Current protocol to achieve dental movement acceleration and pain control with Photo-biomodulation

Angela Dominguez
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Abstract

When designing a study on dental movement acceleration or pain control during orthodontic treatment, it is crucial to consider effective parameters. The objective of this editorial is to compile the most effective parameters supported by evidence that should be considered in future studies to achieve complete parameter homogenization. The protocol currently recommended to homogenize the parameters and facilitate the development of further meta-analysis in terms of acceleration of movement and pain control in orthodontics is Wavelength: 810 nm, 2.2 J per surface, 0.1 W in continuous mode/0.1 W average power in a super-pulsed, sweeping movement, 1mm from the mucosa, 22 seconds along the vestibular surface and 22 seconds along the lingual surface, the recommended speed of movement is 2 mm/sec, 1 application during each orthodontic control, to achieve dental movement acceleration and repeat the dose at 24 h to ensure pain elimination. The energy density and power density will depend on the spot size used in the equipment and the distance from the mucosa. It will strengthen the evidence of photobiomodulation as the best therapy to accelerate tooth movement and at the same time control the pain produced by orthodontic treatments.
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通过光生物调制实现牙齿运动加速和疼痛控制的现行方案
在设计一项有关正畸治疗期间牙齿移动加速或疼痛控制的研究时,考虑有效的参数至关重要。这篇社论的目的是汇编有证据支持的最有效参数,这些参数应在未来的研究中加以考虑,以实现完整的参数同质化。目前推荐的方案是:波长:810 纳米,每个表面 2.2 焦耳,连续模式下 0.1 瓦/0.1 W 平均功率的超脉冲扫频运动,距离粘膜 1 mm,沿前庭面 22 秒,沿舌面 22 秒,建议运动速度为 2 mm/秒,每次正畸控制期间使用 1 次,以达到牙齿运动加速的目的,并在 24 h 重复使用剂量,以确保消除疼痛。能量密度和功率密度取决于设备使用的光斑大小以及与粘膜的距离。这将进一步证明光生物调制是加速牙齿移动的最佳疗法,同时还能控制正畸治疗产生的疼痛。
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