Skip to main content

Advertisement

Log in

Analgesic effect of a low-level laser therapy (830 nm) in early orthodontic treatment

  • Original Article
  • Published:
Lasers in Medical Science Aims and scope Submit manuscript

Abstract

The aim of this study was to evaluate the pain sensation that orthodontic patients experience when elastic separators are placed between molars and premolars and to determine the degree of analgesic efficacy of low-level laser therapy (LLLT) compared to a placebo treatment. The study was conducted with 20 volunteers who were fitted with elastic separators between the maxillary molars and premolars. One quadrant was randomly chosen to be irradiated with an 830-nm laser, 100 mW, beam diameter of 7 mm, 250 mW/cm2 applied for 20 s per point (5 J/cm2). Three points were irradiated in the buccal face and three were irradiated in the palate. The same procedure was applied in the contralateral quadrant with a placebo light. A visual analogue scale was used to assess pain 5 min, 6 h, 24 h, 48 h, and 72 h after placement of the separators. Maximum pain occurred 6–24 h after placement of the elastic separators. Pain intensity was significantly lower in the laser-treated quadrant (mean, 7.7 mm) than in the placebo-treated quadrant (mean, 14.14 mm; p = 0.0001). LLLT at these parameters can reduce pain in patients following placement of orthodontic rubber separators.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6

Similar content being viewed by others

References

  1. Brown DF, Moerenhout RG (1991) The pain experience and psychological adjustment to orthodontic treatment of preadolescents, adolescents, and adults. Am J Orthod Dentofacial Orthop 100:349–356

    Article  PubMed  CAS  Google Scholar 

  2. Ngan P, Kess B, Wilson S (1989) Perception of discomfort by patients undergoing orthodontic treatment. Am J Orthod Dentofacial Orthop 96:47–53

    Article  PubMed  CAS  Google Scholar 

  3. Oliver RG, Knapman YM (1985) Attitudes to orhodontic treatment. Br J Orthod 12:179–188

    PubMed  CAS  Google Scholar 

  4. Tayer BH, Burek MJ (1981) A survey of adults' attitudes toward orthodontic therapy. Am J Orthod 79:305–315

    Article  PubMed  CAS  Google Scholar 

  5. Gianopoulou C, Dudic A, Klliaridis S (2006) Pain disconfort and crevicular fluid changes induced by orthodontic elastic separators in children. J Pain 7(5):367–376

    Article  Google Scholar 

  6. Youssef M, Ashkar S, Hamade E, Gutknecht N, Lampert F, Mir M (2008) The effect of low-level laser therapy during orthodontic movement: a preliminary study. Lasers Med Sci 23:27–33

    Article  PubMed  Google Scholar 

  7. Harazaki M, Isshiki Y (1998) Soft laser irradiation effects on pain reduction in orthodontic treatment. Bull Tokyo Dent Coll 39:95–101

    PubMed  CAS  Google Scholar 

  8. Turhani D, Scheriau M, Kapral D, Benesch T, Jonke E, Bantleon HP (2006) Pain relief by single low-level laser irradiation in orthodontic patients undergoing fixed appliance therapy. Am J Orthod Dentofacial Orthop 130:371–377

    Article  PubMed  Google Scholar 

  9. Lim HM, Lew KK, Tay DK (1995) A clinical investigation of the efficacy of low level laser therapy in reducing orthodontic postadjustment pain. Am J Orthod Dentofacial Orthop 108:614–622

    Article  PubMed  CAS  Google Scholar 

  10. Tortamano A, Lenzi D, Haddad AC, Bottino MC, Dominguez G, Vigorito JW (2009) Low-level laser therapy for pain caused by placement of the first orthodontic archwire: a randomized clinical trial. Am J Orthod Dentofacial Orthop 136:662–667

    Article  PubMed  Google Scholar 

  11. Mester E, Szende B (1967) Influence of laser on hair growth of mice. Kiserl Orvostud 19:628–631

    Google Scholar 

  12. Amarillas-Escobar ED, Toranzo-Fernández JM, Martínez-Rider R, Noyola-Frías MA, Hidalgo-Hurtado JA, Serna VM, Gordillo-Moscoso A, Pozos-Guillén AJ (2010) Use of therapeutic laser after surgical removal of impacted lower third molars. J Oral Maxillofac Surg 68(2):319–324

    Article  PubMed  Google Scholar 

  13. Shirani AM, Gutknecht N, Taghizadeh M, Mir M (2009) Low-level laser therapy and myofacial pain dysfunction syndrome: a randomized controlled clinical trial. Lasers Med Sci 24:715–720

