Effectiveness of Photobiomodulation Procedure Using Different Wavelength of LLLT in Accelerating Tooth Movement During Levelling and Alignment Stage. A Randomized Controlled Clinical Trial

  • Unique Paper ID: 167525
  • Volume: 11
  • Issue: 3
  • PageNo: 1725-1733
  • Abstract:
  • Background and objective: A major concern of orthodontic patients is treatment time. Reducing the treatment time requires managing the treatment protocol from initial steps. Research has proved that bone resorption is the rate-limiting step in tooth movement. Therefore, any procedure that potentiates osteoclastic activity is capable of increasing the rate of orthodontic tooth movement. Low-level laser has been indicated to have the capability to facilitate the differentiation of the osteoclastic and osteoblastic cells, which are responsible for the bone remodeling process. The purpose of this study was to compare the effects of two different wavelength of low level laser therapy in accelerating orthodontic tooth movement during levelling and alignment stage. Methods: Twenty four patients seeking orthodontic treatment at K.V.G Dental College and Hospital requiring extraction of maxillary first premolars were selected for the study and were divided into two groups of 12 each i.e. group 1 and group 2. The group 1 was exposed to biostimlation using 980 nm Gallium-Aluminium-Arsenic diode laser and group 2 was exposed to biostimulation using 810 nm Gallium-Aluminium-Arsenic diode laser. A total of 10 irradiations for 5 sec per site were given 5 on the buccal side and 5 on the palatal side of the tooth. The total energy density at each application point was 62.5 J. The little’s irregularity index (LII) is used to measure the change in tooth alignment on cast and is measured using digital calliper. Results:The rate of orthodontic tooth movement was faster in the laser group 1 which was exposed to biostimlation using 980 nm Gallium-Aluminium-Arsenic diode laser and the results were statistically significant. Interpretation and Conclusion: It was concluded that biostimulation carried out using a 980 nm diode laser is better in reducing the leveling and alignment time compared to 810 nm. Hence, it is capable of increasing the rate of orthodontic tooth movement and reducing the overall treatment time.

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