Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Methodol. Dec 20, 2023; 13(5): 379-383
Published online Dec 20, 2023. doi: 10.5662/wjm.v13.i5.379
Current protocol to achieve dental movement acceleration and pain control with Photo-biomodulation
Angela Dominguez
Angela Dominguez, Department of Orthodontics, Faculty of Dentistry, Benemerita Universidad Autónoma de Puebla, Zaragoza de Puebla Calle 4 Sur 104, Puebla, C.P. 72000, Mexico
Author contributions: Dominguez A contributed to writing, editing, and reviewing the manuscript.
Conflict-of-interest statement: I declare that I have no conflict of interest.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Angela Dominguez, DDS, Researcher, Department of Orthodontics, Faculty of Dentistry, Benemerita Universidad Autónoma de Puebla, Zaragoza de Puebla Calle 4 Sur 104, Puebla, C.P. 72000, Mexico. angela.dominguezc@gmail.com
Received: September 25, 2023
Peer-review started: September 25, 2023
First decision: November 14, 2023
Revised: November 18, 2023
Accepted: December 7, 2023
Article in press: December 7, 2023
Published online: December 20, 2023

When designing a study on dental movement acceleration or pain control during orthodontic treatment, it is crucial to consider effective parameters. The objective of this editorial is to compile the most effective parameters supported by evidence that should be considered in future studies to achieve complete parameter homogenization. The protocol currently recommended to homogenize the parameters and facilitate the development of further meta-analysis in terms of acceleration of movement and pain control in orthodontics is Wavelength: 810 nm, 2.2 J per surface, 0.1 W in continuous mode/0.1 W average power in a super-pulsed, sweeping movement, 1mm from the mucosa, 22 seconds along the vestibular surface and 22 seconds along the lingual surface, the recommended speed of movement is 2 mm/sec, 1 application during each orthodontic control, to achieve dental movement acceleration and repeat the dose at 24 h to ensure pain elimination. The energy density and power density will depend on the spot size used in the equipment and the distance from the mucosa. It will strengthen the evidence of photobiomodulation as the best therapy to accelerate tooth movement and at the same time control the pain produced by orthodontic treatments.

Keywords: Photobiomodulation, Laser-assisted orthodontics, Dental movement acceleration, Pain control, Diode laser

Core Tip: Several Systematic Reviews and Meta-Analyses have been published to evaluate the effectiveness of photobiomodulation (PBM) in accelerating dental movement and pain control during orthodontic treatment. These studies suggest that PBM is an effective method to achieve these objectives. However, all reports show a lack of standardization in the ideal parameters required.