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Chaves IC, de Paula DS, Mota MRL, Sousa FB, de Barros Silva PG, Nunes Alves APN. Is photobiomodulation effective during maxillary expansion? A systematic review and meta-analysis. Orthod Craniofac Res 2023; 26:13-26. [PMID: 35545921 DOI: 10.1111/ocr.12590] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2022] [Revised: 04/27/2022] [Accepted: 05/05/2022] [Indexed: 01/07/2023]
Abstract
We performed a systematic review on literature associated with meta-analyses to elucidate whether (I) low-level laser therapy (C) compared to placebo accelerates (O) bone neoformation in the region of the midpalatal suture in (P) patients undergoing transverse maxillary expansion. Two reviewers blindly performed targeted searches using the selection criteria (PICOS) in seven major databases and three grey literature databases, employing specific terms and their entrenchments. The RevMan® software (Review Manager, version 5.3, Cochrane Collaboration) was used to adapt the RoB summary illustration to the Cochrane 2.0 tool questions. Meta-analysis was performed using standardized mean difference (SMD) and Cohen's d calculation on random effects, tests for heterogeneity (I2 ) and publication bias (Egger and Begg), and one-of-out sensitivity analysis. GRADE (Grading of Recommendations Assessment, Development and Evaluation) was used for evidence quality analysis. Among the five studies included in the qualitative synthesis, three were included in the meta-analysis. All analysed studies were prospective randomized clinical trials. The risk of bias was such that the Egger (P = .1991) and Begg (P = .024) tests showed no significant risk of publication bias. The meta-analysis showed high heterogeneity (I2 = 81%, P < .00001), and 3 months after the operation, there was no significant difference between the photobiomodulation (PBMT) group and control group (P = .850) or between the subgroups of the periods evaluated after 3 months (P = 0.490). GRADE showed an SMD of 0.62. Photobiomodulation as an adjuvant therapy in patients undergoing transverse maxillary expansion has few benefits and is limited in shape, as it contributes to bone healing in the midpalatal suture region after a period of 3 months.
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Affiliation(s)
- Igor Carvalho Chaves
- Post-Graduate Program in Clinical Dentistry, Federal University of Ceará, Fortaleza, Brazil
| | | | | | - Fabrício Bitu Sousa
- Post-Graduate Program in Clinical Dentistry, Federal University of Ceará, Fortaleza, Brazil.,Post-graduate Program in Dental Sciences, Unichristus, Fortaleza, Brazil
| | - Paulo Goberlânio de Barros Silva
- Post-Graduate Program in Clinical Dentistry, Federal University of Ceará, Fortaleza, Brazil.,Post-graduate Program in Dental Sciences, Unichristus, Fortaleza, Brazil
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2
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de Oliveira SV, Dos Reis T, Amorim J, Rocha FS, Marques MM, Guerra ES, Hanna R, Gallo CB. Efficacy of photobiomodulation therapy on healing of ionizing irradiated bone: a systematic review of in vivo animal studies. Lasers Med Sci 2022; 37:3379-3392. [PMID: 36194304 DOI: 10.1007/s10103-022-03649-2] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2021] [Accepted: 09/22/2022] [Indexed: 12/09/2022]
Abstract
This systematic review aimed to answer the research focused question: What are the effects of photobiomodulation (PBM) therapy on bone healing after ionizing irradiation in animal models? The EMBASE, LILACS, LIVIVO, PubMed, Scopus, and Web of Science databases, including gray literature, were searched using the following keywords: "Head and Neck Neoplasms"; "Ionizing Radiation"; "Low-Level Light Therapy"; and "Bone regeneration", focusing on the primary studies that assessed the effects of PBM therapy on animal models of irradiated bone. Six studies have met the eligibility criteria and presented an overall regular quality according to the risk of bias assessment tools. All the studies utilized rat animal model and near-infrared laser PBM at low power output setting. Most of the studies showed increased new bone formation, osteocytes, osteoblasts, and vascularization networking, as a result of PBM therapy. However, only one out of the six studies has not shown any differences in bone healing in both lased and non-lased animal groups. Nevertheless, PBM therapy is a potential tool to improve bone healing induced by ionizing radiation. However, due to the scarce number of studies and the great variability of laser parameters and treatment protocols, a clear conclusion cannot be drawn. Hence, extensive preclinical in vivo studies are warranted to ensure these beneficial effects have been addressed prior to translational clinical trials.
