The korean journal of orthodontics (대한치과교정학회지)

The Korean Association Of Orthodontists (대한치과교정학회)
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Effectiveness of low-level laser therapy and chewing gum in reducing orthodontic pain: A randomized controlled trial

  • Celebi, Fatih (Department of Orthodontics, Faculty of Dentistry, Tokat Gaziosmanpasa University) ;
  • Bicakci, Ali Altug (Department of Orthodontics, Faculty of Dentistry, Tokat Gaziosmanpasa University) ;
  • Kelesoglu, Ufuk (Department of Orthodontics, Faculty of Dentistry, Tokat Gaziosmanpasa University)
  • Received : 2020.10.20
  • Accepted : 2021.01.29
  • Published : 2021.09.25
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Abstract

Objective: The purpose of this study was to evaluate the effects of chewing gum and low-level laser therapy in alleviating orthodontic pain induced by the initial archwire. Methods: Patients with 3-6 mm maxillary crowding who planned to receive non-extraction orthodontic treatment were recruited for the study. Sixty-three participants (33 females and 30 males) were randomly allocated into three groups: laser, chewing gum, and control. In the laser group, a gallium aluminum arsenide (GaAlAs) diode laser with a wavelength of 820 nm was used to apply a single dose immediately after orthodontic treatment began. In the chewing gum group, sugar-free gum was chewed three times for 20 minutes-immediately after starting treatment, and at the twenty-fourth and forty-eighth hours of treatment. Pain perception was measured using a visual analog scale at the second, sixth, and twenty-fourth hours, and on the second, third, and seventh days. Results: There were no statistically significant differences between the groups at any measured time point (p > 0.05). The highest pain scores were detected at the twenty-fourth hour of treatment in all groups. Conclusions: Within the limitations of the study, we could not detect whether low-level laser therapy and chewing gum had any clinically significant effect on orthodontic pain. Different results may be obtained with a higher number of participants or using lasers with different wavelengths and specifications. Although the study had a sufficient number of participants according to statistical analysis, higher number of participants could have provided more definitive outcomes.

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References

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