APLICABILIDADE DA LASERTERAPIA DE BAIXA POTÊNCIA NA MOVIMENTAÇÃO ORTODÔNTICA E REDUÇÃO DA DOR: REVISÃO NARRATIVA

Authors

  • Bianca Nascimento Carvalho Faculdade Adventista da Bahia
  • Raquel Naara de Moraes Carvalho Aluna de graduação da Faculdade Adventista da Bahia
  • Juliana Borges de Lima Dantas Faculdade Adventista da Bahia
  • Kendall Capibaribe Sousa Ferreira Faculdade Adventista da Bahia

DOI:

https://doi.org/10.25194/rebrasf.v9i1.1387

Keywords:

Terapia a laser de baixa potência, Técnicas de Movimentação Dentária, Ortodontia, Analgesia

Abstract

Introdução: O tratamento ortodôntico representa um
complexo de procedimentos odontológicos baseados
na correção da maloclusão e/ou da estética. A dor pósajuste
e o longo período de tratamento têm sido os
principais motivos pelos quais os pacientes deixam de
realizar esse tipo de intervenção. A terapia com laser
de baixa potência (LBP) é um método de irradiação
não invasivo que utiliza radiação não ionizante com
efeito bioestimulador. Objetivo: Avaliar a influência
do LBP na aceleração da movimentação dentária, bem
como na capacidade de analgesia durante o tratamento
ortodôntico. Metodologia: Trata-se de uma revisão
narrativa da literatura baseada através da busca ativa
de artigos durante o período de junho a agosto de
2020, publicados nas bases de dados Pubmed, LILACS
e Scielo, através da combinação dos descritores Decs/
Mesh na língua inglesa: “Low-Level Light Therapy”,
“Photobiomodulation”, “Analgesia”, “Orthodontic
Tooth movement” e “Orthodontics”, usando o operador
booleano AND. Após análise inicial, um total de 57 artigos
preencheram os critérios de inclusão. Desenvolvimento:
Forças ortodônticas aplicadas durante a movimentação
ortodôntica desencadeiam a inflamação, que libera
células responsáveis pela remodelação óssea e mediadores
químicos capazes de tornar o tratamento doloroso.
O LBP produz efeito analgésico através da inibição
de substâncias indutoras de dor, além de estimular
o metabolismo celular e a remodelação óssea, com
aceleração do movimento ortodôntico. Considerações
Finais: O LBP é um método eficaz para acelerar a
movimentação dentária e reduzir a dor provenientes
do tratamento ortodôntico. Todavia, mais estudos são
necessários na tentativa de se obter a real eficácia e o
melhor protocolo a ser reproduzido.

Author Biographies

Juliana Borges de Lima Dantas, Faculdade Adventista da Bahia

Cirurgiã-dentista. Mestre em Estomatologia
pela Escola Bahiana de Medicina e Saúde
Pública. Doutoranda do Programa de Pósgraduação
em Processos Interativos dos
Órgãos e Sistemas da Universidade Federal da
Bahia – UFBA, Brasil. Professora da Faculdade
Adventista da Bahia.

Kendall Capibaribe Sousa Ferreira, Faculdade Adventista da Bahia

Cirurgião-dentista. Especialista em
Ortodontia pela Faculdades Integradas do
Norte de Minas - Funorte. Mestrando em
Ortodontia pelo Centro Universitário da
Fundação Hermínio Ometto - FHO, Brasil.
Professor da Faculdade Adventista da Bahia

References

Alazzawi MMJ, Alam MK, Hassan R, Shaari R, Azlina A, Salzihan MS. Effect of low level laser and low intensity pulsed ultrasound therapy on bone remodeling during orthodontic tooth movement in rats. Prog Orthod. 2018;19(1):1–11. 2. Ge MK, He WL, Chen J, Wen C, Yin X, Hu ZA, et al. Efficacy of low-level laser therapy for accelerating tooth movement during orthodontic treatment: a systematic review and meta-analysis. Lasers Med Sci. 2015;30(5):1609–18. 3. Davidovitch Z. Tooth movement. Crit Rev Oral Biol Med Off Publ Am Assoc Oral Biol. 1991;2(4):411–50. 4. Sousa MVS, Pinzan A, Consolaro A, Henriques JFC, de Freitas MR. Systematic literature review: influence of low-level laser on orthodontic movement and pain control in humans. Photomed Laser Surg. 2014;32(11):592–9. 5. Tsichlaki A, Chin SY, Pandis N, Fleming PS. How long does treatment with fixed orthodontic appliances last? A systematic review. Am J Orthod Dentofac Orthop. 2016;149(3):308–18.

