medigraphic.com
ISSN 1029-3019 (Electronic)

2023, Number 02

<< Back Next >>

MediSan 2023; 27 (02)

Low power laser analgesia in patients with orthodontic treatment

Lozada GJ, Peña SM, Cañete RT, Naranjo GA, Castro GRB

Language: Spanish
References: 20
Page:
PDF size: 624.47 Kb.


ABSTRACT

Introduction: Pain is the most common symptom after the first activation of orthodontic appliance. The most widely used analgesic treatment is paracetamol; however, its use inhibits cyclooxygenase activity and prostaglandin synthesis, which can affect the mechanism of tooth movement and bone remodeling.
Objective: To evaluate the effectiveness of low power laser for pain relief in patients with orthodontic treatment.
Methods: A quasi-experimental study of therapeutic intervention was carried out, from January to December 2020, in 40 patients treated at the orthodontic clinic of Dr. Juan Bruno Zayas Alfonso Teaching General Hospital in Santiago de Cuba, in whom orthodontic force was applied for the first time. These were randomly distributed into 2 groups of 20 members each: the study group, treated with low-power laser, and the control group, that received conventional medication (paracetamol). For statistical validation of data, the percentage and the Student's t test for independent samples were used, with 95 % confidence interval.
Results: After three therapeutic sessions, 90.0% of the study group reported not presenting pain or feeling it slightly, while only 10.0% of patients in control group were put in any of the two previous categories. There was a significant difference between both groups (p=0.00).
Conclusions: Laser, as an alternative therapy, was shown to be more effective than paracetamol.


REFERENCES

  1. Sandhu SS, Leckie G. Diurnal variation in orthodontic pain: Clinical implications and pharmacological management. Seminars in Orthodontics. 2018;24(2):217-24.

  2. Saraza Henao DS, Restrepo Fernández R. Uso de AINES en el manejo del dolor ortodóncico. Envigado: Universidad Cooperativa de Colombia. 2019 [citado 03/11/2020]. Disponible en: https://repository.ucc.edu.co/server/api/core/bitstreams/155c2c30-af45-4ddf-9825-a357afd73432/content

  3. Chow J, Cioffi I. Pain and orthodontic patient compliance: A clinical perspective. Seminars in Orthodontics. 2018;24(2):242-7.

  4. Azura Santana DP, Gutiérrez Rojo JF. Dolor en el tratamiento de Ortodoncia. Rev Tamé. 2020 [citado 03/11/2020];8.9(24):997-9. Disponible en: https://www.medigraphic.com/pdfs/tame/tam-2020/tam2024k.pdf

  5. Chaple Gil AM, Fernández Godoy EM, Quintana Muñoz L. Láser de baja potencia y aceleración de movimientos en ortodoncia: revisión sistemática. Int J Med Surg Sci. 2020 [citado 10/01/2023];7(4). Disponible en: https://revistas.uautonoma.cl/index.php/ijmss/article/view/523/514

  6. Khursheed Alam M. Laser-Assisted Orthodontic Tooth Movement in Saudi Population: A Prospective Clinical Intervention of Low-Level Laser Therapy in the 1st Week of Pain Perception in Four Treatment Modalities. Pain Res Manag. 2019 [citado 04/01/2023];2019:1-11. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6855001/

  7. Arumughan S, Somaiah S, Muddaiah S, Shetty B, Reddy G, Roopa S. A comparison of the rate of retraction with low-level laser therapy and conventional retraction technique. Contemp Clin Dent. 2018 [citado 04/01/2023];9(2):260-6. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5968693/

  8. Cavagnola Zúñiga S, Chaple Gil AM, Fernández Godoy E. Láser de baja potencia en Ortodoncia. Revista Cubana de Estomatología. 2018 [citado 04/01/2023];55(3):1-11. Disponible en: http://www.revestomatologia.sld.cu/index.php/est/article/view/1845

