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Low-level laser therapy for treatment of pain associated with orthodontic elastomeric separator placement: a placebo-controlled randomized double-blind clinical trial

Nóbrega C, da Silva EM, de Macedo CR

Photomedicine and laser surgery · 49 citas

Etiquetas de revisión

Financiación no declarada

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Cómo se estudió

Diseño
Ensayo controlado aleatorizado (indexado por PubMed)
Estudiado en
Personas
Resultado principal
Marcadores de salud y funcionamiento

Quién lo pagó

Financiación
Financiación no declarada

Publicación

Publicado
2012-11-15 · Photomed Laser Surg · vol. 31 · número 1 · págs. 10–16
Editorial
Mary Ann Liebert, Inc.
Citado
81 citas · más que el 90% de estudios similares · 2.9× el promedio de su campo
Referencias
30 trabajos
Acceso
De pago
Áreas de investigación
Laser Applications in Dentistry and Medicine · Orthodontics and Dentofacial Orthopedics · Temporomandibular Joint Disorders
Palabras clave
low-level laser therapy, orthodontic pain, elastomeric separators, orthodontic appliances, pain management
MeSH
humans, pain, elastomers, pain measurement, double-blind method, orthodontic appliances, adolescent, adult, child, female, male, young adult, low-level light therapy, tooth movement techniques

3 autores

  • Celestino Nóbrega🇧🇷 · autor de correspondenciaUniversidade Federal de São Paulo
  • Edina Mariko Koga da Silva🇧🇷Universidade Federal de São Paulo
  • Cristiane Rufino Macedo🇧🇷🇨🇦🇬🇧Cochrane; Cochrane; Cochrane

Resumen

El texto original del estudio, en el idioma en que se publicó.

Objective

The objective of this study was to evaluate the effectiveness of the use of irradiation with a low-level laser therapy (LLLT), wavelength 830 nm, for treating pain inherent to tooth movement caused by orthodontic devices, simulated by positioning interdental elastomeric separators.

Methods

Sixty orthodontic patients were randomly assigned to two groups: GA (ages 12-25 years; mean 17.1 years) was the control, and GB (ages 12-26 years; mean 17.9 years) the intervention group. All patients received elastomeric separators on the mesial and distal surfaces of one of the lower first molars, and immediately after insertion of the separators received irradiation as randomly indicated. The intervention group (GB) received irradiation with LLLT (aluminum gallium arsenide diode), by a single spot in the region of the radicular apex at a dose of 2 J/cm(2) and application along the radicular axis of the buccal surface with three spots of 1 J/cm(2) (wavelength 830 nm; infrared). Control group (GA) received irradiation with a placebo light in the same way. This was a double-blind study. All the patients received a questionnaire to be filled out at home describing their levels of pain 2, 6, and 24 h and 3 and 5 days after orthodontic separator placement, in situations of relaxed and occluded mouth.

Results

The patients in the intervention group (LLLT) had lower mean pain scores in all the measures. The incidence of complete absence of pain (score=0) was significantly higher the intervention group.

Conclusions

Based on this study, authors concluded that single irradiation with LLLT of wavelength 830 nm efficiently controlled the pain originating from positioning interdental elastomeric separators, to reproduce the painful sensation experienced by patients when fixed orthodontic devices are used.

Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial.

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