Effectiveness of photobiomodulation with low-level lasers on the acceleration of orthodontic tooth movement: a systematic review and meta-analysis of split-mouth randomised clinical trials
Grajales M, Ríos-Osorio N, Jimenez-Peña O, Mendez-Sanchez J, Sanchez-Fajardo K, García-Perdomo HA
Lasers in medical science · 18 citas
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Cómo se estudió
- Diseño
- Metaanálisis (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Marcadores de salud y funcionamiento
Quién lo pagó
- Financiación
- Financiación no declarada
Publicación
- Publicado
- 2023-09-04 · Lasers Med Sci · vol. 38 · número 1 · pág. 200
- Editorial
- Springer Science+Business Media
- Citado
- 24 citas · más que el 82% de estudios similares · 1.9× el promedio de su campo
- Referencias
- 55 trabajos
- Acceso
- De pago
- Áreas de investigación
- Orthodontics and Dentofacial Orthopedics · Laser Applications in Dentistry and Medicine · Dental Trauma and Treatments
- Palabras clave
- low-level laser therapy, orthodontic tooth movement, canine retraction, laser wavelength, energy density, treatment acceleration, orthodontic treatment
- MeSH
- treatment outcome, acceleration, randomized controlled trials as topic, low-level light therapy, tooth movement techniques
6 autores
- Marggie Grajales🇪🇸Universitat de Barcelona
- Néstor Ríos-Osorio🇨🇴 · autor de correspondenciaInstitución Universitaria Colegios de Colombia
- Oscar Mauricio Jiménez–Peña🇨🇴Institución Universitaria Colegios de Colombia
- Juan Mendez-Sanchez🇨🇴Institución Universitaria Colegios de Colombia
- Kelly Sanchez-Fajardo🇨🇴Universidad El Bosque
- Herney Andrés García‐Perdomo🇨🇴Universidad del Valle
Resumen
El texto original del estudio, en el idioma en que se publicó.
Although several studies have evaluated the effect of low-level laser therapy (LLLT) on orthodontic movement acceleration, results are still inconsistent. Such inconsistencies may be attributed to the differences in the LLLT application protocols, especially in terms of wavelength ranges. Objective: (i) to assess the clinical effects of LLLT on the acceleration of orthodontic movement and (ii) to establish the most effective LLLT wavelength to accelerate tooth movement during orthodontic treatments. MEDLINE (PubMed), Scopus, ScienceDirect, and LILACS were searched from inception to October 2022. Inclusion criteria: Split-mouth randomised clinical trials (RCTs) on systemically healthy patients reporting the effect of LLLT in accelerating orthodontic movements, specifically retraction of canines. The risk of bias was assessed using RoB-2. A random effect model was applied. Nineteen RCTs met the inclusion criteria for qualitative synthesis, and eighteen RCTs were included in the quantitative synthesis. Seventeen studies were rated as at some concerns of bias and two studies were classified as having a low risk of bias. In general terms, this systematic review and meta-analysis presents a moderate risk of bias. Findings of this systematic review and meta-analysis point to a tendency for faster orthodontic dental movement in the groups receiving LLLT treatment during the first (OR of 0.28 95% CI (0.07 to 0.48)), second (OR of 0.52 95% CI (0.31 to 0.73)), and third (OR of 0.41 95% CI (0.03 to 0.79)) month follow-up. Wavelengths ≤ 810 nm and energy density values ≤ 5.3 J/cm2 were associated with faster orthodontic tooth movement.
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