  9. Barandica Ibarra D, Prieto Alape D. Evaluación de la terapia láser de baja intensidad como coadyuvante en el tratamiento de periodontitis crónica leve en pacientes tratados en las clínicas de periodoncia de la Universidad cooperativa de Colombia en el 2018. ECCA [tesis]. Bogotá: Universidad Cooperativa de Colombia; 2019 [citado 04/01/2023]. Disponible en: https://repository.ucc.edu.co/bitstream/20.500.12494/13980/1/2019-terapia_laser_baja.pdf

  10. Águila Aguilar M. El láser. Su uso en ortodoncia. Revista Latinoamericana de Ortodoncia y Odontopediatría. 2020 [citado 04/01/2023]. Disponible en: https://www.ortodoncia.ws/publicaciones/2020/art-19/

  11. Acosta Pelayo AO, Gutiérrez Rojo JF. Uso del láser terapéutico para el dolor en el tratamiento ortodóncico. Revista Latinoamericana de Ortodoncia y Odontopediatría. 2020 [citado 13/11/2020]. Disponible en: https://www.ortodoncia.ws/publicaciones/2020/art-5/

  12. Fujiyama K, Deguchi T, Murakami T, Fujii A, Kushima K, Takano-Yamamoto T. Clinical effect of CO2 laser in reducing pain in orthodontics. Angle Orthod. 2008 [citado 04/01/2023];78(2):299-303. Disponible en: https://meridian.allenpress.com/angle-orthodontist/article-pdf/78/2/299/1382062/033007-153_1.pdf

  13. Song W, Yinan C, Jinglu Z, Wenjing C, Sheng S, Huijie S, et al. Effect of low-level laser therapy on tooth-related pain and somatosensory function evoked by orthodontic treatment. Int J Oral Sci. 2018 [citado 04/01/2023];10(3):22. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6028457/

  14. Belío Reyes IA, Bojórquez Steffani A, Bucio L, Jiménez JM, Peraza Garay F. Aplicaciones de láser terapéutico en algunos movimientos ortodónticos. Rev Mexicana de Ortodoncia. 2017 [citado 04/01/2023];5(4):231-7. Disponible en: https://www.elsevier.es/es-revista-revista-mexicana-ortodoncia-126-pdf-S2395921518300059

  15. Pretel H. mILIB - A new concept in laser therapy. International. Journal of Medical and Surgical Sciences. 2020 [citado 10/01/2023];7(4):1–2. Disponible en: https://revistas.uautonoma.cl/index.php/ijmss/article/view/652/550

  16. AlSayedHasan MMA, Kinda S, Ajaj M, Voborná I, Hamadah O. Low-level laser therapy effectiveness in reducing initial orthodontic archwire placement pain in premolars extraction cases: a single-blind placebo-controlled, randomized clinical trial. BMC Oral Health. 2020 [citado 04/01/2023];20:209. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7370482/

  17. Cheng C, Xie T, Wang J. The efficacy of analgesics in controlling othodontic pain: a systematic review and meta-analysis. BMC Oral Health. 2020 [citado 04/01/2023];20(1):1-9. Disponible en: https://bmcoralhealth.biomedcentral.com/articles/10.1186/s12903-020-01245-w

  18. Qamruddin I, Khursheed M, Mahroof V, Fida M, Khamis M, Husein A. Photobiostimulatory effect of a single dose of Low-Level Laser on Orthodontic tooth movement and pain. Pakistan: Hindawi; 2021 [citado 04/01/2023]. Disponible en: https://www.hindawi.com/journals/prm/2021/6690542/

  19. Martín Perera Y. Aplicación del láser terapéutico como apoyo al tratamiento ortodóncico con aparatología fija en el adulto joven. Actas del Congreso Internacional Virtual de Estomatología 2020; 1-30 Nov 2020; La Habana, Cuba. La Habana: CENCOMED; 2020 [citado 04/01/2023]. Disponible en: http://www.estomatologia2020.sld.cu/index.php/estomatologia/2020/paper/view/605/324

  20. Lozada García J, Cañete Revé T, Naranjo García A, Castro García RB. Aplicación del láser de baja potencia para el alivio del dolor en pacientes con tratamiento ortodóncico. MEDISAN. 2022 [citado 04/01/2023];26(1):70-82. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1029-30192022000100070&Ing=es




2020     |     www.medigraphic.com