Effectiveness of low-level laser therapy and chewing gum in reducing orthodontic pain: A randomized controlled trial
10.4041/kjod.2021.51.5.313
- Author:
Fatih CELEBI
1
;
Ali Altug BICAKCI
;
Ufuk KELESOGLU
Author Information
1. Department of Orthodontics, Faculty of Dentistry, Tokat Gaziosmanpasa University, Tokat, Turkey
- Publication Type:Original Article
- From:The Korean Journal of Orthodontics
2021;51(5):313-320
- CountryRepublic of Korea
- Language:English
-
Abstract:
Objective:The purpose of this study was to evaluate the effects of chewing gum and low-level laser therapy in alleviating orthodontic pain induced by the initial archwire.
Methods:Patients with 3–6 mm maxillary crowding who planned to receive non-extraction orthodontic treatment were recruited for the study. Sixty-three participants (33 females and 30 males) were randomly allocated into three groups: laser, chewing gum, and control. In the laser group, a gallium aluminum arsenide (GaAlAs) diode laser with a wavelength of 820 nm was used to apply a single dose immediately after orthodontic treatment began. In the chewing gum group, sugar-free gum was chewed three times for 20 minutes— immediately after starting treatment, and at the twenty-fourth and forty-eighth hours of treatment. Pain perception was measured using a visual analog scale at the second, sixth, and twenty-fourth hours, and on the second, third, and seventh days.
Results:There were no statistically significant differences between the groups at any measured time point (p > 0.05). The highest pain scores were detected at the twenty-fourth hour of treatment in all groups.
Conclusions:Within the limitations of the study, we could not detect whether low-level laser therapy and chewing gum had any clinically significant effect on orthodontic pain. Different results may be obtained with a higher number of participants or using lasers with different wavelengths and specifications. Although the study had a sufficient number of participants according to statistical analysis, higher number of participants could have provided more definitive outcomes.