Different Therapeutic Effects of CO2 and Diode Laser Irradiation on Tooth Movement-Related Pain. 2020

Takako Tsuchiya, and Naoya Hasegawa, and Misato Yugawa, and Au Sasaki, and Naoto Suda, and Kazunori Adachi
Division of Orthodontics, Meikai University School of Dentistry, Sakado, Japan.

Although orthodontic treatment is common, orthodontic force often induced pain. Low-level laser therapy (LLLT) has been investigated to improve therapeutic comfort. In dentistry, LLLT is mainly applied using two types of lasers, CO2 and diode lasers, whose biological actions are thought to be associated with wavelength (CO2: 10,600 nm; diode: 808 nm). The analgesic effect of LLLT on orthodontic treatment-related pain is widely reported but inconsistent. This study aimed to (1) determine whether irradiation with a CO2 or diode laser attenuates orthodontic treatment-related pain using the jaw-opening reflex model, (2) elucidate the optimal irradiation protocol for both lasers to obtain the maximal analgesic effect, (3) evaluate the effects of laser irradiation on other biological features [e.g., tooth movement, glial fibrillary acidic protein (GFAP) expression, and temperature alterations] and (4) investigate the mechanism underlying the analgesic effect of laser irradiation. In this animal model, orthodontic treatment-induced pain manifested as a significantly reduced the threshold for inducing the jaw-opening reflex on the orthodontically treated side compared with the contralateral side. GFAP expression in the bilateral trigeminal ganglia (TGs) was significantly increased by the application of orthodontic force. CO2 laser irradiation of the orthodontically treated region significantly increased the threshold for inducing the jaw-opening reflex and the peripheral temperature. Similar reductions in jaw-opening reflex excitability were induced by surface anesthesia and thermal stimulation but not, the diode laser. Neither CO2 nor diode laser irradiation altered GFAP expression in the TGs. Infiltration anesthesia also significantly increased the threshold for inducing the jaw-opening reflex on each anesthetized side. Irradiation (30 s) by either laser immediately after orthodontic force application (preirradiation) significantly decreased jaw-opening reflex excitability and GFAP expression in the bilateral TGs the next day. However, thermal stimulation immediately after orthodontic force application failed to alter jaw-opening reflex excitability the next day. Laser irradiation did not alter tooth movement; however, an optimized irradiation protocol for aiding tooth movement is suggested. In conclusion, both CO2 and diode lasers are able to prevent orthodontic treatment-related pain. Furthermore, the involvement of temperature alterations and surface anesthesia in the analgesic effect induced by CO2 laser irradiation is suggested.

UI MeSH Term Description Entries

Related Publications

Takako Tsuchiya, and Naoya Hasegawa, and Misato Yugawa, and Au Sasaki, and Naoto Suda, and Kazunori Adachi
May 2010, Journal of dental research,
Takako Tsuchiya, and Naoya Hasegawa, and Misato Yugawa, and Au Sasaki, and Naoto Suda, and Kazunori Adachi
January 1997, General dentistry,
Takako Tsuchiya, and Naoya Hasegawa, and Misato Yugawa, and Au Sasaki, and Naoto Suda, and Kazunori Adachi
April 2007, Photomedicine and laser surgery,
Takako Tsuchiya, and Naoya Hasegawa, and Misato Yugawa, and Au Sasaki, and Naoto Suda, and Kazunori Adachi
March 2014, Lasers in surgery and medicine,
Takako Tsuchiya, and Naoya Hasegawa, and Misato Yugawa, and Au Sasaki, and Naoto Suda, and Kazunori Adachi
March 2019, Journal of oral science,
Takako Tsuchiya, and Naoya Hasegawa, and Misato Yugawa, and Au Sasaki, and Naoto Suda, and Kazunori Adachi
August 2022, Lasers in medical science,
Takako Tsuchiya, and Naoya Hasegawa, and Misato Yugawa, and Au Sasaki, and Naoto Suda, and Kazunori Adachi
February 2019, Open access Macedonian journal of medical sciences,
Takako Tsuchiya, and Naoya Hasegawa, and Misato Yugawa, and Au Sasaki, and Naoto Suda, and Kazunori Adachi
February 2018, Lasers in surgery and medicine,
Takako Tsuchiya, and Naoya Hasegawa, and Misato Yugawa, and Au Sasaki, and Naoto Suda, and Kazunori Adachi
November 2017, American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics,
Takako Tsuchiya, and Naoya Hasegawa, and Misato Yugawa, and Au Sasaki, and Naoto Suda, and Kazunori Adachi
June 1987, Journal of periodontology,
Copied contents to your clipboard!