Division of Orthodontics, Department of Pediatric Dentistry and Orthodontics, College of Dentistry, King Saud University, Riyadh, Saudi Arabia.
Division of Orthodontics, Department of Pediatric Dentistry and Orthodontics, College of Dentistry, King Saud University, Riyadh, Saudi Arabia.
Am J Orthod Dentofacial Orthop. 2018 Dec;154(6):768-779. doi: 10.1016/j.ajodo.2018.07.012.
The aim of this systematic review was to investigate the ability of vibrational devices to increase the rate of orthodontic tooth movement or reduce pain associated with orthodontic treatment.
An electronic search for relevant randomized controlled trials (RCTs) was conducted using Medline via OVID (January 1, 1966, through March 30, 2018), and EMBASE, PubMed, and the Cochrane Central Register of Controlled Trials until August 2017. Hand searching of selected orthodontic journals was also undertaken.
Through the electronic searches, 152 titles and abstracts were identified. From these, 10 articles were retrieved for review, and 4 of these met the inclusion criteria. Two additional articles were identified by hand searching. This resulted in 6 studies from 5 separate randomized controlled trials that were included in this systematic review. One RCT reported increased tooth movement with vibrational devices, but the other 4 RCTs reported no difference. Three studies investigated the effect of vibrational devices on pain reduction and found no effect.
The ability of vibrational forces to increase the rate of tooth movement and reduce pain in orthodontic patients has been studied in several RCTs. The results from all but 1 of the included studies indicate no advantage from the use of vibrational devices during orthodontic treatment. Future studies should focus on total treatment duration, the mechanism by which vibration may speed up tooth movement, and the use of vibration with aligners.
No funding was received for this review.
本系统评价的目的是研究振动装置在增加正畸牙齿移动速度或减轻正畸治疗相关疼痛方面的作用。
通过 OVID Medline（1966 年 1 月 1 日至 2018 年 3 月 30 日）、EMBASE、PubMed 和 Cochrane 对照试验中心注册库进行电子检索，以寻找相关的随机对照试验（RCT）。还对手头选定的正畸期刊进行了检索。
通过电子检索，共确定了 152 个标题和摘要。从这些摘要中，检索到 10 篇文章进行了回顾，其中 4 篇符合纳入标准。通过手动搜索，又确定了另外 2 篇文章。这使得这项系统评价共纳入了来自 5 项独立 RCT 的 6 项研究。1 项 RCT 报告了振动装置能增加牙齿移动速度，但其余 4 项 RCT 报告没有差异。3 项研究调查了振动装置对减轻疼痛的影响，发现没有效果。
振动力量在增加正畸患者牙齿移动速度和减轻疼痛方面的作用已经在几项 RCT 中进行了研究。除了 1 项纳入研究外，所有其他研究的结果都表明，在正畸治疗中使用振动装置没有优势。未来的研究应集中在总治疗时间、振动可能加速牙齿移动的机制以及与牙套一起使用振动等方面。
本综述未获得任何资助。
