There has been a lot of discussion in the last few years about shorter orthodontic treatment with a few new techniques. One was vibration. No true studies have shown this to be effective at shortening treatment time. There are many orthodontists who sell these products to their patients but it is still an unproven therapy. Another technique to shorten treatment time is to drill small perforations into the bone. This is a fairly non-invasive orthodontic technology designed to speed up treatment, without affecting patient safety or comfort. It works by stimulating the bone structure around teeth, helping them shift into their ideal position more quickly and easily. There needs to be more work done. Initially, it seemed to be a simple way to speed treatment and some early studies supported those claims. Recently, the studies have shown there may be an initial response but a very short duration. The one proven way to shorten treatment time and speed tooth movement is a fairly invasive technique where the tissue is reflected and cuts are made between the teeth into the cortical bone. We will have to see if the benefits outweigh the risks.