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通过光生物调节实现牙齿移动加速和疼痛控制的当前方案。

Current protocol to achieve dental movement acceleration and pain control with Photo-biomodulation.

作者信息

Dominguez Angela

机构信息

Department of Orthodontics, Faculty of Dentistry, Benemerita Universidad Autónoma de Puebla, Zaragoza de Puebla Calle 4 Sur 104, Puebla, C.P. 72000, Mexico.

出版信息

World J Methodol. 2023 Dec 20;13(5):379-383. doi: 10.5662/wjm.v13.i5.379.

Abstract

When designing a study on dental movement acceleration or pain control during orthodontic treatment, it is crucial to consider effective parameters. The objective of this editorial is to compile the most effective parameters supported by evidence that should be considered in future studies to achieve complete parameter homogenization. The protocol currently recommended to homogenize the parameters and facilitate the development of further meta-analysis in terms of acceleration of movement and pain control in orthodontics is Wavelength: 810 nm, 2.2 J per surface, 0.1 W in continuous mode/0.1 W average power in a super-pulsed, sweeping movement, 1mm from the mucosa, 22 seconds along the vestibular surface and 22 seconds along the lingual surface, the recommended speed of movement is 2 mm/sec, 1 application during each orthodontic control, to achieve dental movement acceleration and repeat the dose at 24 h to ensure pain elimination. The energy density and power density will depend on the spot size used in the equipment and the distance from the mucosa. It will strengthen the evidence of photobiomodulation as the best therapy to accelerate tooth movement and at the same time control the pain produced by orthodontic treatments.

摘要

在设计关于正畸治疗期间牙齿移动加速或疼痛控制的研究时,考虑有效参数至关重要。本社论的目的是汇总有证据支持的最有效参数,这些参数应在未来研究中予以考虑,以实现参数的完全同质化。目前推荐的用于使正畸学中牙齿移动加速和疼痛控制方面的参数同质化并促进进一步荟萃分析发展的方案为:波长810纳米,每个表面2.2焦耳,连续模式下功率0.1瓦/超脉冲扫描模式下平均功率0.1瓦,距黏膜1毫米,沿前庭表面照射22秒,沿舌侧表面照射22秒,推荐移动速度为2毫米/秒,每次正畸复诊进行1次照射,以实现牙齿移动加速,并在24小时后重复剂量以确保消除疼痛。能量密度和功率密度将取决于设备中使用的光斑大小以及与黏膜的距离。这将加强光生物调节作为加速牙齿移动并同时控制正畸治疗产生的疼痛的最佳疗法的证据。

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