Effect of low-level laser therapy on orthodontic pain caused by canine retraction force
-
Fatemeh Sadat Shayegh
,
Gholamreza Eslami
,
Seyed Reza Rasuli
,
Hasan Ali Gafari
,
Seyed Shojaedin Shayegh
,
Seyed Mohammad Reza Hakimaneh
Abstract
Introduction: The purpose of this study was to determine the effect of low-level laser therapy on orthodontic pain after the first canine retraction force. Materials and Methods: This single-blind split-mouth placebo-controlled randomized clinical trial was performed in 30 orthodontic patients requiring bilateral canine retraction in Shahed University. Once canine retraction was initiated, a single dose of diode laser radiation (660nm, 80MW, and 3.8 J/cm2 density, diameter of the optical fiber tip: 0/45cm2) was administered to a randomly selected maxillary or mandibular quarter for 30s. The other quarter served as the placebo side and was treated using the same device without turning on the laser. On the first, second, fourth, and seventh days, the patients rated the pain they experienced on each side at home by using visual analog scale-based questionnaires. Changes in pain were analyzed using non-parametric analysiswith SPSS software. Results: In patients who experienced pain, a significant pain reduction was notedon the first and fourth days after low-level laser therapy on the experimental side compared to that on the placebo side (P<0.05).Conclusion: A single dose of diodelaser therapy (660nm) can be an efficient modality to reduce the orthodontic pain associated with canine retraction. Keywords: Canine retraction; Diode laser; Laser irradiation; Low-level laser therapy (LLLT); Orthodontic pain; Visual analog scale (VAS).
[1] Krishnan, V., Orthodontic pain: from causes to management—a review. The European Journal of Orthodontics, 2007. 29(2): p. 170-179.
[2] Johal, A., P. Fleming, and F. Al Jawad, A prospective longitudinal controlled assessment of pain experience and oral health‐related quality of life in adolescents undergoing fixed appliance treatment. Orthodontics & craniofacial research, 2014. 17(3): p. 178-186.
[3] Lew, K.K., Attitudes and perceptions of adults towards orthodontic treatment in an Asian community. Community dentistry and oral epidemiology, 1993. 21(1): p. 31-35.
[4] Scheurer, P.A., A.R. Firestone, and W.B. Burgin, Perception of pain as a result of orthodontic treatment with fixed appliances. The European Journal of Orthodontics, 1996. 18(1): p. 349-357.
[5] Wilson, S., P. Ngan, and B. Kess, Time course of the discomfort in young patients undergoing orthodontic treatment. Pediatric dentistry, 1989. 11(2): p. 107-110.
[6] Kim, W.T., et al., Effect of frequent laser irradiation on orthodontic pain: a single-blind randomized clinical trial. The Angle Orthodontist, 2012. 83(4): p. 611-616.
[7] Wang, J., et al., The correlations between health-related quality of life changes and pain and anxiety in orthodontic patients in the initial stage of treatment. BioMed research international, 2015. 2015.
[8] Marković, E., et al., The correlation between pain perception among patients with six different orthodontic archwires and the degree of dental crowding. Srpski arhiv za celokupno lekarstvo, 2015. 143(3/4): p. 134-140.
[9] Barbosa, K.G.N., et al., Analgesia during orthodontic treatment with low intensity laser: systematic review. Rev Dor, 2013. 14(2): p. 137-141.
[10] Nobrega, C., E.M.K. da Silva, and C.R. de Macedo, Low-level laser therapy for treatment of pain associated with orthodontic elastomeric separator placement: a placebo-controlled randomized double- blind clinical trial. Photomedicine and lase surgery, 2013. 31(1): p. 10-16.
[11] Fujiyama, K., et al., Clinical effect of CO2 laser in reducing pain in orthodontics. The Angle Orthodontist, 2008. 78(2): p. 299-303.
[12] Deana, N.F., et al., Effectiveness of low-level laser therapy in reducing orthodontic pain: a systematic review and meta-analysis. Pain Research and
Management, 2017. 2017.
[13] Rakhshan, H. and V. Rakhshan, Pain and discomfort perceived during the initial stage of active fixed orthodontic treatment. The Saudi dental journal, 2015. 27(2): p. 81-87.
[14] Bicakci, A.A., et al., Efficiency of low-level laser therapy in reducing pain induced by orthodontic forces. Photomedicine and laser surgery, 2012. 30(8): p. 460-465.
