{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T10:00:19Z","timestamp":1780480819130,"version":"3.54.1"},"reference-count":52,"publisher":"The Angle Orthodontist (EH Angle Education & Research Foundation)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,7]]},"abstract":"ABSTRACT<\/jats:title>\n \n Objectives:<\/jats:title>\n The aim of this systematic review was to evaluate the effect of piezocision as an adjunctive procedure to accelerate orthodontic tooth movement.<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods:<\/jats:title>\n Randomized controlled trials and controlled clinical trials that investigated the effectiveness of piezocision on accelerating orthodontic tooth movement were identified through electronic and manual searches. The literature search, study inclusion, risk of bias assessment, and data extraction were performed by two reviewers independently.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n Four eligible studies were included in this review. All studies reported accelerated tooth movement after piezocision, and three reported a significant reduction of treatment duration in the piezocision group. No deleterious effects on periodontal status, pain perception, satisfaction, root resorption, or anchorage control were reported in any studies.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Based on currently available information, weak evidence supports that piezocision is a safe adjunct to accelerate orthodontic tooth movement, at least in the short term. More high-quality clinical trials to determine the long-term effects and optimal protocol for piezocision are needed to draw more reliable conclusions.<\/jats:p>\n <\/jats:sec>","DOI":"10.2319\/01191-751.1","type":"journal-article","created":{"date-parts":[[2017,4,21]],"date-time":"2017-04-21T09:54:35Z","timestamp":1492768475000},"page":"491-498","source":"Crossref","is-referenced-by-count":58,"title":["Efficacy of piezocision on accelerating orthodontic tooth movement: A systematic review"],"prefix":"10.2319","volume":"87","author":[{"given":"Jianru","family":"Yi","sequence":"first","affiliation":[{"name":"Resident, Department of Pediatric Dentistry, State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiani","family":"Xiao","sequence":"additional","affiliation":[{"name":"Postgraduate, Department of Orthodontics, State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu","family":"Li","sequence":"additional","affiliation":[{"name":"Associate Professor and vice director, Department of Orthodontics, State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaobing","family":"Li","sequence":"additional","affiliation":[{"name":"Professor and director, Department of Pediatric Dentistry, State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhihe","family":"Zhao","sequence":"additional","affiliation":[{"name":"Professor and vice dean, Department of Orthodontics, State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1164","reference":[{"key":"i0003-3219-87-4-491-b01","series-title":"Am J Orthod Dentofacial Orthop","first-page":"178","article-title":"Pretreatment characteristics associated with orthodontic treatment duration","volume":"137","author":"Fisher \n MA,","year":"2010","unstructured":"Fisher \n MA, \n \n \n Wenger \n RM, \n \n \n Hans \n MG. \n \n \n Pretreatment characteristics associated with orthodontic treatment duration. Am J Orthod Dentofacial Orthop. 2010;137:178\u2013186."},{"key":"i0003-3219-87-4-491-b02","series-title":"Am J Orthod Dentofacial Orthop","first-page":"403","article-title":"Reducing white spot lesions in orthodontic populations with fluoride rinsing","volume":"101","author":"Geiger \n AM,","year":"1992","unstructured":"Geiger \n AM, \n \n \n Gorelick \n L, \n \n \n Gwinnett \n AJ, \n \n \n Benson \n BJ. \n \n \n Reducing white spot lesions in orthodontic populations with fluoride rinsing. Am J Orthod Dentofacial Orthop. 1992;101:403\u2013407."},{"key":"i0003-3219-87-4-491-b03","series-title":"Am J Orthod Dentofacial Orthop","first-page":"646","article-title":"External apical root resorption in patients treated with conventional and self-ligating brackets","volume":"134","author":"Pandis \n N,","year":"2008","unstructured":"Pandis \n N, \n \n \n Nasika \n M, \n \n \n Polychronopoulou \n A, \n \n \n Eliades \n T. \n \n \n External apical root resorption in patients treated with conventional and self-ligating brackets. Am J Orthod Dentofacial Orthop. 