Apalimova Alina, Roselló Àlvar, Jané-Salas Enric, Arranz-Obispo Carlos, Marí-Roig Antonio, López-López José
Department of Odontostomatology, School of Dentistry, University of Barcelona, Barcelona, Spain.
Oral Surgery and Oral Implantology, School of Dentistry, University of Barcelona, Barcelona, Spain.
Heliyon. 2020 May 27;6(5):e04013. doi: 10.1016/j.heliyon.2020.e04013. eCollection 2020 May.
The aim of this study is to evaluate corticotomies effects to accelerate or facilitate dental movements in different kind of orthodontic treatments.
This report followed the PRISMA Statement. A total of 9 articles were included in review.
Two reviewers performed a literature search up to December 2018 in four databases: PubMed, Web of Science, Scopus and SciELO.
Controlled clinical trials and randomized controlled clinical trials conducted in human patients and published during the last 10 years in English were eligible to be selected. The articles should give detailed information about the results and treatment parameters. There were no limitations established in terms of the type of malocclusion to be corrected or the type of orthodontic treatment performed.
The methodological quality and evidence of the selected studies was low. Most of the studies observed a statistically significant increase in the rate of dental movement, when performing alveolar corticotomies as coadjuvants of orthodontic treatment; either with the conventional technique or with piezocision. The effect of combining corticotomy with bone grafts was assessed.
High heterogeneity among studies made it difficult to draw clear conclusions. However, within the limitations of this review, the corticotomy procedures were able to statistically and clinically produce significant temporary decrease in orthodontic tooth movement rate. This technique does not seem to involve major complications compared to conventional orthodontic treatments.
The use of this technique can reduce treatment time and therefore the undesirable effects associated with prolonged treatments.
本研究旨在评估皮质切开术在不同类型正畸治疗中对加速或促进牙齿移动的效果。
本报告遵循PRISMA声明。共纳入9篇综述文章。
两名评审员在四个数据库（PubMed、科学网、Scopus和SciELO）中进行了截至2018年12月的文献检索。
在人类患者中进行的、过去10年以英文发表的对照临床试验和随机对照临床试验有资格被选中。文章应提供有关结果和治疗参数的详细信息。在要矫正的错牙合类型或所进行的正畸治疗类型方面没有设定限制。
所选研究的方法学质量和证据水平较低。大多数研究观察到，在正畸治疗中作为辅助手段进行牙槽皮质切开术时，无论是采用传统技术还是压电切开术，牙齿移动速率在统计学上都有显著增加。评估了皮质切开术与骨移植联合应用的效果。
研究之间的高度异质性使得难以得出明确结论。然而，在本综述的局限性范围内，皮质切开术程序在统计学和临床上能够使正畸牙齿移动速率产生显著的暂时降低。与传统正畸治疗相比，该技术似乎不会引发重大并发症。
使用该技术可缩短治疗时间，从而减少与长期治疗相关的不良影响。
