This Cochrane review update was to assess the effect of non‐surgical adjunctive interventions on the rate of orthodontic tooth movement and the overall duration of treatment included 23 RCTs.The findings suggest there may be limited benefit from photobiomodulation application for accelerating discrete treatment phases but this should be interpreted very cautiously as the findings may not be clinically important and the evidence is of low to very low certainty.
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This review of canine retraction after maxillary first premolar extraction in adolescent and adult orthodontic patients using fixed appliances included 50 RCTs. However only a small number of studies contributed to the estimate of 4.98 months (95%CI; 2.92 to 12.88 months) to complete canine retraction.
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This review of the efficiency of the vibrating devices in accelerating orthodontic tooth movement identified 6 RCTs the majority being short term and at high risk of bias. The RCTs suggested no difference with the use of vibrational devices.
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Only 5 small low quality RCTs were identified for this review of the ability of vibrational devices to increase the rate of orthodontic tooth movement. More well conducted RCTs are needed.
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8 studies were included in this review of vibrational stimulus to accelerate orthodontic treatment. The studies were small and of short duration providing very low quality evidence to support any effect. Further high quality studies of longer duration are needed.
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With orthodontic treatment lasting typically 18-24 months, adjunts to accelerate tooth movements would be welcome. This Cochrane review identified two RCTs on non-surgical interventions to accelerate orthodontic treatment. However, both studies were at high risk of bias, so we cannot rely on their findings.
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