Non-Cochrane · intervention · PM41647248

The Effectiveness of Physical Adjunctive Interventions in the Acceleration of Orthodontic Tooth Movement: An Umbrella Review and Meta-Analysis.

Sirri Mohamad Radwan, Namera Mohammad Osama, Salahi Alasbahi Mohamad Yaman, et al. · International journal of dentistry · 2026 · PubMed · doi:10.1155/ijod/9131541

Findings

34 findings

Population
Patients undergoing orthodontic treatment with fixed or clear aligner appliances (leveling and alignment)AcceleDent vibration deviceStandard orthodontic treatment without the adjunctive interventionReduction in Little's irregularity index (LII), mm
Leveling and alignment · Orthodontic patients; leveling and alignment · Maxilla without extraction
MD 0.21 [-0.52, 0.94]
Low
Downgraded: risk of bias, imprecision
3 studies · 108 participants
Patients undergoing orthodontic treatment with fixed or clear aligner appliances (leveling and alignment)AcceleDent vibration deviceStandard orthodontic treatment without the adjunctive interventionReduction in Little's irregularity index (LII), mm
Leveling and alignment · Orthodontic patients; leveling and alignment · Mandible without extraction
MD 0.05 [-0.38, 0.49]
Low
Downgraded: risk of bias, imprecision
5 studies · 150 participants
Patients undergoing orthodontic treatment with fixed or clear aligner appliances (canine retraction)Customized vibratory applianceStandard orthodontic treatment without the adjunctive interventionMean canine retraction rate (mm/month)
Orthodontic patients; canine retraction
MD 0.15 [-0.03, 0.34]
Very low
Downgraded: risk of bias, imprecision, inconsistency
2 studies · 96 participants
Patients undergoing orthodontic treatment with fixed or clear aligner appliances (canine retraction)AcceleDent vibration deviceStandard orthodontic treatment without the adjunctive interventionMean canine retraction rate (mm/month)
Orthodontic patients; canine retraction
MD 0.27 [0.19, 0.35]
Very low
Downgraded: risk of bias, imprecision, inconsistency
4 studies · 99 participants
Patients undergoing orthodontic treatment with fixed or clear aligner appliances (canine retraction)Electric toothbrush vibrationStandard orthodontic treatment without the adjunctive interventionMean canine retraction at different time points (mm)
Month 3 · Orthodontic patients; canine retraction
MD 0.11 [-0.11, 0.33]
Very low
Downgraded: risk of bias, imprecision, inconsistency
3 studies · 132 participants
Patients undergoing orthodontic treatment with fixed or clear aligner appliances (canine retraction)Electric toothbrush vibrationStandard orthodontic treatment without the adjunctive interventionMean canine retraction at different time points (mm)
Month 2 · Orthodontic patients; canine retraction
MD 0.14 [-0.11, 0.4]
Very low
Downgraded: risk of bias, imprecision, inconsistency
3 studies · 132 participants
Patients undergoing orthodontic treatment with fixed or clear aligner appliances (canine retraction)Electric toothbrush vibrationStandard orthodontic treatment without the adjunctive interventionTotal canine retraction (mm)
Total · Orthodontic patients; canine retraction
MD 0.67 [0.01, 1.32]
Very low
Downgraded: risk of bias, imprecision, inconsistency
3 studies · 112 participants
Patients undergoing orthodontic treatment with fixed or clear aligner appliances (canine retraction)Electric toothbrush vibrationStandard orthodontic treatment without the adjunctive interventionMean canine retraction at different time points (mm)
Month 1 · Orthodontic patients; canine retraction
MD 0.01 [-0.01, 0.02]
Very low
Downgraded: risk of bias, imprecision, inconsistency
3 studies · 132 participants
Patients undergoing orthodontic treatment with fixed or clear aligner appliances (en masse retraction)Customized vibratory applianceStandard orthodontic treatment without the adjunctive interventionMean en masse retraction rate (mm/month)
Orthodontic patients; en masse retraction · Upper right quadrant
MD 0.19 [-0.25, 0.63]
Very low
Downgraded: risk of bias, imprecision, inconsistency
2 studies · 65 participants
Patients undergoing orthodontic treatment (en masse retraction)Customized vibratory applianceNo vibration device (standard orthodontic treatment)Mean en masse retraction rate (mm/month)
Orthodontic treatment with fixed or aligner appliances; pooled primary RCTs after removal of overlap among 17 systematic reviews · Upper left
MD 0.29 [-0.44, 1.03]
Very low
Downgraded: risk of bias, imprecision, inconsistency
2 studies · 65 participants
Patients undergoing orthodontic treatment with fixed or clear aligner appliances (leveling and alignment)Low-level laser therapy (LLLT)Standard orthodontic treatment without the adjunctive interventionLeveling and alignment improvement percentage, LAIP (%)
Week 12 · Orthodontic patients; leveling and alignment · Mandible without extraction
MD 6.7 [-5.48, 18.88]
Low
Downgraded: risk of bias, imprecision
2 studies · 56 participants
Patients undergoing orthodontic treatment with fixed or clear aligner appliances (leveling and alignment)Low-level laser therapy (LLLT)Standard orthodontic treatment without the adjunctive interventionOrthodontic leveling and alignment time, OLAT (days)
Until alignment · Orthodontic patients; leveling and alignment · Mandible without extraction
MD -58.42 [-88.64, -28.21]
Low
Downgraded: risk of bias, inconsistency
2 studies · 66 participants