[15] Esper, M.A.L.R., R.A. Nicolau, and E.A.L.S. Arisawa, The effect of two phototherapy protocols on pain control in orthodontic procedure—a preliminary clinical study. Lasers in medical science, 2011. 26(5): p. 657-663.
[16] Angelieri, F., et al., Effects of low intensity laser on pain sensitivity during orthodontic movement. Dental Press Journal of Orthodontics, 2011. 16(4): p. 95-102.
[17] Abtahi, S.M., et al., Effect of low-level laser therapy on dental pain induced by separator force in orthodontic treatment. Dental research journal, 2013. 10(5): p. 647.
[18] Almallah, M.M., W.H. Almahdi, and M.Y. Hajeer, Evaluation of low level laser therapy on pain perception following orthodontic elastomeric separation: a randomized controlled trial. Journal of clinical and diagnostic research: JCDR, 2016. 10(11): p. ZC23.
[19] Sobouti, F., et al., Effect of single-dose low-level helium-neon laser irradiation on orthodontic pain: a split-mouth single-blind placebo-controlled randomized clinical trial. Progress in orthodontics, 2015. 16(1): p. 32.
[20]Ozdemir, F., M. Tozlu, and D. Germec Cakan, Quantitative evaluation of alveolar cortical bone density in adults with different vertical facial types using cone-beam computed tomography. The Korean Journal of Orthodontics, 2014. 44(1): p. 36- 43.
[21] Ren, C., C. McGrath, and Y. Yang, The effectiveness of low-level diode laser therapy on orthodontic pain management: a systematic review and meta- analysis. Lasers in medical science, 2015. 30(7): p. 1881-1893.
[22] Sobouti, F., et al., Effects of laser-assisted cosmetic smile lift gingivectomy on postoperative bleeding and pain in fixed orthodontic patients: a controlled clinical trial. Progress in orthodontics, 2014. 15(1): p. 66.
[23] Silveira, P.C.L., et al., Effects of low-power laser irradiation
(LPLI) at different wavelengths and doses on oxidative stress and fibrogenesis parameters in an animal model of wound healing. Lasers in medical science, 2011. 26(1): p. 125-131.
[24] Ferrante, M., et al., Effect of low-level laser therapy after extraction of impacted lower third molars. Lasers in medical science, 2013. 28(3): p. 845-849.
[25] Doshi-Mehta, G. and W.A. Bhad-Patil, Efficacy of low-intensity laser therapy in reducing treatment time and orthodontic pain: a clinical investigation. American Journal of Orthodontics and Dentofacial Orthopedics, 2012. 141(3): p. 289-297.
[26] Matys, J., et al., Photobiomodulation by a 635nm diode laser on peri-implant bone: primary and secondary stability and bone density analysis—a randomized clinical trial. BioMed research international, 2019. 2019.
[27] Eslamian, L., et al., The effect of 810-nm low-level laser therapy on pain caused by orthodontic elastomeric separators. Lasers in medical science, 2014. 29(2): p. 559-564.
[28] Tortamano, A., et al., Low-level laser therapy for pain caused by placement of the first orthodontic archwire: a randomized clinical trial. American Journal of Orthodontics and Dentofacial Orthopedics, 2009. 136(5): p. 662-667.
[29] Heravi, F., A. Moradi, and F. Ahrari, The effect of low level laser therapy on the rate of tooth movement and pain perception during canine retraction. Oral Health Dent Manag, 2014. 13(2): p. 183-188.
[30] Ertan Erdinc, A.M. and B. Dincer, Perception of pain during orthodontic treatment with fixed appliances. The European Journal of Orthodontics, 2004. 26(1): p. 79-85.
[31] Bergius, M., U. Berggren, and S. Kiliaridis, Experience of pain during an orthodontic procedure. European journal of oral sciences, 2002. 110(2): p. 92-98.
[32] Xiaoting, L., T. Yin, and C. Yangxi, Interventions for pain during fixed orthodontic appliance therapy: A systematic review. The Angle Orthodontist, 2010. 80(5): p. 925-932.
[33] Dalaie, K., et al., Effect of low-level laser therapy on orthodontic tooth movement: a clinical investigation. Journal of dentistry (Tehran, Iran), 2015. 12(4): p. 249.
