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低强度激光治疗正畸治疗中的牙齿移动:对人类和动物研究的系统评价

Tooth movement in orthodontic treatment with low-level laser therapy: a systematic review of human and animal studies.

作者信息

Carvalho-Lobato Patricia, Garcia Valentin Javier, Kasem Khaled, Ustrell-Torrent Josep Maria, Tallón-Walton Victòria, Manzanares-Céspedes Maria Cristina

机构信息

1 Human Anatomy and Embryology Unit, HUBc, University of Barcelona , Barcelona, Spain.

出版信息

Photomed Laser Surg. 2014 May;32(5):302-9. doi: 10.1089/pho.2012.3439. Epub 2014 Mar 14.

Abstract

OBJECTIVE

This review attempts to organize the existing published literature regarding tooth movement in orthodontic treatment when low-level laser therapy (LLLT) is applied.

BACKGROUND DATA

The literature discusses different methods that have been developed to motivate the remodeling and decrease the duration of orthodontic treatment. The application of LLLT has been introduced to favor the biomechanics of tooth movements. However there is disagreement between authors as to whether LLLT reduces orthodontic treatment time, and the parameters that are used vary.

MATERIALS AND METHODS

Studies in humans and animals in which LLLT was applied to increase the dental movement were reviewed. Three reviewers selected the articles. The resulting studies were analyzed according to the parameters used in the application of laser and existing changes clinically and histopathologically.

RESULTS

Out of 84 studies, 5 human studies were selected in which canine traction had been performed after removing a premolar, and 11 studies in rats were selected in which first premolar traction was realized. There were statistically significant changes in four human studies and eight animal studies.

CONCLUSIONS

Varying the wavelength with a reasonable dose in the target zone leads to obtaining the desired biological effect and achieving a reduction of the orthodontic treatment time, although there are studies that do not demonstrate any benefit according to their values.

摘要

目的

本综述旨在整理有关正畸治疗中应用低强度激光疗法(LLLT)时牙齿移动的现有已发表文献。

背景资料

文献讨论了为促进重塑和缩短正畸治疗时间而开发的不同方法。LLLT的应用已被引入以利于牙齿移动的生物力学。然而,关于LLLT是否能缩短正畸治疗时间,作者之间存在分歧,且所使用的参数各不相同。

材料与方法

对应用LLLT以增加牙齿移动的人类和动物研究进行综述。三名评审员挑选文章。根据激光应用中使用的参数以及临床和组织病理学上的现有变化对所得研究进行分析。

结果

在84项研究中,选择了5项人类研究,这些研究在拔除一颗前磨牙后进行了尖牙牵引,还选择了11项大鼠研究,这些研究实现了第一前磨牙牵引。四项人类研究和八项动物研究中有统计学上的显著变化。

结论

在目标区域以合理剂量改变波长会导致获得所需的生物学效应并缩短正畸治疗时间,尽管有研究根据其数值未显示出任何益处。

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