Patients undergoing orthodontic treatment with fixed or clear aligner appliances (leveling and alignment)Low-level laser therapy (LLLT)Standard orthodontic treatment without the adjunctive interventionLeveling and alignment improvement percentage, LAIP (%)
Week 4 · Orthodontic patients; leveling and alignment · Mandible without extraction
MD 2.46 [-4.4, 9.33]
Low
Downgraded: risk of bias, imprecision
2 studies · 56 participants
Patients undergoing orthodontic treatment with fixed or clear aligner appliances (leveling and alignment)Low-level laser therapy (LLLT)Standard orthodontic treatment without the adjunctive interventionLeveling and alignment improvement percentage, LAIP (%)
Week 8 · Orthodontic patients; leveling and alignment · Mandible without extraction
MD 7.58 [-7.25, 22.41]
Low
Downgraded: risk of bias, imprecision
2 studies · 56 participants
Patients undergoing orthodontic treatment with fixed or clear aligner appliances (upper canine retraction)Light-emitting diode (LED) therapyStandard orthodontic treatment without the adjunctive interventionMonthly upper canine retraction (mm)
Month 3 · Orthodontic patients; upper canine retraction
MD -0.06 [-0.59, 0.46]
Low
Downgraded: risk of bias, imprecision, inconsistency
2 studies · 78 participants
Patients undergoing orthodontic treatment with fixed or clear aligner appliances (upper canine retraction)Light-emitting diode (LED) therapyStandard orthodontic treatment without the adjunctive interventionMonthly upper canine retraction (mm)
Month 2 · Orthodontic patients; upper canine retraction
MD 0.06 [-0.09, 0.21]
Low
Downgraded: risk of bias, imprecision, inconsistency
2 studies · 78 participants
Patients undergoing orthodontic treatment with fixed or clear aligner appliances (upper canine retraction)Light-emitting diode (LED) therapyStandard orthodontic treatment without the adjunctive interventionMonthly upper canine retraction (mm)
Month 1 · Orthodontic patients; upper canine retraction
MD 0.19 [-0.47, 0.86]
Low
Downgraded: risk of bias, imprecision, inconsistency
2 studies · 78 participants
Patients undergoing orthodontic treatment with fixed or clear aligner appliances (upper canine retraction)Low-level laser therapy (LLLT)Standard orthodontic treatment without the adjunctive interventionMonthly upper canine retraction (mm)
Month 3 · Orthodontic patients; upper canine retraction
MD 0.12 [-0.13, 0.37]
Low
Downgraded: risk of bias, imprecision, inconsistency
4 studies · 90 participants
Patients undergoing orthodontic treatment with fixed or clear aligner appliances (upper canine retraction)Low-level laser therapy (LLLT)Standard orthodontic treatment without the adjunctive interventionCumulative upper canine retraction from baseline (mm)
21 days · Orthodontic patients; upper canine retraction
MD 0.74 [0.17, 1.31]
Low
Downgraded: risk of bias, imprecision, inconsistency
2 studies · 66 participants
Patients undergoing orthodontic treatment with fixed or clear aligner appliances (upper canine retraction)Low-level laser therapy (LLLT)Standard orthodontic treatment without the adjunctive interventionChange in upper canine position (mm)
Month 1 · Orthodontic patients; upper canine retraction
MD -0.13 [-0.58, 0.32]
Very low
Downgraded: risk of bias, imprecision, inconsistency
2 studies · 42 participants
Patients undergoing orthodontic treatment with fixed or clear aligner appliances (upper canine retraction)Low-level laser therapy (LLLT)Standard orthodontic treatment without the adjunctive interventionCumulative upper canine retraction from baseline (mm)
Month 3 · Orthodontic patients; upper canine retraction
MD 0.46 [0.06, 0.86]
Low
Downgraded: risk of bias, imprecision, inconsistency
6 studies · 202 participants
Patients undergoing orthodontic treatment with fixed or clear aligner appliances (upper canine retraction)Low-level laser therapy (LLLT)Standard orthodontic treatment without the adjunctive interventionChange in upper canine position (mm)
Month 4 · Orthodontic patients; upper canine retraction
MD -0.67 [-1.99, 0.66]
Very low
Downgraded: risk of bias, imprecision, inconsistency
2 studies · 36 participants
Patients undergoing orthodontic treatment with fixed or clear aligner appliances (upper canine retraction)Low-level laser therapy (LLLT)Standard orthodontic treatment without the adjunctive interventionUpper canine retraction rate (mm/month)
Orthodontic patients; upper canine retraction
MD 0.66 [0.36, 0.96]
Low
Downgraded: risk of bias, imprecision
6 studies · 227 participants
Patients undergoing orthodontic treatment with fixed or clear aligner appliances (upper canine retraction)Low-level laser therapy (LLLT)Standard orthodontic treatment without the adjunctive interventionMonthly upper canine retraction (mm)
Month 2 · Orthodontic patients; upper canine retraction
MD 0.27 [0.08, 0.46]
Moderate
Downgraded: risk of bias
6 studies · 150 participants
Patients undergoing orthodontic treatment with fixed or clear aligner appliances (upper canine retraction)Low-level laser therapy (LLLT)Standard orthodontic treatment without the adjunctive interventionChange in upper canine position (mm)
Month 2 · Orthodontic patients; upper canine retraction
MD -0.41 [-1.24, 0.41]
Very low
Downgraded: risk of bias, imprecision, inconsistency
2 studies · 42 participants
Patients undergoing orthodontic treatment with fixed or clear aligner appliances (upper canine retraction)Low-level laser therapy (LLLT)Standard orthodontic treatment without the adjunctive interventionCumulative upper canine retraction from baseline (mm)
