Elkattan Aya Ehab, Gheith Mostafa, Fayed Mona Salah, Yazeed M Abo El, Farrag Abdel-Razik H, Khalil Wagdy K B
Orthodontic and Pedodontic Department, National Research Centre, Cairo, Egypt.
Laser Application in Dental Science, Cairo University, Cairo, Egypt.
Open Access Maced J Med Sci. 2019 Feb 10;7(3):412-420. doi: 10.3889/oamjms.2019.089. eCollection 2019 Feb 15.
Recent studies have demonstrated that low-level laser therapy (LLLT) can accelerate orthodontic tooth movement. However, there is still controversy about the optimum parameters that can cause acceleration. The present study was designed to examine two different doses of LLLT in the acceleration of orthodontic tooth movement and their effect on relapse.
An orthodontic appliance was designed to induce tooth movement on lower incisors of rabbits. The in-al-as diode laser was used to radiate different groups of rabbits according to a specific protocol. The amount of tooth movement was measured for 21 days, and then the orthodontic appliance was removed, and the relapse was measured till day 28.
The amount of tooth movement was significantly greater in the group with irradiation of low dose in comparison with the high dose group and the control group. The relapse was greatest in the group of low dose irradiation and least in the control group.
The findings suggest that LLLT with a low dose accelerate the orthodontic tooth movement while LLLT with a high dose was not able to have the same effect. LLLT had a reverse effect on relapse tendency; an increase in the relapse tendency was seen with low dose irradiation.
近期研究表明,低强度激光疗法(LLLT)可加速正畸牙齿移动。然而,关于能导致加速的最佳参数仍存在争议。本研究旨在检测两种不同剂量的LLLT在加速正畸牙齿移动方面的效果及其对复发的影响。
设计一种正畸矫治器,用于诱导兔下切牙移动。采用铟铝砷二极管激光按照特定方案对不同组的兔子进行照射。测量21天内的牙齿移动量,然后移除正畸矫治器,测量直至第28天的复发情况。
与高剂量组和对照组相比,低剂量照射组的牙齿移动量明显更大。低剂量照射组的复发情况最严重,对照组的复发情况最轻。
研究结果表明,低剂量的LLLT可加速正畸牙齿移动,而高剂量的LLLT则无法产生相同效果。LLLT对复发倾向有相反的影响;低剂量照射会使复发倾向增加。