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Affiliation(s)
- Samanta Vicente de Oliveira
- Department of Stomatology, School of Dentistry of the Universidade de Sao Paulo, Av. Prof. Lineu Prestes, 2227 - Butantã, Sao Paulo, SP, Brazil
| | - Thaís Dos Reis
- Department of Stomatology, School of Dentistry of the Universidade de Sao Paulo, Av. Prof. Lineu Prestes, 2227 - Butantã, Sao Paulo, SP, Brazil
| | - Juliana Amorim
- Laboratory of Oral Histopathology, Health Sciences Faculty of the University of Brasília, Brasilia, DF, Brazil
| | - Flaviana Soares Rocha
- Laboratory of Oral Histopathology, Health Sciences Faculty of the University of Brasília, Brasilia, DF, Brazil
| | - Márcia Martins Marques
- Post Graduation Program, School of Dentistry, Ibirapuera University, Sao Paulo, SP, Brazil
| | - Eliete Silva Guerra
- Laboratory of Oral Histopathology, Health Sciences Faculty of the University of Brasília, Brasilia, DF, Brazil
| | - Reem Hanna
- Department of Surgical Sciences and Integrated Diagnostics, Laser Therapy Centre of the University of Genoa, Genoa, Italy.,Department of Oral Surgery, King's College Hospital NHS Foundation Trust, London, UK
| | - Camila Barros Gallo
- Department of Stomatology, School of Dentistry of the Universidade de Sao Paulo, Av. Prof. Lineu Prestes, 2227 - Butantã, Sao Paulo, SP, Brazil.
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Orthopedics-Related Applications of Ultrafast Laser and Its Recent Advances. APPLIED SCIENCES-BASEL 2022. [DOI: 10.3390/app12083957] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
The potential of ultrafast lasers (pico- to femtosecond) in orthopedics-related procedures has been studied extensively for clinical adoption. As compared to conventional laser systems with continuous wave or longer wave pulse, ultrafast lasers provide advantages such as higher precision and minimal collateral thermal damages. Translation to surgical applications in the clinic has been restrained by limitations of material removal rate and pulse average power, whereas the use in surface texturing of implants has become more refined to greatly improve bioactivation and osteointegration within bone matrices. With recent advances, we review the advantages and limitations of ultrafast lasers, specifically in orthopedic bone ablation as well as bone implant laser texturing, and consider the difficulties encountered within orthopedic surgical applications where ultrafast lasers could provide a benefit. We conclude by proposing our perspectives on applications where ultrafast lasers could be of advantage, specifically due to the non-thermal nature of ablation and control of cutting.
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Lai PS, Fierro C, Bravo L, Perez-Flores A. Benefits of Using Low-level Laser Therapy in the Rapid Maxillary Expansion: A Systematic Review. Int J Clin Pediatr Dent 2022; 14:S101-S106. [PMID: 35082475 PMCID: PMC8754280 DOI: 10.5005/jp-journals-10005-1966] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
Aim and objective Determine the benefits of low-level laser therapy (LLLT) as a complement to rapid maxillary expansion (RME), through a systematic review. Background Transversal maxillary compression is a common skeletal problem that can be treated with different devices. This RME technique consists of the separation and regeneration of the midpalatal suture. Low-level laser therapy has been suggested to be able to accelerate bone healing after trauma or bone defects. Review results Thirty-two publications were found by electronic search during July to August of 2019 on Medline (PubMed) and Google Scholar, using the terms “Low-Level Laser”, “LLLT”, “Rapid Maxillary Expansion”, and “Osteogenesis Distraction”. Only 16 were used (2 systematic reviews, 6 articles on humans, and 8 on animals). Even though all the studies had different intervention protocols, they all revealed that LLLT has the effect of accelerating bone regeneration after RME. Conclusion The use of LLLT as a complement to RME has shown promising results with cellular biostimulation, promoting angiogenesis and bone regeneration of the midpalatal suture. Clinical significance This study provides scientific evidence of the benefits of using LLLT as a complement to RME during orthopedic and orthodontic treatments, accelerating bone regeneration and reducing the time of consolidation of the maxillary. How to cite this article Lai P-S, Fierro C, Bravo L, et al. Benefits of Using Low-level Laser Therapy in the Rapid Maxillary Expansion: A Systematic Review. Int J Clin Pediatr Dent 2021;14(S-1):S101–S106.
