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Ensayo controlado aleatorizado2018

The effect of low-level laser therapy on orthodontically induced root resorption: a pilot double blind randomized controlled trial

Ng D, Chan AK, Papadopoulou AK, Dalci O, Petocz P, Darendeliler MA

European journal of orthodontics · 27 citas

Cómo se estudió

Diseño
Ensayo controlado aleatorizado (indexado por PubMed)
Estudiado en
Personas
Resultado principal
Eventos clínicos como enfermedad o muerte

Quién lo pagó

Financiación
Financiación independiente
Universidad u hospital
University of Sydney
Organización sin fines de lucro
Australian Society of Orthodontists Foundation for Research and Education
Organización sin fines de lucro
Australian Society of Orthodontist Foundation for Research and Education

Según 3 financiadores declarados.

Publicación

Publicado
2017-08-05 · Eur J Orthod · vol. 40 · número 3 · págs. 317–325
Editorial
Oxford University Press
Citado
43 citas · más que el 81% de estudios similares · 1.5× el promedio de su campo
Referencias
64 trabajos
Acceso
De pago
Áreas de investigación
Laser Applications in Dentistry and Medicine · Orthodontics and Dentofacial Orthopedics · Dental Trauma and Treatments
Palabras clave
low-level laser therapy, orthodontically induced root resorption, inflammatory root resorption, pulsed laser, continuous-wave laser, maxillary first premolar, orthodontic tooth extraction, adolescent patient, 808 nm diode laser, placebo laser, orthodontic tooth movement
MeSH
bicuspid, humans, root resorption, radiotherapy dosage, pilot projects, double-blind method, adolescent, female, male, low-level light therapy, tooth movement techniques

6 autores

  • Doreen Y. Ng🇦🇺 · autor de correspondenciaSydney South West Area Health Service; The University of Sydney; Sydney Dental Hospital
  • Ambrose Chan🇦🇺The University of Sydney
  • Alexandra K. Papadopoulou🇦🇺Sydney South West Area Health Service; The University of Sydney; Sydney Dental Hospital
  • Oyku Dalci🇦🇺Sydney South West Area Health Service; The University of Sydney; Sydney Dental Hospital
  • Peter Petocz🇦🇺Macquarie University
  • M. Ali Darendeliler🇦🇺Sydney South West Area Health Service; The University of Sydney; Sydney Dental Hospital

Resumen

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

Background

The effect of low-level laser therapy (LLLT) on accelerating orthodontic tooth movement has been extensively studied; however, there is limited knowledge on the use of LLLT on orthodontic root resorption.

Objective

To investigate the effect of LLLT on orthodontically induced inflammatory root resorption (OIIRR) and to compare the difference between pulsed and continuous LLLT on OIIRR.

Trial design

Double-blind, single-centre 3-arm parallel split-mouth randomized controlled trial.

Participants

Twenty adolescent patients who required bilateral maxillary first premolar (MFP) orthodontic extractions were recruited from the Sydney Dental Hospital between October 2014 and December 2014.

Intervention

All MFPs were tipped buccally for 28 days to induce OIIRR. The experimental premolars (n = 20) received LLLT and the control premolars (n = 20) received placebo-laser on days 0, 1, 2, 3, 7, 14, and 21. Ten experimental premolars received LLLT via continuous delivery and 10 received pulsed delivery.

Laser parameter

AlGaAs diode laser of 808 nm wavelength, 0.18 W power, 1.6 J per point, and duration of 9s for continuous mode and 4.5 s for pulsed mode.

Outcome

The difference in root resorption crater volume between LLLT and placebo-laser and continuous or pulsed laser delivery after 28 days.

Randomization

Randomization was computer-generated, with allocation concealment by opaque sequentially numbered sealed envelopes.

Blinding

The participants and operator were blinded.

Results

Eighty-eight patients were screened and 20 patients were randomized. Forty premolars were analysed. LLLT resulted in 23 per cent less root resorption compared to the placebo (P = 0.026). Pulsed laser delivery resulted in 5 per cent less root resorption than continuous; however, this was not statistically significant (P = 0.823). No harm was observed.

Conclusion

Teeth treated with LLLT had less total root resorption than placebo-laser. Furthermore, there was minimal difference between pulsed or continuous delivery of LLLT.

Trial registration

Clinical Trials Registry (ACTRN12616000829415).

Protocol

The protocol was not published before trial commencement.

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

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