Low Level Lazer Therapy For Accelerated Orthodontic Tooth Movement – Review

Abstract

Contemporarily, more adult patients seek orthodontic treatment.
This increasing number of adult patients who usually demand good
results in a short treatment period and the possible side effects
of a prolonged orthodontic treatment (such as caries, white spot
lesions, peridontal problems and root resorption) lead researches
to search for methods that accelerate orthodontic tooth movement.
Low-level laser therapy, electrical current, pulsed electromagnetic
fields, corticotomy, distraction osteogenesis and mechanical
vibration can be listed among the methods that intend to increase
the orthodontic tooth movement rate. This paper aims to review
the current literature about low-level laser therapy (LLLT), which
is one of the physiological approaches for accelerated orthodontic
tooth movement. There are many studies on animal and human
subjects, which report positive effects of LLLT on orthodontic
tooth movement rate. However there are also studies that found
no acceleratory effects of LLLT. In an overview of the literature,
it can be concluded that more studies are necessary to clarify
the clinical application methods and effects on humans. Still,
considering the advantages of LLLT such as easy application, no
patient discomfort, reducing orthodontically induced pain, being a
non-invasive, periodontally safe and physiological approach, it can
be foreseen that LLLT can have clinical use and benefits.

Keywords

• Low level laser therapy,Accelerated tooth movement,Tooth movement techniques

Hızlandırılmış Diş Hareketinde Düşük Doz Lazer Kullanımı

Abstract

Günümüzde, giderek daha fazla sayıda yetişkin birey ortodontik
tedavi talep etmektedir. Kısa sürede iyi bir tedavi sonucuna ulaşmak
isteyen yetişkin hastaların artması ve uzun süreli ortodontik
tedavilerin (çürük, beyaz lezyon, periodontal problemler ve kök
rezorpsiyonu gibi) olası yan etkileri nedeniyle araştırmacılar diş
hareketini hızlandırmayı amaçlayan çalışmalara yönlenmiştir. Diş
hareketini hızlandırmak amacıyla yapılan güncel uygulamalar
arasında düşük doz lazer terapisi, titreşimli elektromanyetik
alanlar, elektriksel akım, kortikotomi, distraksiyon osteogenezi ve
mekanik titreşim sayılabilmektedir. Bu derlemede diş hareketini
hızlandırmak amacıyla uygulanan güncel fizyolojik yaklaşımlardan
biri olan düşük doz lazer terapisinden bahsedilecektir. Bu konudaki
birçok çalışmada bulgular genel olarak DDLT’nin diş hareketi
hızını artırdığına yöneliktir. Ancak DDLT’nin diş hareketi üzerinde
etkili olmadığını belirten çalışmalar da mevcuttur. Literatürdeki
çalışmaların bütününe bakıldığında; insanlarda klinik uygulama
rutinlerini ve etkilerini belirginleştirmek açısından bu konuda daha
fazla çalışma yapılması gerektiği sonucuna varılabilir. Bununla
birlikte, periodontal dokular açısından güvenli bir yöntem olan
DDLT’nin ortodontik tedavi kaynaklı diş ağrılarını azaltması,
invazif olmaması, uygulama kolaylığı, hastaya rahatsızlık
vermemesi ve fizyolojik bir yaklaşım olması gibi özellikleri göz
önüne alındığında ortodonti alanında önemli faydaları ve kullanım
alanları olacağı öngörülebilir.

Keywords

• Düşük doz lazer terapisi,hızlandırılmış diş hareketi,diş hareketi teknikleri

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