Papageorgiou SN, Höchli D, Eliades T. Outcomes of comprehensive fixed appliance orthodontic treatment: A systematic review with meta-analysis and methodological overview. Korean J Orthod. 2017;47(6):401–13. 7. Kochar GD, Londhe SM, Varghese B, Jayan B, Kohli S, Kohli VS. Effect of Low-level Laser

Therapy on Orthodontic Tooth Movement. J Indian Orthod Soc. 2017;51(2):81–6. 8. Sousa MV, Scanavini MA, Sannomiya EK, Velasco LG, Angelieri F. Influence of low-level laser on the speed of orthodontic movement. Photomed Laser Surg. 2011;29(3):191–6. 9. Nimeri G, Kau CH, Abou-Kheir NS, Corona R. Acceleration of tooth movement during orthodontic treatment--a frontier in orthodontics. Prog Orthod. 2013;14(1):1–8. 10. Li Y, Jacox LA, Little SH, Ko C-C. Orthodontic tooth movement: The biology and clinical implications. Kaohsiung J Med Sci. 2018;34(4):207–14. 11. Nahas AZ, Samara SA, Rastegar-Lari TA. Decrowding of lower anterior segment with and without photobiomodulation: a single center, randomized clinical trial. Lasers Med Sci. 2017;32(1):129–35. 12. Altan BA, Sokucu O, Ozkut MM, Inan S. Metrical and histological investigation of the effects of low-level laser therapy on orthodontic tooth movement. Lasers Med Sci. 2012;27(1):131– 40. 13. Huang T-H, Liu S-L, Chen C-L, Shie M-Y, Kao C-T. Low-level laser effects on simulated orthodontic tension side periodontal ligament cells. Photomed Laser Surg. 2013;31(2):72– 7. 14. Ng D, Chan AK, Papadopoulou AK, Dalci O, Petocz P, Darendeliler MA. 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):317–25. 15. Lim W, Lee S, Kim I, Chung M, Kim M, Lim H, et al. The anti-inflammatory mechanism of 635 nm light-emitting-diode irradiation compared with existing COX inhibitors. Lasers Surg Med. 2007;39(7):614–21. 16. Arumughan S, Somaiah S, Muddaiah S, Shetty B, Reddy G, Roopa S. A Comparison of the Rate of Retraction with Low-level Laser Therapy and Conventional Retraction Technique. Contemp Clin Dent. 2018;9(2):260–6.

Doshi-Mehta G, Bhad-Patil WA. Efficacy of low-intensity laser therapy in reducing treatment time and orthodontic pain: a clinical investigation. Am J Orthod Dentofacial Orthop. 2012;141(3):289–97. 18. Youssef M, Ashkar S, Hamade E, Gutknecht N, Lampert F, Mir M. The effect of lowlevel laser therapy during orthodontic movement: a preliminary study. Lasers Med Sci. 2008;23(1):27–33.

Lim HM, Lew KK, Tay DK. A clinical investigation of the efficacy of low level laser therapy in reducing orthodontic postadjustment pain. Am J Orthod Dentofacial Orthop. 1995;108(6):614–22. 20. Ebrahimi T, Moslemi N, Rokn A, Heidari M, Nokhbatolfoghahaie H, Fekrazad R. The

nfluence of low-intensity laser therapy on bone healing. J Dent (Tehran). 2012;9(4):238–48. 21. Habib FAL, Gama SKC, Ramalho LMP, Cangussú MCT, Neto FPS, Lacerda JA, et al. Laserinduced alveolar bone changes during orthodontic movement: a histological study on rodents. Photomed Laser Surg. 2010;28(6):823–30. 22. Ozawa Y, Shimizu N, Kariya G, Abiko Y. Low-Energy Laser Irradiation Stimulates Bone Nodule Formation at Early Stages of Cell Culture in Rat Calvarial Cells. Bone.

