What do systematic reviews say?

Surgical anchorage (mini-screw or mid-palatal implant) vs Conventional anchorage (headgear, transpalatal/palatal arch, etc.)

• Reinforcement of anchorage during orthodontic brace treatment with implants or other surgical methods 2014 · Cochrane All outcomes
  Reported narratively in 2 studies (Chesterfield 2007, 47 patients; Feldmann 2007, 113 patients) on a VAS 0-100; discomfort most severe the evening after surgery (Nobel-Biocare onplant median 33, IQR 0-96) and after…
  2 studies · 160 participants
  GRADE not reported

Light-emitting diode (LED) photobiomodulation vs Conventional orthodontic appliance treatment

It is very uncertain whether light-emitting diode (LED) photobiomodulation changes patient perception of pain and discomfort (VAS 0 to 100 mm) compared with conventional orthodontic appliance treatment (very low certainty).

• Non‐surgical adjunctive interventions for accelerating tooth movement in patients undergoing orthodontic treatment 2023 · Cochrane All outcomes

  First visit
  MD -0.80 [-2.20, 0.62]
  1 study · 39 participants
  Very low

Light vibrational forces (LVF) vs Conventional orthodontic appliance treatment

Light vibrational forces (LVF) showed no clear difference in patient perception of pain and discomfort (VAS 0 to 100 mm),… compared with conventional orthodontic appliance treatment (placebo or no adjunct) (low certainty).

• Non‐surgical adjunctive interventions for accelerating tooth movement in patients undergoing orthodontic treatment 2023 · Cochrane All outcomes

  Immediately after ligation of initial archwire (also 4-8h, 1, 3, 7 days)
  MD 2.56 [-2.35, 7.47]
  3 studies · 153 participants
  Low