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ePaper created 2016-04-19, 11:44:05 | version 1.38.0
58 ortho 1 2016 products vibration therapy AcceleDent Aura—Vibration device for orthodontic treatment The most common concerns that prevent some patients from commencing orthodontic treatment are the length of treatment time and pain. Ortho- dontists and patients alike have found a solution to these treatment barriers with AcceleDent Aura, a prescription-only, Class II medical device em- ploying SoftPulse Technology, which has been proven to accelerate orthodontic treatment by as much as 50 per cent and reduce pain associated with treatment. AcceleDent has clearance in more than 40 countries and the body of research supporting its safety and efficacy continues to grow as more orthodontists and patients report positive results with this non-invasive, accelerat- ed-treatment technology. Medical literature has shown that the application of low-level pulsatile forces to bone can restore balance to the bone deposition and resorption cycle.1, 2 While their exact mechanisms of action arenotunderstood,medicaldevicesthattransmit micro-pulses have been shown to prevent bone breakdownandtoincreasebonedensityinanimal and human studies. Micro-pulse therapy contin- ues to be researched as a viable treatment option forpatientswithosteoporosisandbonefractures. Orthodontic tooth movement is the result of con- trolled manipulation of the bone deposition and resorption cycle using arch wires, springs, align- ers and other appliances to apply force to teeth, whichinturnalterstheenvironmentofthealveolar bone. Applying micro-pulse technology, such as that used in AcceleDent, in conjunction with orthodontic appliances has been clinically shown to accelerate this process. Published in the peer-reviewed Seminars in Orthodon- tics,thisprospective,double-blind,randomised, sham-controlled trial has demonstrated that gentle, non-invasive vibration, applied as an ad- junct to treatment for 20 minutes per day, signifi- cantly increases the rate of tooth movement.3 The AcceleDent Aura device incorporates an activator, which generates the micro-pulses, and a mouthpiece, which comes in large- and small- arch sizes. The patient turns on the activator and bites down on the mouthpiece for 20 minutes daily during the course of orthodontic treatment. Small and lightweight, AcceleDent is designed for hands-freeuseandisheldinplacesimplywithbite pressure.Thisenablespatientstoengageinother activities, such as reading, driving, watching television or using a computer, which provides some convenience for patients in scheduling the daily treatment. A second common barrier to orthodontic treat- ment is pain. As evidenced by a randomised con- trolled trial published in the peer-reviewed jour- nal Angle Orthodontist, micro-pulse vibration devices, such as AcceleDent, significantly lower orthodontic treatment pain scores for overall pain andbitingpain.4 Areductionindiscomfortishighly attractivetoorthodonticpatientsandlikelyaidsin compliancewiththedailyAcceleDentregimenand contributes to patient satisfaction. Dr Kenji Ojima has treated more than 400 aligner cases with AcceleDent, including complex ortho- dontic cases. The Journal of Clinical Orthodontics published the results of Ojima’s treatment of a 26-year-oldfemalepatientwhowasdiagnosedas a skeletal Class II with infra-labioversion of the maxillary canines and a steep mandibular plane angle. All four of the patient’s third molars were removed prior to aligner treatment. Ojima’s as- sessment of this patient called for the patient to change aligners every 14 days over 30 months; however, the patient was unwilling to undergo treatment for that length of time. To accelerate her treatment, Ojima prescribed AcceleDent with instructions to change aligners every five days, enabling the patient to complete treatment in 18 months while experiencing no discomfort.5 Faster orthodontic treatment resultshavealsobeendemon- stratedwithfixedappliances,as illustrated by Dr Sharon Orton-Gibbs. Reporting on the first extensive single-cen- tre treatment experience with delivery of pulsa- tile forces, Orton-Gibbs published the results of predicted and actual treatment times for 14 con- trol patients treated with fixed appliances and 14 AcceleDent patients treated with fixed appli- ances. As published in the Journal of Clinical Or- thodontics, Orton-Gibbs found that the Accele- Dent group completed treatment 33.5 per cent fasterthantheirpredictedtreatmenttimes,saving an average of 6.23 months of treatment time.6 Conclusion AcceleDent Aura enables orthodontists to re- move barriers to treatment and give patients what they want—faster orthodontic treatment with reduced discomfort—while achieving so- phisticated clinical results. The peer-reviewed evidence and clinical reports prove that Accele- Dent Aura accelerates orthodontic treatment by as much as 50 per cent and reduces pain. There are tens of thousands of AcceleDent patients across the world who, along with their orthodon- tists, have reported high satisfaction with their accelerated treatment. Editorial note: A complete list of references is avail- able from the publisher. OrthoAccel Technologies, Inc. 6575 West Loop South, Suite 200 Bellaire, TX 77401 USA www.acceledent.com 12016