    Article  PubMed  Google Scholar 

  14. Brugnera A, Garrini dos Santos AL, Donnamaria E, Pinheiro TCh (2006) Atlas of laser therapy applied to clinical dentistry. Ed Quintessence, Sau Paulo

    Google Scholar 

  15. Ozen T, Orhan K, Gorur I, Ozturk A (2006) Efficacy of low level laser therapy on neurosensory recovery after injury to the inferior alveolar nerve. Head Face Med 2:3

    Article  PubMed  Google Scholar 

  16. Simoes A, Eduardo FP, Luiz AC, Campos L, Sa PH, Cristofaro M et al (2009) Laser phototherapy as topical prophylaxis against head and neck cancer radiotherapy-induced oral mucositis: comparison between low and high/low power lasers. Lasers Surg Med 41:264–270

    Article  PubMed  Google Scholar 

  17. Oltra-Arimon D, España-Tost AJ, Berini-Aytés L, Gay-Escoda C (2004) Aplicaciones del láser de baja pótencia en Odontología. RCOE 9(5):517–524

    Article  Google Scholar 

  18. Honmura A, Yanase M, Obata J, Haruki E (1992) Therapeutic effect of Ga-Al-As diode laser irradiation on experimentally induced inflammation in rats. Lasers Surg Med 12(4):441–449

    Article  PubMed  CAS  Google Scholar 

  19. Chow R, Armati P, Laakso EL, Bjordal JM, Baxter GD (2011) Inhibitory effects of laser irradiation on peripheral mammalian nerves and relevance to analgesic effects: a systematic review. Photomed Laser Surg 29(6):356–381

    Article  Google Scholar 

  20. Basford JR, Hallman HO, Matsumoto JY, Moyer SK, Buss JM, Baxter GD (1993) Effects of 830 nm continuous wave laser diode irradiation on median nerve function in normal subjects. Lasers Surg Med 13(6):597–604

    Article  PubMed  CAS  Google Scholar 

  21. Laakso EL, Cabot PJ (2005) Nociceptive scores and endorphin-containing cells reduced by low-level laser therapy (LLLT) in inflamed paws of Wistar rat. Photomed Laser Surg 23(1):32–35

    Article  PubMed  Google Scholar 

  22. Karu TM (1988) Molecular mechanism of the therapeutic effect of low intensity laser radiation. Laser Life Sci 2:53–74

    Google Scholar 

  23. Fujiyama K, Deguchi T, Murakami T, Fujii A, Kushima K, Yamamoto TT (2008) Clinical effect of CO2 laser in reducing pain in orthodontics. Angle Orthod 78(2):299–303

    Article  PubMed  Google Scholar 

  24. Tunér J, Hode L (1999) Low level laser therapy—clinical practice and scientific background, 1st edn. Prima Books, Sweden

    Google Scholar 

  25. Karu T (1999) Primary and secondary mechanisms of action of visible to near-IR radiation on cells. J Photochem Photobiol Biol 49:1–17

    Article  CAS  Google Scholar 

  26. Huang YY, Chen AC, Carroll JD, Hamblin MR (2009) Biphasic dose response in low level light therapy. Dose Response 7(4):358–383

    Article  PubMed  Google Scholar 

  27. Zhan D, Hughes B, King GJ (1997) Histomorfometric and biomechanical study of osteoclasts at orthodontic compression sites in the rat during indomethacin inhibition. Arch Oral Biol 42:717–726

    Article  Google Scholar 

  28. Jenkins PA, Carroll J (2011) How to report low-level laser therapy (LLLT)/photomedicine dose and beam parameters in clinical and laboratory studies. Photomed Laser Surg 29(12):1–4

    Article  Google Scholar 

  29. Chow R, Johnson M, Lopes-Martins R, Bjordal J (2009) Efficacy of low-level laser therapy in the management of neck pain: a systematic review and meta-analysis of randomised placebo or active-treatment controlled trials. Lancet 374:1897–908

    Article  PubMed  Google Scholar 

  30. Firestone AR, Scheurer AP, Burgin WB (1999) Patient's anticipation of pain and pain-related side effects, and their perception of pain as a result of orthodontic treatment with fixed appliances. Eur J Orthod 21:387–396

    Article  PubMed  CAS  Google Scholar 

  31. Dundar U, Evcik D, Samli F, Pusak H, Kavuncu V (2007) The effect of gallium arsenide aluminum laser therapyin the management of cervical myofascial pain syndrome:a double blind, placebo-controlled study. Clin Rheumatol 26:930–934