Month 2 · Orthodontic patients; upper canine retraction
MD 0.72 [0.18, 1.26]
Low
Downgraded: risk of bias, inconsistency
9 studies · 240 participants
Patients undergoing orthodontic treatment with fixed or clear aligner appliances (upper canine retraction)Low-level laser therapy (LLLT)Standard orthodontic treatment without the adjunctive interventionCumulative upper canine retraction from baseline (mm)
Month 1 · Orthodontic patients; upper canine retraction
MD 0.31 [0.13, 0.49]
Low
Downgraded: risk of bias, imprecision, inconsistency
14 studies · 354 participants
Patients undergoing orthodontic treatment with fixed or clear aligner appliances (upper canine retraction)Low-level laser therapy (LLLT)Standard orthodontic treatment without the adjunctive interventionChange in upper canine position (mm)
Month 3 · Orthodontic patients; upper canine retraction
MD -0.4 [-1.18, 0.39]
Very low
Downgraded: risk of bias, imprecision, inconsistency
2 studies · 38 participants
Patients undergoing orthodontic treatment with fixed or clear aligner appliances (upper canine retraction)Low-level laser therapy (LLLT)Standard orthodontic treatment without the adjunctive interventionTotal upper canine retraction post-treatment (mm)
Post-treatment · Orthodontic patients; upper canine retraction
MD 1.08 [0.33, 1.82]
Very low
Downgraded: risk of bias, imprecision, inconsistency
4 studies · 130 participants
Patients undergoing orthodontic treatment with fixed or clear aligner appliances (lower canine retraction)Low-level laser therapy (LLLT)Standard orthodontic treatment without the adjunctive interventionLower canine retraction rate (mm/month)
Orthodontic patients; lower canine retraction
MD 0.58 [0.35, 0.81]
Low
Downgraded: risk of bias, imprecision
3 studies · 120 participants
Patients undergoing orthodontic treatment with fixed or clear aligner appliances (lower canine retraction)Low-level laser therapy (LLLT)Standard orthodontic treatment without the adjunctive interventionMonthly lower canine retraction (mm)
Month 2 · Orthodontic patients; lower canine retraction
MD -0.14 [-0.8, 0.51]
Low
Downgraded: risk of bias, imprecision, inconsistency
2 studies · 44 participants
Patients undergoing orthodontic treatment with fixed or clear aligner appliances (lower canine retraction)Low-level laser therapy (LLLT)Standard orthodontic treatment without the adjunctive interventionMonthly lower canine retraction (mm)
Month 3 · Orthodontic patients; lower canine retraction
MD -0.06 [-0.74, 0.61]
Low
Downgraded: risk of bias, imprecision, inconsistency
2 studies · 44 participants
Patients undergoing orthodontic treatment with fixed or clear aligner appliances (lower canine retraction)Low-level laser therapy (LLLT)Standard orthodontic treatment without the adjunctive interventionMonthly lower canine retraction (mm)
Month 1 · Orthodontic patients; lower canine retraction
MD 1.03 [0.67, 1.4]
Low
Downgraded: risk of bias, imprecision, inconsistency
2 studies · 44 participants
Patients undergoing orthodontic treatment with fixed or clear aligner appliances (upper canine retraction)Pulsed electromagnetic field (PEMF) bioelectric stimulationStandard orthodontic treatment without the adjunctive interventionTotal upper canine retraction post-treatment (mm)
Post-treatment · Orthodontic patients; upper canine retraction
MD 1.78 [0.99, 2.57]
Low
Downgraded: risk of bias, imprecision
2 studies · 58 participants

Included primary studies 130

Open in Studies
StudyYearAlso included byOutcomes it informs hereTrial data
Katchooi 2018
Effect of supplemental vibration on orthodontic treatment with aligners: A randomized trial.
PMID:29501108
20182 other reviewsReduction in Little's irregularity index (LII), mmnot extracted yet
Okla 2018
Effect of Photobiomodulation on Maxillary Decrowding and Root Resorption: A Randomized Clinical Trial
DOI:10.4103/apos.apos_46_18
20182 other reviewsnot statednot extracted yet
Abellán 2021
Effects of Photobiomodulation on the Upper First Molar Intrusion Movement Using Mini-Screws Anchorage: A Randomized Controlled Trial
DOI:10.1089/photob.2020.4979
20211 other reviewnot statednot extracted yet
Alansari 2018
The effects of brief daily vibration on clear aligner orthodontic treatment
DOI:10.1016/j.ejwf.2018.10.002
20181 other reviewnot statednot extracted yet
Bhad 2022
Efficacy of pulsed electromagnetic field in reducing treatment time: A clinical investigation
DOI:10.1016/j.ajodo.2020.12.025
20221 other reviewnot statednot extracted yet
Bragassa 2018
matched by author and year (probable)
NR1 other reviewnot statednot extracted yet
Doshi-Mehta 2012
Efficacy of low-intensity laser therapy in reducing treatment time and orthodontic pain: A clinical investigation
DOI:10.1016/j.ajodo.2011.09.009
20121 other reviewnot statednot extracted yet
Ekizer 2016
Light emitting diode mediated photobiomodulation therapy improves orthodontic tooth movement and miniscrew stability: A randomized…
DOI:10.1002/lsm.22516
20161 other reviewnot statednot extracted yet
Ghaffar 2022
Effect of low-level laser therapy on the time needed for leveling and alignment of mandibular anterior crowding.
PMID:35344012
20221 other reviewOrthodontic leveling and alignment time, OLAT (days); Leveling and alignment improvement percentage, LAIP (%)not extracted yet
Guram 2018
Evaluation of Low-Level Laser Therapy on Orthodontic Tooth Movement: A Randomized Control Study.
