Adjunctive therapies in orthodontics: a scoping systematic review

Abstract Background Orthodontic tooth movement (OTM) induces physiological and sometimes pathological inflammation in periodontal tissues. This review evaluates the effectiveness of low-level laser therapy (LLLT), vibrational therapy, and probiotics as adjunctive treatments for managing inflammation...

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Main Authors: Dana Salha, Kausar Fakhruddin, Samaranayake Lakshman, Victor Haruo Matsubara, Nabiha Remmani, Snigdha Pattanaik, Siew-Ging Gong
Format: Article
Language:English
Published: BMC 2025-04-01
Series:BMC Oral Health
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Online Access:https://doi.org/10.1186/s12903-025-05874-x
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author Dana Salha
Kausar Fakhruddin
Samaranayake Lakshman
Victor Haruo Matsubara
Nabiha Remmani
Snigdha Pattanaik
Siew-Ging Gong
author_facet Dana Salha
Kausar Fakhruddin
Samaranayake Lakshman
Victor Haruo Matsubara
Nabiha Remmani
Snigdha Pattanaik
Siew-Ging Gong
author_sort Dana Salha
collection DOAJ
description Abstract Background Orthodontic tooth movement (OTM) induces physiological and sometimes pathological inflammation in periodontal tissues. This review evaluates the effectiveness of low-level laser therapy (LLLT), vibrational therapy, and probiotics as adjunctive treatments for managing inflammation, pain, and the duration of OTM. Methods Medline via OVID, Cochrane, EMBASE, and Web of Science databases were utilized to identify randomized controlled trials (RCTs) published between January 1990 and November 2023. Studies were selected based on their evaluation of LLLT, vibrational therapy, and probiotics as adjuncts in fixed orthodontic treatment. Results LLLT shows promise in enhancing orthodontic tooth movement by accelerating tooth movement and potentially reducing pain. However, disparate study outcomes indicate a need for standardized application protocols. The efficacy of vibrational therapy as an adjunct in OTM remains inconclusive. Some studies in this regard indicate a significant acceleration in OTM but most did not. Probiotic therapy shows potential to improve oral microbiota balance and inflammation but requires more rigorous studies to determine its efficacy and optimal administration methods. Conclusion Future research should focus on establishing standardized guidelines and protocols to achieve consistent and reliable outcomes across these adjunctive therapies.
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publishDate 2025-04-01
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series BMC Oral Health
spelling doaj-art-35db1f972a4f454d8e1633793459dfe52025-08-20T02:27:06ZengBMCBMC Oral Health1472-68312025-04-0125112310.1186/s12903-025-05874-xAdjunctive therapies in orthodontics: a scoping systematic reviewDana Salha0Kausar Fakhruddin1Samaranayake Lakshman2Victor Haruo Matsubara3Nabiha Remmani4Snigdha Pattanaik5Siew-Ging Gong6Faculty of Dental Medicine, University of SharjahFaculty of Dental Medicine, University of SharjahDepartment of Oral Biosciences, University of Hong KongUWA Dental School, the University of Western AustraliaFaculty of Dental Medicine, University of SharjahFaculty of Dental Medicine, University of SharjahFaculty of Dentistry, University of TorontoAbstract Background Orthodontic tooth movement (OTM) induces physiological and sometimes pathological inflammation in periodontal tissues. This review evaluates the effectiveness of low-level laser therapy (LLLT), vibrational therapy, and probiotics as adjunctive treatments for managing inflammation, pain, and the duration of OTM. Methods Medline via OVID, Cochrane, EMBASE, and Web of Science databases were utilized to identify randomized controlled trials (RCTs) published between January 1990 and November 2023. Studies were selected based on their evaluation of LLLT, vibrational therapy, and probiotics as adjuncts in fixed orthodontic treatment. Results LLLT shows promise in enhancing orthodontic tooth movement by accelerating tooth movement and potentially reducing pain. However, disparate study outcomes indicate a need for standardized application protocols. The efficacy of vibrational therapy as an adjunct in OTM remains inconclusive. Some studies in this regard indicate a significant acceleration in OTM but most did not. Probiotic therapy shows potential to improve oral microbiota balance and inflammation but requires more rigorous studies to determine its efficacy and optimal administration methods. Conclusion Future research should focus on establishing standardized guidelines and protocols to achieve consistent and reliable outcomes across these adjunctive therapies.https://doi.org/10.1186/s12903-025-05874-xFixed orthodontic treatmentLow level laser therapyOrthodontic tooth movementProbioticsVibrational therapy
spellingShingle Dana Salha
Kausar Fakhruddin
Samaranayake Lakshman
Victor Haruo Matsubara
Nabiha Remmani
Snigdha Pattanaik
Siew-Ging Gong
Adjunctive therapies in orthodontics: a scoping systematic review
BMC Oral Health
Fixed orthodontic treatment
Low level laser therapy
Orthodontic tooth movement
Probiotics
Vibrational therapy
title Adjunctive therapies in orthodontics: a scoping systematic review
title_full Adjunctive therapies in orthodontics: a scoping systematic review
title_fullStr Adjunctive therapies in orthodontics: a scoping systematic review
title_full_unstemmed Adjunctive therapies in orthodontics: a scoping systematic review
title_short Adjunctive therapies in orthodontics: a scoping systematic review
title_sort adjunctive therapies in orthodontics a scoping systematic review
topic Fixed orthodontic treatment
Low level laser therapy
Orthodontic tooth movement
Probiotics
Vibrational therapy
url https://doi.org/10.1186/s12903-025-05874-x
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