Non-Cochrane · intervention · PM42204530
The efficacy of piezocision in accelerating leveling and alignment of anterior teeth in extraction and non-extraction treatments: a systematic review and meta-analysis.
Al-Bitar Mohammad Abdalbaset T, Hajeer Mohammad Y, Burhan Ahmad S, et al. · BMC oral health · 2026 · PubMed · doi:10.1186/s12903-026-08712-w
Findings
7 findings
| Population | ||||
|---|---|---|---|---|
| Adults (over 17 years) with crowded anterior teeth undergoing orthodontic treatment | Piezocision-assisted corticotomy plus orthodontic treatment | Conventional orthodontic treatment without acceleration | Postoperative pain or discomfort Various | Studies used different pain scales, and one study (Sultana et al., 2022) lacked a control group (No Comparison), preventing data pooling. Very low Downgraded: risk of bias, imprecision, inconsistency 3 studies · 50 participants |
| Adults (over 17 years) with crowded anterior teeth undergoing orthodontic treatment | Piezocision-assisted corticotomy plus orthodontic treatment | Conventional orthodontic treatment without acceleration | Overall orthodontic treatment time (days) Until completion of orthodontic treatment · All three studies | MD -262.68 [-429.96, -95.39] Low Downgraded: risk of bias, inconsistency 3 studies · 72 participants |
| Adults (over 17 years) with crowded anterior teeth undergoing orthodontic treatment | Piezocision-assisted corticotomy plus orthodontic treatment | Conventional orthodontic treatment without acceleration | Overall orthodontic treatment time (days) Until completion of orthodontic treatment · Sensitivity analysis excluding Strippoli 2019 | MD -170.23 [-282.47, -57.99] GRADE not reported 2 studies · 48 participants |
| Adults (over 17 years) with crowded anterior teeth undergoing orthodontic treatment | Piezocision-assisted corticotomy plus orthodontic treatment | Conventional orthodontic treatment without acceleration | Leveling and alignment duration of anterior teeth (days) Until completion of leveling and alignment · All studies (before subgroup analysis) | MD -56.31 [-74.00, -38.63] GRADE not reported 7 studies |
| Adults with crowded anterior teeth in non-extraction orthodontic treatment | Piezocision-assisted corticotomy plus orthodontic treatment | Conventional orthodontic treatment without acceleration | Leveling and alignment duration of anterior teeth (days) Until completion of leveling and alignment · Non-extraction cases | MD -24.06 [-51.54, 3.42] Very low Downgraded: risk of bias, imprecision, inconsistency 3 studies · 62 participants |
| Adults with crowded anterior teeth in extraction orthodontic treatment | Piezocision-assisted corticotomy plus orthodontic treatment | Conventional orthodontic treatment without acceleration | Leveling and alignment duration of anterior teeth (days) Until completion of leveling and alignment · Extraction cases, after sensitivity analysis (Sultana 2022 excluded) | MD -79.80 [-85.21, -74.38] High 3 studies · 104 participants |
| Adults with crowded anterior teeth in extraction orthodontic treatment | Piezocision-assisted corticotomy plus orthodontic treatment | Conventional orthodontic treatment without acceleration | Leveling and alignment duration of anterior teeth (days) Until completion of leveling and alignment · Extraction cases, before sensitivity analysis | MD -69.70 [-85.24, -54.16] GRADE not reported 4 studies · 117 participants |
Included primary studies 9
Open in Studies| Study | Year | Also included by | Outcomes it informs here | Trial data |
|---|---|---|---|---|
| Charavet 2019 Piezocision-assisted orthodontic treatment using CAD/CAM customized orthodontic appliances: a randomized controlled trial in adults DOI:10.1093/ejo/cjy082 | 2019 | 1 other review | not stated | not extracted yet |
| Gibreal 2019 Efficacy of piezocision-based flapless corticotomy in the orthodontic correction of severely crowded lower anterior teeth: a randomized… DOI:10.1093/ejo/cjy042 | 2018 | 1 other review | not stated | not extracted yet |
| Sultana 2022 Effect of piezocision procedure in levelling and alignment stage of fixed orthodontic treatment: a randomized clinical trial DOI:10.1038/s41598-022-09851-0 | 2022 | 1 other review | not stated | not extracted yet |
| Uribe 2017 Efficiency of piezotome-corticision assisted orthodontics in alleviating mandibular anterior crowding—a randomized clinical trial DOI:10.1093/ejo/cjw091 | 2017 | 1 other review | not stated | not extracted yet |
| Al-Ibrahim 2022 Leveling and alignment time and the periodontal status in patients with severe upper crowding treated by corticotomy-assisted… DOI:10.1016/j.ejwf.2021.09.002 | 2022 | this review only | not stated | not extracted yet |
| Charavet 2016 Localized Piezoelectric Alveolar Decortication for Orthodontic Treatment in Adults DOI:10.1177/0022034516645066 | 2016 | this review only | not stated | not extracted yet |
| Gibreal 2023 The efficacy and accuracy of 3D-guided orthodontic piezocision: a randomized controlled trial DOI:10.1186/s12903-023-02902-6 | 2023 | this review only | not stated | not extracted yet |
| Mehr 2013 matched by author and year (probable) | NR | this review only | not stated | not extracted yet |
| Strippoli 2019 Piezocorticision-assisted orthodontics: Efficiency, safety, and long-term evaluation of the inflammatory process DOI:10.1016/j.ajodo.2018.06.013 | 2019 | this review only | not stated | 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 | Shared studies | Jaccard |
|---|---|---|
| Assessing the efficacy and safety of minimally invasive surgical techniques in enhancing orthodontic tooth movement: A systematic review… (2026) | 4 | 0.07 |
Review question
| Element | Planned (methods) | Found (results) |
|---|---|---|
| Population | Adults over 17 years undergoing orthodontic treatment with crowded anterior teeth (Little irregularity index at least 5 mm) | Adults with anterior crowding (n=246) |
| Intervention | Piezocision-assisted corticotomy with conventional orthodontic treatment | Flapless piezocision with fixed appliances (n=114) |
| Comparison | Conventional orthodontic treatment without any acceleration method | Conventional orthodontic treatment (n=132) |
| Outcomes | Time to level and align crowded anterior teeth; secondary: pain or discomfort | Leveling and alignment duration (7 studies); overall treatment time (3 studies); pain (3 studies, not pooled) |
| Study designs | Randomized, non-randomized clinical trials and cohort studies | 8 RCTs and 1 non-randomized controlled trial (n=9) |
| Timing | Not specified | Follow-up until completion of alignment or of orthodontic treatment |