;22(4):347–54. 23. Almpani K, Kantarci A. Nonsurgical Methods for the Acceleration of the Orthodontic Tooth Movement. Front Oral Biol. 2016;18:80–91. 24. Caccianiga G, Paiusco A, Perillo L, Nucera R, Pinsino A, Maddalone M, et al. Does Low-Level Laser Therapy Enhance the Efficiency of Orthodontic Dental Alignment? Results from a Randomized Pilot Study. Photomed Laser Surg. 2017;35(8):421–6. 25. Nóbrega C, da Silva EMK, de Macedo CR. Low-level laser therapy for treatment of pain associated with orthodontic elastomeric separator placement: a placebo-controlled randomized double-blind clinical trial. Photomed Laser Surg. 2013;31(1):10–6. 26. Bumann EE, Frazier-Bowers SA. A new cyte in orthodontics: Osteocytes in tooth movement. Orthod Craniofac Res. 2017;20(1):125–8. 27. de Souza TOF, Mesquita DA, Ferrari RAM, Dos Santos Pinto D, Correa L, Bussadori SK, et al. Phototherapy with low-level laser affects the remodeling of types I and III collagen in

skeletal muscle repair. Lasers Med Sci. 2011;26(6):803–14. 28. He WL, Li CJ, Liu ZP, Sun JF, Hu ZA, Yin X, et al. Efficacy of low-level laser therapy in the management of orthodontic pain: a systematic review and meta-analysis. Lasers Med Sci. 29. Nicolay OF, Davidovitch Z, Shanfeld JL, Alley K. Substance P immunoreactivity in periodontal tissues during orthodontic tooth movement. Bone Miner. 1990;11(1):19–29. 30. Vandevska-Radunovic V. Neural modulation of inflammatory reactions in dental tissues incident to orthodontic tooth movement. A review of the literature. Eur J Orthod. 1999;21(3):231–47. 31. Yamaguchi M, Kasai K. Inflammation in periodontal tissues in response to mechanical forces. Arch Immunol Ther Exp (Warsz). 2005;53(5):388–98. 32. Huang H, Williams RC, Kyrkanides S. Accelerated orthodontic tooth movement: molecular mechanisms. Am J Orthod Dentofacial Orthop. 2014;146(5):620–32. 33. Pallotta RC, Bjordal JM, Frigo L, Leal Junior ECP, Teixeira S, Marcos RL, et al. Infrared (810-nm) low-level laser therapy on rat experimental knee inflammation. Lasers Med Sci. 2012;27(1):71–8. 34. Sakurai Y, Yamaguchi M, Abiko Y. Inhibitory effect of low-level laser irradiation on LPS-stimulated prostaglandin E2 production and cyclooxygenase-2 in human gingival fibroblasts. Eur J Oral Sci. 2000;108(1):29–34. 35. Angelieri F, Sousa MV da S, Kanashiro LK, Siqueira DF, Maltagliati LÁ. Effects of low intensity laser on pain sensitivity during orthodontic movement. Dental Press Jour Orthod. 2011;16(4):95–102. 36. Isola G, Matarese M, Briguglio F, Grassia V, Picciolo G, Fiorillo L, et al. Effectiveness of Low- Level Laser Therapy during Tooth Movement: A Randomized Clinical Trial. Materials (Basel). 2019;12(13)1–12. 37. Tortamano A, Lenzi DC, Haddad ACSS, Bottino MC, Dominguez GC, Vigorito JW. Low-level laser therapy for pain caused by placement of the first orthodontic archwire: a randomized clinical trial. Am J Orthod Dentofacial Orthop. 2009;136(5):662–7. 38. Nicotra C, Polizzi A, Zappalà G, Leonida A, Indelicato F, Caccianiga G. A Comparative Assessment of Pain Caused by the Placement of Banded Orthodontic Appliances with and without Low-Level Laser Therapy: A Randomized Controlled Prospective Study. Dent J (Basel). 2020;8(1)1–10. 39. Cordeiro JM, Sahad MG, Cavalcanti MFXB, Marcos RL, Diomede F, Trubiani O, et al. Laser Photobiomodulation Over Teeth Subjected to Orthodontic Movement. Photomed Laser Surg. 2018;36(12):647–52. 40. Cronshaw M, Parker S, Anagnostaki E, Lynch E. Systematic Review of Orthodontic Treatment Management with Photobiomodulation Therapy. Photobiomodul Photomed Laser Surg. 2019;37(12):862–8. 41. Marquezan M, Bolognese AM, Araújo MT de S. Effects of two low-intensity laser therapy protocols on experimental tooth movement. Photomed Laser Surg. 2010;28(6):757–62. 42. Soedarsono N, Rabello D, Kamei H, Fuma D, Ishihara Y, Suzuki M, et al. Evaluation of RANK/RANKL/OPG gene polymorphisms in aggressive periodontitis. J Periodont Res. 2006;41(5):397–404. 43. 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):143–55. 44. Yassaei S, Fekrazad R, Shahraki N. Effect of low level laser therapy on orthodontic tooth movement: a review article. J Dent (Tehran). 2013;10(3):264–72. 45. Sarmadi S, Tanbakuchi B, Hesam Arefi A, Chiniforush N. The Effect of Photobiomodulation on Distraction Osteogenesis. J Lasers Med Sci. 2019;10(4):330–7. 46. 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):41–7. 47. AlSayed Hasan MMA, Sultan K, Hamadah O. Low-level laser therapy effectiveness in accelerating orthodontic tooth movement: A randomized controlled clinical trial. Angle Orthod. 2017;87(4):499-504. 48. Yamaguchi M. RANK/RANKL/OPG during orthodontic tooth movement. Orthod Craniofac Res. 2009;12(2):113–9. 49. Hsu L-F, Tsai M-H, Shih AH-Y, Chen Y-C, Chang B-E, Chen Y-J, et al. 970 nm low-level laser affects bone metabolism in orthodontic tooth movement. J Photochem Photobiol B, Biol.

