Laser Therapy on Controlling Pain During Orthondontic Treatment

NCT ID: NCT04628390

Last Updated: 2020-11-24

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-11-20

Study Completion Date

2021-02-20

Brief Summary

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To evaluate the effectiveness of pain reduction on a initial orthodontic treatment by using 810nm Diode laser compared to a placebo. Methods: This study will include two parallels groups, 30 adult patients each (mean age 18 - 40) that will be asked to fill a questionnaire related with pain before starting orthodontic treatment with Tip edge technique. Patients from one of the groups will receive laser therapy on both upper and lower maxillary according to the protocol. The patients from the other group will receive a placebo simulating a laser therapy on both maxillary. After the process, both groups will be checked on different times (12hrs-24hrs-48hrs-72hrs after) by filling a questionnaire related with pain each time.

Detailed Description

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This is a parallel, double-blind, controlled, single-center clinical trial conducted in systemically healthy subjects requiring orthodontic treatment without extractions at the start of treatment in Bogotá, Colombia.

Sixty patients (60) will be randomized in a 1: 1 ratio, to either of the two arms of this trial.

This study will consist of a single visit by the patient, in this visit the assembly and activation of the upper and lower orthodontic appliances will be carried out.

Measurements of the primary outcome variable will be done remotely through a virtual pain monitoring questionnaire through a visual analog scale (Baseline, 12 hours, 24 hours, 48 hours, 72 hours).

After Screening a computer-generated scrambling code will be used for allocation in blocks of 6 to the two treatments.

The identity of included patients will not be provided to the trial team, in order to preserve the blinded aspect of the trial. The identity of the research treatment associated with each randomization number will be hidden from the trial team and patients. The final analysis is scheduled for when 100% of the patients (60 subjects) reach the 72-hour evaluation.

Conditions

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Malocclusion

Keywords

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Laser orthodontic TIP EDGE

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Sixty patients (60) will be randomized in a 1: 1 ratio, to either of the two arms of this trial.

Measurements of the primary outcome variable will be done remotely through a virtual pain monitoring questionnaire through a visual analog scale (Baseline, 12 hours, 24 hours, 48 hours, 72 hours)
Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors
The patients participating in the clinical trial, the statistician in charge of the data analysis and the orthodontist will be blinded to the interventions carried out.

The investigator in charge of applying the intervention will not be blinded.

Study Groups

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Experimental

The low-power therapeutic diode laser will be applied with a wavelength 810nm ± 15nm, output power 0-2 W CW / 0-4.8 W peak power (pulse mode), for a time of 20 seconds per centimeter at lo along the buccal surface of the root of the upper and lower teeth.

Group Type EXPERIMENTAL

Laser

Intervention Type DEVICE

The laser application will be carried out only once, immediately after the cementation of the orthodontic appliance.

Placebo

A simulation of the application of therapeutic laser will be carried out as a placebo effect, for a time of 20 seconds per centimeter along the vestibular surface of the root of the upper and lower teeth.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

Simulation laser application will be carried out only once, immediately after the cementation of the orthodontic appliance.

Interventions

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Laser

The laser application will be carried out only once, immediately after the cementation of the orthodontic appliance.

Intervention Type DEVICE

Placebo

Simulation laser application will be carried out only once, immediately after the cementation of the orthodontic appliance.

Intervention Type OTHER

Other Intervention Names

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LLLT Simulation laser

Eligibility Criteria

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Inclusion Criteria

* Subjects must have signed and dated an informed consent form approved by the IRB in accordance with regulatory and institutional guidelines. This form must be obtained before performing any procedure related to the protocol that is not part of the subject's normal regimen.
* No need extractions
* No need Stripping

Exclusion Criteria

* Periodontal disease
* Pregnant or lactance
* Medicated patients (analgesic, anti-inflammatory drugs, systemic corticosteroids, and calcium channel blockers)
* Cardiac markpaser
Minimum Eligible Age

18 Years

Maximum Eligible Age

40 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Fundación Universitaria CIEO

OTHER

Sponsor Role lead

Responsible Party

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Jaime Enrique Donado Manotas

