An increasing number of adult patients have been seeking orthodontic treatment, and a short treatment time has been a recurring request. To meet their expectations, a number of surgical techniques have been developed to accelerate orthodontic tooth movement. However, some of these techniques have been found to be quite invasive, leading to low
acceptance in patients and the dental community. This topic review presents currently available surgical options that accelerate orthodontic tooth movement to treat dental maloclusions as well as facilitate multidisciplinary treatment. The introduction of an innovative, minimally invasive procedure (Piezocision™) that combining microincisions and localized piezoelectric decortication has proven quite useful in this regard as it has been well accepted by patients and dental practitioners.