PMID:29599594
20181 other reviewUpper canine retraction rate (mm/month); Lower canine retraction rate (mm/month)not extracted yet
Katchooi 2018
Effect of supplemental vibration on orthodontic treatment with aligners: A randomized trial
DOI:10.1016/j.ajodo.2017.10.017
20181 other reviewnot statednot extracted yet
Kharat 2023
Accelerated Canine Retraction by Using Mini Implant With Low-Intensity Laser Therapy.
PMID:36819422
20231 other reviewUpper canine retraction rate (mm/month); Cumulative upper canine retraction from baseline (mm); Total upper canine retraction post-treatment (mm)not extracted yet
Liao 2017
Computational and clinical investigation on the role of mechanical vibration on orthodontic tooth movement
DOI:10.1016/j.jbiomech.2017.06.012
20171 other reviewnot statednot extracted yet
Lombardo 2019
Does low-frequency vibration have an effect on aligner treatment? A single-centre, randomized controlled trial
DOI:10.1093/ejo/cjy076
20181 other reviewnot statednot extracted yet
Lombardo 2019
Does low-frequency vibration have an effect on aligner treatment? A single-centre, randomized controlled trial.
PMID:30423130
20191 other reviewnot statednot extracted yet
Mayama 2022
Effect of vibration on orthodontic tooth movement in a double blind prospective randomized controlled trial
DOI:10.1038/s41598-022-05395-5
20221 other reviewnot statednot extracted yet
Miles 2012
The effects of a vibrational appliance on tooth movement and patient discomfort: a prospective randomised clinical trial.
PMID:23304970
20121 other reviewnot statednot extracted yet
Mistry 2020
The effects of a clinically feasible application of low-level laser therapy on the rate of orthodontic tooth movement: A triple-blind,…
DOI:10.1016/j.ajodo.2019.12.005
20201 other reviewnot statednot extracted yet
Pescheret 2017
matched by author and year (probable)
NR1 other reviewReduction in Little's irregularity index (LII), mmnot extracted yet
Qamruddin 2017
Effects of low-level laser irradiation on the rate of orthodontic tooth movement and associated pain with self-ligating brackets.
PMID:29103440
20171 other reviewCumulative upper canine retraction from baseline (mm)not extracted yet
Souza 2014
matched by author and year (probable)
NR1 other reviewMonthly upper canine retraction (mm); Cumulative upper canine retraction from baseline (mm); Monthly lower canine retraction (mm)not extracted yet
Üretürk 2017
The effect of low-level laser therapy on tooth movement during canine distalization
DOI:10.1007/s10103-017-2159-0
20171 other reviewnot statednot extracted yet
Varella 2018
Low-level laser therapy increases interleukin-1β in gingival crevicular fluid and enhances the rate of orthodontic tooth movement
DOI:10.1016/j.ajodo.2018.01.012
20181 other reviewnot statednot extracted yet
Abellán 2021
Effects of Photobiomodulation on the Upper First Molar Intrusion Movement Using Mini-Screws Anchorage: A Randomized Controlled Trial.
PMID:34328794
2021this review onlynot statednot extracted yet
Al-Shafi 2021
Effect of light-emitting diode–mediated photobiomodulation on extraction space closure in adolescents and young adults: A split-mouth,…
DOI:10.1016/j.ajodo.2020.12.021
2021this review onlynot statednot extracted yet
Al-Shafi 2021
Effect of light-emitting diode-mediated photobiomodulation on extraction space closure in adolescents and young adults: A split-mouth,…
PMID:33840531
2021this review onlyMonthly upper canine retraction (mm)not extracted yet
Alam 2019
Laser-Assisted Orthodontic Tooth Movement in Saudi Population: A Prospective Clinical Intervention of Low-Level Laser Therapy in the 1st…
DOI:10.1155/2019/6271835
2019this review onlynot statednot extracted yet
Alam 2019
Laser-Assisted Orthodontic Tooth Movement in Saudi Population: A Prospective Clinical Intervention of Low-Level Laser Therapy in the 1st…
PMID:31772695
2019this review onlynot statednot extracted yet
AlSayed 2017
Low-level laser therapy effectiveness in accelerating orthodontic tooth movement: A randomized controlled clinical trial
DOI:10.2319/062716-503.1
2017this review onlynot statednot extracted yet
AlSayed Hasan 2017
Low-level laser therapy effectiveness in accelerating orthodontic tooth movement: A randomized controlled clinical trial.
PMID:27869476
2017this review onlynot statednot extracted yet
Arumughan 2018
A Comparison of the Rate of Retraction with Low-level Laser Therapy and Conventional Retraction Technique.
PMID:29875571
2018this review onlynot statednot extracted yet
Azeem 2019
Effectiveness of electric toothbrush as vibration method on orthodontic tooth movement: a split-mouth study
DOI:10.1590/2177-6709.24.2.049-055.oar
2019this review onlynot statednot extracted yet
Azeem 2019
Effectiveness of electric toothbrush as vibration method on orthodontic tooth movement: a split-mouth study.
PMID:31116287
2019this review onlyMean canine retraction at different time points (mm); Total canine retraction (mm)not extracted yet
Barsi 2023
Can bioelectrical stimulation favor orthodontic treatment? A randomized clinical trial to evaluate tooth movement, patient-centered, and…
DOI:10.1016/j.xaor.2023.09.004
2023this review onlynot statednot extracted yet
Bhad (Patil) 2022
Efficacy of pulsed electromagnetic field in reducing treatment time: A clinical investigation.
