A large review looked at sixteen different studies to see if a small surgical step helps braces work better. This extra step is called micro-osteoperforation. It involves making tiny holes in the jawbone to help teeth move.
Patients who got this extra step moved their teeth about two-thirds of a millimeter more than those who did not. When doctors made several tiny holes, teeth moved even faster. This helps finish orthodontic treatment sooner for many people.
Safety checks showed that roots did not get damaged in a way that matters. The bone holding teeth in place stayed strong. Some swelling and pain happened right after the small surgery, but it went away quickly. Gum health stayed mostly normal with only very minor changes.
Doctors say this method works well for many patients. However, the best way to do it is not fully known yet. More research is needed to find the perfect number and size of holes. Patients should talk to their doctor about their specific needs before trying this.