Evaluation of the use of photobiomodulation following the placement of elastomeric separators

Ortega, Silvana Machado; Gonçalves, Marcela Letícia Leal; Silva, Tamiris; Horliana, Anna Carolina Ratto Tempestini; Motta, Lara Jansiski; Altavista, Olga Maria; Olivan, Silvia Regina Garcia; Santos, Ana Eliza Castanho Garrini dos; Martimbianco, Ana Luiza Cabrera; Mesquita‐Ferrari, Raquel Agnelli; Fernandes, Kristianne Porta Santos; Bussadori, Sandra Kalil

doi:10.1097/md.0000000000017325

Cited by 5 publications

(8 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Out of these 23 articles, 11 articles had a split-mouth design, 7,8,10,12-19 1 of them designed as cross over study (2), and 11 remaining articles have been conducted by recruiting a parallelgroup. 3,[20][21][22][23][24][25][26][27][28][29] The split-mouth technique is a popular design in oral health research associated with the advantage of reducing the effect of the inter-person variability of pain perception. 13,24 This method is very well suited for the study of pain perception.…”

Section: Study Methodologymentioning

confidence: 99%

“…Some orthodontic procedures like having elastomeric separators in place are associated with pain. [1][2][3] It has been stated that orthodontic pain has a negative impact on patients' quality of life. 1,4 Thus, good pain management plays a key role in patient satisfaction with treatment and leads to better cooperation with the doctor.…”

Section: Introductionmentioning

confidence: 99%

“…8 It has been reported in several studies that the highest level of pain is experienced on the second day following orthodontic separator placement, and it decreases gradually in a 7-day period. 3 Several methods are used to manage discomfort: Among several methods currently available, oral analgesics, especially the non-steroidal anti-inflammatory drugs (NSAIDs) and bite wafers, are frequently prescribed by orthodontists. [4][5][6] There are still some concerns regarding the delaying effect of employing NSAIDs on tooth movement orally or topically.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The Effectiveness of Low-Level Laser Therapy in Pain Induced by Orthodontic Separator Placement: A Systematic Review

Farzan

Khaleghi

2021

J Lasers Med Sci

View full text Add to dashboard Cite

Introduction: This systematic review was conducted to evaluate the effectiveness of low-level laser therapy (LLLT) in orthodontic separator pain. Methods: This article was written according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist. Electronically and manually 3 databases, namely PubMed, Scopus and Google Scholar, were searched by the keywords that were selected based on population, intervention, comparison and outcome (PICO) on October 10, 2020. Studies were appraised by Cochrane version 5.2.0 with 7 domains and were checked by these inclusion criteria: 1. Randomized clinical trial (RCT) that examined the efficacy of LLLT in separator pain, 2. Split-mouth design, 3. LLLT application in the first hours after separator placement, 4. LLLT application to both sides of the teeth, 5. Patients receiving elastomeric separators between the premolars and molars, 6. Lasers with a wavelength of 800-899 nm, 7. Studies conducted from 2010 to 2020, and 8. Participants who went through orthodontic treatment without limitation in gender, age and social-economic status. Results: 299 studies were screened. 34 full-text papers were read by 2 authors independently. In the end, 4 articles met the inclusion criteria. All 4 articles showed LLLT has a significant impact on pain reduction. Conclusion: The exact protocol for laser therapy is still not clear. Therefore, more studies with a meticulously designed method are needed.

show abstract

Section: Study Methodologymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The Effectiveness of Low-Level Laser Therapy in Pain Induced by Orthodontic Separator Placement: A Systematic Review

Farzan

Khaleghi

2021

J Lasers Med Sci

View full text Add to dashboard Cite

show abstract

“…Durante o tratamento ortodôntico, alguns pacientes podem experimentar diversas mecânicas de movimentação dentária que causam dor e desconforto. A sensação dolorosa tem sido frequentemente associada ao tratamento ortodôntico na visão de até 90% dos pacientes e pode ser entendida como a principal causa de desistências de tratamento 1,2 .…”

Section: Introductionunclassified

Laserterapia de baixa intensidade no manejo da dor provocada por separadores elastoméricos: uma revisão integrativa