PMID:35039203
2022this review onlyTotal upper canine retraction post-treatment (mm)not extracted yet
Bisht 2019
To Study the Effect of Vibrations on Pain and Rate of Anterior Teeth Alignment: An Invivo Study
DOI:10.18231/j.jco.2019.011
2023this review onlynot statednot extracted yet
Bulic 2017
matched by author and year (probable)
NRthis review onlyReduction in Little's irregularity index (LII), mmnot extracted yet
C PSd 2014
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Caccianiga 2016
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Caccianiga 2016
Low-level laser therapy and invisible removal aligners.
PMID:27469556
2016this review onlynot statednot extracted yet
Caccianiga 2017
Does Low-Level Laser Therapy Enhance the Efficiency of Orthodontic Dental Alignment? Results from a Randomized Pilot Study
DOI:10.1089/pho.2016.4215
2017this review onlynot statednot extracted yet
Caccianiga 2017
Does Low-Level Laser Therapy Enhance the Efficiency of Orthodontic Dental Alignment? Results from a Randomized Pilot Study.
PMID:28253073
2017this review onlyOrthodontic leveling and alignment time, OLAT (days)not extracted yet
Chouinard 2016
matched by author and year (probable)
NRthis review onlyReduction in Little's irregularity index (LII), mmnot extracted yet
Cruz 2004
Effects of low‐intensity laser therapy on the orthodontic movement velocity of human teeth: A preliminary study
DOI:10.1002/lsm.20076
2004this review onlynot statednot extracted yet
Cruz 2004
Effects of low-intensity laser therapy on the orthodontic movement velocity of human teeth: a preliminary study.
PMID:15334614
2004this review onlyCumulative upper canine retraction from baseline (mm)not extracted yet
Dalaie 2015
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Dalaie 2015
Effect of Low-Level Laser Therapy on Orthodontic Tooth Movement: A Clinical Investigation.
PMID:26622279
2015this review onlyCumulative upper canine retraction from baseline (mm); Total upper canine retraction post-treatment (mm)not extracted yet
de SJ 2014
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
DiBiase 2018
Effects of supplemental vibrational force on space closure, treatment duration, and occlusal outcome: A multicenter randomized clinical…
DOI:10.1016/j.ajodo.2017.10.021
2018this review onlynot statednot extracted yet
DiBiase 2018
Effects of supplemental vibrational force on space closure, treatment duration, and occlusal outcome: A multicenter randomized clinical…
PMID:29602338
2018this review onlynot statednot extracted yet
Domínguez 2015
Effects of low-level laser therapy on orthodontics: rate of tooth movement, pain, and release of RANKL and OPG in GCF
DOI:10.1007/s10103-013-1508-x
2013this review onlynot statednot extracted yet
Domínguez 2015
Effects of low-level laser therapy on orthodontics: rate of tooth movement, pain, and release of RANKL and OPG in GCF.
PMID:24346335
2015this review onlynot statednot extracted yet
Doshi-Mehta 2012
Efficacy of low-intensity laser therapy in reducing treatment time and orthodontic pain: a clinical investigation.
PMID:22381489
2012this review onlyUpper canine retraction rate (mm/month); Cumulative upper canine retraction from baseline (mm); Total upper canine retraction post-treatment (mm); Lower canine retraction rate (mm/month)not extracted yet
Ekizer 2016
Light emitting diode mediated photobiomodulation therapy improves orthodontic tooth movement and miniscrew stability: A randomized…
PMID:27039894
2016this review onlyMonthly upper canine retraction (mm)not extracted yet
El Shehawy 2020
Outcome of photodynamic therapy on orthodontic leveling and alignment of mandibular anterior segment: A controlled clinical trial
DOI:10.1016/j.pdpdt.2020.101903
2020this review onlynot statednot extracted yet
El Shehawy 2020
Outcome of photodynamic therapy on orthodontic leveling and alignment of mandibular anterior segment: A controlled clinical trial.
PMID:32619715
2020this review onlyLeveling and alignment improvement percentage, LAIP (%)not extracted yet
Farhadian 2021
The effect of intra-oral LED device and low-level laser therapy on orthodontic tooth movement in young adults: A randomized controlled trial
DOI:10.1016/j.ortho.2021.09.002
2021this review onlynot statednot extracted yet
Farhadian 2021
The effect of intra-oral LED device and low-level laser therapy on orthodontic tooth movement in young adults: A randomized controlled…
PMID:34607784
2021this review onlyUpper canine retraction rate (mm/month)not extracted yet
Ghaffar 2022
Effect of low-level laser therapy on the time needed for leveling and alignment of mandibular anterior crowding:
DOI:10.2319/102721-795.1
2022this review onlynot statednot extracted yet
Gujar 2023
Effect of 125 Hz and 150 Hz vibrational frequency electric toothbrushes on the rate of orthodontic tooth movement and prostaglandin E2…
PMID:37746776
2023this review onlyMean en masse retraction rate (mm/month); PM41647248-P5-O2not extracted yet
Hasan 2022
Evaluation of the acceleration, skeletal and dentoalveolar effects of low-level laser therapy combined with fixed posterior bite blocks in…
DOI:10.1016/j.ortho.2021.10.005
2022this review onlynot statednot extracted yet
Hasan 2022
Evaluation of the acceleration, skeletal and dentoalveolar effects of low-level laser therapy combined with fixed posterior bite blocks in…
PMID:34887236
2022this review onlynot statednot extracted yet
Heravi 2014
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Heravi 2014
The effect of low level laser therapy on the rate of tooth movement and pain perception during canine retraction.
