대한치과교정학회지 (The korean journal of orthodontics)

  • 제48권2호
  • /
  • Pages.90-97
  • /
  • 2018
  • /
  • 2234-7518(pISSN)
  • /
  • 2005-372X(eISSN)
대한치과교정학회 (The Korean Association Of Orthodontists)
권호 표지
DOI QR코드

DOI QR Code

Effects of single-dose, low-level laser therapy on pain associated with the initial stage of fixed orthodontic treatment: A randomized clinical trial

  • Qamruddin, Irfan (Department of Orthodontics, Baqai Dental College, Baqai Medical University) ;
  • Alam, Mohammad Khursheed (Orthodontic Department, College of Dentistry, Aljouf University) ;
  • Abdullah, Habiba (Department of Orthodontics, Baqai Dental College, Baqai Medical University) ;
  • Kamran, Muhammad Abdullah (Department of Orthodontics, Liaquat College of Medicine and Dentistry) ;
  • Jawaid, Nausheen (Department of Orthodontics, Baqai Dental College, Baqai Medical University) ;
  • Mahroof, Verda (Department of Orthodontics, Baqai Dental College, Baqai Medical University)
  • 투고 : 2017.03.20
  • 심사 : 2017.08.21
  • 발행 : 2018.03.25
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Objective: The aim of this study was to assess the analgesic effect of a single application of low-level laser therapy (LLLT) on spontaneous pain and pain on chewing after placement of initial archwires. Methods: Forty-two patients (26 women, 16 men) were randomly recruited for this split-mouth randomized clinical trial. Each patient received super-elastic nickel-titanium (NiTi) initial archwires (0.012, 0.014, 0.016, and 0.018-inch [in]) in the maxilla for leveling and alignment for an interval of 4 weeks between archwires. One side of the mouth was randomly designated as experimental, while the other side served as placebo. After insertion of each archwire, the experimental side was irradiated with a diode laser for 3 seconds each on 5 points facially and palatally per tooth, from the central incisor to first molar. On the placebo side, the laser device was held the same way but without laser application. A numerical rating scale was used to assess the intensity of spontaneous and masticatory pain for the following 7 days. The Mann-Whitney U test was used to compare pain scores between sides. Results: Patients in the LLLT group exhibited significantly lower mean scores for spontaneous pain after insertion of the initial two archwires (0.012-in and 0.014-in NiTi; p < 0.05), while there was no significant difference for 0.016-in and 0.018-in wires between the LLLT and placebo groups. LLLT significantly reduced chewing pain scores (p < 0.05) for all archwires. Conclusions: A single dose of LLLT considerably lessened postoperative pain accompanying the placement of super-elastic NiTi wires for initial alignment and leveling.

