Comparative Efficacy of Traditional Corticotomy and Flapless Piezotomy in Facilitating Orthodontic Tooth Movement: A Systematic Review and Meta-Analysis
Abstract
:1. Introduction
2. Materials and Methods
2.1. Protocol and Registration
2.2. Eligibility Criteria
2.3. Information Sources and Search Strategy
2.4. Study Selection and Data Extraction
2.5. Risk of Bias Assessment
2.6. Data Synthesis and Analysis
3. Results
3.1. Study Selection
3.2. Risk of Bias Assessment
3.3. Meta-Analysis
3.4. Comparison between Piezocision and Corticotomy
3.5. Canine Retraction after 1 Month
3.6. Canine Retraction after 2 Months
3.7. Canine Retraction after 3 Months
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Data Availability Statement
Conflicts of Interest
References
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Study | Region | Study Design | Comparison | Sample Size, n; Sex; Age | Type and Site of Intervention | Duration | Outcome |
---|---|---|---|---|---|---|---|
Abbas 2016 [28] | Egypt | RCT, multi-arm | Corticotomy + OT vs. piezocision + OT; split mouth | 20; not given; 15 to 25 | Piezocision (upper canines); piezocision (full cortical depth and canine root length) mesial and distal to canine root, 150 g force; suture incisions; surgical instrument: piezotome (VarioSurg3; NSK) | 3 mo | RCM, molar anchorage loss, canine rotation and inclination, canine root resorption, periodontal parameter |
Aksakalli 2016 [29] | Turkey | RCT | Piezocision + OT vs. OT; split mouth | 20; f6, m4; 16.3 | Piezocision (upper canines); piezocision (3 mm depth and 10 mm length) mesial and distal to canine, 150 g force; surgical instrument: piezosurgery knife (BS1) | Until class I canine relationship | Compare the extent of distalization and transversal changes, gingival indices, mobility scores |
Jahanbakhshi 2016 [30] | Iran | RCT | Buccal corticotomy + OT vs. OT; split mouth | 15; f15; 25 | Buccal corticotomy (distal to canine, mesial to U5, vertical groove length 1 mm × depth 0.5~1 mm, 10 spherical perforation with round 2 bur); 200 g force, simple vertical loop | 4 mo | Compare average velocity of tooth movement (monthly and total) |
Alfawal 2018 [18] | Syria | RCT, multi-arm | Piezocision + OT vs. laser-assisted flapless corticotomy + OT; split mouth | 36; f24, m12; 18.08 | Piezocision (upper canines); 2 corticotomies (3 mm in depth and 10 mm in length) in the buccal at equal distance from the upper canine and second premolar, 150 g force; surgical instrument: piezosurgery knife (BS1); LAFC (3 mm in depth; 8 mm in length) at equal distance from the upper canine and second premolar, 150 g force; surgical instrument: ER:YAG laser, 200 mJ, 12 Hz, 3 W | 4 mo | RCM, molar anchorage loss |
Raj 2020 [31] | India | RCT | Piezocision + OT vs. OT Split mouth | 20; f14, m6; 20–25 | Piezocision (upper canine); piezocision (3 mm depth × 10 mm length); surgical instrument: piezosurgery knife (Acteon, BS1); 150 g Force canine retraction | 6 mo | Compare rate of canine extraction, resultant alveolar bone level, root resorption, and periodontal parameter |
Alqadasi 2021 [32] | China | RCT, paralle-group | Piezoincision vs. convetional; split mouth Micro-osteo perforation vs. convetional; split mouth Piezoincision vs. MOP | 21; f12, m9; 15 to 40 | MOPs (flapless perforation using an automated mini-implant driver, 1.5–2 mm in diameter, 5–7 mm in depth) Piezoincision using piezoelectric instruments (Surgybone; Silfradent) (2 mm below the crest of the alveolar ridge and 3 mm in length and 3–5 mm in depth) | 3 mo | Rate of tooth movement, Root resorption, bone height |
Fernandes 2021 [33] | Brazil | RCT | Corticitomy + OT vs. piezocision + OT vs. Corticotomy + piezocision; Split mouth | 47; m19, f28; 15~38 | Piezocision (upper canine) (3 mm depth × 5 mm length), (Acteon, BS1); Corticotomy (Vertical groove: mesial and distal of canine root, mesial of second premolar/horizontal groove: above canine apex/spherical cortical perforation with round 2 bur, canine to mesial of second premolar); 1.15 N force canine retraction | 6 mo | Compare cumulative distal movement of canines and molecular analysis of gingival crevicular fluid |
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Han, S.-H.; Park, W.-J.; Park, J.-B. Comparative Efficacy of Traditional Corticotomy and Flapless Piezotomy in Facilitating Orthodontic Tooth Movement: A Systematic Review and Meta-Analysis. Medicina 2023, 59, 1804. https://doi.org/10.3390/medicina59101804
Han S-H, Park W-J, Park J-B. Comparative Efficacy of Traditional Corticotomy and Flapless Piezotomy in Facilitating Orthodontic Tooth Movement: A Systematic Review and Meta-Analysis. Medicina. 2023; 59(10):1804. https://doi.org/10.3390/medicina59101804
Chicago/Turabian StyleHan, Sung-Hoon, Won-Jong Park, and Jun-Beom Park. 2023. "Comparative Efficacy of Traditional Corticotomy and Flapless Piezotomy in Facilitating Orthodontic Tooth Movement: A Systematic Review and Meta-Analysis" Medicina 59, no. 10: 1804. https://doi.org/10.3390/medicina59101804