Effectiveness of photobiomodulation therapy in accelerating orthodontic tooth movement: a meta-analysis of randomized clinical trials.

  • Naira Figueiredo Deana Faculty of Dentistry, Universidad de la Frontera, Temuco, Chile.
  • Nilton Alves Center of Excellence in Surgical and Morphological Research (CEMyQ), Faculty of Medicine, Universidad de la Frontera, Temuco, Chile. Applied Morphology Research Center (CIMA), Faculty of Dentistry, Universidad de la Frontera, Temuco, Chile.
  • Paulo Sandoval Faculty of Dentistry, Universidad de la Frontera, Temuco, Chile.

Abstract

To assess the effectiveness of photobiomodulation therapy (PBMT) in accelerating orthodontic tooth movement (OTM). Material and Methods: A systematic review was carried out in MEDLINE, Cochrane Library, EMBASE and LILACS of articles in English, Portuguese and Spanish. Additional studies were identified by searching bibliographies. The search terms included: randomized controlled trial (RCT), low-level laser therapy, phototherapy, orthodontic wires, orthodontic anchorage procedures, activator appliances. Study Selection: Only RCTs which analyzed the effect of PBMT in accelerating OTM were included. Independent extraction of articles by two authors using predefined data fields, including study quality indicators was performed. The risk of bias of the eligible trials was assessed using the Cochrane Collaboration’s risk of bias tool. Mean difference was calculated and pooled by meta-analysis using random effect models. The quality of the evidence was assessed using GRADE Pro. Results: Fourteen RCTs analysing tooth movement in the canine retraction (CR) phase and two studies in the tooth alignment phase were included in the qualitative analysis; 68.75% of the RCTs reported that PBMT was effective in accelerating OTM. Nine studies presented 'unclear risk of bias' and seven presented 'high risk of bias'. Mean difference was calculated and pooled by meta-analysis using random effect models. Twelve studies presented sufficient information for inclusion in the meta-analysis. Photobiomodulation doses between 50 and 75 J/cm2 were effective in accelerating OTM in months 1, 2 and 4 of CR, and in increasing the accumulated CR rate. The quality of the evidence was downgraded due to the risks of bias, imprecision or considerable heterogeneity of the studies. Conclusions: PBMT treatment with low or very high application of total/per tooth ED is not effective in accelerating OTM. Application of energy density (ED) between 50 and 75 J/cm2 per tooth was effective in accelerating OTM after 1 and 2 months of CR, as well as in increasing the accumulated CR rate.

References

1. Krishnan V, Davidovitch Z. Biological mechanisms of tooth movement. 2nd ed. Wiley Blackwell; 2015.
2. Davidovitch Z, Nicolay OF, Ngan PW, Shanfeld JL. Neurotransmitters, cytokines, and the control of alveolar bone remodeling in orthodontics. Dent Clin North Am. 1988 Jul;32(3):411–35.
3. Nimeri G, Kau CH, Abou-Kheir NS, Corona R. Acceleration of tooth movement during orthodontic treatment - a frontier in Orthodontics. Prog Orthod. 2013 Oct 29;14(1):1–8.
4. Yamasaki K, Shibata Y, Imai S, Tani Y, Shibasaki Y, Fukuhara T. Clinical application of prostaglandin E1 (PGE1) upon orthodontic tooth movement. Am J Orthod. 1984 Jun;85(6):508–18.
5. Kale S, Kocadereli I, Atilla P AE. Comparison of the effects of 1,25 dihydroxycholecalciferol and prostaglandin E2 on orthodontic tooth movement. Am J Orthod Dentofac Orthop. 2004;125(5):607–14.
6. Hashimoto F, Kobayashi Y, Mataki S, Kobayashi K, Kato Y, Sakai H. Administration of osteocalcin accelerates orthodontic tooth movement induced by a closed coil spring in rats. Eur J Orthod. 2001;23(5):535–45.