키워드

참고문헌

  1. Krishnan V. Orthodontic pain: from causes to management--a review. Eur J Orthod 2007;29:170-9. https://doi.org/10.1093/ejo/cjl081
  2. Sergl HG, Klages U, Zentner A. Pain and discomfort during orthodontic treatment: causative factors and effects on compliance. Am J Orthod Dentofacial Orthop 1998;114:684-91. https://doi.org/10.1016/S0889-5406(98)70201-X
  3. Turhani D, Scheriau M, Kapral D, Benesch T, Jonke E, Bantleon HP. Pain relief by single low-level laser irradiation in orthodontic patients undergoing fixed appliance therapy. Am J Orthod Dentofacial Orthop 2006;130:371-7. https://doi.org/10.1016/j.ajodo.2005.04.036
  4. Koritsanszky N, Madlena M. Pain and discomfort in orthodontic treatments. Literature review. Fogorv Sz 2011;104:117-21.
  5. Jones M, Chan C. The pain and discomfort experienced during orthodontic treatment: a randomized controlled clinical trial of two initial aligning arch wires. Am J Orthod Dentofacial Orthop 1992;102: 373-81. https://doi.org/10.1016/0889-5406(92)70054-E
  6. Krukemeyer AM, Arruda AO, Inglehart MR. Pain and orthodontic treatment. Angle Orthod 2009;79:1175-81. https://doi.org/10.2319/121308-632R.1
  7. Polat O, Karaman AI. Pain control during fixed orthodontic appliance therapy. Angle Orthod 2005; 75:214-9.
  8. Ngan P, Wilson S, Shanfeld J, Amini H. The effect of ibuprofen on the level of discomfort inpatients undergoing orthodontic treatment. Am J Orthod Dentofacial Orthop 1994;106:88-95. https://doi.org/10.1016/S0889-5406(94)70025-7
  9. Kyrkanides S, O'Banion MK, Subtelny JD. Nonsteroidal anti-inflammatory drugs in orthodontic tooth movement: metalloproteinase activity and collagen synthesis by endothelial cells. Am J Orthod Dentofacial Orthop 2000;118:203-9. https://doi.org/10.1067/mod.2000.105872
  10. Tyrovola JB, Spyropoulos MN. Effects of drugs and systemic factors on orthodontic treatment. Quintessence Int 2001;32:365-71.
  11. Walker JB, Buring SM. NSAID impairment of orthodontic tooth movement. Ann Pharmacother 2001;35:113-5. https://doi.org/10.1345/aph.10185
  12. Arias OR, Marquez-Orozco MC. Aspirin, acetaminophen, and ibuprofen: their effects on orthodontic tooth movement. Am J Orthod Dentofacial Orthop 2006;130:364-70. https://doi.org/10.1016/j.ajodo.2004.12.027
  13. Shenoy N, Shetty S, Ahmed J, Shenoy KA. The pain management in orthodontics. J Clin Diagn Res 2013;7:1258-60.
  14. Hwang JY, Tee CH, Huang AT, Taft L. Effectiveness of thera-bite wafers in reducing pain. J Clin Orthod 1994;28:291-2.
  15. Roth PM, Thrash WJ. Effect of transcutaneous electrical nerve stimulation for controlling pain associated with orthodontic tooth movement. Am J Orthod Dentofacial Orthop 1986;90:132-8. https://doi.org/10.1016/0889-5406(86)90045-4
  16. Weiss DD, Carver DM. Transcutaneous electrical neural stimulation for pain control. J Clin Orthod 1994;28:670-1.
  17. Marie SS, Powers M, Sheridan JJ. Vibratory stimulation as a method of reducing pain after orthodontic appliance adjustment. J Clin Orthod 2003;37:205-8; quiz 203-4.
  18. Cruz DR, Kohara EK, Ribeiro MS, Wetter NU. Effects of low-intensity laser therapy on the orthodontic movement velocity of human teeth: a preliminary study. Lasers Surg Med 2004;35:117-20. https://doi.org/10.1002/lsm.20076
  19. Lim HM, Lew KK, Tay DK. A clinical investigation of the efficacy of low level laser therapy in reducing orthodontic postadjustment pain. Am J Orthod Dentofacial Orthop 1995;108:614-22. https://doi.org/10.1016/S0889-5406(95)70007-2
  20. Tortamano A, Lenzi DC, Haddad AC, Bottino MC, Dominguez GC, Vigorito JW. Low-level laser therapy for pain caused by placement of the first orthodontic archwire: a randomized clinical trial. Am J Orthod Dentofacial Orthop 2009;136:662-7. https://doi.org/10.1016/j.ajodo.2008.06.028
  21. Kim WT, Bayome M, Park JB, Park JH, Baek SH, Kook YA. Effect of frequent laser irradiation on orthodontic pain. A single-blind randomized clinical trial. Angle Orthod 2013;83:611-6. https://doi.org/10.2319/082012-665.1
  22. Angelieri F, Sousa MVS, Kanashiro LK, Siqueira DF, Maltagliati LA. Effects of low intensity laser on pain sensitivity during orthodontic movement. Dental Press J Orthod 2011;16:95-102.
  23. Mizutani K, Musya Y, Wakae K, Kobayashi T, Tobe M, Taira K, et al. A clinical study on serum prostaglandin E2 with low-level laser therapy. Photomed Laser Surg 2004;22:537-9. https://doi.org/10.1089/pho.2004.22.537
  24. Eslamian L, Borzabadi-Farahani A, Hassanzadeh-Azhiri A, Badiee MR, Fekrazad R. The effect of 810-nm low-level laser therapy on pain caused by orthodontic elastomeric separators. Lasers Med Sci 2014;29:559-64. https://doi.org/10.1007/s10103-012-1258-1
  25. Schulz KF, Chalmers I, Grimes DA, Altman DG. Assessing the quality of randomization from reports of controlled trials published in obstetrics and gynecology journals. JAMA 1994;272:125-8. https://doi.org/10.1001/jama.1994.03520020051014
  26. Ngan P, Kess B, Wilson S. Perception of discomfort by patients undergoing orthodontic treatment. Am J Orthod Dentofacial Orthop 1989;96:47-53. https://doi.org/10.1016/0889-5406(89)90228-X
  27. Kavaliauskiene A, Smailiene D, Buskiene I, Keriene D. Pain and discomfort perception among patients undergoing orthodontic treatment: results from one month follow-up study. Stomatologija 2012;14:118-25.
  28. Pandis N, Walsh T, Polychronopoulou A, Katsaros C, Eliades T. Split-mouth designs in orthodontics: an overview with applications to orthodontic clinical trials. Eur J Orthod 2013;35:783-9. https://doi.org/10.1093/ejo/cjs108
  29. Antczak-Bouckoms AA, Tulloch JF, Berkey CS. Splitmouth and cross-over designs in dental research. J Clin Periodontol 1990;17:446-53. https://doi.org/10.1111/j.1600-051X.1990.tb02343.x
  30. Nobrega C, da Silva EM, de Macedo CR. Low-level laser therapy for treatment of pain associated with orthodontic elastomeric separator placement: a placebo-controlled randomized double-blind clinical trial. Photomed Laser Surg 2013;31:10-6. https://doi.org/10.1089/pho.2012.3338
  31. Katoh H. Effect of far-infrared rays radiation on pain reaction associated with orthodontic tooth movement. J Jpn Orthod Soc 1997;56:17-25.
  32. Jawad MM, Husein A, Alam MK, Hassan R, Shaari R. Overview of non-invasive factors (low level laser and low intensity pulsed ultrasound) accelerating tooth movement during orthodontic treatment. Lasers Med Sci 2014;29:367-72. https://doi.org/10.1007/s10103-012-1199-8
  33. Holdgate A, Asha S, Craig J, Thompson J. Comparison of a verbal numeric rating scale with the visual analogue scale for the measurement of acute pain. Emerg Med (Fremantle) 2003;15:441-6.
  34. Jensen MP, Karoly P, Braver S. The measurement of clinical pain intensity: a comparison of six methods. Pain 1986;27:117-26. https://doi.org/10.1016/0304-3959(86)90228-9
  35. Dominguez A, Velasquez SA. Effect of low-level laser therapy on pain following activation of orthodontic final archwires: a randomized controlled clinical trial. Photomed Laser Surg 2013;31:36-40. https://doi.org/10.1089/pho.2012.3360
  36. Furstman L, Bernick S. Clinical considerations of the periodontium. Am J Orthod 1972;61:138-55. https://doi.org/10.1016/0002-9416(72)90092-9
  37. Jones ML, Richmond S. Initial tooth movement: force application and pain--a relationship? Am J Orthod 1985;88:111-6. https://doi.org/10.1016/0002-9416(85)90234-9
  38. Jian F, Lai W, Furness S, McIntyre GT, Millett DT, Hickman J, et al. Initial arch wires for tooth alignment during orthodontic treatment with fixed appliances. Cochrane Database Syst Rev 2013;(4):CD007859.

