Title |
Insufficient Evidence to Prove the Efficacy of Piezocision-Assisted Orthodontic Treatment |
Clinical Question |
In a healthy adult with malocclusion, is piezocision-assisted orthodontics more effective at increasing the rate of tooth movement, compared to orthodontics alone? |
Clinical Bottom Line |
The current level of evidence does not support the use of piezocision-assisted orthodontics over conventional orthodontic treatment, to increase the rate of tooth movement in healthy adult patients. |
Best Evidence |
|
PubMed ID |
Author / Year |
Patient Group |
Study type
(level of evidence) |
20814602 | Dibart/2010 | 2 subjects - Female (31 y.o) Male (24) | Case Report | Key results | After 8 months of treatment the two mm of Class II relationship, crowding, overjet, and deep bite were improved in both patients. | 19715011 | Dibart/2009 | 1 subject - Female (26 y.o) | Case Report | Key results | After 17 weeks of treatment, crowding was resolved, overjet was reduced to 1 mm and deep bite was improved to 8% mandibular incisor coverage from a pre-treatment 65% of mandibular incisor coverage. | 24286911 | Keser/2013 | 1 subject - Female (25) | Case Report | Key results | After 8 months of treatment, crowding was resolved, crossbite was corrected, and ideal overbite and overjet were achieved. | |
Evidence Search |
"piezocision" |
Comments on
The Evidence |
All studies included were case reports on one or two patients. The validity of these results is questionable owing to the very low sample size, absence of a control group, and the lack of randomization. No objective measures were used to evaluate the results and the conclusions are not supported by the results. Randomized-controlled clinical trials would be very beneficial in establishing the effectiveness of piezocision-assisted orthodontic treatment. |
Applicability |
Owing to the very low level of evidence, these studies have very little applicability to the orthodontic treatment of adults. |
Specialty |
(Orthodontics) |
Keywords |
Piezocision, adult orthodontics, accelerated orthodontic tooth movement
|
ID# |
2683 |
Date of submission |
03/23/2014 |
E-mail |
clintonm@livemail.uthscsa.edu |
Author |
Michelle Clinton |
Co-author(s) |
|
Co-author(s) e-mail |
|
Faculty mentor |
Dubravko Pavlin, DMD, PhD |
Faculty mentor e-mail |
Pavlin@uthscsa.edu |
|
|
Basic Science Rationale
(Mechanisms that may account for and/or explain the clinical question, i.e. is the answer to the clinical question consistent with basic biological, physical and/or behavioral science principles, laws and research?) |
None available | |
 |
Comments and Evidence-Based Updates on the CAT
(FOR PRACTICING DENTISTS', FACULTY, RESIDENTS and/or STUDENTS COMMENTS ON PUBLISHED CATs) |
None available | |