[34] AlSayed Hasan, M.M.A., K. Sultan, and O. Hamadah, Evaluating low-level laser therapy effect on reducing orthodontic pain using two laser energy values: a split-mouth randomized placebo-controlled trial. European journal of orthodontics, 2017. 40(1): p. 23-28.
[35]Qamruddin, I., et al., Effects of low-level laser irradiation on the rate of orthodontic tooth movement and associated pain with self-ligating brackets. American Journal of Orthodontics and Dentofacial Orthopedics, 2017. 152(5): p. 622-630.
[2] Johal, A., P. Fleming, and F. Al Jawad, A prospective longitudinal controlled assessment of pain experience and oral health‐related quality of life in adolescents undergoing fixed appliance treatment. Orthodontics & craniofacial research, 2014. 17(3): p. 178-186.
[3] Lew, K.K., Attitudes and perceptions of adults towards orthodontic treatment in an Asian community. Community dentistry and oral epidemiology, 1993. 21(1): p. 31-35.
[4] Scheurer, P.A., A.R. Firestone, and W.B. Burgin, Perception of pain as a result of orthodontic treatment with fixed appliances. The European Journal of Orthodontics, 1996. 18(1): p. 349-357.
[5] Wilson, S., P. Ngan, and B. Kess, Time course of the discomfort in young patients undergoing orthodontic treatment. Pediatric dentistry, 1989. 11(2): p. 107-110.
[6] Kim, W.T., et al., Effect of frequent laser irradiation on orthodontic pain: a single-blind randomized clinical trial. The Angle Orthodontist, 2012. 83(4): p. 611-616.
[7] Wang, J., et al., The correlations between health-related quality of life changes and pain and anxiety in orthodontic patients in the initial stage of treatment. BioMed research international, 2015. 2015.
[8] Marković, E., et al., The correlation between pain perception among patients with six different orthodontic archwires and the degree of dental crowding. Srpski arhiv za celokupno lekarstvo, 2015. 143(3/4): p. 134-140.
[9] Barbosa, K.G.N., et al., Analgesia during orthodontic treatment with low intensity laser: systematic review. Rev Dor, 2013. 14(2): p. 137-141.
[10] Nobrega, C., E.M.K. da Silva, and C.R. de Macedo, Low-level laser therapy for treatment of pain associated with orthodontic elastomeric separator placement: a placebo-controlled randomized double- blind clinical trial. Photomedicine and lase surgery, 2013. 31(1): p. 10-16.
[11] Fujiyama, K., et al., Clinical effect of CO2 laser in reducing pain in orthodontics. The Angle Orthodontist, 2008. 78(2): p. 299-303.
[12] Deana, N.F., et al., Effectiveness of low-level laser therapy in reducing orthodontic pain: a systematic review and meta-analysis. Pain Research and
Management, 2017. 2017.
[13] Rakhshan, H. and V. Rakhshan, Pain and discomfort perceived during the initial stage of active fixed orthodontic treatment. The Saudi dental journal, 2015. 27(2): p. 81-87.
[14] Bicakci, A.A., et al., Efficiency of low-level laser therapy in reducing pain induced by orthodontic forces. Photomedicine and laser surgery, 2012. 30(8): p. 460-465.
[15] Esper, M.A.L.R., R.A. Nicolau, and E.A.L.S. Arisawa, The effect of two phototherapy protocols on pain control in orthodontic procedure—a preliminary clinical study. Lasers in medical science, 2011. 26(5): p. 657-663.
[16] Angelieri, F., et al., Effects of low intensity laser on pain sensitivity during orthodontic movement. Dental Press Journal of Orthodontics, 2011. 16(4): p. 95-102.
[17] Abtahi, S.M., et al., Effect of low-level laser therapy on dental pain induced by separator force in orthodontic treatment. Dental research journal, 2013. 10(5): p. 647.
[18] Almallah, M.M., W.H. Almahdi, and M.Y. Hajeer, Evaluation of low level laser therapy on pain perception following orthodontic elastomeric separation: a randomized controlled trial. Journal of clinical and diagnostic research: JCDR, 2016. 10(11): p. ZC23.
[19] Sobouti, F., et al., Effect of single-dose low-level helium-neon laser irradiation on orthodontic pain: a split-mouth single-blind placebo-controlled randomized clinical trial. Progress in orthodontics, 2015. 16(1): p. 32.
