Department of Orthodontics, Tianjin Stomatological Hospital, School of Medicine, Nankai University, Tianjin, China.
Department of Stomatology, Tianjin Medical University, Tianjin, China.
Photobiomodul Photomed Laser Surg. 2021 Aug;39(8):504-517. doi: 10.1089/photob.2021.0035. Epub 2021 Jul 29.
To assess the viability of photobiomodulation therapy (PBMT) in decreasing orthodontic-related pain after different orthodontic procedures. A computerized literature search was conducted within the MEDLINE, EMBASE, Scopus, Cochrane Library, Web of Science, CNKI, WanFang, VIP, and CBM databases to identify randomized controlled trials (RCTs), which used PBMT to relieve pain during orthodontic treatment. Particular inclusion and exclusion criteria were connected to recognize relevant articles. The information was extricated autonomously by two reviewers, and a quality assessment was carried out by utilizing the Cochrane Collaboration "risk of bias" tool. Meta-analysis was conducted with fixed- or random-effects models as suitable. Statistical heterogeneity was also examined. The RevMan 5.4 software was utilized for data analysis. Of 1024 recognized articles, 25 RCT were at long last included. Within the risk-of-bias assessments, 1 study displayed a high risk, 22 an unclear risk, and 2 a low risk. The meta-analysis appeared that in patients treated with photobiomodulation (PBM) versus control there was a distinction in support of PBMT in placement of elastomeric separators, canine retraction, and archwire placement during 1 week. PBMT demonstrated to be effective in advancing a reduction pain after elastomeric separators placement, canine retraction, and archwire placement within 1 week. In the future, more high-quality research with consistency in research design is needed for further evaluation.
评估光生物调节疗法(PBMT)在减少不同正畸治疗后相关疼痛的可行性。通过计算机检索 MEDLINE、EMBASE、Scopus、Cochrane 图书馆、Web of Science、CNKI、WanFang、VIP 和 CBM 数据库,以确定使用 PBMT 缓解正畸治疗期间疼痛的随机对照试验(RCT)。特定的纳入和排除标准与识别相关文章有关。信息由两名审阅者自主提取,并使用 Cochrane 协作“偏倚风险”工具进行质量评估。根据需要使用固定或随机效应模型进行荟萃分析。还检查了统计异质性。使用 RevMan 5.4 软件进行数据分析。在识别的 1024 篇文章中,最终纳入了 25 篇 RCT。在风险评估中,有 1 项研究显示高风险,22 项研究显示不确定风险,2 项研究显示低风险。荟萃分析表明,在使用光生物调节(PBM)治疗的患者与对照组之间,在放置弹性分离体、尖牙内收和弓丝放置的 1 周内,PBMT 具有支持作用。PBMT 在放置弹性分离体、尖牙内收和弓丝放置后的 1 周内有效减轻疼痛。未来,需要更多具有一致性研究设计的高质量研究来进一步评估。