PMID:24984620
2014this review onlyMonthly upper canine retraction (mm); Cumulative upper canine retraction from baseline (mm)not extracted yet
Hosseini 2011
matched by author and year (probable)
NRthis review onlyCumulative upper canine retraction from baseline (mm)not extracted yet
Impellizzeri 2020
Photobiomodulation Therapy on Orthodontic Movement: Analysis of Preliminary Studies with a New Protocol
DOI:10.3390/ijerph17103547
2020this review onlynot statednot extracted yet
Impellizzeri 2020
Photobiomodulation Therapy on Orthodontic Movement: Analysis of Preliminary Studies with a New Protocol.
PMID:32438716
2020this review onlyCumulative upper canine retraction from baseline (mm)not extracted yet
Isola 2019
Effectiveness of Low-Level Laser Therapy during Tooth Movement: A Randomized Clinical Trial.
PMID:31288379
2019this review onlynot statednot extracted yet
Kalemaj 2017
Aligning Effectiveness, Secretion of Interleukin 1β and Pain Control During Fixed Orthodontic Treatment with Self-Ligating Appliances and…
DOI:10.7150/jbm.17492
2017this review onlyReduction in Little's irregularity index (LII), mmnot extracted yet
Kannan 2019
Effectiveness and importance of powered tooth brushes in tooth movement.
PMID:31463280
2019this review onlyMean canine retraction at different time points (mm)not extracted yet
Kansal 2014
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Kansal 2014
Effects of low-intensity laser therapy on the rate of orthodontic tooth movement: A clinical trial.
PMID:25225562
2014this review onlyMonthly upper canine retraction (mm); Cumulative upper canine retraction from baseline (mm)not extracted yet
Kau 2013
Photobiomodulation accelerates orthodontic alignment in the early phase of treatment
DOI:10.1186/2196-1042-14-30
2013this review onlynot statednot extracted yet
Kau 2013
Photobiomodulation accelerates orthodontic alignment in the early phase of treatment.
PMID:24326198
2013this review onlynot statednot extracted yet
Khera 2022
Effect of customized vibratory device on orthodontic tooth movement: A prospective randomized control trial.
PMID:35754416
2022this review onlyMean canine retraction rate (mm/month)not extracted yet
Kim 2008
The effects of electrical current from a micro-electrical device on tooth movement
DOI:10.4041/kjod.2008.38.5.337
2008this review onlynot statednot extracted yet
Kochar 2017
Effect of Low-level Laser Therapy on Orthodontic Tooth Movement
DOI:10.1177/0974909820170204
2017this review onlynot statednot extracted yet
Kochar 2017
Effect of Low-level Laser Therapy on Orthodontic Tooth Movement
DOI:10.4103/jios.jios_200_16
2017this review onlyUpper canine retraction rate (mm/month); Lower canine retraction rate (mm/month)not extracted yet
Kumar 2020
Comparative assessment of the rate of orthodontic tooth movement in adolescent patients undergoing treatment by first bicuspid extraction…
DOI:10.1016/j.ortho.2020.08.003
2020this review onlynot statednot extracted yet
Kumar 2020
Comparative assessment of the rate of orthodontic tooth movement in adolescent patients undergoing treatment by first bicuspid extraction…
PMID:33162347
2020this review onlyMean en masse retraction rate (mm/month); PM41647248-P5-O2not extracted yet
Lalnunpuii 2020
Comparison of rate of orthodontic tooth movement in adolescent patients undergoing treatment by first bicuspid extraction and en-mass…
DOI:10.1016/j.ortho.2020.05.008
2020this review onlynot statednot extracted yet
Lalnunpuii 2020
Comparison of rate of orthodontic tooth movement in adolescent patients undergoing treatment by first bicuspid extraction and en-mass…
PMID:32571649
2020this review onlynot statednot extracted yet
Leethanakul 2016
Vibratory stimulation increases interleukin-1 beta secretion during orthodontic tooth movement
DOI:10.2319/111914-830.1
2016this review onlynot statednot extracted yet
Leethanakul 2016
Vibratory stimulation increases interleukin-1 beta secretion during orthodontic tooth movement.
PMID:25811245
2016this review onlyMean canine retraction at different time points (mm); Total canine retraction (mm)not extracted yet
Liao 2017
Computational and clinical investigation on the role of mechanical vibration on orthodontic tooth movement.
PMID:28743370
2017this review onlyTotal canine retraction (mm)not extracted yet
Limpanichkul 2006
Effects of low‐level laser therapy on the rate of orthodontic tooth movement
DOI:10.1111/j.1601-6343.2006.00338.x
2006this review onlynot statednot extracted yet
Limpanichkul 2006
Effects of low-level laser therapy on the rate of orthodontic tooth movement.
PMID:16420273
2006this review onlyCumulative upper canine retraction from baseline (mm)not extracted yet
Lo Giudice 2020
A Comparative Assessment of the Efficiency of Orthodontic Treatment With and Without Photobiomodulation During Mandibular Decrowding in…
DOI:10.1089/photob.2019.4747
2020this review onlynot statednot extracted yet
Lo Giudice 2020
A Comparative Assessment of the Efficiency of Orthodontic Treatment With and Without Photobiomodulation During Mandibular Decrowding in…
PMID:31944878
2020this review onlynot statednot extracted yet
Mal 2018
Evaluation of the effects of laser irradiation on the rate of tooth movement: A split-mouth study
DOI:10.4103/kleuhsj.kleuhsj_249_17
2018this review onlyMonthly upper canine retraction (mm); Change in upper canine position (mm); Cumulative upper canine retraction from baseline (mm)not extracted yet
Mayama 2022
Effect of vibration on orthodontic tooth movement in a double blind prospective randomized controlled trial.