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Affiliation(s)
- Pi-Shan Lai
- Department of Pediatric Dentistry, Universidad de Concepcion, Concepcion, Bio Bio, Chile
| | - Claudia Fierro
- Department of Pediatric Dentistry, Universidad de Concepcion, Concepcion, Bio Bio, Chile
| | - Lorena Bravo
- Department of Pediatric Dentistry, Universidad de Concepcion, Concepcion, Bio Bio, Chile
| | - Antonieta Perez-Flores
- Department of Pediatric Dentistry, Universidad de Concepcion, Concepcion, Bio Bio, Chile
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Santana LG, Marques LS. Do adjunctive interventions in patients undergoing rapid maxillary expansion increase the treatment effectiveness? Angle Orthod 2021; 91:119-128. [PMID: 33289794 DOI: 10.2319/051320-431.1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2020] [Accepted: 07/01/2020] [Indexed: 01/14/2023] Open
Abstract
OBJECTIVES To evaluate the clinical effectiveness of adjunctive interventions in individuals undergoing rapid maxillary expansion (RME). MATERIALS AND METHODS MEDLINE, Web of Science, Cochrane, Scopus, LILACS, and Google Scholar were searched without restrictions up to June 2020. Trials involving participants undergoing orthopedic or surgical RME, along with adjunctive interventions, were included. Risk-of-bias assessments were performed using the Cochrane tool for randomized trials-2. The certainty level of evidence was assessed through the Grading of Recommendations Assessment, Development and Evaluation tool. RESULTS Six randomized clinical trials, with low to high risk of bias, were included. Low certainty of the evidence suggested that low-level laser facilitated opening of the midpalatal suture during the active phase of RME. Likewise, moderate certainty demonstrated that low-level laser accelerated the healing process of the suture during the retention phase. The clinical impact of this outcome, that is, stability and retention time, was not evaluated. Very low evidence indicated that osteoperforations along the midpalatal suture increased maxillary transverse skeletal gains in young adults undergoing RME. Low evidence suggested that platelet-rich plasma therapy did not minimize the vertical and thickness bone loss after RME in the short term. CONCLUSIONS Based on currently available information, the use of low-level laser associated with maxillary expansion seems to provide a more efficient suture opening and bone healing. Limited evidence suggests that osteoperforations improve the skeletal effects of RME in non-growing individuals. There are no adjunctive interventions capable of reducing the periodontal side effects of RME.
