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Ensayo controlado aleatorizado2019Financiación no declarada

Is Low-Level Laser Therapy an Effective Method to Alleviate Pain Induced by Active Orthodontic Alignment Archwire? A Randomized Clinical Trial

Lo Giudice A, Nucera R, Perillo L, Paiusco A, Caccianiga G

The journal of evidence-based dental practice · 23 citas

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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
2018-11-22 · J Evid Based Dent Pract · vol. 19 · número 1 · págs. 71–78
Editorial
Elsevier BV
Citado
44 citas · más que el 94% de estudios similares · 3.8× el promedio de su campo
Impacto
Entre el 10 % más citado de su campo
Referencias
33 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, orthodontic treatment, dental crowding, incisor crowding, analgesia
MeSH
humans, pain, orthodontic wires, research design, adolescent, adult, female, male, young adult, pain management, low-level light therapy

5 autores

  • Antonino Lo Giudice🇮🇹 · autor de correspondenciaUniversity of Messina; Azienda Ospedaliera Universitaria Policlinico "G. Martino"
  • Riccardo Nucera🇮🇹University of Messina
  • Letizia Perillo🇮🇹University of Campania "Luigi Vanvitelli"
  • Alessio Paiusco🇮🇹University of Milano-Bicocca
  • Gianluigi Caccianiga🇮🇹University of Milano-Bicocca

Resumen

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

Objective

The aim of this study is to assess if low-level laser therapy (LLLT) alleviates pain after the placement of orthodontic alignment archwire and if there could be a specific indication for the usage of LLLT according to the amount of dental crowding.

Materials and methods

Ninety subjects were included and randomly assigned to the tested group (orthodontic treatment and LLLT), placebo group (orthodontic treatment and simulated LLLT), and control group (orthodontic treatment only). Inclusion criteria are age between 13 and 30 years, completely erupted mandibular teeth, and lower crowding of ≥3 mm. Exclusion criteria are spaces or diastema in the lower arch, ectopic teeth, treatment plan including extractions or the use of auxiliary devices, and previous orthodontic treatment. Patients reported the pain experienced by using a numeric rating scale, ranging from 0 to 10, at specific time intervals, that is, 2 hours, 6 hours, 24 hours, and from day 2 to 7. Kruskal-Wallis H Test was used to assess differences in the maximum pain and pain experienced at each time interval among the three groups and in the maximum pain reported among subjects with different degree of crowding.

Results

The final sample consisted of 84 patients, 41 male and 43 female patients, with a mean age of 16.5 ± 2.8 years. The pain experienced at each time interval and the maximum pain score were significantly lower in the tested group, whereas no differences were found between control and placebo groups. Moreover, no differences were found in the pain experienced among subjects with mild, moderate, and severe incisor crowding in all groups.

Conclusions

LLLT is effective in alleviating the intensity and duration of pain experienced by patients after the engagement of alignment archwire. However, there is no specific indication for the usage of LLLT according to the amount of crowding.

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

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