Effects of Low-Level Laser Therapy in Orthodontic Patients on Immediate Inflammatory Response After Mini-Implants Insertion: A Preliminary Report

Photomed Laser Surg. 2017 Jan;35(1):57-63. doi: 10.1089/pho.2015.3959. Epub 2016 Nov 3.

Abstract

Background: The primary stability of a mini-implant is crucial to treatment sequence since most orthodontic mini-implant failures occur at an early stage. Irritation or inflammation of peri-implant tissues has been related to decreasing mini-implant success.

Purpose: This study evaluates the effect of low-level laser therapy on initial inflammation after orthodontic mini-implants installation.

Methods: Ten volunteers received two mini-implants (1.3 mm diameter, 7 mm length). One mini-implant was inserted on each side of the maxilla following manufacturer recommendation. On the right side, low-level laser therapy (LLLT) was applied (diode laser 660 nm, 40 mW, 1 min, 2.4 J of total energy). Peri-implant crevicular fluid (PGF) was obtained after 24 h (T1), 48 h (T2), and 72 h (T3) to identify levels of interleukin (IL)-6 and IL-8 around mini-implants and around upper first premolars.

Results: An increase in interleukin levels was observed for both groups, compared to upper first premolar. PGF around nonirradiated mini-implants showed higher levels of IL-8. Levels of IL-6 24 h after mini-implant insertion were higher for laser group.

Conclusions: LLLT modulates the initial inflammation after the insertion of mini-implant, possibly increasing the mini-implant success prognostic and decreasing patient discomfort.

Keywords: inflammation; interleukin; laser therapy; miniscrew; orthodontic anchorage.

MeSH terms

  • Adult
  • Dental Implants*
  • Female
  • Humans
  • Interleukin-6 / analysis
  • Interleukin-8 / analysis
  • Low-Level Light Therapy*
  • Male

Substances

  • Dental Implants
  • Interleukin-6
  • Interleukin-8