A Comparative Assessment of Tooth Movement through an Invasive and Noninvasive Method Using Micro-osteoperforation...

Area of Science:

• Orthodontics
• Biomaterials Science
• Dental Technology

Background:

• Bimaxillary protrusion cases often require complex orthodontic treatment.
• Accelerating tooth movement is a key goal in modern orthodontics.
• Micro-osteoperforation (MOPs) and low-level laser therapy (LLLT) are emerging techniques to enhance orthodontic treatment speed.

Purpose of the Study:

• To evaluate the effect of micro-osteoperforation (MOPs) and low-level laser therapy (LLLT) on the rate of canine retraction.
• To compare the efficacy of MOPs, LLLT, and their combination in accelerating tooth movement in bimaxillary protrusion.
• To assess anchorage loss associated with MOPs and LLLT.

Main Methods:

• Eighty maxillary canines were divided into four groups: MOPs, LLLT, combined MOPs and LLLT, and control.
• Canine retraction was achieved using Ni-Ti closed coil springs with a force of 150 g on a stainless steel archwire.
• MOPs were performed every three weeks, and LLLT was applied for 10 seconds at the same intervals for three months.

Main Results:

• The combination of MOPs and LLLT (Group 4) demonstrated a significant 3.02-fold increase in the rate of tooth movement (P = 0.001).
• No significant difference in anchorage loss was observed between the MOPs and LLLT groups.
• LLLT showed a high level of patient satisfaction and procedural ease.

Conclusions:

• The synergistic effect of combining MOPs and LLLT highlights their value as integrated acceleration techniques for orthodontic treatment.
• Combined MOPs and LLLT offer a promising strategy for optimizing outcomes in canine retraction.
• LLLT is a user-friendly and well-tolerated adjunctive therapy.