2008;134:646\u2013651."},{"key":"i0003-3219-87-4-491-b04","series-title":"Oral Surg Oral Med Oral Pathol","first-page":"515","article-title":"Surgical operations on the alveolar ridge to correct occlusal abnormalities","volume":"12","author":"Kole \n H.","year":"1959","unstructured":"Kole \n H. \n \n \n Surgical operations on the alveolar ridge to correct occlusal abnormalities. Oral Surg Oral Med Oral Pathol. 1959;12:515\u2013529."},{"key":"i0003-3219-87-4-491-b05","series-title":"J Oral Surg","first-page":"216","article-title":"Combined surgical and orthodontic management of anterior open bite using corticotomy","volume":"36","author":"Generson \n RM,","year":"1978","unstructured":"Generson \n RM, \n \n \n Porter \n JM, \n \n \n Zell \n A, \n \n \n Stratigos \n GT. \n \n \n Combined surgical and orthodontic management of anterior open bite using corticotomy. J Oral Surg. 1978;36:216\u2013219."},{"key":"i0003-3219-87-4-491-b06","series-title":"J Periodontol","first-page":"234","article-title":"Effects on the periodontium following corticotomy-facilitated orthodontics. Case reports","volume":"61","author":"Gantes \n B,","year":"1990","unstructured":"Gantes \n B, \n \n \n Rathbun \n E, \n \n \n Anholm \n M. \n \n \n Effects on the periodontium following corticotomy-facilitated orthodontics. Case reports. J Periodontol. 1990;61:234\u2013238."},{"key":"i0003-3219-87-4-491-b07","series-title":"Int J Periodontics Restorative Dent","first-page":"9","article-title":"Rapid orthodontics with alveolar reshaping: two case reports of decrowding","volume":"21","author":"Wilcko \n WM,","year":"2001","unstructured":"Wilcko \n WM, \n \n \n Wilcko \n T, \n \n \n Bouquot \n JE, \n \n \n Ferguson \n DJ. \n \n \n Rapid orthodontics with alveolar reshaping: two case reports of decrowding. Int J Periodontics Restorative Dent. 2001;21:9\u201319."},{"key":"i0003-3219-87-4-491-b08","series-title":"Am J Orthod Dentofacial Orthop","first-page":"770e1","article-title":"Tissue responses in corticotomy- and osteotomy-assisted tooth movements in rats: histology and immunostaining","volume":"136","author":"Wang \n L,","year":"2009","unstructured":"Wang \n L, \n \n \n Lee \n W, \n \n \n Lei \n DL, \n \n \n Liu \n YP, \n \n \n Yamashita \n DD, \n \n \n Yen \n SL. \n \n \n Tissue responses in corticotomy- and osteotomy-assisted tooth movements in rats: histology and immunostaining. Am J Orthod Dentofacial Orthop. 2009;136:770e1\u201311."},{"key":"i0003-3219-87-4-491-b09","series-title":"Eur Rev Med Pharmacol Sci","first-page":"1735","article-title":"The impact of osteotomy technique for corticotomy-assisted orthodontic treatment (CAOT) on oral health-related quality of life","volume":"16","author":"Cassetta \n M,","year":"2012","unstructured":"Cassetta \n M, \n \n \n Di Carlo \n S, \n \n \n Giansanti \n M, \n \n \n Pompa \n V, \n \n \n Pompa \n G, \n \n \n Barbato \n E. \n \n \n The impact of osteotomy technique for corticotomy-assisted orthodontic treatment (CAOT) on oral health-related quality of life. Eur Rev Med Pharmacol Sci. 2012;16:1735\u20131740."},{"key":"i0003-3219-87-4-491-b10","series-title":"Angle Orthod","first-page":"284","article-title":"Effects of corticision on paradental remodeling in orthodontic tooth movement","volume":"79","author":"Kim \n SJ,","year":"2009","unstructured":"Kim \n SJ, \n \n \n Park \n YG, \n \n \n Kang \n SG. \n \n \n Effects of corticision on paradental remodeling in orthodontic tooth movement. Angle Orthod. 2009;79:284\u2013291."},{"key":"i0003-3219-87-4-491-b11","series-title":"Compend Contin Educ Dent","first-page":"348","article-title":"Piezocision: a minimally invasive, periodontally accelerated orthodontic tooth movement procedure","volume":"346","author":"Dibart \n S,","year":"2009","unstructured":"Dibart \n S, \n \n \n Sebaoun \n JD, \n \n \n Surmenian \n J. \n \n \n Piezocision: a minimally invasive, periodontally accelerated orthodontic tooth movement procedure. Compend Contin Educ Dent. 2009;30:342\u2013344,346, 348\u2013350."