피인용 문헌

  1. Laser-Assisted Orthodontic Tooth Movement in Saudi Population: A Prospective Clinical Intervention of Low-Level Laser Therapy in the 1st Week of Pain Perception in Four Treatment Modalities vol.2019, pp.None, 2018, https://doi.org/10.1155/2019/6271835
  2. Effect of ozone and diode laser (635 nm) in reducing orthodontic pain in the maxillary arch-a randomized clinical controlled trial vol.35, pp.2, 2018, https://doi.org/10.1007/s10103-019-02896-0
  3. Low-level laser therapy effectiveness in reducing initial orthodontic archwire placement pain in premolars extraction cases: a single-blind, placebo-controlled, randomized clinical trial vol.20, pp.1, 2018, https://doi.org/10.1186/s12903-020-01191-7
  4. The Use of Technology in the Management of Orthodontic Treatment-Related Pain vol.2021, pp.None, 2018, https://doi.org/10.1155/2021/5512031
  5. Biostimulatory Effects of Low-Intensity Pulsed Ultrasound on Rate of Orthodontic Tooth Movement and Associated Pain, Applied at 3-Week Intervals: A Split-Mouth Study vol.2021, pp.None, 2018, https://doi.org/10.1155/2021/6624723
  6. Photobiostimulatory Effect of a Single Dose of Low-Level Laser on Orthodontic Tooth Movement and Pain vol.2021, pp.None, 2018, https://doi.org/10.1155/2021/6690542
  7. Oral Health Impact Profile in Orthodontic Patients with Ectopic Canine: A Prospective Clinical Intervention of Four Treatment Modalities vol.9, pp.3, 2021, https://doi.org/10.3390/healthcare9030337