Effects of Low Laser Therapy in Fixed Orthodontic Treatment: Systematic Review

Authors

  • Kishore Kumar Department of Dentistry, University of Sains Malaysia
  • Adam Hussein epartment of Dentistry, School of Dental Sciences, University Sains Malaysia & College of Dental Medicine, University of Sharjah
  • Irfan Qamruddin Department of Dentistry, Jinnah Sindh Medical University Karachi Pakistan
  • Tamana Khatri Department of Dentistry, Conestoga College Kitchener Canada
  • Mohammad Khursheed Alam Department of Dentistry, Jouf University Sakaka Kingdom of Saudi Arabia

DOI:

https://doi.org/10.51253/pafmj.v75i2.9513

Keywords:

Limited laser therapy, Orthodontic tooth movement, Photo bio-modulation

Abstract

Objective: to determine how low-level laser therapy affects patients' early pain thresholds and the level of tooth movement brought on by orthodontic treatments.

Study Design: Systematic review.

Methodology: Various electronic databases (Google Scholar 145, PubMed = 534, NCBI = 18, and Cochrane = 42) were searched for 743 papers for this purpose. Ten publications were chosen for the systematic review of our topic of interest.

Results: Seven of the ten studies examined for evidence had strong evidence, while just three included moderate evidence. Four of the seven studies with strong evidence had statistically significant conclusions. Three studies with intermediate evidence have shown significant results. LLLT may thereby promote orthodontic tooth movement, according to the evidence. 

Conclusion: According to a thorough evaluation of the scientific literature, there is no evidence that LLLT by diode laser increases immediate orthodontic discomfort, although it does encourage orthodontic tooth movement. Limited laser treatment is also helpful for treating discomfort and relieving pain.

Downloads

Download data is not yet available.

References

Niemz M. Laser-Tissue Interactions: Fundamentals and Applications. Springer Cham; 2019.

https://doi.org/10.1007/978-3-030-11917-1

Youssef M, Ashkar S, Hamade E, Gutknecht N, Lampert F, Mir M, et al. The effect of low-level laser therapy during orthodontic movement: A preliminary study. Lasers Med Sci 2008; 23: 27-33.

https://doi.org/10.1007/s10103-007-0449-7

Turhani D, Scheriau M, Kapral D, Benesch T, Jonke E, Bantleon HP et al. Pain relief by single low-level laser irradiation in orthodontic patients undergoing fixed appliance therapy. Am J Orthod Dentofacial Orthop 2006; 130(3): 371-377.https://doi.org/10.1016/j.ajodo.2005.04.036

Garlet TP, Coelho U, Silva JS, Garlet GP. Cytokine expression pattern in compression and tension sides of the periodontal ligament during orthodontic tooth movement in humans. Eur J Oral Sci 2007; 115(5): 355-362.

https://doi.org/10.1111/j.1600-0722.2007.00469.x

Alazzawi M, Husein A, Alam M, Hassan R, Shaari R, Ahmad A, et al. Effect of low level laser and low intensity pulsed ultrasound therapy on bone remodeling during orthodontic tooth movement in rats. Prog Orthod 2018; 19.

https://doi.org/10.1186/s40510-018-0208-2

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): 143-155.

https://doi.org/10.1111/j.1601-6343.2008.00423.x

Sobouti F, Khatami M, Chiniforush N, Rakhshan V, Shariati M. Effect of single-dose low-level helium-neon laser irradiation on orthodontic pain: a split-mouth single-blind placebo-controlled randomized clinical trial. Prog Orthod 2015; 16: 32.

https://doi.org/10.1186/s40510-015-0102-0

Guram G, Reddy RK, Dharamsi AM, Ismail PM, Mishra S, Prakashkumar MD et al. Evaluation of Low-Level Laser Therapy on Orthodontic Tooth Movement: A Randomized Control Study. Contemp Clin Dent 2018; 9(1): 105-109.

https://doi.org/10.4103/ccd.ccd_864_17

Seifi M, Shafeei HA, 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): 261-264.

https://doi.org/10.1007/s10103-007-0447-9

Kreisler MB, Al Haj H, Noroozi N, Willershausen B, D'Hoedt B. Efficacy of low level laser therapy in reducing postoperative pain after endodontic surgery—A randomized double blind clinical study. Int J Oral Maxillofac Surg 2004; 33(1): 38-41.

