Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2016 Nov 1;21(6):e703-e712.
doi: 10.4317/medoral.21208.

Corticotomies as a surgical procedure to accelerate tooth movement during orthodontic treatment: A systematic review

L Fernández-Ferrer  1 , J-M Montiel-Company, E Candel-Martí, J-M Almerich-Silla, M Peñarrocha-Diago, C Bellot-Arcís
Affiliations

Corticotomies as a surgical procedure to accelerate tooth movement during orthodontic treatment: A systematic review

L Fernández-Ferrer et al. Med Oral Patol Oral Cir Bucal. .

Abstract

Background: 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.

Material and methods: 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.

Results: 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.

Conclusions: 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.

PubMed Disclaimer

Conflict of interest statement

The authors have declared that no conflict of interest exist.

Figures

Figure 1
Figure 1
Flow Diagram.
See this image and copyright information in PMC

References

    1. Al-Naoum F, Hajeer MY, Al-Jundi A. Does alveolar corticotomy accelerate orthodontic tooth movement when retracting upper canines? A split-mouth design randomized controlled trial. J Oral Maxillofac Surg. 2014;72:1880–9. - PubMed
    1. Gkantidis N, Mistakidis I, Kouskoura T, Pandis N. Effectiveness of non-conventional methods for accelerated orthodontic tooth movement: A systematic review and meta-analysis. J Dent. 2014;42:1300–19. - PubMed
    1. Shoreibah EA, Samir A, Ibrahim A, Attia MS, Diab MMN. Clinical and radiographic evaluation of bone grafting in corticotomy-facilitated orthodontic in adults. J Int Acad Periodontol. 2012;14:105–13. - PubMed
    1. Wu JQ, Jiang JH, Xu L, Liang C, Bai YY, Zou W. A pilot clinical study of class III surgical patients facilitated by improved accelerated osteogenic orthodontic treatments. Angle Orthod. 2015;85:616–24. - PMC - PubMed
    1. Leethanakul C, Kanokkulchai S, Pongpanich S, Leepong N, Charoemratrote C. Interseptal bone reduction on the rate of maxillary canine retraction. Angle Orthod. 2014;84:839–45. - PMC - PubMed

Publication types