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Pirmoradian M, Safiaghdam H, Nokhbatolfoghahaei H, Ashnagar S, Fekrazad R. Effect of Photobiomodulation on Relapse in an Experimental Rapid Maxillary Expansion Model in Rat. Photochem Photobiol 2020; 97:634-640. [PMID: 33294968 DOI: 10.1111/php.13365] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2020] [Revised: 10/19/2020] [Accepted: 11/30/2020] [Indexed: 11/27/2022]
Abstract
Rapid maxillary expansion (RME) is performed on transversely deficient maxilla. As all orthodontic treatments, retention is important in maintaining therapeutic outcomes. Fixed /removable retainers are used post-RME causing hygiene and compliance problems. Given photobiomodulation's positive effects on the quantity and quality of bone regeneration, its effect on post-RME relapse was studied. Thirty Sprague Dawley rats were randomly divided into group R, non-irradiated RME-treated (n = 12), group P, irradiated RME-treated (n = 12) and group C, non-RME non-irradiated (n = 6). A 1.5 mm metal ring inserted between maxillary incisors at days 0 and 15 was expanded until 1.5 mm space was obtained at day 30. In group P, Ga-Al-As diode laser (810 nm, 100 mW, 4J/cm2 , 30 secs) was applied on days 0, 2, 4, 6, 8, 10, 12 and 14 as predictor variable. The relapse was measured as the space lost between incisors for 30 days after appliance removal (primary outcome variable) and compared with t-test. In week 2, space loss in group P was significantly lower (P < 0.05) than all other groups. The relapse during weeks 2 and 3 was significantly lower in group P than group R. However, no significant difference in relapse amount was found between groups during first and fourth week. There was a significant difference (P < 0.05) between groups in relapse rates (secondary outcome variable) but not in total relapse after 4 weeks. Photobiomodulation proved beneficial in resisting relapse in our study, and it is suggested to be continued until the end of expansion.
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Affiliation(s)
- Maryam Pirmoradian
- Department of Dental Biomaterials, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran.,Research Center for Science and Technology in Medicine, Tehran University of Medical Sciences, Tehran, Iran
| | - Hannaneh Safiaghdam
- Student Research Commitee, Dental School, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Hanieh Nokhbatolfoghahaei
- Dental Research Center, Research Institute of Dental Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | | | - Reza Fekrazad
- Radiation Sciences Research Center, Laser Research Center in Medical Sciences, Aja University of Medical Sciences, Tehran, Iran.,International Network for Photo Medicine and Photo Dynamic Therapy (INPMPDT), Universal Scientific Education and Research Network (USERN), Tehran, Iran
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Yassir YA, McIntyre GT, Bearn DR. Orthodontic treatment and root resorption: an overview of systematic reviews. Eur J Orthod 2020; 43:442-456. [PMID: 33215186 DOI: 10.1093/ejo/cjaa058] [Citation(s) in RCA: 40] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
BACKGROUND Root resorption can be considered the most unfortunate complication of orthodontic treatment. OBJECTIVE To evaluate the available evidence regarding orthodontically induced inflammatory root resorption (OIIRR). SEARCH METHODS A comprehensive literature search was conducted for the systematic reviews investigating OIIRR published up to 24 May 2020. This was accomplished using electronic databases: MEDLINE via OVID, EMBASE, AMED (Allied and Complementary Medicine Database), PubMed, and Web of Science. Any ongoing systematic reviews were searched using Prospero and a grey literature search was undertaken using Google Scholar and OpenGrey (www.opengrey.eu/). No language restriction was applied. SELECTION CRITERIA Only studies investigating OIIRR were included. DATA COLLECTION AND ANALYSIS Screening, quality assessment [using the AMSTAR 2 tool (A Measurement Tool to Assess Systematic Reviews)], and data extraction were performed by two authors independently. Information was categorized and narratively synthesized for the key findings from moderate and high-quality reviews. RESULTS A total of 2033 potentially eligible studies were identified. After excluding the non-relevant studies, 28 systematic reviews were included. Of which, 20 systematic reviews (71.5%) were of moderate and high-quality level of evidence. The incidence and severity of OIIRR increase with the fixed appliance, especially with heavy force, intrusion, torqueing movements, increased treatment duration, and treatment with extractions or with long apical displacement (particularly for maxillary incisors). There was insufficient evidence regarding most other treatment- and patient-related factors on OIIRR. Following all precautionary measures, pausing treatment and regular monitoring benefits patients with OIIRR. CONCLUSIONS AND IMPLICATIONS There is a limited number of high-quality studies in terms of OIIRR. The influence of fixed appliance on root resorption was noted; however, the cause and effect relationship between OIIRR and orthodontic biomechanics has not been confirmed. Avoiding heavy, continuous forces and a greater amount of apical displacement over a long duration of treatment is recommended. Precautionary measures should be carefully considered when treating patients with a high risk of OIIRR. REGISTRATION CRD42020166629.
