Pascoal Selma, Oliveira Sofia, Ascione Margaux, Pereira Jorge, Carvalho Óscar, Pinho Teresa
UNIPRO-Oral Pathology and Rehabilitation Research Unit, University Institute of Health Sciences (IUCS-CESPU), 4585-116 Gandra, Portugal.
Center for Micro-Electro Mechanical Systems (CMEMS), University of Minho, Campus Azurém, 4800-058 Guimarães, Portugal.
Dent J (Basel). 2024 Jul 30;12(8):243. doi: 10.3390/dj12080243.
This systematic review aims to assess the impact of high (>30 Hz) and low (≤30 Hz) frequency vibrations on orthodontic tooth movement (OTM). Several articles were collected through a systematic search in the databases MEDLINE and SCOPUS, following PRISMA methodology and using a PICO question. Relevant information on selected articles was extracted, and the quality of each study was assessed by the quality assessment tools EPHPP, ROBINS-1 and STAIR. Out of 350 articles, 30 were chosen. Low-frequency vibrations did not seem to accelerate OTM with aligners or fixed appliances, despite some positive outcomes in certain studies. Conversely, high-frequency vibrations were linked to increased aligner change, tooth movement, and space closure with fixed appliances. In vivo studies reported favourable results with high-frequency vibrations (60 Hz to 120 Hz), which stimulate bone biomarkers, facilitating alveolar bone remodelling. The results suggest that high-frequency vibration effectively speeds up orthodontic tooth movement, showing promise in both in vivo and clinical studies. Larger-scale research is needed to strengthen its potential in orthodontics.
本系统评价旨在评估高频率（>30 Hz）和低频率（≤30 Hz）振动对正畸牙齿移动（OTM）的影响。按照PRISMA方法并使用PICO问题，通过在MEDLINE和SCOPUS数据库中进行系统检索，收集了多篇文章。提取了所选文章的相关信息，并使用质量评估工具EPHPP、ROBINS-1和STAIR对每项研究的质量进行了评估。在350篇文章中，选取了30篇。尽管某些研究有一些积极结果，但低频振动似乎并未加速使用矫治器或固定矫治器时的正畸牙齿移动。相反，高频振动与使用固定矫治器时矫治器更换增加、牙齿移动和间隙关闭有关。体内研究报告了高频振动（60 Hz至120 Hz）的良好结果，这种振动可刺激骨生物标志物，促进牙槽骨重塑。结果表明，高频振动可有效加速正畸牙齿移动，在体内研究和临床研究中均显示出前景。需要开展更大规模的研究，以增强其在正畸学中的潜力。