PMID:35079071
2022this review onlyMean canine retraction rate (mm/month)not extracted yet
Miles 2012
The effects of a vibrational appliance on tooth movement and patient discomfort: a prospective randomised clinical trial
DOI:10.2478/aoj-2012-0019
2012this review onlynot statednot extracted yet
Miles 2016
Assessment of the changes in arch perimeter and irregularity in the mandibular arch during initial alignment with the AcceleDent Aura…
DOI:10.1016/j.ajodo.2016.07.016
2016this review onlynot statednot extracted yet
Miles 2016
Assessment of the changes in arch perimeter and irregularity in the mandibular arch during initial alignment with the AcceleDent Aura…
PMID:27894541
2016this review onlynot statednot extracted yet
Miles 2018
Assessment of the rate of premolar extraction space closure in the maxillary arch with the AcceleDent Aura appliance vs no appliance in…
DOI:10.1016/j.ajodo.2017.08.007
2018this review onlynot statednot extracted yet
Miles 2018
Assessment of the rate of premolar extraction space closure in the maxillary arch with the AcceleDent Aura appliance vs no appliance in…
PMID:29287658
2018this review onlynot statednot extracted yet
Mistry 2020
The effects of a clinically feasible application of low-level laser therapy on the rate of orthodontic tooth movement: A triple-blind,…
PMID:32241351
2020this review onlyCumulative upper canine retraction from baseline (mm)not extracted yet
Nahas 2017
Decrowding of lower anterior segment with and without photobiomodulation: a single center, randomized clinical trial
DOI:10.1007/s10103-016-2094-5
2016this review onlynot statednot extracted yet
Nahas 2017
Decrowding of lower anterior segment with and without photobiomodulation: a single center, randomized clinical trial.
PMID:27761668
2017this review onlynot statednot extracted yet
Pavlin 2015
Cyclic loading (vibration) accelerates tooth movement in orthodontic patients: A double-blind, randomized controlled trial
DOI:10.1053/j.sodo.2015.06.005
2015this review onlyMean canine retraction rate (mm/month)not extracted yet
Pereira 2014
matched by author and year (probable)
NRthis review onlyMonthly upper canine retraction (mm); Cumulative upper canine retraction from baseline (mm); Monthly lower canine retraction (mm)not extracted yet
Pérignon 2021
Effect of 970 nm low-level laser therapy on orthodontic tooth movement during Class II intermaxillary elastics treatment: a RCT
DOI:10.1038/s41598-021-02610-7
2021this review onlynot statednot extracted yet
Pérignon 2021
Effect of 970 nm low-level laser therapy on orthodontic tooth movement during Class II intermaxillary elastics treatment: a RCT.
PMID:34853360
2021this review onlynot statednot extracted yet
Qamruddin 2017
Effects of low-level laser irradiation on the rate of orthodontic tooth movement and associated pain with self-ligating brackets
DOI:10.1016/j.ajodo.2017.03.023
2017this review onlynot statednot extracted yet
Reiss 2020
Biomarkers of orthodontic tooth movement with fixed appliances and vibration appliance therapy: a pilot study
DOI:10.1093/ejo/cjaa026
2020this review onlynot statednot extracted yet
Reiss 2020
Biomarkers of orthodontic tooth movement with fixed appliances and vibration appliance therapy: a pilot study.
PMID:32572439
2020this review onlynot statednot extracted yet
Samara 2018
Velocity of orthodontic active space closure with and without photobiomodulation therapy: a single-center, cluster randomized clinical trial
DOI:10.1007/s41547-018-0026-3
2018this review onlynot statednot extracted yet
Sandoval 2017
Efficacy of Diode Laser Therapy in Acceleration of Orthodontic Space Closure: A Split-Mouth Randomized Clinical Trial
DOI:10.16966/2378-7090.229
2017this review onlynot statednot extracted yet
Sandoval 2017
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Showkatbakhsh 2010
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Showkatbakhsh 2010
The effect of pulsed electromagnetic fields on the acceleration of tooth movement.
PMID:21490989
2010this review onlyTotal upper canine retraction post-treatment (mm)not extracted yet
Siriphan 2019
Effects of two frequencies of vibration on the maxillary canine distalization rate and <scp>RANKL</scp> and <scp>OPG</scp> secretion: A…
DOI:10.1111/ocr.12301
2019this review onlynot statednot extracted yet
Siriphan 2019
Effects of two frequencies of vibration on the maxillary canine distalization rate and RANKL and OPG secretion: A randomized controlled…
PMID:30758896
2019this review onlynot statednot extracted yet
Sousa 2011
Influence of Low-Level Laser on the Speed of Orthodontic Movement
DOI:10.1089/pho.2009.2652
2011this review onlynot statednot extracted yet
Sousa 2011
Influence of low-level laser on the speed of orthodontic movement.
PMID:21254890
2011this review onlyMonthly upper canine retraction (mm); Cumulative upper canine retraction from baseline (mm); Total upper canine retraction post-treatment (mm)not extracted yet
Taha 2020
Effects of mechanical vibrations on maxillary canine retraction and perceived pain: a pilot, single-center, randomized-controlled clinical…
DOI:10.1007/s10266-019-00480-0
2020this review onlynot statednot extracted yet
Taha 2020
Effects of mechanical vibrations on maxillary canine retraction and perceived pain: a pilot, single-center, randomized-controlled clinical…
PMID:31912371
2020this review onlyMean canine retraction rate (mm/month)not extracted yet
Telatar 2021
Effectiveness of vibrational forces on orthodontic treatment
DOI:10.1007/s00056-020-00257-z
2020this review onlynot statednot extracted yet
Telatar 2021
Effectiveness of vibrational forces on orthodontic treatment : A randomized, controlled clinical trial.
