A systematic analysis of evidence for surgically accelerated orthodontics

BACKGROUND: Corticotomy is a technique presumed as useful to decrease the time for orthodontic treatment, however, it is necessary to do a systematic review in order to determine if there is enough scientific evidence to back up the use of Corticotomy to accelerate the treatment. MATERIAL AND METHODS: Data was stockpiled from the electronic database such as PubMed, Cochrane, Scopus y Science Direct, according to the PRISMA linings for systematic reviews, using the following keywords: accelerated movement of the teeth AND osteotomy AND piezocision AND corticotomy AND orthodontics. Only English, Spanish and French language articles that met the criteria needed were included. RESULTS: In the different accelerated orthodontics techniques, a significant reduction in the total time of orthodontic treatment was obtained. There were no major complications reported in any study. The less invasive procedures had better acceptance. DISCUSSION: The surgical approaches are not only limited to usual orthodontic treatments, but they have also been used as an alternative for the approach of a palatal fistula in a patient with bilateral cleft lip and palatine orofaciodigital syndrome Type I. CONCLUSIONS: There has been a growing interest in the use of alveolar corticotomies as an adjunct to orthodontic treatment, due to a deeper understanding of its effects and a more robust investigation based on the evidence. All published results indicate a decrease in the total treatment time. Key words:Accelerated movement of the teeth, piezocision, corticotomy AND orthodontics.