Lima¹,

Ribeiro²,

Lopes³

et al. 2021

R. Fac. Odontol. Porto Alegre

View full text Add to dashboard Cite

Introduction: The use of elastomeric separators during orthodontic treatment can cause pain and low-level laser therapy has been used to manage this outcome. Objective: To present the evidence on the effect of low-level laser therapy in the management of pain caused by the use of elastomeric separators. Methods: An integrative review of clinical studies was carried out in the PubMed, Web of Science, Scopus, BVS, SciELO and clinicaltrials.gov databases using a PICo strategy developed with descriptors, including studies published in the last ten years, without language restriction. 68 articles were tracked and 12 were reviewed. Literature review: Considering laser therapy, most studies used gallium and aluminum arsenide (Ga-Al-As), with a wavelength between 808nm and 940nm, as well as power between 40.6mW and 200mW. The visual analog scale (VAS) was used by most studies to measure the pain. Two studies did not find significant differences in low-level laser therapy in pain caused by elastomeric separators, eight studies found significant differences between the intervention, control and placebo groups (when used) and two studies were not fully conclusive and pointed out partial statistical differences between the groups in question. The application techniques were too heterogeneous in the studies included in this review and do not allow a quantitative synthesis. Conclusion: The low-level laser therapy can demonstrate beneficial effects in reducing pain caused by elastomeric separators. However, it is not yet possible to determine the best application technique.

show abstract

“…Finally, lasers can be applied to obtain photobiomodulation (PBM) [19]. Critically, PBM therapy, also known as Low-Level Laser Therapy (LLLT), has been shown to reduce pain in various fields of dentistry, including orthodontics [8,[20][21][22][23][24][25][26][27]. Hence, attention on this therapy is increasing due to its advantages in analgesia, biostimulation, and limited adverse effects [28][29][30][31].…”

Section: Introductionmentioning

confidence: 99%

Photobiomodulation and Pain Reduction in Patients Requiring Orthodontic Band Application: Randomized Clinical Trial

Sfondrini

Vitale

Pinheiro

et al. 2020

BioMed Research International

View full text Add to dashboard Cite

Purpose. The aim of this study was to investigate the effect of Photobiomodulation (PBM) in managing orthodontic pain intensity over time in patients requiring band application on upper first molars. Methods. Maxillary first molars were banded. In the trial group, each molar received single-session PBM on two buccal and two palatal points (λ=830±10 nm; 150 mW, 7.5 J/cm2; spot of 0.1 cm2; 5 sec per point), while the control group received a placebo treatment. All patients were asked to answer five pain rating scales to assess pain intensity at 5 minutes and 1, 12, 24, and 72 hours and completed a survey describing the type of pain and its temporal course in the next 7 days. Results. 26 patients (mean age 11.8 years) were randomly assigned to a control or a trial group. The trial group showed significantly lower pain intensities (p<0.05) at 5 min (M=0.92, SD=1.32), 1 h (M=0.77, SD=1.01), and 12 h (M=0.77, SD=1.54) after band application compared to the control group (5 min: M=1.62, SD=1.26; 1 h: M=1.77, SD=1.92; and 12 h: M=1.77, SD=2.17), whereas no difference between groups (p>0.05) was found at 24 h (trial: M=0.62, SD=1.71; control: M=1.08, SD=1.75) and 72 h (trial: M=0.31, SD=0.75; control: M=0.15, SD=0.55). Patients in the control group reported more frequently the presence of “compressive pain” (58.8%, p<0.05) from the appliance during the week after the application, while the trial group showed higher frequency of “no pain” (46.2%, p<0.05). However, PBM did not affect the pain onset (trial: M=10.86, SD=26.97; control: M=5.25, SD=7.86), peak (trial: M=15.86, SD=26.29; control: 6.17, SD=7.96), and end time (trial: 39.57, SD=31.33; control: M=22.02, SD=25.42) reported by the two groups (p>0.05). Conclusions. PBM might be considered a promising alternative to decrease general pain intensity, although not affecting the typical pain cycle, in terms of the onset, peak, and ending times.

show abstract

Evaluation of the use of photobiomodulation following the placement of elastomeric separators

Cited by 5 publications

References 22 publications

The Effectiveness of Low-Level Laser Therapy in Pain Induced by Orthodontic Separator Placement: A Systematic Review

The Effectiveness of Low-Level Laser Therapy in Pain Induced by Orthodontic Separator Placement: A Systematic Review

Laserterapia de baixa intensidade no manejo da dor provocada por separadores elastoméricos: uma revisão integrativa

Photobiomodulation and Pain Reduction in Patients Requiring Orthodontic Band Application: Randomized Clinical Trial

Contact Info

Product

Resources

About