PMID:33125510
2021this review onlyMean canine retraction rate (mm/month)not extracted yet
Üretürk 2017
The effect of low-level laser therapy on tooth movement during canine distalization.
PMID:28289894
2017this review onlyCumulative upper canine retraction from baseline (mm)not extracted yet
Varella 2018
Low-level laser therapy increases interleukin-1β in gingival crevicular fluid and enhances the rate of orthodontic tooth movement.
PMID:30268264
2018this review onlyCumulative upper canine retraction from baseline (mm)not extracted yet
Woodhouse 2015
Supplemental Vibrational Force During Orthodontic Alignment
DOI:10.1177/0022034515576195
2015this review onlynot statednot extracted yet
Woodhouse 2015
Supplemental vibrational force during orthodontic alignment: a randomized trial.
PMID:25758457
2015this review onlynot statednot extracted yet
Yassaei 2016
Effects of diode laser (980 nm) on orthodontic tooth movement and interleukin 6 levels in gingival crevicular fluid in female subjects
DOI:10.1007/s10103-016-2045-1
2016this review onlynot statednot extracted yet
Yassaei 2016
Effects of diode laser (980 nm) on orthodontic tooth movement and interleukin 6 levels in gingival crevicular fluid in female subjects.
PMID:27680969
2016this review onlyChange in upper canine position (mm)not extracted yet
Yildiz 2023
A different method to accelerate orthodontic tooth movement: Randomized controlled trial
DOI:10.5937/bjdm2301051y
2023this review onlyMean canine retraction rate (mm/month)not extracted yet
Youssef 2008
The effect of low-level laser therapy during orthodontic movement: a preliminary study
DOI:10.1007/s10103-007-0449-7
2007this review onlynot statednot extracted yet
Youssef 2008
The effect of low-level laser therapy during orthodontic movement: a preliminary study.
PMID:17361391
2008this review onlyUpper canine retraction rate (mm/month)not extracted yet
Zheng 2021
Clinical research: low-level laser therapy in accelerating orthodontic tooth movement
DOI:10.1186/s12903-021-01684-z
2021this review onlynot statednot extracted yet
Zheng 2021
Clinical research: low-level laser therapy in accelerating orthodontic tooth movement.
PMID:34182967
2021this review onlyCumulative upper canine retraction from baseline (mm)not extracted yet

Overlap with other reviews

Reviews that include the same primary studies are not independent evidence. Shared counts match studies by PMID, DOI or NCT, and otherwise by author and year (a probable match). Only the non-Cochrane dental reviews have study lists, so overlap with Cochrane reviews is not counted yet.

Review question

ElementPlanned (methods)Found (results)
PopulationHealthy individuals of any age, gender or ethnicity undergoing orthodontic treatmentOrthodontic patients in 76 primary RCTs from 17 systematic reviews (leveling and alignment, canine retraction, en masse retraction, molar intrusion)
InterventionPhysical adjunctive interventions for accelerating orthodontic tooth movement (mechanical vibration, photobiomodulation, bioelectric stimulation)Vibration devices (AcceleDent, customized appliances, powered toothbrush; 28 RCTs); photobiomodulation (LLLT and LED; 44 RCTs); bioelectric stimulation (BM, LIDEC, PEMF; 4 RCTs)
ComparisonControl groups receiving standard orthodontic treatment without adjunctive interventionsStandard orthodontic treatment without the adjunct
OutcomesRate of tooth displacement (e.g., mm/week/month) or equivalent efficacy metricsLittle irregularity index, orthodontic leveling and alignment time, canine retraction (rate, monthly, cumulative, total), en masse retraction rate, molar intrusion
Study designsSystematic reviews/meta-analyses of RCTs (parallel or split-mouth designs)RCTs (parallel and split-mouth), 76 primary studies published 2004 to 2024
TimingNot specifiedShort-term follow-up; monthly time points up to 4 months, total post-treatment retraction

AMSTAR 2 items

Two independent extractors rated each item. Their ratings are shown side by side because they have not been reconciled yet. The overall rating follows Shea et al. 2017: one critical flaw gives Low, more than one gives Critically Low.

ItemExtractor AExtractor BAgree
1Research question includes PICO componentsYesYesyes
2Protocol established before the reviewcriticalPartial YesPartial Yesyes
3Choice of study designs explainedNoNoyes
4Comprehensive literature searchcriticalPartial YesPartial Yesyes
5Study selection in duplicateYesYesyes
6Data extraction in duplicateNoYesno
7List of excluded studies with reasonscriticalYesYesyes
8Included studies described in detailYesYesyes
9Risk of bias assessed satisfactorilycriticalRCT: Yes · NRSI: N/ANRSI: N/A · RCT: Yesno
10Funding of included studies reportedNoNoyes
11Appropriate meta-analysis methodscriticalRCT: No · NRSI: N/ANRSI: N/A · RCT: Yesno
12Impact of risk of bias on the pooled resultsNoNoyes
13Risk of bias accounted for in interpretationcriticalYesYesyes
14Heterogeneity explainedYesYesyes
15Publication bias investigatedcriticalYesYesyes
16Conflicts of interest reportedYesYesyes
OverallLowModerateno