Han Kwang Heung, Park Jae Hyun, Bayome Mohamed, Jeon In-Seong, Lee Won, Kook Yoon-Ah
Private Practitioner, Former Graduate Student, Graduate School of Clinical Dental Science, The Catholic University of Korea, Seoul, Korea.
Associate Professor and Chair, Postgraduate Orthodontic Program, Arizona School of Dentistry & Oral Health, A.T. Still University, Mesa, AZ; and Adjunct Professor, the Graduate School of Dentistry, Kyung Hee University, Seoul, Korea.
J Oral Maxillofac Surg. 2014 Jun;72(6):1182.e1-12. doi: 10.1016/j.joms.2014.02.028. Epub 2014 Feb 25.
The purposes of the present study were to evaluate the effects of frequent applications of low-level laser therapy (LLLT) on corticotomy-assisted tooth movement in a beagle dog model and to compare the effects in the mandible and maxilla.
In 4 male beagles, the maxillary and mandibular second premolars were extracted. The third premolars were corticotomized and then protracted from the canines with a continuous force of 200 g. Daily LLLT (using an aluminum gallium indium phosphide [AlGaInP] diode) was applied at the buccal mucosa of the corticotomized premolars on 1 side only. The tooth movement was measured for 8 weeks. Fluorochromes were injected intravenously at the start of the experiment (T0) and after 2 (T2), 4 (T4), and 8 (T8) weeks to evaluate new bone formation on the tension sides. Histomorphometric and immunohistologic evaluations were performed.
In the mandible, the movement of the corticotomized premolars in the LLLT plus corticotomy group was less than that in the corticotomy-only group, although the difference was not statistically significant. In the maxilla, no significant differences between the 2 groups were found. Osteoclastic and proliferating cell activities and the amount of new bone formation were greater in the mandibular LLLT plus corticotomy group than in the corticotomy-only group.
The frequent application of LLLT showed no significant effect on the corticotomized tooth movement.
本研究的目的是评估在比格犬模型中频繁应用低强度激光治疗(LLLT)对皮质切开辅助牙齿移动的影响,并比较在下颌骨和上颌骨中的效果。
在4只雄性比格犬中,拔除上颌和下颌第二前磨牙。对第三前磨牙进行皮质切开,然后以200 g的持续力从犬齿处牵引。仅在一侧皮质切开的前磨牙颊侧黏膜处每日应用LLLT(使用磷化铝镓铟[AlGaInP]二极管)。测量牙齿移动8周。在实验开始时(T0)以及2周(T2)、4周(T4)和8周(T8)后静脉注射荧光染料,以评估张力侧的新骨形成。进行了组织形态计量学和免疫组织学评估。
在下颌骨中,LLLT加皮质切开组中皮质切开的前磨牙移动小于仅皮质切开组,尽管差异无统计学意义。在上颌骨中,两组之间未发现显著差异。下颌LLLT加皮质切开组的破骨细胞和增殖细胞活性以及新骨形成量均高于仅皮质切开组。
频繁应用LLLT对皮质切开后的牙齿移动无显著影响。