benefit of the procedure.

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