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Photobiomodulation in acceleration of orthodontic tooth movement: A systematic review and meta analysis.
Complement Ther Med 2019; 47:102220CT

Abstract

BACKGROUND

Photobiomodulation therapy, a non invasive method with no adverse effects, has been used to accelerate tooth movement in orthodontia. However, the specific characteristics of laser settings used in studies documented have reported varied inconsistent conflicting results.

OBJECTIVES

We decided to undertake a systematic review to eliminate this inconsistency by quantifying the literature studies that indicated the link between photobiomodulation and acceleration of tooth movement and to assess if there is any association of photobiomodulation therapy in accelerating tooth movement.

SEARCH STRATEGY

We systematically searched for articles of existing literatures on Photobiomodulation therapy and acceleration of tooth movement over Cochrane library, Pubmed central, EMBASE, Scopus and Web of sciences from 2000 to 2017. Mesh search terms using various descriptors were used to identify the studies.

SEARCH CRITERIA

We included randomized control trial and clinical control trail studies that used Ga-Al-As diode laser and Oseeopulse laser with specific characteristics and company specifications, addressing relevant efficiency and safety outcomes.

DATA COLLECTION AND ANALYSIS

Eligible studies were reviewed and data was extracted on a standard from. We used Cochrane review manager software (Revman version 5.3) to assess the qualities of each included trials. Data were analyzed using an inverse variance method with random effects model effect.

RESULTS

We observed a statistical significant difference between the photobiomodulation therapy compared to non laser group in the acceleration of tooth movement (Mean difference 0.59 (95%CI- 0.24 to 0.95) I2 95%). However, these results need caution while generalizing in clinical practice due to the large amount of heterogeneity across the studies.

CONCLUSION

Findings of the current systematic review suggest a possible benefit with photobiomodulation therapy and tooth movement in orthodontia. However these findings need to be further validated in larger trials using specific standardized characteristics of laser settings to uniform the methodological design that can be used in routine clinical practice.

Authors+Show Affiliations

Department of Pediatric Dentistry and Orthodontic Sciences, College of Dentistry, King Khalid University, Abha, 61471, Saudi Arabia.Department of Pediatric Dentistry and Orthodontic Sciences, College of Dentistry, King Khalid University, Abha, 61471, Saudi Arabia.Department of Diagnostic Dental Sciences, College of Dentistry, King Khalid University, Abha, 61471, Saudi Arabia. Electronic address: jhosmani@kku.edu.sa.Saudi Specialist Certificate Program in Orthodontics, Department of Pediatric Dentistry and Orthodontic Sciences, College of Dentistry, King Khalid University, Abha, 61471, Saudi Arabia.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

31780019

Citation

AlShahrani, Ibrahim, et al. "Photobiomodulation in Acceleration of Orthodontic Tooth Movement: a Systematic Review and Meta Analysis." Complementary Therapies in Medicine, vol. 47, 2019, p. 102220.
AlShahrani I, Togoo RA, Hosmani J, et al. Photobiomodulation in acceleration of orthodontic tooth movement: A systematic review and meta analysis. Complement Ther Med. 2019;47:102220.
AlShahrani, I., Togoo, R. A., Hosmani, J., & Alhaizaey, A. (2019). Photobiomodulation in acceleration of orthodontic tooth movement: A systematic review and meta analysis. Complementary Therapies in Medicine, 47, p. 102220. doi:10.1016/j.ctim.2019.102220.
AlShahrani I, et al. Photobiomodulation in Acceleration of Orthodontic Tooth Movement: a Systematic Review and Meta Analysis. Complement Ther Med. 2019;47:102220. PubMed PMID: 31780019.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Photobiomodulation in acceleration of orthodontic tooth movement: A systematic review and meta analysis. AU - AlShahrani,Ibrahim, AU - Togoo,Rafi Ahmed, AU - Hosmani,Jagadish, AU - Alhaizaey,Ali, Y1 - 2019/10/16/ PY - 2019/04/02/received PY - 2019/08/26/revised PY - 2019/10/15/accepted PY - 2019/11/30/entrez PY - 2019/11/30/pubmed PY - 2019/11/30/medline KW - Low level laser therapy KW - Orthodontic tooth movement KW - Photobiomodulation SP - 102220 EP - 102220 JF - Complementary therapies in medicine JO - Complement Ther Med VL - 47 N2 - BACKGROUND: Photobiomodulation therapy, a non invasive method with no adverse effects, has been used to accelerate tooth movement in orthodontia. However, the specific characteristics of laser settings used in studies documented have reported varied inconsistent conflicting results. OBJECTIVES: We decided to undertake a systematic review to eliminate this inconsistency by quantifying the literature studies that indicated the link between photobiomodulation and acceleration of tooth movement and to assess if there is any association of photobiomodulation therapy in accelerating tooth movement. SEARCH STRATEGY: We systematically searched for articles of existing literatures on Photobiomodulation therapy and acceleration of tooth movement over Cochrane library, Pubmed central, EMBASE, Scopus and Web of sciences from 2000 to 2017. Mesh search terms using various descriptors were used to identify the studies. SEARCH CRITERIA: We included randomized control trial and clinical control trail studies that used Ga-Al-As diode laser and Oseeopulse laser with specific characteristics and company specifications, addressing relevant efficiency and safety outcomes. DATA COLLECTION AND ANALYSIS: Eligible studies were reviewed and data was extracted on a standard from. We used Cochrane review manager software (Revman version 5.3) to assess the qualities of each included trials. Data were analyzed using an inverse variance method with random effects model effect. RESULTS: We observed a statistical significant difference between the photobiomodulation therapy compared to non laser group in the acceleration of tooth movement (Mean difference 0.59 (95%CI- 0.24 to 0.95) I2 95%). However, these results need caution while generalizing in clinical practice due to the large amount of heterogeneity across the studies. CONCLUSION: Findings of the current systematic review suggest a possible benefit with photobiomodulation therapy and tooth movement in orthodontia. However these findings need to be further validated in larger trials using specific standardized characteristics of laser settings to uniform the methodological design that can be used in routine clinical practice. SN - 1873-6963 UR - https://www.unboundmedicine.com/medline/citation/31780019/Photobiomodulation_in_acceleration_of_orthodontic_tooth_movement:_A_systematic_review_and_meta_analysis L2 - https://linkinghub.elsevier.com/retrieve/pii/S0965-2299(19)30475-3 DB - PRIME DP - Unbound Medicine ER -