Al-Khalifa Khalifa S, Baeshen Hosam A
Department of Preventive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
Department of Orthodontics, College of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia.
Eur J Dent. 2021 Feb;15(1):158-167. doi: 10.1055/s-0040-1713955. Epub 2020 Jul 1.
Prolonged orthodontic treatments have inconvenienced patients and clinicians alike. Surgically assisted techniques for accelerating orthodontic tooth movement have shown promising results in the literature over the years. The minimally invasive nature of micro-osteoperforations (MOPs), however, for enhanced orthodontic tooth movement has recently gained momentum, with many clinical trials conducted on both animals and humans. An electronic search was performed to extract papers using PubMed, Google Scholar, Scopus, and Web of Science. The keywords that were used included "MOP," "accelerating tooth movement," "orthodontic tooth movement," and "regional acceleratory phenomenon." The studies that met our inclusion criteria were extracted and evaluated in this review. MOPs have been proven time and again, in animal and human studies alike, to increase the rate of orthodontic tooth movement. The application of perforations to cortical bone present in the pathway of teeth, which are specifically to be moved creates transient osteopenia. This reduces the density of the cortical bone, hence speeding up the rate of orthodontic tooth movement. Many techniques have been implemented and perfected to enhance orthodontic tooth movement and shorten the treatment time in the literature. MOPs have proven to be a universally applied, nontechnical, repeatable, and minimally invasive method of accelerating tooth movement, with extremely minimal consequences.
长期的正畸治疗给患者和临床医生都带来了不便。多年来，手术辅助加速正畸牙齿移动的技术在文献中显示出了有前景的结果。然而，微骨穿孔（MOPs）这种用于增强正畸牙齿移动的微创技术近来势头渐强，针对动物和人类都开展了许多临床试验。通过使用PubMed、谷歌学术、Scopus和科学网进行电子检索来提取论文。所使用的关键词包括“MOP”“加速牙齿移动”“正畸牙齿移动”和“局部加速现象”。符合我们纳入标准的研究在本综述中被提取并评估。在动物和人类研究中，MOPs一次又一次地被证明能提高正畸牙齿移动的速率。在特定要移动的牙齿路径上的皮质骨上进行穿孔，会产生短暂性骨质减少。这降低了皮质骨的密度，从而加快了正畸牙齿移动的速率。在文献中已经实施并完善了许多技术来增强正畸牙齿移动并缩短治疗时间。MOPs已被证明是一种普遍适用、非技术性、可重复且微创的加速牙齿移动的方法，其后果极小。
