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There is scarcity in the literature regrading the effect of Low Level Laser Therapy (LLLT) on the rate of en-masse retraction. This study aims to investigate whether LLLT would affect the rate of en-masse retraction in females having bimaxillary dento-alveolar protrusion.
Individuals having bimaxillary dentoalveolar protrusion are characterized by proclined upper and lower incisors and increased procumbency of the lips thus suffering from poor facial esthetics. The conventional management of these patients is the extraction of the first premolars and retraction of the anterior teeth.
One of the treatment techniques is in the form of canine retraction followed by four incisors retraction. This conventional method takes tedious work and tremendous time, thus affecting the patients' satisfaction adversely. The other technique is retraction of the whole set of anterior teeth as one unit (Canine and incisors), which is referred to as "En-Masse retraction".
Enhancing the rate of orthodontic tooth movement has always been a supreme goal of orthodontic research hoping to raise the level of care delivered to patients, hence, increase patients' satisfaction.
One of the proposed modalities of increasing the rate of tooth movement is Low Level Laser Therapy (LLLT). Thus, the aim of the current consideration was to evaluate the impact of LLLT on the rate of en-masse retraction in adult females having bimaxillary dentoalveolar protrusion.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| LG (Group A) | Experimental | En- masse retraction using NiTi closed coil springs rendering 200 g/side were employed following first premolars extraction and insertion of buccal TADs to provide maximum anchorage. Retraction was done along with the application of LLLT till the end of retraction. |
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| NLG (Group B) | Active Comparator | En- masse retraction using NiTi closed coil springs rendering 200 g/side were employed following first premolars extraction and insertion of buccal TADs to provide maximum anchorage. No LLLT was applied to this group |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| En- masse retraction and LLLT | Procedure | Retraction will start on a 0.019"x0.025" Stainless steel wire using NiTi closed coils (force applied will be 200 g per side) extending between the crimpable hooks and the TADs. LLLT will be applied on days 0,3,7,14 from extraction then repeated biweekly till the end of retraction. |
| Measure | Description | Time Frame |
|---|---|---|
| Rate of en-masse retraction | The antero-posterior movement of anterior teeth will be assessed by measuring the digitilized study models taken of the patients monthly (measured in mm) | From date of first premolars' extraction until the date of anterior teeth retraction, assessed up to an average of 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| Anterior teeth's root resorption | Assessed via comparing the pre & post- retraction CBCTs using Lavender & Malmgren Grading system | From date of first premolars' extraction until the date of anterior teeth retraction, assessed up to an average of 1 year |
| Anterior teeth Tip and Torque |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Heba Mohamed E Dehis, Lecturer | Cairo University | Principal Investigator |
| Foad A El-Sharaby, A. Professor | Cairo University | Study Director |
| Faten H Eid, Professor | Cairo University | Study Director |
| Mushira Dahaba, Professor | Cairo University | Study Director |
| Yehya A Mostafa, Professor | Future University in Egypt (FUE) | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cairo University | Cairo | Egypt |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38842738 | Derived | Dehis HM, El Sharaby FA, Eid FH, Mostafa YA. Effect of low-level laser therapy on en masse retraction in females with bimaxillary dentoalveolar protrusion : A single-center randomized clinical trial. J Orofac Orthop. 2025 Sep;86(5):284-297. doi: 10.1007/s00056-024-00525-2. Epub 2024 Jun 6. |
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Research data will be available for researchers who provide a methodologically sound proposal.
Proposals should be directed to the corresponding author. To gain access, data requestors will need to sign a data access agreement.
Data will be available immediately following publication and ending 6 months following article publication
Data will be available after contact with the corresponding author
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| ID | Term |
|---|---|
| D028022 | Low-Level Light Therapy |
| ID | Term |
|---|---|
| D053685 | Laser Therapy |
| D013812 | Therapeutics |
| D010789 | Phototherapy |
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Due to the nature of the intervention neither the operator nor the patients could be blinded. The assessors will be blinded from the data to be investigated he will just measure the data needed without knowing the purpose of the study, and without knowing which records belong to which group. Two assessors will carry out the the analysis of the study, blindly and independently.
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| En- masse retraction without LLLT | Procedure | Retraction will start on a 0.019"x0.025" Stainless steel wire using NiTi closed coils (force applied will be 200 g per side) extending between the crimpable hooks and the TADs. |
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By comparing angular changes in the teeth's tip and torque in relation to reference planes |
| From date of first premolars' extraction until the date of anterior teeth retraction, assessed up to an average of 1 year |
| Anchorage (Loss/ Gain) | By comparing linear and angular changes in the first molars in relation to reference planes | From date of first premolars' extraction until the date of anterior teeth retraction, assessed up to an average of 1 year |
| First molars' rotation | Study models that are taken pre and post retraction (then digitilized) will be used to assess the rotation of the maxillary first molars in relation to a reference line | From date of first premolars' extraction until the date of anterior teeth retraction, assessed up to an average of 1 year |
| Pain Associated | Each patient will fill a questionnaire regarding his treatment experience in a VAS scoring from 0-10 | From date of first premolars' extraction until the date of anterior teeth retraction, assessed up to an average of 1 year |