    Article  PubMed  CAS  Google Scholar 

  32. Kreisler MB, Haj HA, Noroozi N, Willershausen B (2004) Efficacy of low level laser therapy in reducing postoperative pain after endodontic surgery—a randomized double blind clinical study. Int J Oral Maxillofac Surg 33:38–41

    Article  PubMed  CAS  Google Scholar 

  33. Albertini R, Villaverde AB, Aimbire F, Salgado M, Bjordal JM, Alves LP, Munin E, Costa MS (2007) Anti-inflammatory effects of low-level laser therapy (LLLT) with two different red wavelengths (660 nm and 684 nm) in carrageenan-induced rat paw edema. Journal of Photochemistry and Photobiology Biology 89:50–55

    Article  CAS  Google Scholar 

  34. Albertini R, Villaverde AB, Aimbire F, Bjordal J, Brugnera A, Mittmann J, Silva JA, Costa M (2008) Cytokine mRNA expression is decreased in the subplantar muscle of rat paw subjected to carrageenan-induced inflammation after low-level laser therapy. Photomed Laser Surg 26(1):19–24

    Article  PubMed  CAS  Google Scholar 

  35. Albertini R, Aimbire F, Villaverde AB, Silva JA Jr, Costa MS (2007) COX-2 mRNA expression decreases in the subplantar muscle of rat paw subjected to carrageenan-induced inflammation after low level laser therapy. Inflamm Res 56(6):228–229

    Article  PubMed  CAS  Google Scholar 

  36. Chow RT, David MA, Armati PJ (2007) 830 nm laser irradiation induces varicosity formation, reduces mitochondrial membrane potential and blocks fast axonal flow in small and medium diameter rat dorsal root ganglion neurons: implications for the analgesic effects of 830 nm laser. J Peripher Nerv Syst 12(1):28–39

    Article  PubMed  Google Scholar 

  37. Enwemeka CS, Parker JC, Dowdy DS, Harkness EE, Sanford LE, Woodruff LD (2004) The efficacy of low-power lasers in tissue repair and pain control: a meta-analysis study. Photomed Laser Surg 22(4):323–329

    Article  PubMed  Google Scholar 

  38. Yamaguchi M, Yoshii M, Kasai K (2006) Relationship between substance P and interlaukin -1 B in gingival crevicular fliud during orthodontic tooth movement in adults. Eur J Orthod 28:241–246

    Article  PubMed  Google Scholar 

  39. Trelles MA, Mayayo E (1987) Bone fracture consolidates faster with low power laser. Lasers Surg Med 7:36–45

    Article  PubMed  CAS  Google Scholar 

  40. Shimizu N, Yamaguchi M, Goseki T, Shibata Y, Takiguchi H, Iwasawa T, Abiko Y (1995) Inhibition of prostaglandin E2 and interleukin 1-beta production by low-power laser irradiation in stretched human periodontal ligament cells. J Dent Res 74(7):1382–1388

    Article  PubMed  CAS  Google Scholar 

  41. Duran Fernandez-Feijo M (2008) Efecto analgésico del laser Erbium,Cromium: Yttrium-Selenium-Gallium-Garnet en Ortodoncia. Tesina Doctoral, Universidad Internacional de Catalunya. Julio

  42. Bjordal JM, Johnson MI, Iversen V, Aimbire F, Lopes-Martins RA (2006) Photoradiation in acute pain: a systematic review of possible mechanisms of action and clinical effects in randomized placebo-controlled trials. Photomed Laser Surg 24:158–168

    Article  PubMed  CAS  Google Scholar 

  43. Furstman L, Bernick S (1972) Clinical considerations of the periodontium. Am J Orthod 61(2):138–155

    Article  PubMed  CAS  Google Scholar 

  44. Harazaki M, Takahashi H, Isshiki Y (1997) Soft laser irradiation induced pain reduction in orthodontic treatment. Bull Tokyo Dent Coll 38:291–295

    PubMed  CAS  Google Scholar 

  45. Bernhart MK, Southhard KA, Batterson KD, Logan HL, Baker KA, Jakobsen JR (2001) The effect of preemptive and/or postoperative ibuprofen therapy for orthodontic pain. Am J Orthod Dentofac Orthop 120:20–27

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to A. Puigdollers.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Artés-Ribas, M., Arnabat-Dominguez, J. & Puigdollers, A. Analgesic effect of a low-level laser therapy (830 nm) in early orthodontic treatment. Lasers Med Sci 28, 335–341 (2013). https://doi.org/10.1007/s10103-012-1135-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10103-012-1135-y

Keywords

Navigation