},{"key":"i0003-3219-87-4-491-b12","series-title":"Eur J Orthod","first-page":"457","article-title":"Tissue response during piezocision-assisted tooth movement: a histological study in rats","volume":"36","author":"Dibart \n S,","year":"2014","unstructured":"Dibart \n S, \n \n \n Yee \n C, \n \n \n Surmenian \n J, \n \n et al. \n Tissue response during piezocision-assisted tooth movement: a histological study in rats. Eur J Orthod. 2014;36:457\u2013464."},{"key":"i0003-3219-87-4-491-b13","series-title":"Int J Periodontics Restorative Dent","first-page":"487","article-title":"Rapid treatment of Class II malocclusion with piezocision: two case reports","volume":"30","author":"Dibart \n S,","year":"2010","unstructured":"Dibart \n S, \n \n \n Surmenian \n J, \n \n \n Sebaoun \n JD, \n \n \n Montesani \n L. \n \n \n Rapid treatment of Class II malocclusion with piezocision: two case reports. Int J Periodontics Restorative Dent. 2010;30:487\u2013493."},{"key":"i0003-3219-87-4-491-b14","series-title":"Angle Orthod","first-page":"59","article-title":"Accelerated tooth movement with piezocision and its periodontal-transversal effects in patients with Class II malocclusion","volume":"86","author":"Aksakalli \n S,","year":"2016","unstructured":"Aksakalli \n S, \n \n \n Calik \n B, \n \n \n Kara \n B, \n \n \n Ezirganli \n S. \n \n \n Accelerated tooth movement with piezocision and its periodontal-transversal effects in patients with Class II malocclusion. Angle Orthod. 2016;86:59\u201365."},{"key":"i0003-3219-87-4-491-b15","series-title":"Am J Orthod Dentofacial Orthop","first-page":"473","article-title":"Evaluation of corticotomy-facilitated orthodontics and piezocision in rapid canine retraction","volume":"149","author":"Abbas \n NH,","year":"2016","unstructured":"Abbas \n NH, \n \n \n Sabet \n NE, \n \n \n Hassan \n IT. \n \n \n Evaluation of corticotomy-facilitated orthodontics and piezocision in rapid canine retraction. Am J Orthod Dentofacial Orthop. 2016;149:473\u2013480."},{"key":"i0003-3219-87-4-491-b16","series-title":"J Dent Res","first-page":"1003","article-title":"Localized piezoelectric alveolar decortication for orthodontic treatment in adults: a randomized controlled trial","volume":"95","author":"Charavet \n C,","year":"2016","unstructured":"Charavet \n C, \n \n \n Lecloux \n G, \n \n \n Bruwier \n A, \n \n et al. \n Localized piezoelectric alveolar decortication for orthodontic treatment in adults: a randomized controlled trial. J Dent Res. 2016;95:1003\u20131009."},{"key":"i0003-3219-87-4-491-b17","series-title":"Efficiency of Piezotome-Corticision Assisted Orthodontics in Alleviating Mandibular Anterior Crowding: A Randomized Controlled Clinical Trial [master's thesis]","author":"Mehr \n R.","year":"2013","unstructured":"Mehr \n R. \n \n \n Efficiency of Piezotome-Corticision Assisted Orthodontics in Alleviating Mandibular Anterior Crowding: A Randomized Controlled Clinical Trial [master's thesis]. Storrs, Conn: University of Connecticut;2013."},{"key":"i0003-3219-87-4-491-b18","series-title":"BMJ","article-title":"Group P. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement","author":"Moher \n D,","year":"2009","unstructured":"Moher \n D, \n \n \n Liberati \n A, \n \n \n Tetzlaff \n J, \n \n \n Altman \n DG, \n \n \n Group P. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. 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Biometrics. 1977;33:159\u2013174."},{"key":"i0003-3219-87-4-491-b21","series-title":"Semin Orthod","first-page":"286","article-title":"Accelerating tooth movement with corticotomies: is it possible and desirable?","volume":"18","author":"Buschang \n P,","year":"2012","unstructured":"Buschang \n P, \n \n \n Campbell \n P, \n \n \n Ruso \n S. \n \n \n Accelerating tooth movement with corticotomies: is it possible and desirable?\n Semin Orthod. 2012;18:286\u2013294."},{"key":"i0003-3219-87-4-491-b22","series-title":"Am J Orthod Dentofacial Orthop","first-page":"53","article-title":"Effect of piezocision on root resorption associated with orthodontic force: a microcomputed tomography study","volume":"151","author":"Patterson \n BM,","year":"2017","unstructured":"Patterson \n BM, \n \n \n Dalci \n O, \n \n \n Papadopoulou \n AK, \n \n et al. \n Effect of piezocision on root resorption associated with orthodontic force: a microcomputed tomography study. Am J Orthod Dentofacial Orthop. 2017;151:53\u201362."