Randomized controlled trial2016

Evaluation of the use of low-level laser therapy in pain control in orthodontic patients: A randomized split-mouth clinical trial

Farias RD, Closs LQ, Miguens SA

The Angle orthodontist · 49 citations

Review labels

Funding not disclosed

Neutral facts our review recorded about how this study was done. They describe method, never whether we like the result.

How it was studied

Design
Randomized controlled trial (indexed by PubMed)
Studied in
People
Main outcome
Health markers and function

Who paid for it

Funding
Funding not disclosed

Publication

Published
2015-07-01 · Angle Orthod · vol. 86 · issue 2 · pp. 193–198
Publisher
E.H Angle Education and Research Foundation
Cited
89 citations · more than 96% of similar papers · 5.5× the field average
Impact
Top 10% most cited in its field
References
36 works
Access
Open access (free to publish)
Research areas
Laser Applications in Dentistry and Medicine · Dental Anxiety and Anesthesia Techniques · Dental Erosion and Treatment
Keywords
Medicine, Dentistry, Visual analogue scale, Low level laser therapy, Randomized controlled trial, Placebo, Molar, Interdental consonant, Laser therapy, Gingival recession, Orthodontics, Anesthesia, Surgery, Laser
MeSH
mouth, humans, pain measurement, orthodontics, corrective, adolescent, adult, female, male, young adult, pain management, low-level light therapy, tooth movement techniques

3 authors

From BR

  • Rodrigo Duarte Farias · correspondingUniversidade Luterana do Brasil
  • Luciane Quadrado ClossUniversidade Luterana do Brasil
  • Sérgio Augusto Quevedo MiguensUniversidade Luterana do Brasil

Abstract

Objective

To evaluate the effect of using low-level laser therapy (LLLT) to control pain and discomfort during orthodontic treatment.

Materials and methods

A randomized, split-mouth clinical trial was conducted with 30 volunteers in need of orthodontic treatment, of both genders, aged between 18 and 40 years, who were randomly divided into two groups. One hemiarch was considered the exposed group (EG) and the other, the placebo group (PG). Both groups had elastic separators placed mesially and distally to the first molars of the two hemiarches at different times. The EG received an AIGaAs diode LLLT (810 nm, 100 mW, 2J/cm(2)) application for 15 seconds per point (interdental papilla at the mesial, distal, and near the root apex) immediately after separator placement on the maxillary right side. The PG also had elastics placed around the maxillary right molars, but received only simulated LLLT application. The elastics were left in place for 5 days, and after a waiting period of 1 week, they were inserted on the left side in both groups; however, the order of laser application was changed. While the separator remained in place, the patient marked his degree of perceived discomfort on a Visual Analog Scale (VAS) at 5 minutes (T0), 24 hours (T1), and 120 hours (T2), after LLLT application.

Results

A statistically significant difference was observed (P < .005) in reducing discomfort in the exposed group compared with the placebo group. This reduction of discomfort in the EG was observed at all time intervals.

Conclusions

A sincle AIGaAs diode LLLT application may be indicated for the control or reduction of pain in the early stages of orthodontic treatment.

Abstract via Europe PMC. Copyright remains with the authors or publisher.

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