Effect of laser corticotomy on canine retraction rate: a split-mouth randomized clinical trial

Abstract Background This study assessed the effect of corticotomy with Er: YAG (erbium-doped yttrium aluminium garnet) laser on the rate of canine retraction. Methods This randomized split-mouth controlled clinical trial was conducted on 12 patients undergoing orthodontic treatment with extraction o...

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Main Authors: Mohammad Hossein Toodehzaeim, Fahimeh Rashidi Maybodi, Elaheh Rafiei, Pedram Toodehzaeim, Negin Karimi
Format: Article
Language:English
Published: BMC 2024-04-01
Series:BMC Oral Health
Subjects:
Online Access:https://doi.org/10.1186/s12903-024-04192-y
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author Mohammad Hossein Toodehzaeim
Fahimeh Rashidi Maybodi
Elaheh Rafiei
Pedram Toodehzaeim
Negin Karimi
author_facet Mohammad Hossein Toodehzaeim
Fahimeh Rashidi Maybodi
Elaheh Rafiei
Pedram Toodehzaeim
Negin Karimi
author_sort Mohammad Hossein Toodehzaeim
collection DOAJ
description Abstract Background This study assessed the effect of corticotomy with Er: YAG (erbium-doped yttrium aluminium garnet) laser on the rate of canine retraction. Methods This randomized split-mouth controlled clinical trial was conducted on 12 patients undergoing orthodontic treatment with extraction of maxillary first premolars. Following initial leveling and alignment, an alginate impression was made from the maxillary arch, and Er: YAG laser corticotomy was performed in one of the maxillary quadrants of each patient. Canine retraction was started immediately after corticotomy by placement of nickel-titanium (NiTi) closed coil springs at both sides. At the end of each month, alginate records were repeated for 4 months. Study models were scanned, and the anteroposterior movement of canine was quantified bilaterally. Pain was also measured by a visual analog scale (VAS). Probing depth (PPD) of canines and two adjacent teeth was also evaluated and pulp vitality was assessed by performing the cold test. Data were analyzed by paired and independent t-test and one-way ANOVA (alpha = 0.05). Results The rate of canine retraction was significantly greater in the laser-assisted corticotomy quadrant than the control (P < 0.05). No significant difference existed in posterior anchorage loss, canine rotation angle, PPD, pulp vitality, or pain score between two groups (P > 0.05). Conclusions Flapless Er: YAG laser corticotomy significantly enhanced canine retraction rate with no adverse effect on other parameters.
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spelling doaj.art-ee5e94aba1ca4e91b4bfdfe66ec7383e2024-04-14T11:31:03ZengBMCBMC Oral Health1472-68312024-04-0124111210.1186/s12903-024-04192-yEffect of laser corticotomy on canine retraction rate: a split-mouth randomized clinical trialMohammad Hossein Toodehzaeim0Fahimeh Rashidi Maybodi1Elaheh Rafiei2Pedram Toodehzaeim3Negin Karimi4Department of Orthodontics, School of Dentistry, Shahid Sadoughi University of Medical SciencesDepartment of Periodontics, School of Dentistry, Shahid Sadoughi University of Medical SciencesDepartment of Orthodontic, University of British ColumbiaDepartment of Orthodontics, School of Dentistry, Shahid Sadoughi University of Medical SciencesDepartment of Orthodontic, School of Dentistry, Kerman University of Medical ScienceAbstract Background This study assessed the effect of corticotomy with Er: YAG (erbium-doped yttrium aluminium garnet) laser on the rate of canine retraction. Methods This randomized split-mouth controlled clinical trial was conducted on 12 patients undergoing orthodontic treatment with extraction of maxillary first premolars. Following initial leveling and alignment, an alginate impression was made from the maxillary arch, and Er: YAG laser corticotomy was performed in one of the maxillary quadrants of each patient. Canine retraction was started immediately after corticotomy by placement of nickel-titanium (NiTi) closed coil springs at both sides. At the end of each month, alginate records were repeated for 4 months. Study models were scanned, and the anteroposterior movement of canine was quantified bilaterally. Pain was also measured by a visual analog scale (VAS). Probing depth (PPD) of canines and two adjacent teeth was also evaluated and pulp vitality was assessed by performing the cold test. Data were analyzed by paired and independent t-test and one-way ANOVA (alpha = 0.05). Results The rate of canine retraction was significantly greater in the laser-assisted corticotomy quadrant than the control (P < 0.05). No significant difference existed in posterior anchorage loss, canine rotation angle, PPD, pulp vitality, or pain score between two groups (P > 0.05). Conclusions Flapless Er: YAG laser corticotomy significantly enhanced canine retraction rate with no adverse effect on other parameters.https://doi.org/10.1186/s12903-024-04192-yTooth movementLasersMaxillaBicuspidOrthodontics
spellingShingle Mohammad Hossein Toodehzaeim
Fahimeh Rashidi Maybodi
Elaheh Rafiei
Pedram Toodehzaeim
Negin Karimi
Effect of laser corticotomy on canine retraction rate: a split-mouth randomized clinical trial
BMC Oral Health
Tooth movement
Lasers
Maxilla
Bicuspid
Orthodontics
title Effect of laser corticotomy on canine retraction rate: a split-mouth randomized clinical trial
title_full Effect of laser corticotomy on canine retraction rate: a split-mouth randomized clinical trial
title_fullStr Effect of laser corticotomy on canine retraction rate: a split-mouth randomized clinical trial
title_full_unstemmed Effect of laser corticotomy on canine retraction rate: a split-mouth randomized clinical trial
title_short Effect of laser corticotomy on canine retraction rate: a split-mouth randomized clinical trial
title_sort effect of laser corticotomy on canine retraction rate a split mouth randomized clinical trial
topic Tooth movement
Lasers
Maxilla
Bicuspid
Orthodontics
url https://doi.org/10.1186/s12903-024-04192-y
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