Julio Rodriguez Lepage
Teaching Medical Center La Trinidad ,Venezuela
The fundamental aspect
that drives this work is the importance of pain reduction and work times during
orthodontic treatment. Almost in its entirety the patient who attends
consultation does so primarily for an aesthetic demand and later for a
functional demand. This is how perhaps few professionals in our specialty have
given the necessary importance to pain management and treatment times. However,
information from surveys applied to patients from different ethnic groups and
social levels is handled in locations in the US, France and Spain, finding that
60% of the universe of potential orthodontic patients refers fear of starting
treatment because they believe that this generates PAIN. We cannot ignore the
clinical circumstances that generate a high level of sensitivity and pain,
among these the most important: the beginning of the use of arches, bands and
the mechanics of closing spaces.
This work seeks to
demonstrate the various properties of the laser beam, specifically the low
power diode laser (LLLT), evidencing its importance and usefulness in the field
of current dentistry. The low-intensity radiation and its biomodulatory
capacity is still under study. Specifically, in these tests, we sought to delve
into the subject of the response of periodontal fibers, the nervous vascular
bundle and support bone, thus increasing irrigation by accelerating the
apposition-resorption process. We hope to open the way to future deepening in
the increase of the adaptive response of periodontal tissue to orthodontic forces.
Materials and methods. In principle an informed consent was
made for the patient, making clear the benefits of the same and that this does
not have any negative effect on their tissues or their systemic state. The
laser application was made during the installation period of the fixed
appliances to the group of selected patients (30 patients). The application of
the laser was designed to a selected hemiarcade and to the other half to
perform an application simulation to evaluate the placebo response. The results
were observed and information gathered to be exposed in the work. The
information collected guided us to evaluate the study data to conform to the
characteristics of low-power laser therapy and its possible use in the
different phases of treatment. The sample size was 30 people in ages between 20
and 40 years. Both hemiarchies to irradiate must have equal conditions for
therapy. The group had 15 men and 15 women. The Caucasian race was chosen since
they present a lower pain threshold than males and females of Asian and African
origin.
The Exclusion Criteria. Normal psychological state, healthy
systemic state (there should be no presence of Horner's syndrome or patients in
terminal state); patients should not be consuming drugs such as analgesics,
opiates, iontophoresis treatment, bisphosphonate intake or corticosteroids.
Most of the studies consulted maintained that size or body weight do not
influence the perception of the stimulus.
Results.8 and a half month we
were performing the tests with the low-level laser device, in this period it
was possible to determine after a previous stage of planning and call of the
patients that the previous psychological evaluation not only served to reduce
the
levels of apprehension, but we also obtained a similar response in all patients
in relation to treatment time and painful sensation. Of the 30 patients
evaluated, it was determined that after the installation of the brackets and
the application of the laser, the stage of greatest discomfort occurred in 20
patients between the 1st to the 4th hour and in 10 in all the first 24 hours.
25 of 30 patients evaluated responded after the applications that the treatment
regardless of the phase had been reduced. Of the 20 patients completed during
the study period in 18 of them, the orthodontic treatment was reduced from 2
years to 8 months.
No comments:
Post a Comment