7. Alfawal AMH, Hajeer MY, Ajaj MA, Hamadah O, Brad B. Effectiveness of minimally invasive surgical procedures in the acceleration of tooth movement: a systematic review and meta-analysis. Prog Orthod. 2016;17(1).
8. Kau CH, Kantarci A, Shaughnessy T, Vachiramon A, Santiwong P, de la Fuente A, Skrenes D, Ma D, Brawn P. Photobiomodulation accelerates orthodontic alignment in the early phase of treatment. Prog Orthod. 2013;14(1):1–9.
9. Hadjiargyrou M, McLeod K, Ryaby JP, Rubin C. Enhancement of fracture healing by low intensity ultrasound. Clin Orthop Relat Res. 1998;(355 Suppl):S216-29.
10. Alazzawi MMJ, Husein A, Alam MK, Hassan R, Shaari R, Azlina A, Salzihan MS. Effect of low level laser and low intensity pulsed ultrasound therapy on bone remodeling during orthodontic tooth movement in rats. Prog Orthod. 2018;19(1):10.
11. Cruz DR, Kohara EK, Ribeiro MS, Wetter NU. Effects of low-intensity laser therapy on the orthodontic movement velocity of human teeth: A preliminary study. Lasers Surg Med. 2004;35(2):117–20.
12. Sousa MVS, Scanavini MA, Sannomiya EK, Velasco LG, Angelieri F. Influence of Low-Level Laser on the Speed of Orthodontic Movement. Photomed Laser Surg. 2011;29(3):191–6.
13. Doshi-Mehta G, Bhad-Patil WA. Efficacy of low-intensity laser therapy in reducing treatment time and orthodontic pain: a clinical investigation. Am J Orthod. 2012;141(3):289–97.
14. Dominguez A, Lopez C. An in vitro study of the reaction of periodontal and gingival fibroblasts to low- level laser irradiation. J Oral Laser Appl. 2008 Jan 1;8:235–44.
15. Wu J-Y, Chen C-H, Yeh L-Y, Yeh M-L, Ting C-C, Wang Y-H. Low-power laser irradiation promotes the proliferation and osteogenic differentiation of human periodontal ligament cells via cyclic adenosine monophosphate. Int J Oral Sci. 2013 Jun 21;5(2):85–91.
16. Huang T-H, Liu S-L, Chen C-L, Shie M-Y, Kao C-T. Low-level laser effects on simulated orthodontic tension side periodontal ligament cells. Photomed Laser Surg. 2013;31(2):72–7.
17. Dalaie K, Hamedi R, Kharazifard MJ, Mahdian M, Bayat M. Effect of Low-Level Laser Therapy on Orthodontic Tooth Movement: A Clinical Investigation. J Dent. 2015;12(4):249–56.
18. Yassaei S, Aghili H, Afshari JT, Bagherpour A, Eslami F. Effects of diode laser (980 nm) on orthodontic tooth movement and interleukin 6 levels in gingival crevicular fluid in female subjects. Lasers Med Sci. 2016;31(9):1751–9.
19. Limpanichkul W, Godfrey K, Srisuk N, Rattanayatikul C. Effects of low-level laser therapy on the rate of orthodontic tooth movement. Orthod Craniofac Res. 2006;9(1):38–43.
20. Higgins J, Green S. CochraneHandbook for Systematic Reviews of Interventions Version 5.1.0”. The Cochrane Collaboration. 2011.
21. Langendam MW, Akl EA, Dahm P, Glasziou P, Guyatt G, Schünemann HJ. Assessing and presenting summaries of evidence in Cochrane Reviews. Syst Rev. 2013;2(1):81.
22. Guyatt G, Oxman A, Schunemann H, Tugwell P, Knottnerus A. GRADE guidelines: A new series of articles in the Journal of Clinical Epidemiology. Clin Epidemiol. 2011;64:380–2.
23. Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gøtzsche PC, Ioannidis JP, Clarke M, Devereaux PJ, Kleijnen J, Moher D.The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration. BMJ. 2009;339:b2700.
