Accelerated Orthodontics: A Prisma-2020 Systematic Review of Biological and Surgical Acceleration Techniques

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Published Dec 28, 2025
DOI: https://doi.org/10.18103/mra.v13i12.7112

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Main Article Content

Swati Batheja
Department of Orthodontics and Dentofacial Orthopedics, K.D. Dental College, India; Healthcare Management, University of Bridgeport, Connecticut, United States

Abstract

Objective: To systematically evaluate the effectiveness, biological mechanisms, clinical outcomes, and safety of contemporary accelerated orthodontic techniques, including micro-osteoperforations (MOPs), corticotomy, piezocision, low-level laser therapy (LLLT), photobiomodulation, high-frequency vibration, and pharmacologic adjuncts.


Methods: A PRISMA-2020 compliant search was conducted across PubMed, Scopus, Web of Science, and Cochrane Library using predefined keywords. Randomized controlled trials, cohort studies, and split-mouth trials evaluating the rate of tooth movement were included. Data extraction focused on movement rate, treatment duration, biological rationale, and reported side effects.


Results: Thirty-seven studies qualified for final analysis. Corticotomy and piezocision produced the greatest acceleration (2"3× increase in tooth movement). MOPs resulted in moderate acceleration (1.5"2×). LLLT and photobiomodulation showed variable effectiveness. Vibration devices demonstrated inconsistent results, with several trials reporting no significant acceleration. Pharmacologic methods showed strong experimental potential but limited clinical applicability.


Conclusion: Accelerated orthodontic techniques significantly enhance movement rates and reduce treatment duration. Surgical interventions demonstrate the most consistent effectiveness, while non-invasive methods remain protocol-dependent. Additional well-designed RCTs are needed to standardize parameters and establish long-term safety.

Keywords: accelerated orthodontics, corticotomy, micro-osteoperforations, LLLT, vibration therapy, piezocision, photobiomodulation, PRISMA systematic review

Article Details

How to Cite
BATHEJA, Swati. Accelerated Orthodontics: A Prisma-2020 Systematic Review of Biological and Surgical Acceleration Techniques. Medical Research Archives, [S.l.], v. 13, n. 12, dec. 2025. ISSN 2375-1924. Available at: <https://esmed.org/MRA/mra/article/view/7112>. Date accessed: 03 jan. 2026. doi: https://doi.org/10.18103/mra.v13i12.7112.
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Issue
Vol 13 No 12 (2025): Vol.13 Issue 12 December 2025
Section
Review Articles

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