Insufficient Evidence Supports the Use of Low-Level Laser Therapy to Accelerate Tooth Movement, Prevent Orthodontic Relapse, and Modulate Acute Pain During Orthodontic Treatment

2017 ◽  
Vol 17 (3) ◽  
pp. 262-264 ◽  
Author(s):  
Adrian Farsaii ◽  
Thikriat Al-Jewair
Author(s):  
Alain Manuel Alain Manuel Chaple Gil ◽  
Eduardo Fernández ◽  
Lisandra Quintana Muñoz

Introduction: according to scientific literature, does low-power laser promote acceleration of tooth movements during orthodontic treatment? Objective: to systematize the ability of the low-power laser to accelerate tooth movements during orthodontic treatment. Material and methods: a systematic review was carried out, a search using Boolean search engines on the PubMed platform. The keywords used for were: orthodontic movement, orthodontic tooth movement, orthodontic, orthodontic treatment, low level laser therapy, low level laser, laser therapy and the combination between them. The included investigations dealt with the issue of acceleration of tooth movement during orthodontic treatment using low-power laser, were from journals indexed in PubMed, clinical trials, in English, and corresponded to articles published since 2000 to date. Assessment of risk of bias was performed. The variables analyzed were: main author, title, year, type of article, journal, country of research, and whether the articles show that low-power laser increases tooth movement during orthodontic treatment. Results: 60% of the included studies conclude that the low-power laser accelerates tooth movement during orthodontic treatment, 30% of these did not find significant changes in relation to the groups studied with those of control and 10% resulted in dubious conclusions. Conclusions: although the results are encouraging due to the trend in which the low-power laser does accelerate orthodontic movements, the presence of a higher number of randomized clinical studies would be necessary for a specific clarification of the benefits that this therapy brings to the patient. sector.


2014 ◽  
Vol 32 (5) ◽  
pp. 302-309 ◽  
Author(s):  
Patricia Carvalho-Lobato ◽  
Valentin Javier Garcia ◽  
Khaled Kasem ◽  
Josep Maria Ustrell-Torrent ◽  
Victòria Tallón-Walton ◽  
...  

2020 ◽  
Vol 8 (1) ◽  
pp. 24 ◽  
Author(s):  
Carmelo Nicotra ◽  
Alessandro Polizzi ◽  
Graziano Zappalà ◽  
Alessandro Leonida ◽  
Francesco Indelicato ◽  
...  

Patients still refuse or discontinue orthodontic treatment due to related pain and discomfort. In this study, we investigate if low-level laser therapy (LLLT) can reduce pain caused by orthodontic bands. Sixty subjects who needed bands placed on the upper permanent first molars were assigned randomly to the LLLT group, placebo, and control groups. Inclusion criteria were: age range 10–14 years, fully erupted upper first molars in healthy condition, presence of tight mesial proximal contact. Exclusion criteria were: systemic or metabolic diseases, chronic pain or neurological or psychiatric disorders, use of pharmacological agents interfering with pain perception, previous orthodontic treatment or the simultaneous presence of other devices in the patient’s mouth. The assessment of pain was performed by using a numeric rating scale (NRS) considering different time intervals, i.e., immediately after bands placement, 6 h, 24 h, and from day 2 to day 5. Differences in the maximum pain and in pain experienced at each time-point, among the three groups, was assessed by using the Kruskal–Wallis H. The final sample included 56 patients, 29 males, and 27 females, with a mean age of 12.03 ± 1.3 years. Patients were randomly allocated into three groups (tested, control, and placebo group) with each group consisting respectively of 19, 20, and 17 individuals. Subjects in the LLLT experienced less pain at each time interval as well as the maximum pain score being lower in the LLLT compared to control and placebo groups. These findings were all statistically significant (p < 0.05). LLLT can alleviate the intensity of pain after the placement of orthodontic bands.


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