Accelerated orthodontics (AO): The past, present and the future

Abstract

Accelerated orthodontics (AO) is emerging as a revolutionary approach in achieving desired orthodontic results in a shorter timeframe. AO modalities, both invasive and non-invasive promise to bring about rapid orthodontic tooth movement (OTM) transformations through targeted bone remodeling. From micro-osteoperforations facilitating bone remodeling to photobiomodulation enhancing cellular activity, the armamentarium of accelerated orthodontics promises to not only shorten treatment times but also potentially unlock novel therapeutic avenues for complex malocclusions. This burgeoning field, however, necessitates rigorous scientific scrutiny to optimize protocols, mitigate potential iatrogenic effects, and ultimately deliver on the promise of a faster, more efficacious, and patient-centric orthodontic experience. This paper offers a comprehensive review of AO, exploring its potential benefits and drawbacks, analysing the effectiveness of popular techniques, and providing insights for informed decision-making by delving into the science behind AO, evaluating clinical evidence, such as, transient pain, root resorption, and periodontal considerations. Also, this paper aims to equip patients and Orthodontists with a deeper understanding of this evolving field.