In reference to my fear of teeth moving too fast and causing root resorption, is Acceledent really safe?

Please find below my peer reviewed article published in the American Academy of Cosmetic Orthodontics.---------------------------------------------------------------------------This article has been Peer Reviewed



Product Review: AcceleDent

by Steven Davidowitz, DDS, FICOI



AcceleDent is a noninvasive Class II medical device
manufactured in the US by OrthoAccel Technologies (Houston, Tex.). The
instrument is FDA-cleared and promises to accelerate tooth movement by up to
50% during orthodontic treatment. I utilize the device on my Invisalign
patients from teenage cases through adult cases.



AcceleDent uses a unique “SoftPulse” technology to
deliver tiny vibrations that, when combined with orthodontic force, stimulate
the patient’s bone biology at a cellular level to rapidly accelerate bone
remodeling activity. The instrument is used strictly as a complement to
orthodontic treatment; many of my patients have reported that it provides
significant relief from the discomfort associated with orthodontic forces as
well.



AcceleDent is hands free and easy to use, and is
compatible with all forms of orthodontic treatment. The instrument does not
interfere with my treatment philosophy, treatment plan (other than possible
scheduling considerations caused by accelerated tooth movement), or appliances
in any way. AcceleDent simply complements my Invisalign work on a daily basis
and helps patients complete treatment significantly faster, with less
discomfort.



The prescription is single use per day, and it is recommended
that patients try to use the instrument at approximately the same time each
day. (This protocol supports optimized biologic response with each use, and also
assists patients in developing a habit of compliance.) Multiple uses per day
are not advised, and I cannot find literature on results beyond a single use
per day, as these have not been researched.



The instrument utilizes a mouthpiece to deliver the vibrations
during treatment. There are three different profiles of mouthpieces: Open Bite,
Deep Bite, and Flat Bite, in both large and small sizes (for a total of 6
mouthpiece options). A single mouthpiece is dispensed to the patient along with
the “patient kit” (base unit), and should typically last the duration of
treatment. The patient uses the instrument with his or her aligner in place, as
an orthodontic force on the teeth is needed for the stimulation to occur.



Clearly, patients are responsible for their participation
during the course of treatment. However, the patient’s performance in this
regard can be monitored using the data tracking feature built into the
instrument, which logs the number of uses during the treatment. The patient
compliance data can be accessed for review by connecting the USB port of the AcceleDent
to the doctor’s PC.



While there are numerous alternatives to achieve an acceleration of
orthodontic movement, but all other techniques (to my knowledge) involve some
form of invasive procedure. AcceleDent is noninvasive and delivers rapidly
accelerated tooth movement for my patients in a safe, convenient, and often
pain-relieving experience, in the comfort of their own homes at whatever time of
day is convenient to them. While
each Invisalign aligner is generally designed to be worn for 2 weeks, I find
that when patients use the AcceleDent modality, the time is often reduced to
just 7 days.



I do monitor my accelerated Invisalign cases more closely and more
frequently in order to assess proper
tracking. I have had the need, in cases that are not tracking well, to increase
the days a patient wears the aligners while using the AcceleDent.



Based on my experience, I can recommend the use of AcceleDent to
shorten the treatment time and reduce discomfort for the vast majority of Clear
Aligner patients.

Everything that I have heard is very positive. that being said, even though it has F.D.A. approval, only time will tell its ultimate success.

We are more likely to see root resorption in long orthodontic cases, not short ones.  I would not worry about root resorption in conjunction with Acelledent.  I have many patients who are using it with great success