研究目的
To investigate the effect of low-level laser therapy (LLLT) on the amount of maxillary canine distalization when applied every 4 weeks over 12 weeks.
研究成果
No significant differences were noted in the rate of orthodontic tooth movement with applying LLLT every 4 weeks at 13 J per session. Although LLLT has been previously shown to enhance the rate and subsequent the amount of tooth movement in some studies that used more frequent applications, the clinically practical monthly LLLT applications used in this study were not able to elicit any increases in tooth movement during maxillary canine distalization for extraction space closure.
研究不足
The depth of laser penetration is determined by the patients' anatomical tissue characteristics, such as bone and gingival thickness. A distalization force of 150 g was applied to the canine and was monitored at each time point; however, gingival impingement of the coil or a small drop in force levels (< 20 g of force) was noted at some of these time points, and the coil was readjusted to 150 g of force. Currently, there are no definitive clinical guidelines for the optimum dosage or frequency for LLLT to increase the rate of tooth movement.
1:Experimental Design and Method Selection:
A triple-blind, split-mouth, randomized controlled trial was conducted to investigate the effect of LLLT on the rate of orthodontic tooth movement. LLLT was applied to 8 intraoral points on the buccal and palatal sides around the canine root for 10 seconds per point, on day 0, 28, and 56 with the control side receiving sham application.
2:Sample Selection and Data Sources:
Twenty-two adolescents and young adults requiring bilateral maxillary first premolar extractions were recruited. Alginate impressions were taken every 4 weeks on day 0, 28, 56, and
3:List of Experimental Equipment and Materials:
A GaAlAs diode laser with a mean wavelength of 808 nm, power of 0.20 W, and irradiance of 1.97 W/cm2 in continuous wave mode was used. Alginate impressions (Dentalfarm Australia Proprietary) and clinical measurements using digital calipers were taken.
4:20 W, and irradiance of 97 W/cm2 in continuous wave mode was used. Alginate impressions (Dentalfarm Australia Proprietary) and clinical measurements using digital calipers were taken.
Experimental Procedures and Operational Workflow:
4. Experimental Procedures and Operational Workflow: After extractions and leveling-alignment, canines were retracted using closed-coil nickel-titanium springs delivering 150 g of force. LLLT was applied at commencement of canine retraction on day 0 (T0), 28 (T1), and 56 (T2) immediately after spring activation.
5:Data Analysis Methods:
The amount of tooth movement, anchorage loss, and canine rotation were measured digitally. Linear regression modeling accounting for clustering within each patient was used to identify differences between LLLT and control sides.
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