ABSTRACT
BACKGROUND: Numerous strategies have been proposed to decrease the treatment time a patient requires in orthodontic treatment. Recently, a number of device-accelerated therapies have emerged in orthodontics. Photobiomodulation is an emerging area of science that has clinical applications in a number of human biological processes. The aim of this study was to determine if photobiomodulation reduces the treatment time in the alignment phase of orthodontic treatment. METHODS: This multicenter clinical trial was performed on 90 subjects (73 test subjects and 17 controls), and Little's Index of Irregularity (LII) was used as a measure of the rate of change of tooth movement. Subjects requiring orthodontic treatment were recruited into the study, and the LII was measured at regular time intervals. Test subjects used a device which produced near-infrared light with a continuous 850-nm wavelength. The surface of the cheek was irradiated with a power density of 60 mW/cm2 for 20 or 30 min/day or 60 min/week to achieve total energy densities of 72, 108, or 216 J/cm2, respectively. All subjects were fitted with traditional orthodontic brackets and wires. The wire sequences for each site were standardized to an initial round alignment wire (014 NiTi or 016 NiTi) and then advanced through a progression of stiffer arch wires unit alignment occurred (LII<1 mm). RESULTS: The mean LII scores at the start of the clinical trial for the test and control groups were 6.35 and 5.04 mm, respectively. Multi-level mixed effect regression analysis was performed on the data, and the mean rate of change in LII was 0.49 and 1.12 mm/week for the control and test groups, respectively. CONCLUSIONS: Photobiomodulation produced clinically significant changes in the rates of tooth movement as compared to the control group during the alignment phase of orthodontic treatment.
Subject(s)
Phototherapy/methods , Tooth Movement Techniques/methods , Adolescent , Adult , Case-Control Studies , Child , Cohort Studies , Female , Humans , Infrared Rays/therapeutic use , Male , Malocclusion, Angle Class I/therapy , Orthodontic Brackets , Orthodontic Wires , Radiation Dosage , Time Factors , Tooth Movement Techniques/instrumentation , Treatment Outcome , Young AdultABSTRACT
BACKGROUND: The stimulating effect of red and near-infrared (NIR) laser phototherapy on bone regeneration and growth has been shown in a number of in vitro and animal studies. However, the effect of NIR phototherapy on the bone regeneration of hydroxyapatite (HA) -treated extraction sockets has not been previously demonstrated. MATERIALS AND METHODS: An investigational Biolux extraoral light emitting diode phototherapy device was used daily for 21 days postextraction and socket grafting with HA (Osteograf LD300) unilaterally. Bone regeneration of the phototherapy-treated and nontreated side was compared in same-mouth extraction sockets. RESULTS: Histologic evaluations showed enhanced bone formation and faster particle resorption associated with the phototherapy-treated socket graft compared with the non-phototherapy-treated socket. CONCLUSIONS: The accelerated bone healing in the phototherapy-treated HA socket graft may provide faster implant placement compared to non-phototherapy-treated socket grafts.
Subject(s)
Bone Substitutes/therapeutic use , Durapatite/therapeutic use , Low-Level Light Therapy/methods , Tooth Extraction , Tooth Socket/surgery , Absorbable Implants , Bone Regeneration/radiation effects , Bone Substitutes/radiation effects , Durapatite/radiation effects , Female , Follow-Up Studies , Humans , Mandible/surgery , Middle Aged , Molar/surgery , Osteogenesis/radiation effects , Radiotherapy Dosage , Tooth Socket/radiation effects , Wound Healing/radiation effectsABSTRACT
Seven experiments explore the role of bottlenecks in selective attention and access to visual short-term memory in the failure of observers to identify clearly visible changes in otherwise stable visual displays. Experiment One shows that observers fail to register a color change in an object even if they are cued to the location of the object by a transient at that location as the change is occurring. Experiment Two shows the same for orientation change. In Experiments Three and Four, attention is directed to specific objects prior to making changes in those objects. Observers have only a very limited memory for the status of recently attended items. Experiment Five reveals that observers have no ability to detect changes that happen after attention has been directed to an object and before attention returns to that object. In Experiment Six, attention is cued at rates that more closely resemble natural rates and Experiment Seven uses natural images. Memory capacity remains very small (<4 items).
