The effectiveness of supplemental vibrational force on enhancing orthodontic treatment. A systematic review.

Abstract

BACKGROUND AND OBJECTIVES\nThe results from the literature regarding the influence of supplemental vibrational forces (SVFs) on orthodontic treatment are controversial. Therefore, this systematic review aimed to evaluate whether SVFs have positive effects, such as in accelerating tooth movement, alleviating pain, and preventing root resorption, in orthodontic patients.\n\n\nSEARCH METHODS\nSearches through five electronic databases (PubMed, MEDLINE, EMBASE, Web of Science, and Cochrane Central) were complemented by hand searches up to January, 2019.\n\n\nSELECTION CRITERIA\nRandomized controlled trials and controlled clinical trials reporting on the effects of SVFs in orthodontic patients in English were included.\n\n\nDATA COLLECTION AND ANALYSIS\nStudy selection, data extraction, and a risk of bias assessment were independently performed by two reviewers. Study characteristics and outcomes were reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. A qualitative analysis of the effects of SVFs on orthodontic tooth movement, pain experience, and root resorption was conducted.\n\n\nRESULTS\nThirteen studies, including nine clinical trials, were eligible for inclusion in the systematic review. There was no significant evidence to support the positive effects of SVFs in orthodontic patients, neither in accelerating tooth movement nor in alleviating pain experience. According to the Grading of Recommendations Assessment, Development and Evaluation (GRADE) criteria, the quality of the evidence was very low for all the outcomes in the qualitative analysis.\n\n\nLIMITATIONS\nThe results of this systematic review are based on a limited number of studies and the methodological heterogeneity and non-comparability of original outcomes made it difficult to conduct a meta-analysis.\n\n\nCONCLUSIONS\nThere is insufficient evidence to support the claim that SVFs have positive clinical advantages in the alignment of the anterior teeth. The potential positive effects of vibrational forces on space closure, pain experience, and root resorption in orthodontic patients are inconclusive with no sufficient information at present. High-quality clinical trials with larger sample sizes are needed to find more comprehensive evidence of the potential positive effects of vibrational forces.\n\n\nREGISTRATION\nThe protocol for this systematic review was registered on PROSPERO (CRD42018098788).\n\n\nFUNDING\nThis study has not received any contributions from private or public funding agencies.\n\n\nCONFLICT OF INTEREST\nNone.