IADR Abstract Archives
Accelerating Orthodontic Tooth Movement by Vibration: Acceledent ® device – a literature review
Objectives: The duration of orthodontic treatment is the primary concern of most patients. It includes mechanical, chemical, and cellular serial events that take place within the PDL tissues; Therefore, orthodontic treatment time can range anywhere between 12-48 months. Unfortunately, long orthodontic treatment time includes several disadvantages like higher predisposition to dental caries, gingival recession and root resorption. These, increase the demand to accelerate tooth movement by enhancing the body’s response to mechanical stimuli. Several methods are available to accelerate orthodontic tooth movement, such as pharmacological, surgical (corticotomy, piezosurgery etc.), and mechanical/physical stimulation methods (vibration, lasers). This work aims to review the recent literature concerning Acceledent ® - a vibration device aimed at accelerating orthodontic tooth movement by mechanical stimuli.
Methods: A total of 25 articles were reviewed regarding Acceldent ®. The collected data was classified to three main issues: the device efficacy, its effect on pain and root resorption accompanying orthodontic treatment.
Results: Some studies have shown reduction in the duration of orthodontic treatment using Acceledent ® device. However, the results were inconclusive and further studies are needed. Although pain reduction was not considered as the primary indication for the device, Acceledent ® was found to reduce pain during orthodontic treatment. Nevertheless, it should be noted that these findings might be biased by placebo effect. In addition, the reviewed studied did not show reduction in root resorption accompanying orthodontic treatment while using the Acceledent ® device.
Conclusions: Accelerating orthodontic tooth movement by vibration stimuli is a non-invasive, promising, technique. However, recent literature concerning Acceledent ® lacks unambiguous conclusions regarding the efficacy of the device. Further studies are required in order to fully recommend the use of Acceledent ® as an adjunctive device accelerating orthodontic treatment.
Methods: A total of 25 articles were reviewed regarding Acceldent ®. The collected data was classified to three main issues: the device efficacy, its effect on pain and root resorption accompanying orthodontic treatment.
Results: Some studies have shown reduction in the duration of orthodontic treatment using Acceledent ® device. However, the results were inconclusive and further studies are needed. Although pain reduction was not considered as the primary indication for the device, Acceledent ® was found to reduce pain during orthodontic treatment. Nevertheless, it should be noted that these findings might be biased by placebo effect. In addition, the reviewed studied did not show reduction in root resorption accompanying orthodontic treatment while using the Acceledent ® device.
Conclusions: Accelerating orthodontic tooth movement by vibration stimuli is a non-invasive, promising, technique. However, recent literature concerning Acceledent ® lacks unambiguous conclusions regarding the efficacy of the device. Further studies are required in order to fully recommend the use of Acceledent ® as an adjunctive device accelerating orthodontic treatment.