[20]Ozdemir, F., M. Tozlu, and D. Germec Cakan, Quantitative evaluation of alveolar cortical bone density in adults with different vertical facial types using cone-beam computed tomography. The Korean Journal of Orthodontics, 2014. 44(1): p. 36- 43.
[21] Ren, C., C. McGrath, and Y. Yang, The effectiveness of low-level diode laser therapy on orthodontic pain management: a systematic review and meta- analysis. Lasers in medical science, 2015. 30(7): p. 1881-1893.
[22] Sobouti, F., et al., Effects of laser-assisted cosmetic smile lift gingivectomy on postoperative bleeding and pain in fixed orthodontic patients: a controlled clinical trial. Progress in orthodontics, 2014. 15(1): p. 66.
[23] Silveira, P.C.L., et al., Effects of low-power laser irradiation
(LPLI) at different wavelengths and doses on oxidative stress and fibrogenesis parameters in an animal model of wound healing. Lasers in medical science, 2011. 26(1): p. 125-131.
[24] Ferrante, M., et al., Effect of low-level laser therapy after extraction of impacted lower third molars. Lasers in medical science, 2013. 28(3): p. 845-849.
[25] Doshi-Mehta, G. and W.A. Bhad-Patil, Efficacy of low-intensity laser therapy in reducing treatment time and orthodontic pain: a clinical investigation. American Journal of Orthodontics and Dentofacial Orthopedics, 2012. 141(3): p. 289-297.
[26] Matys, J., et al., Photobiomodulation by a 635nm diode laser on peri-implant bone: primary and secondary stability and bone density analysis—a randomized clinical trial. BioMed research international, 2019. 2019.
[27] Eslamian, L., et al., The effect of 810-nm low-level laser therapy on pain caused by orthodontic elastomeric separators. Lasers in medical science, 2014. 29(2): p. 559-564.
[28] Tortamano, A., et al., Low-level laser therapy for pain caused by placement of the first orthodontic archwire: a randomized clinical trial. American Journal of Orthodontics and Dentofacial Orthopedics, 2009. 136(5): p. 662-667.
[29] Heravi, F., A. Moradi, and F. Ahrari, The effect of low level laser therapy on the rate of tooth movement and pain perception during canine retraction. Oral Health Dent Manag, 2014. 13(2): p. 183-188.
[30] Ertan Erdinc, A.M. and B. Dincer, Perception of pain during orthodontic treatment with fixed appliances. The European Journal of Orthodontics, 2004. 26(1): p. 79-85.
[31] Bergius, M., U. Berggren, and S. Kiliaridis, Experience of pain during an orthodontic procedure. European journal of oral sciences, 2002. 110(2): p. 92-98.
[32] Xiaoting, L., T. Yin, and C. Yangxi, Interventions for pain during fixed orthodontic appliance therapy: A systematic review. The Angle Orthodontist, 2010. 80(5): p. 925-932.
[33] Dalaie, K., et al., Effect of low-level laser therapy on orthodontic tooth movement: a clinical investigation. Journal of dentistry (Tehran, Iran), 2015. 12(4): p. 249.
[34] AlSayed Hasan, M.M.A., K. Sultan, and O. Hamadah, Evaluating low-level laser therapy effect on reducing orthodontic pain using two laser energy values: a split-mouth randomized placebo-controlled trial. European journal of orthodontics, 2017. 40(1): p. 23-28.
[35]Qamruddin, I., et al., Effects of low-level laser irradiation on the rate of orthodontic tooth movement and associated pain with self-ligating brackets. American Journal of Orthodontics and Dentofacial Orthopedics, 2017. 152(5): p. 622-630.
| Files | ||
| Issue | Vol 6, No 3 (Summer 2019) | |
| Section | Original Article(s) | |
| DOI | https://doi.org/10.18502/jcr.v6i3.3254 | |
| Keywords | ||
| Canine retraction Diode laser Laser irradiation Low-level laser therapy (LLLT) Visual analog scale (VAS). Orthodontic pain | ||
| Rights and permissions | |
|
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Shayegh FS, Eslami G, Rasuli SR, Gafari HA, Shayegh SS, Hakimaneh SMR. Effect of low-level laser therapy on orthodontic pain caused by canine retraction force. J Craniomaxillofac Res. 2020;6(3):107-112.
