Effectiveness of low frequency vibration on the rate of canine retraction:A randomized controlled clinical trial

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Abstract Objectives: To investigate the effectiveness of AcceleDent Aura vibrating device on rate of canine retraction. Materials and Methods: Thirty-two patients requiring extraction of upper first premolars and canine retraction were randomly allocated with a 1:1 ratio into either no-appliance group or the AcceleDent Aura appliance group. Canine retraction was done applying 150gm of retraction force using NiTi coil springs on 16*22 stainless steel archwires. The duration of the study was 4 months. Digital models were obtained directly after extraction of upper first premolars and at monthly intervals during canine retraction for recording the monthly as well as the total distance moved by the canine. Digitized models were superimposed on the initial model and data were statistically analyzed. Anchorage loss, rotation, tipping, torque and root condition were evaluated using cone beam computed tomography imaging. Pain was evaluated by visual analog scale. Results: No patients were dropped-out during this study. There was no statistically significant difference between both groups regarding the total distance travelled by the canine (P=0.436), as well as the rate of canine retraction per month (P=0.17). Regarding the pain level, there was no statistically significant difference between the two groups at day 0 (P=0.721), after 24 hrs.(P=0.882), after 72 hrs. (P=0.378) and after 7 days(P=0.964). Conclusion: AcceleDent Aura was not able to accelerate orthodontic tooth movement. Pain level couldn’t be reduced by vibrational force with an AcceleDent device during orthodontic treatment. Root condition was not affected by the vibrational forces.

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