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Affiliation(s)
- Yassir A Yassir
- Orthodontic Department, College of Dentistry, University of Baghdad, Iraq.,Orthodontic Department, School of Dentistry, University of Dundee, UK
| | - Grant T McIntyre
- Orthodontic Department, School of Dentistry, University of Dundee, UK
| | - David R Bearn
- Orthodontic Department, School of Dentistry, University of Dundee, UK
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Matos DS, Palma-Dibb RG, de Oliveira Santos C, da Conceição Pereira Saraiva M, Marques FV, Matsumoto MAN, Romano FL. Evaluation of photobiomodulation therapy to accelerate bone formation in the mid palatal suture after rapid palatal expansion: a randomized clinical trial. Lasers Med Sci 2020; 36:1039-1046. [PMID: 32901379 DOI: 10.1007/s10103-020-03141-9] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2020] [Accepted: 09/01/2020] [Indexed: 10/23/2022]
Abstract
To evaluate the efficiency of photobiomodulation therapy (PBMT) in the midpalatal suture (MPS) and pain sensation in patients undergoing rapid palatal expansion (RPE). Thirty-four individuals with the diagnosis of skeletal maxillary hypoplasia were divided in two groups: laser (n = 18) and control (n = 16). Treatment plan consisted of the use of the Hyrax expander in all patients. Subjects in the laser group were irradiated with diode laser (980 nm, 0.3 W) in six spots bilaterally distributed along the MPS for 10 s during the active phase of treatment and after overcorrection (passive phase of RPE). Control group received sham irradiations with the laser in standby mode to characterize the placebo effect. Digital occlusal radiographs were performed at different time-points for bone formation evaluation in both groups. The effects of laser irradiation on pain were assessed by the visual analog scale (Wong-Baker Faces Pain Scale). Bone formation between groups was not significantly different (p = 0.2273). At 3 months, bone formation was not yet complete in both groups. Pain sensation was similar between groups (p = 0.3940). However, pain was significantly higher for the first 7 days of treatment compared with the 14th day. PBMT did not accelerate bone regeneration in the MPS and pain sensation was similar.
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Affiliation(s)
- Denise Souza Matos
- School of Dentistry, University Center of Patos de Minas, Patos de Minas, MG, Brazil
| | - Regina Guenka Palma-Dibb
- Department of Restorative Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirao Preto, São Paulo, Brazil
| | - Christiano de Oliveira Santos
- Department of Stomatology, Public Health and Forensic Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirao Preto, São Paulo, Brazil
| | - Maria da Conceição Pereira Saraiva
- Department of Paediatric Clinics, School of Dentistry of Ribeirão Preto, University of São Paulo, Av. Do Café, s/n. Monte Alegre, Ribeirao Preto, SP, Brazil
| | - Fernanda Vicioni Marques
- Department of Paediatric Clinics, School of Dentistry of Ribeirão Preto, University of São Paulo, Av. Do Café, s/n. Monte Alegre, Ribeirao Preto, SP, Brazil
| | - Mírian Aiko Nakane Matsumoto
- Department of Paediatric Clinics, School of Dentistry of Ribeirão Preto, University of São Paulo, Av. Do Café, s/n. Monte Alegre, Ribeirao Preto, SP, Brazil
| | - Fábio Lourenço Romano
- Department of Paediatric Clinics, School of Dentistry of Ribeirão Preto, University of São Paulo, Av. Do Café, s/n. Monte Alegre, Ribeirao Preto, SP, Brazil.
