RT Journal Article
SR Electronic
T1 Corticotomy-assisted orthodontic treatment
JF Saudi Medical Journal
JO Saudi Med J
FD Prince Sultan Military Medical City
SP 794
OP 801
DO 10.15537/smj.2015.7.12437
VO 36
IS 7
A1 Ali H. Hassan
A1 Samar H. Al-Saeed
A1 Basma A. Al-Maghlouth
A1 Maha A. Bahammam
A1 Amal I. Linjawi
A1 Tarek H. El-Bialy
YR 2015
UL http://smj.org.sa/content/36/7/794.abstract
AB Objectives: To systematically review the literature to assess the quality of evidence related to corticotomy-assisted orthodontic treatment (CAOT) as adjunctive treatment in orthodontics.Methods: The study was conducted in the Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia between 2013 and 2014. Various electronic databases were searched and abstracts were retrieved. Defined inclusion criteria were then applied to the obtained original articles for further evaluation by 2 examiners independently. The criteria of selection included human, or animal studies, which assessed some aspects of CAOT and/or the biological principles behind it. Case reports and series were excluded. The quality of the studies was evaluated by the methodological score for clinical trials developed.Results: Fourteen articles were retrieved initially, but only 12 articles were finally selected for the study. The CAOT was found to accelerate tooth movement by 2-2.5 folds when compared with conventional orthodontic tooth movement. The CAOT was found safe on periodontal health and exhibits no or little risk of root resorption. A localized turnover of alveolar spongiosa and the absence of a hyalinized zone was the acceptable biological explanation of CAOT. There is no evidence to support that CAOT enhances the movement of ankylosed teeth, closing old extraction sites, post-orthodontic stability, or transverse expansion.Conclusions: Corticotomy-assisted orthodontic treatment should be considered with caution. Long term randomized clinical trials are still needed.