},{"key":"i0003-3219-87-4-491-b23","series-title":"Am J Orthod Dentofacial Orthop","first-page":"e441","article-title":"Acceleration of orthodontic tooth movement by alveolar corticotomy in the dog","volume":"131","author":"Iino \n S,","year":"2007","unstructured":"Iino \n S, \n \n \n Sakoda \n S, \n \n \n Ito \n G, \n \n \n Nishimori \n T, \n \n \n Ikeda \n T, \n \n \n Miyawaki \n S. \n \n \n Acceleration of orthodontic tooth movement by alveolar corticotomy in the dog. Am J Orthod Dentofacial Orthop. 2007;131:e441\u2013e448."},{"key":"i0003-3219-87-4-491-b24","series-title":"Stoma (Heidelb)","first-page":"134","article-title":"Treatment with active plates with and without corticotomy in late cases (juvenile): clinical and histologic study","volume":"20","author":"Byloff-Clar \n H.","year":"1967","unstructured":"Byloff-Clar \n H. \n \n \n Treatment with active plates with and without corticotomy in late cases (juvenile): clinical and histologic study. Stoma (Heidelb). 1967;20:134\u2013141."},{"key":"i0003-3219-87-4-491-b25","series-title":"J Oral Maxillofac Surg","first-page":"1880","article-title":"Does alveolar corticotomy accelerate orthodontic tooth movement when retracting upper canines? A split-mouth design randomized controlled trial","volume":"72","author":"Al-Naoum \n F,","year":"2014","unstructured":"Al-Naoum \n F, \n \n \n Hajeer \n MY, \n \n \n Al-Jundi \n A. \n \n \n Does alveolar corticotomy accelerate orthodontic tooth movement when retracting upper canines? A split-mouth design randomized controlled trial. J Oral Maxillofac Surg. 2014;72:1880\u20131889."},{"key":"i0003-3219-87-4-491-b26","series-title":"J Periodontol","first-page":"574","article-title":"Endoscopically assisted tunnel approach for minimally invasive corticotomies: a preliminary report","volume":"83","author":"Hernandez-Alfaro \n F,","year":"2012","unstructured":"Hernandez-Alfaro \n F, \n \n \n Guijarro-Martinez \n R. \n \n \n Endoscopically assisted tunnel approach for minimally invasive corticotomies: a preliminary report. J Periodontol. 2012;83:574\u2013580."},{"key":"i0003-3219-87-4-491-b01","series-title":"Am J Orthod Dentofacial Orthop","first-page":"178","article-title":"Pretreatment characteristics associated with orthodontic treatment duration","volume":"137","author":"Fisher \n MA,","year":"2010","unstructured":"Fisher \n MA, \n \n \n Wenger \n RM, \n \n \n Hans \n MG. \n \n \n Pretreatment characteristics associated with orthodontic treatment duration. Am J Orthod Dentofacial Orthop. 2010;137:178\u2013186."},{"key":"i0003-3219-87-4-491-b02","series-title":"Am J Orthod Dentofacial Orthop","first-page":"403","article-title":"Reducing white spot lesions in orthodontic populations with fluoride rinsing","volume":"101","author":"Geiger \n AM,","year":"1992","unstructured":"Geiger \n AM, \n \n \n Gorelick \n L, \n \n \n Gwinnett \n AJ, \n \n \n Benson \n BJ. \n \n \n Reducing white spot lesions in orthodontic populations with fluoride rinsing. 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Int J Periodontics Restorative Dent. 2001;21:9\u201319."},{"key":"i0003-3219-87-4-491-b08","series-title":"Am J Orthod Dentofacial Orthop","first-page":"770e1","article-title":"Tissue responses in corticotomy- and osteotomy-assisted tooth movements in rats: histology and immunostaining","volume":"136","author":"Wang \n L,","year":"2009","unstructured":"Wang \n L, \n \n \n Lee \n W, \n \n \n Lei \n DL, \n \n \n Liu \n YP, \n \n \n Yamashita \n DD, \n \n \n Yen \n SL. \n \n \n Tissue responses in corticotomy- and osteotomy-assisted tooth movements in rats: histology and immunostaining. Am J Orthod Dentofacial Orthop. 2009;136:770e1\u201311."},{"key":"i0003-3219-87-4-491-b09","series-title":"Eur Rev Med Pharmacol Sci","first-page":"1735","article-title":"The impact of osteotomy technique for corticotomy-assisted orthodontic treatment (CAOT) on oral health-related quality of life","volume":"16","author":"Cassetta \n M,","year":"2012","unstructured":"Cassetta \n M, \n \n \n Di Carlo \n S, \n \n \n Giansanti \n M, \n \n \n Pompa \n V, \n \n \n Pompa \n G, \n \n \n Barbato \n E. \n \n \n The impact of osteotomy technique for corticotomy-assisted orthodontic treatment (CAOT) on oral health-related quality of life. 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