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Neto FCJ, Martimbianco ALC, de Andrade RP, Bussadori SK, Mesquita-Ferrari RA, Fernandes KPS. Effects of photobiomodulation in the treatment of fractures: a systematic review and meta-analysis of randomized clinical trials. Lasers Med Sci 2020; 35:513-522. [PMID: 30982176 DOI: 10.1007/s10103-019-02779-4] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2019] [Accepted: 03/20/2019] [Indexed: 12/22/2022]
Abstract
Several therapeutic strategies have been proposed to optimize the conventional treatment of fractures. Photobiomodulation (PBM) appears to help reduce pain and control inflammation, and it also accelerates bone repair. This systematic review aimed to evaluate the effectiveness and safety of PBM with low-level laser therapy (LLLT) in the bone fracture healing process. We included randomized controlled trials (RCTs) comparing the effects of PBM with those of any other intervention in adults with lower or upper limb bone fractures. The primary outcomes investigated were pain reduction, radiographic healing, and adverse events. The searches were conducted in October 2018. Two RCTs were included that compared PBM to the placebo. A meta-analysis showed significant difference in favor of PBM for pain reduction (MD 1.19, 95% CI [0.61 to 1.77], 106 participants, two RCTs), but this difference was not clinically significant. One RCT (50 participants) showed a clinical and statistical improvement in physical function (MD - 14.60, 95% CI [- 21.39 to - 7.81]) and no difference in radiographic healing, regarding absence of fracture line (RR 1.00, 95% CI [0.93 to 1.08]) and visible bone callus (RR 0.33, 95% CI [0.01 to 7.81]). The certainty of evidence was classified as low to very low. Based on the evidence of low to very low certainty, PBM seems to be associated with the improvement of pain and function. Therefore, new RCTs are required that meet the recommendations of CONSORT to prove the effectiveness and safety of this intervention and support its recommendation in clinical practice.
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Affiliation(s)
| | - Ana Luiza Cabrera Martimbianco
- Universidade Metropolitana de Santos (UNIMES), Avenida Conselheiro Nébias, 536 -Encruzilhada, Santos, SP, 11045-002, Brazil.
| | | | - Sandra Kalil Bussadori
- Postgraduate Program in Rehabilitation Sciences, Universidade Nove de Julho (UNINOVE), São Paulo, Brazil
- Postgraduate Program in Biophotonics Applied to Health Sciences, Universidade Nove de Julho (UNINOVE), São Paulo, Brazil
| | - Raquel Agnelli Mesquita-Ferrari
- Postgraduate Program in Rehabilitation Sciences, Universidade Nove de Julho (UNINOVE), São Paulo, Brazil
- Postgraduate Program in Biophotonics Applied to Health Sciences, Universidade Nove de Julho (UNINOVE), São Paulo, Brazil
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Sarmadi S, Tanbakuchi B, Hesam Arefi A, Chiniforush N. The Effect of Photobiomodulation on Distraction Osteogenesis. J Lasers Med Sci 2019; 10:330-337. [PMID: 31875127 DOI: 10.15171/jlms.2019.53] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
Distraction osteogenesis (DO) is a surgical procedure to increase bone height in different body parts. DO includes a surgical incision, wherein the bone is cut and a device is installed for further separation of the two ends by gradual unscrewing of the device screw. New bone gradually forms and fills the gap, and the bone height increases as such. Photobiomodulation (PBM) or low-level laser therapy (LLLT) enhances the formation of soft and hard tissue such as bone and can, therefore, accelerate the process of DO and shorten the duration of different surgical phases of DO such as latency, activation, and consolidation. Different laser types with variable exposure settings and protocols have been used for this purpose. The gallium-aluminum-arsenide (GaAlAs) diode laser is the most commonly used laser type for LLLT. This study reviews 18 published articles on the effects of LLLT on DO and summarizes their findings to further elucidate this topic.