https://doi.org/10.1054/ijom.2002.0449

Hamzah B. The effect of low-level laser therapy after simple tooth extraction. Journal of International Oral Health. 2019: 18; https://doi.org/10.4103/jioh.jioh-288-18

Ren C, McGrath C, Gu M, Jin L, Zhang C, Sum F, et al. Low-level laser-aided orthodontic treatment of periodontally compromised patients: a randomised controlled trial. Lasers Med Sci 2020; 35(3): 729-739.

https://doi.org/10.1007/s10103-019-02923-0

Ng D, Chan AK, Papadopoulou AK, Dalci O, Petocz P, Darendeliler MA et al. The effect of low-level laser therapy on orthodontically induced root resorption: a pilot double blind randomized controlled trial. Eur J Orthod 2018; 40(3): 317-325.

https://doi.org/10.1093/ejo/cjx065

Isola G, Ferlito S, Rapisarda E. Low-level laser therapy increases interleukin-1β in gingival crevicular fluid and enhances the rate of orthodontic tooth movement. Am J Orthod Dentofac Orthop 2019; 155(4): 456-457.https://doi.org/10.1016/j.ajodo.2019.01.004

Kochar GD, Londhe SM, Varghese B, Jayan B, Kohli S, Kohli VS et al. Effect of Low-level Laser Therapy on Orthodontic Tooth Movement. J Indian Orthod Soc 2017; 51(2): 81-86.

https://doi.org/10.4103/jios.jios_200_16

Marini I, Bartolucci ML, Bortolotti F, Innocenti G, Gatto MR, Alessandri Bonetti G et al. The effect of diode superpulsed low-level laser therapy on experimental orthodontic pain caused by elastomeric separators: a randomized controlled clinical trial. Lasers Med Sci 2015; 30(1): 35-41.

https://doi.org/10.1007/s10103-013-1345-y

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): 249-256.

Cronshaw M, Parker S, Anagnostaki E, Lynch E. Systematic Review of Orthodontic Treatment Management with Photobiomodulation Therapy. Photobiomodul Photomed Laser Surg 2019; 37(12): 862-868.

https://doi.org/10.1089/photob.2019.4702

Alsayed Hasan MM, Sultan K, Hamadah O. Low-level laser therapy effectiveness in accelerating orthodontic tooth movement: A randomized controlled clinical trial. Angle Orthodont 2017; 87. https://doi.org/10.2319/062716-503.1

Üretürk SE, Saraç M, Fıratlı S, Can Ş B, Güven Y, Fıratlı E. The effect of low-level laser therapy on tooth movement during canine distalization. Lasers Med Sci 2017; 32(4): 757-764.

https://doi.org/10.1007/s10103-017-2159-0

Coombe AR, Ho CT, Darendeliler MA, Hunter N, Philips JR, Chapple CC, et al. The effects of low level laser irradiation on osteoblastic cells. Clin Orthod Res 2001; 4(1): 3-14.

https://doi.org/10.1034/j.1600-0544.2001.040102.x

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): 183-188.

AlSayed Hasan MMA, Sultan K, Ajaj M, Voborná I, Hamadah O. Low-level laser therapy effectiveness in reducing initial orthodontic archwire placement pain in premolars extraction cases: a single-blind, placebo-controlled, randomized clinical trial. BMC Oral Health 2020; 20(1): 209.

https://doi.org/10.1186/s12903-020-01191-7

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): 117-120. https://doi.org/10.1002/lsm.20076

Genc G, Kocadereli I, Tasar F, Kilinc K, El S, Sarkarati B. Effect of low-level laser therapy (LLLT) on orthodontic tooth movement. Lasers Med Sci 2013; 28(1): 41-47.

https://doi.org/10.1007/s10103-012-1059-6

Downloads

Published

29-04-2025

Issue

Section

Review Articles

How to Cite

1.
Kumar K, Hussein A, Qamruddin I, Khatri T, Alam MK. Effects of Low Laser Therapy in Fixed Orthodontic Treatment: Systematic Review. Pak Armed Forces Med J [Internet]. 2025 Apr. 29 [cited 2025 May 1];75(2):413-20. Available from: https://www.pafmj.org/PAFMJ/article/view/9513