24. Qamruddin I, Alam MK, Mahroof V, Fida M, Khamis MF, Husein A. Effects of low-level laser irradiation on the rate of orthodontic tooth movement and associated pain with self-ligating brackets. Am J Orthod Dentofac Orthop. 2017 Nov;152(5):622–30.
25. Üretürk SE, Saraç M, Firatli S, Can SB, Güven Y, Firatli E, et al. The effect of low-level laser therapy on tooth movement during canine distalization. Lasers Med Sci. 2017;32(4):757–64.
26. Kochar GD, Londhe SM, Varghese B, Jayan B, Kohli S, Kohli VS. Effect of low-level laser therapy on orthodontic tooth movement. J Indian Orthod Soc. 2017;51(2):81–6.
27. Sandoval P, Bizcar B, Navarro P, Knösel M. Efficacy of Diode Laser Therapy in Acceleration of Orthodontic Space Closure: A Split-Mouth Randomized Clinical Trial. Int J Dent Oral Heal. 2017;3(2).
28. Harish Mal U, Malagan M. Evaluation of the effects of laser irradiation on the rate of tooth movement: A split‑mouth study. Indian J Heal Sci Biomed Res KLEU. 2018;11:42–5.
29. Guram G, Reddy RK, Dharamsi AM, Syed Ismail PM, Mishra S, Prakashkumar MD. Evaluation of Low-Level Laser Therapy on Orthodontic Tooth Movement: A Randomized Control Study. Contemp Clin Dent. 2018;9(1):105–9.
30. Heravi F, Moradi A, Ahrari F. The effect of low level laser therapy on the rate of tooth movement and pain perception during canine retraction. Oral Health Dent Manag. 2014;13(2):183–8.
31. Kansal A, Kittur N, Kumbhojkar V, Keluskar KM, Dahiya P. Effects of low-intensity laser therapy on the rate of orthodontic tooth movement: A clinical trial. Dent Res J. 2014;11(4):481–8.
32. Caccianiga G, Paiusco A, Perillo L, Nucera R, Pinsino A, Maddalone M, Cordasco G, Lo Giudice A. Does Low - Level Laser Therapy Enhance the Efficiency of Orthodontic Dental Alignment? Results from a Randomized Pilot Study. Photomed Laser Surg. 2017;35(8):425–6.
33. AlSayed Hasan MMA, Sultan K, Hamadah O. Evaluating low-level laser therapy effect on reducing orthodontic pain using two laser energy values: a split-mouth randomized placebo-controlled trial. Eur J Orthod. 2018;40(1):23–8.
34. Roberts WE, Goodwin WC, Heiner SR. Cellular response to orthodontic force. Dent Clin North Am. 1981;25(1):3–17.
35. Lekic P, McCulloch CAG. Periodontal ligament cell populations: The central role of fibroblasts in creating a unique tissue. Anat Rec. 1996;245(2):327–41.
36. Miles P. Accelerated orthodontic treatment - what’s the evidence? Aust Dent J. 2017;62 Suppl 1:63–70.
37. Seifi M, Ali Shafeei H, Daneshdoost S, Mir M. Effects of two types of low-level laser wave lengths (850 and 630 nm) on the orthodontic tooth movements in rabbits. Lasers Med Sci. 2007;22(4):261–4.
38. Alikhani M, Alyami B, Lee IS, Almoammar S, Vongthongleur T, Alikhani M, Alansari S, Sangsuwon C, Chou MY, Khoo E, Boskey A, Teixeira CC. Saturation of the biological response to orthodontic forces and its effect on the rate of tooth movement. Orthod Craniofac Res. 2015;18:8–17.
39. Yamaguchi M, Fujita S, Yoshida T, Oikawa K, Utsunomiya T, Yamamoto H, et al. Low-energy laser irradiation stimulates the tooth movement velocity via expression of M-CSF and c-fms. Orthod Waves. 2007;66(4):139–48.
40. Kim Y-D, Song W-W, Kim S-S, Kim G-C, Hwang D-S, Shin S-H, et al. Expression of receptor activator of nuclear factor -κB ligand, receptor activator of nuclear factor -κB, and osteoprotegerin, following low-level laser treatment on deproteinized bovine bone graft in rats. Lasers Med Sci. 2009;24(4):577–84.
