Pain reduced by low-level laser therapy during use of orthodontic separators in early mixed dentition

J Orofac Orthop. 2015 Sep;76(5):431-9. doi: 10.1007/s00056-015-0306-4.

Abstract

Objective: The purpose of this work was to investigate whether low-level laser therapy (LLLT) applied at a defined distance from the gingiva has a pain-reducing effect in young patients undergoing orthodontic separation during the early mixed-dentition stage.

Materials and methods: A total of 40 children in early mixed dentition (mean age 8.05 years) who required separation of molars were included. The study comprised a group of 20 patients whose treatment included laser application on the day of separation and a control group of 20 patients not receiving LLLT. All patients recorded their maximum pain intensities on the day of separation (day 1) and on the following 4 days.

Results: Compared to the control group, pain perception was significantly reduced (p < 0.05) in the LLLT group on day 1 and continued to be reduced on day 2. Equivalent pain levels were recorded in both groups on days 3-5.

Conclusion: Given our findings of a pain-reducing effect in young patients undergoing orthodontic separation during the early mixed-dentition stage, LLLT is an interesting alternative option of providing analgesia even in very young patients.

Keywords: Children; Low-level laser therapy; Orthodontics; Pain; Separation.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Child
  • Dentition, Mixed
  • Facial Pain / etiology*
  • Facial Pain / prevention & control*
  • Female
  • Humans
  • Low-Level Light Therapy / methods*
  • Male
  • Malocclusion / complications
  • Malocclusion / therapy*
  • Orthodontic Appliances / adverse effects*
  • Pain Management / methods
  • Pain Measurement
  • Tooth Movement Techniques / adverse effects*
  • Tooth Movement Techniques / instrumentation
  • Treatment Outcome