Effects of single-dose, low-level laser therapy on pain associated with the initial stage of fixed orthodontic treatment: A randomized clinical trial
Autor: | Verda Mahroof, Nausheen Jawaid, Muhammad Abdullah Kamran, Habiba Abdullah, Irfan Qamruddin, Mohammad Khursheed Alam |
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Jazyk: | angličtina |
Rok vydání: | 2018 |
Předmět: |
Low-level laser therapy
business.industry Single dose medicine.medical_treatment Dentistry Pain Orthodontics 030206 dentistry Placebo Mandibular first molar law.invention Masticatory force 030207 dermatology & venereal diseases 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Maxilla Alignment and leveling Mann–Whitney U test medicine Maxillary central incisor Original Article business Low level laser therapy |
Zdroj: | Korean Journal of Orthodontics |
ISSN: | 2005-372X 2234-7518 |
Popis: | 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. |
Databáze: | OpenAIRE |
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