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Affiliation(s)
- Sarvin Sarmadi
- Department of Orthodontics, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
| | - Behrad Tanbakuchi
- Department of Orthodontics, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
| | | | - Nasim Chiniforush
- Laser Research Center of Dentistry (LRCD), Dentistry Research Institute, Tehran University of Medical Sciences, Tehran, Iran
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11
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da Fonseca EV, Bussadori SK, da Silva Martinho LFC, de Souza Melo MC, de Andrade FL, Gonçalves MLL, Mesquita-Ferrari RA, Horliana ACRT, Fernandes KPS. Evaluation of photobiomodulation effects on pain, edema, paresthesia, and bone regeneration after surgically assisted rapid maxillary expansion: Study protocol for a randomized, controlled, and double blind clinical trial. Medicine (Baltimore) 2019; 98:e17756. [PMID: 31770194 PMCID: PMC6890349 DOI: 10.1097/md.0000000000017756] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/31/2023] Open
Abstract
BACKGROUND Surgically assisted rapid maxillary expansion (SARME) generates an uncomfortable postoperative period accompanied by pain, edema, and paresthesia. There are few studies on the effect of photobiomodulation (PBM) after SARME and it was not possible to find studies on the efficacy of light emitted by diode (LED) after this type of intervention. The main objective of the study will be to evaluate the efficacy of PBM with LED in the control of pain, facial edema, paresthesia, and bone repair after SARME. METHODS A randomized, double-blind, placebo-controlled clinical trial involving 72 participants aged from 18 to 45 years, who search the Department of Buccomaxillofacial Surgery and Traumatology of Mandaqui Hospital Complex, will be conducted. Immediately after surgeries, the participant will be inserted into the placebo or LED group. In the LED group, the participants will receive PBM with an extraoral device (660 and 850 nm with 6 J per point) and an intraoral device (660 nm with 2 J per point) and in the control group the person in charge of the application will simulate the irradiation with the devices kept off. The applications will be in the immediate postoperative period, 1, 2, 7, 14, 30, 60, 90, and 120 days after the end of the surgeries, when the evaluations will also be performed. Facial measurements, extra and intraoral sensitivity, pain and bone repair will be evaluated. Secondarily, data regarding the occurrence of headache; otalgia; nausea; bruising; nasolacrimation; epistaxis; dysphagia; systemic and superficial temperature in the operated region; use of analgesics and anti-inflammatories; anxiety and impact of oral health on the participants' quality of life will be computed. DISCUSSION Since PBM has shown positive effects on postoperative complications of other types of oral surgery and also has a positive effect on bone repair after maxillary disjunction, surgically assisted or not, it seems clear the need to evaluate its performance regarding pain, edema, and paresthesia after these surgeries. TRIAL REGISTRATION This protocol was registered in Clinical Trials platform (https://clinicaltrials.gov/) with the number NCT03814525, first published and last updated on January 24, 2019.
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Affiliation(s)
- Eduardo Vasques da Fonseca
- Postgraduation Program in Biophotonics Applied to Health Sciences, Nove de Julho University - UNINOVE, Liberdade
- Department of Buccomaxillofacial Surgery and Traumatology of Mandaqui Hospital Complex, Santana, São Paulo, SP, Brazil
| | - Sandra Kalil Bussadori
- Postgraduation Program in Biophotonics Applied to Health Sciences, Nove de Julho University - UNINOVE, Liberdade
| | | | - Maria Carolina de Souza Melo
- Department of Buccomaxillofacial Surgery and Traumatology of Mandaqui Hospital Complex, Santana, São Paulo, SP, Brazil
| | - Felipe Ledo de Andrade
- Department of Buccomaxillofacial Surgery and Traumatology of Mandaqui Hospital Complex, Santana, São Paulo, SP, Brazil
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12
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Michelogiannakis D, Al-Shammery D, Akram Z, Rossouw PE, Javed F, Romanos GE. Influence of low-level laser therapy on orthodontically-induced inflammatory root resorption. A systematic review. Arch Oral Biol 2019; 100:1-13. [DOI: 10.1016/j.archoralbio.2019.01.017] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2018] [Revised: 01/11/2019] [Accepted: 01/28/2019] [Indexed: 12/12/2022]
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