DOI:

10.37988/1811-153X_2024_1_90

Conservative methods for optimizing the active phase of orthodontic treatment of dentoalveolar anomalies and deformities: A review

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Authors

  • D.A. Shutova 1, postgraduate at the Prosthodontics Department
    ORCID ID: 0009-0003-9312-8221
  • R.E. Kharchenko 1, postgraduate at the Prosthodontics Department
    ORCID ID: 0009-0000-1259-4481
  • N.S. Gilmanova 1, PhD in Medical Sciences, associate professor of the Prosthodontics Department
    ORCID ID: 0000-0002-9024-7837
  • N.N. Belozerova 2, PhD in Medical Sciences, assistant professor of the Caries research and endodontics Department
    ORCID ID: 0000-0002-1753-0599
  • M.V. Mikhailova 1, PhD in Medical Sciences, associate professor of the Prosthodontics Department
    ORCID ID: 0000-0001-9267-1319
  • 1 Sechenov University, 119991, Moscow, Russia
  • 2 Moscow State University of Medicine and Dentistry, 127473, Moscow, Russia

Abstract

One of the important problems of orthodontic treatment is its duration. Therefore, research is being conducted to accelerate the active period of treatment. One of the leading surgical methods is compact osteotomy and its variants. Despite the effectiveness of such intervention there are a number of contraindications to its use and a high risk of postoperative complications. Given the above, there is a need to study and introduce non-invasive methods of accelerating orthodontic treatment of teeth. The aim is to analyze domestic and foreign scientific works, in which the influence of various conservative methods on time indicators of orthodontic treatment is studied, as well as to select the methods most promising for wide application in the clinical practice of an orthodontist.
Materials and methods.
The electronic databases eLibrary, PubMed, Google Scholar, Research Gate, Web of Science and Cyberleninka were analyzed by the key words “acceleration of orthodontic treatment”, “bone remodeling”, “physical-pharmacological auxiliary therapy”, “acceleration of the active period of orthodontic treatment”, “dento-mandibular anomalies”.
Results.
The article presents physical, pharmacological and physical-pharmacological methods to accelerate orthodontic treatment. The majority of conservative methods of orthodontic treatment acceleration are effective — they allow to reduce the terms of active period of treatment: vibration influence — 4 times; ultrasound — 2 times; electrophoresis, magnetophoresis, low-frequency ultraphonophoresis, inductothermoelectrophoresis with trilon B — 2.2 times. Studies on the methods of application of direct current and prostaglandins were conducted within the framework of moving individual teeth, they do not show a reduction in the total time of orthodontic treatment. Studies on the effect of vitamin D and parathyroid hormone on treatment acceleration have only been conducted on animals, they do not show a reduction in the total period of orthodontic treatment.
Conclusion.
Physical-pharmacological methods combine the positive effects of drugs and physical factors. Due to physiotherapeutic forces, soft tissue microcirculation and reparative reactions are improved, the permeability of the mucosa for medicinal substances is increased. And medicinal substances at the same time allow to influence directly on the remodeling of bone structures. It is necessary to conduct additional studies on a large sample with additional analysis of changes in the density of bone structures and microcirculation of peri-dental tissues after adjuvant therapy at different stages of treatment. Further research is also needed in this area with additional attention to application protocols, adverse effects, and cost-benefit analysis.

Key words:

acceleration of orthodontic treatment, bone remodeling, physical and pharmacological auxiliary therapy, duration of the active period of orthodontic treatment, dentofacial anomalies

For Citation

[1]
Shutova D.A., Kharchenko R.E., Gilmanova N.S., Belozerova N.N., Mikhailova M.V. Conservative methods for optimizing the active phase of orthodontic treatment of dentoalveolar anomalies and deformities: A review. Clinical Dentistry (Russia).  2024; 27 (1): 90—98. DOI: 10.37988/1811-153X_2024_1_90

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Received

September 26, 2023

Accepted

February 21, 2024

Published on

March 21, 2024