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低强度激光疗法对犬牙内收过程中牙齿移动速率和疼痛感知的影响。

The effect of low level laser therapy on the rate of tooth movement and pain perception during canine retraction.

作者信息

Heravi Farzin, Moradi Amir, Ahrari Farzaneh

机构信息

Dental Research Center, School of Dentistry, Mashhad University of Medical Sciences, Vakilabad Boulevard, Mashhad, Iran, Tel: +98 511 8829502; Fax: +98 511 8829500; Mobile: +98-9151155802; e-mail:

出版信息

Oral Health Dent Manag. 2014 Jun;13(2):183-8.

Abstract

AIMS

This study investigated the effect of an 810 nm gallium-aluminum-arsenide (Ga-Al-As) laser on tooth movement velocity and pain perception during canine retraction in orthodontic patients.

METHODS

This single blind study included 20 patients requiring upper first premolar extraction on both sides. One half of the upper arch was irradiated with a GaAlAs laser (810 nm, 200 mW, 10 points, 21.4 J/cm2/point) and the other half served as the placebo group. Irradiation was performed just after loading canine retraction forces and on days 3, 7, 11 15 over the first month. At the 28th day, the coil spring was adjusted and the same protocol was continued. The extension of tooth movement and the degree of mesiodistal inclination of canines were measured on the study models prepared at 0, 28 and 56 days. The patients were also asked to bite on plastic blocks to examine the degree of pain perceived on canines at both sides.

RESULTS

There was no significant difference either in the speed of canine movement or in its degree of mesiodistal inclination between the laser and placebo sides. The pain perception did not differ significantly between the two groups at any of the treatment appointments.

CONCLUSION

Low level laser therapy (LLLT), with the parameter settings used in this study, did not affect canine movement velocity and its degree of mesiodistal inclination and did not influence pain perceived by the patients.

摘要

目的

本研究调查了810纳米砷化镓铝(Ga-Al-As)激光对正畸患者犬齿后移速度和疼痛感知的影响。

方法

这项单盲研究纳入了20例双侧均需拔除上颌第一前磨牙的患者。上颌牙弓的一半用GaAlAs激光(810纳米,200毫瓦,10个点,21.4焦/平方厘米/点)照射,另一半作为安慰剂组。在施加犬齿后移力后即刻以及第一个月内的第3、7、11、15天进行照射。在第28天,调整螺旋弹簧并继续相同方案。在第0、28和56天制备的研究模型上测量牙齿移动的伸展情况以及犬齿近远中倾斜度。还要求患者咬塑料块以检查双侧犬齿的疼痛感知程度。

结果

激光组和安慰剂组在犬齿移动速度或其近远中倾斜度方面均无显著差异。在任何一次治疗就诊时,两组之间的疼痛感知也无显著差异。

结论

本研究中使用的参数设置的低强度激光疗法(LLLT)不影响犬齿移动速度及其近远中倾斜度,也不影响患者的疼痛感知。

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