;186:41–50. 50. Saito S, Shimizu N. Stimulatory effects of low-power laser irradiation on bone regeneration in midpalatal suture during expansion in the rat. Am J Orthod Dentofacial Orthop. 1997;111(5):525–32. 51. 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 (Tehran). 2015;12(4):249– 56. 52. 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):183–8. 53. Kansal A, Kittur N, Kumbhojkar V, Keluskar KM, Dahiya P. Effects of low-intensity laser therapy on the rate of orthodontic tooth movement: a clinical trial. Dent Res J (Isfahan). 2014;11(4):481–8.

Limpanichkul W, Godfrey K, Srisuk N, Rattanayatikul C. Effects of low-level laser therapy on the rate of orthodontic tooth movement. Orthod Craniofac Res. 2006;9(1):38–43. 55. Mistry D, Dalci O, Papageorgiou SN, Darendeliler MA, Papadopoulou AK. The effects of a clinically feasible application of low-level laser therapy on the rate of orthodontic tooth movement: A triple-blind, split-mouth, randomized controlled trial. Am J Orthod Dentofacial Orthop. 2020;157(4): 444-453. 56. Bolton P, Young S, Dyson M. Macrophage Responsiveness To Light Therapy With Varying Power And Energy Densities. Laser Therapy. 1991;3(3):105–11. 57. Domínguez Camacho A, Montoya Guzmán D, Velásquez Cujar SA. Effective Wavelength Range in Photobiomodulation for Tooth Movement Acceleration in Orthodontics: A Systematic Review. Photobiomodul Photomed Laser Surg. 2020;1–10.

Published

2021-04-20

How to Cite

Nascimento Carvalho, B., Naara de Moraes Carvalho, R. ., Borges de Lima Dantas, J. ., & Capibaribe Sousa Ferreira, K. . (2021). APLICABILIDADE DA LASERTERAPIA DE BAIXA POTÊNCIA NA MOVIMENTAÇÃO ORTODÔNTICA E REDUÇÃO DA DOR: REVISÃO NARRATIVA. Revista Brasileira De Saúde Funcional, 9(1), 77. https://doi.org/10.25194/rebrasf.v9i1.1387