41. Fujita S, Yamaguchi M, Utsunomiya T, Yamamoto H, Kasai K. Low-energy laser stimulates tooth movement velocity via expression of RANK and RANKL. Orthod Craniofac Res. 2008;11(3):143–55.
42. Suzuki S, Garcez A, Suzuki H, Ervolino E, Moon W, Ribeiro M. Low-level laser therapy stimulates bone metabolism and inhibits root resorption during tooth movement in a rodent model. J Biophotonics. 2016;9(11–12):1222–35.
43. Hamblin M, Demidova T. Mechanisms of low level light therapy. Proc SPIE. 2006;6140:61001–12.
44. Sommer AP, Pinheiro ALB, Mester AR, Franke R, Whelan HT. Biostimulatory Windows in Low-Intensity Laser Activation: Array System. J Clin Laser Med Surg. 2001;19(1):29–33.
45. Ge MK, He WL, Chen J, Wen C, Yin X, Hu ZA, Liu ZP, Zou SJ.Efficacy of low-level laser therapy for accelerating tooth movement during orthodontic treatment : a systematic review and meta-anañysis. Lasers Med Sci. 2014;30(5):1609–18.
46. Imani MM, Golshah A, Safari-Faramani R, Sadeghi M. Effect of low-level laser therapy on orthodontic movement of human canine: a systematic review and meta-analysis of randomized clinical trials. Acta Inform Medica. 2018;26(2):139–43.
47. Paolillo F, Corraza, AVBagnato V. Fundamentos da fototerapia. 1st Ed. São Carlos: Compacta Grafica e Editora; 2014.
48. Barolet D. Light-Emitting Diodes (LEDs) in Dermatology. Semin Cutan Med Surg. 2008;27(4):227–38.
49. Harazaki M, Takahashi H, Ito A, Isshiki Y. Soft laser irradiation induced pain reduction in orthodontic treatment. Bull Tokyo Dent Coll. 1998;39(2):95–101.
50. Coelho RCP, Zerbinati LPS, de Oliveira MG, Weber JBB. Systemic effects of LLLT on bone repair around PLLA–PGA screws in the rabbit tibia. Lasers Med Sci. 2014;29(2):703–8.
51. Shirazi M, Ahmad Akhoundi MS, Javadi E, Kamali A, Motahhari P, Rashidpour M, et al. The effects of diode laser (660 nm) on the rate of tooth movements: an animal study. Lasers Med Sci. 2015;30(2):713–8.
52. Catalá -López F, Tobías A. Meta-analysis of randomized trials, heterogeneity and prediction intervals. Med Clin. 2014;142:270–4.
53. Zittermann A, Schwarz I, Scheld K, Sudhop T, Berthold HK, von Bergmann K, et al. Physiologic Fluctuations of Serum Estradiol Levels Influence Biochemical Markers of Bone Resorption in Young Women. J Clin Endocrinol Metab. 2000;85(1):95–101.
54. Kim SJ, Chou MY, Park YG. Effect of low-level laser on the rate of tooth movement. Semin Orthod. 2016;21(3):210–8.
55. Chou MY, Masoud MI. Saturation of the biological response to orthodontic forces and its effect on the rate of tooth movement. Harvard School of Dental Medicine; 2016.
Published
2019-10-31
How to Cite
DEANA, Naira Figueiredo; ALVES, Nilton; SANDOVAL, Paulo. Effectiveness of photobiomodulation therapy in accelerating orthodontic tooth movement: a meta-analysis of randomized clinical trials.. Journal of Oral Research, [S.l.], v. 8, n. 5, p. 416-432, oct. 2019. ISSN 0719-2479. Available at: <https://joralres.com/index.php/JOralRes/article/view/joralres.2019.057>. Date accessed: 29 mar. 2024. doi: https://doi.org/10.17126/joralres.2019.057.
Section
Reviews