Nasser Amer R, Sultan Kinda, Hajeer Mohammad Y, Hamadah Omar
Department of Orthodontics, University of Damascus Faculty of Dentistry, Damascus, SYR.
Department of Oral Medicine, University of Damascus Faculty of Dentistry, Damascus, SYR.
Cureus. 2023 Feb 23;15(2):e35381. doi: 10.7759/cureus.35381. eCollection 2023 Feb.
BACKGROUND: Deep bite is a common characteristic of malocclusion, and many methods are used to treat it, including mini-implants used for the intrusion of the upper incisors. Orthodontically induced inflammatory root resorption (OIIRR) is an inevitable and unexpected side effect of orthodontic therapy. However, resorption of the root could be affected by the type of tooth movement, such as intrusion. Several studies have indicated the effectiveness of low-level laser therapy (LLLT) in accelerating orthodontic movement, but studies that have evaluated the role of this laser in reducing the risk of OIIRR have been limited. This trial aimed to investigate the effectiveness of LLLT in reducing the resorption of the roots of the upper incisors during their intrusion in the context of deep bite correction. MATERIALS AND METHODS: Thirty patients (13 males, 17 females; mean age 22.4±3.37 years) with deep overbite were recruited and allocated to the laser or the control groups. Mini-implants were inserted between the roots of the upper central incisors and the lateral incisors from the labial aspect at the gingival-mucosal junction on both sides with a force of 40 g on each side through an NiTi coil spring. A low-level laser (Ga-Al-As) with 808 nm wavelength in a continuous mode, with the parameters 250 milliwatt power output, 4 Joules/point energy density, and 16 seconds irradiation per point, was applied to the root of each of the upper incisors. The laser was applied on the first day of the upper incisor intrusion (T1), then on days 3, 7, and 14 of the first month. In the second month, the laser was applied every 15 days, adjusting the spring strength every four weeks until the end of the intrusion stage (T2), which was determined by reaching a normal overbite. As for patients in the control group, the strength of the nickel-titanium springs was adjusted every four weeks to the required strength of 40 g on each end until reaching a normal overbite. RESULTS: There was a volumetric decrease in both groups' upper central and lateral incisors roots, and this decrease was statistically significant (P<0.001). However, the difference between the two groups was not statistically significant in each central and lateral incisor volume root (P=0.345 and 0.263 for U1 and U2, respectively). Also, both groups had a linear decrease in upper central and lateral incisors roots, which was statistically significant (P<0.001). At the same time, the difference between the two groups was not statistically significant in each central and lateral incisor root length (P=0.343 and 0.461 for U1 and U2, respectively). CONCLUSION: The low-level laser irradiation using the current protocol did not significantly affect the amount of root resorption induced by incisor intrusion in the experimental group compared to the control group.
背景:深覆合是错颌畸形的常见特征,治疗方法多样,包括使用微型种植体压低上切牙。正畸诱导性炎性牙根吸收(OIIRR)是正畸治疗不可避免且意外出现的副作用。然而,牙根吸收可能受牙齿移动类型的影响,如压低。多项研究表明低强度激光疗法(LLLT)在加速正畸移动方面有效,但评估该激光在降低OIIRR风险中作用的研究有限。本试验旨在研究LLLT在深覆合矫治过程中压低上切牙时减少上切牙牙根吸收的有效性。 材料与方法:招募30例深覆合患者(男13例,女17例;平均年龄22.4±3.37岁),分为激光组和对照组。从唇侧牙龈黏膜交界处,在双侧上中切牙与侧切牙牙根之间植入微型种植体,通过镍钛螺旋弹簧每侧施加40g力。使用波长808nm的连续模式低强度激光(Ga-Al-As),参数为功率输出250毫瓦、能量密度4焦耳/点、每点照射16秒,照射每颗上切牙牙根。激光在上切牙压低第一天(T1)应用,然后在第一个月的第3、7和14天应用。在第二个月,每15天应用一次激光,每四周调整一次弹簧强度,直至压低阶段结束(T2),以达到正常覆合确定结束时间。对照组患者,每四周将镍钛弹簧强度调整至每端所需的40g强度,直至达到正常覆合。 结果:两组上中切牙和侧切牙牙根体积均减小,且减小具有统计学意义(P<0.001)。然而,两组间每颗中切牙和侧切牙牙根体积差异无统计学意义(U1和U2分别为P=0.345和0.263)。此外,两组上中切牙和侧切牙牙根长度均呈线性减小,具有统计学意义(P<0.001)。同时,两组间每颗中切牙和侧切牙牙根长度差异无统计学意义(U1和U2分别为P=0.343和0.461)。 结论:与对照组相比,采用当前方案的低强度激光照射对实验组上切牙压低诱导的牙根吸收量无显著影响。
Am J Orthod Dentofacial Orthop. 2023-3
Beijing Da Xue Xue Bao Yi Xue Ban. 2022-8-18
Korean J Orthod. 2021-3-25
Am J Orthod Dentofacial Orthop. 2020-9-16