DDS, Faculty of Endodontic Director

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Jaime E. Donado, DDS

Role: PRINCIPAL_INVESTIGATOR

Fundación universitaria CIEO-UniCIEO

Locations

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Fundación universitaria CIEO - UniCIEO

Bogotá, , Colombia

Site Status

Countries

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Colombia

Central Contacts

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Jaime E. Donado, DDS

Role: CONTACT

Phone: 3208388047

Email: [email protected]

Julio C. Castro, DDS

Role: CONTACT

Phone: 3134047035

Email: [email protected]

Facility Contacts

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Jaime E. Donado, DDS

Role: primary

References

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Ordahan B, Karahan AY, Kaydok E. The effect of high-intensity versus low-level laser therapy in the management of plantar fasciitis: a randomized clinical trial. Lasers Med Sci. 2018 Aug;33(6):1363-1369. doi: 10.1007/s10103-018-2497-6. Epub 2018 Apr 7.

Reference Type BACKGROUND
PMID: 29627888 (View on PubMed)

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 Jan;28(1):41-7. doi: 10.1007/s10103-012-1059-6. Epub 2012 Feb 18.

Reference Type BACKGROUND
PMID: 22350425 (View on PubMed)

Sommer AP, Schemmer P, Pavlath AE, Forsterling HD, Mester AR, Trelles MA. Quantum biology in low level light therapy: death of a dogma. Ann Transl Med. 2020 Apr;8(7):440. doi: 10.21037/atm.2020.03.159.

Reference Type BACKGROUND
PMID: 32395484 (View on PubMed)

Basso FG, Pansani TN, Turrioni AP, Bagnato VS, Hebling J, de Souza Costa CA. In vitro wound healing improvement by low-level laser therapy application in cultured gingival fibroblasts. Int J Dent. 2012;2012:719452. doi: 10.1155/2012/719452. Epub 2012 Jul 15.

Reference Type BACKGROUND
PMID: 22844284 (View on PubMed)

Pereira AN, Eduardo Cde P, Matson E, Marques MM. Effect of low-power laser irradiation on cell growth and procollagen synthesis of cultured fibroblasts. Lasers Surg Med. 2002;31(4):263-7. doi: 10.1002/lsm.10107.

Reference Type BACKGROUND
PMID: 12355572 (View on PubMed)

Timberlake GT, Enwemeka CS. An inexpensive, automated instrument for laser irradiation of cultured cells. Photomed Laser Surg. 2004 Jun;22(3):233-9. doi: 10.1089/1549541041438614.

Reference Type BACKGROUND
PMID: 15315731 (View on PubMed)

Lirani-Galvao AP, Jorgetti V, da Silva OL. Comparative study of how low-level laser therapy and low-intensity pulsed ultrasound affect bone repair in rats. Photomed Laser Surg. 2006 Dec;24(6):735-40. doi: 10.1089/pho.2006.24.735.

Reference Type BACKGROUND
PMID: 17199474 (View on PubMed)

Tecco S, D'Attilio M, Tete S, Festa F. Prevalence and type of pain during conventional and self-ligating orthodontic treatment. Eur J Orthod. 2009 Aug;31(4):380-4. doi: 10.1093/ejo/cjp003. Epub 2009 May 22.

Reference Type BACKGROUND
PMID: 19465738 (View on PubMed)

Sousa MV, Pinzan A, Consolaro A, Henriques JF, de Freitas MR. Systematic literature review: influence of low-level laser on orthodontic movement and pain control in humans. Photomed Laser Surg. 2014 Nov;32(11):592-9. doi: 10.1089/pho.2014.3789. Epub 2014 Oct 21.

Reference Type BACKGROUND
PMID: 25335088 (View on PubMed)

Seifi M, Shafeei HA, Daneshdoost S, Mir M. Effects of two types of low-level laser wave lengths (850 and 630 nm) on the orthodontic tooth movements in rabbits. Lasers Med Sci. 2007 Nov;22(4):261-4. doi: 10.1007/s10103-007-0447-9. Epub 2007 Mar 3.

Reference Type BACKGROUND
PMID: 17334676 (View on PubMed)

Other Identifiers

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UniCIEO-laser001

Identifier Type: -

Identifier Source: org_study_id