Photobiomodulation to Reduce Orthodontic Treatment Time in Adults: A Historical Prospective Study

Abstract

Background: Orthodontic treatment in adult patients is hindered by several problems, such as little time for regular dental visits and financial costs. In recent years, photobiomodulation (PBM) has been shown to significantly reduce the duration of orthodontic treatment and significantly increase patient compliance. Objective: This study aimed to investigate the efficacy of PBM in shortening the orthodontic treatment duration in adult patients while ensuring optimal patient compliance. Methods: A total of 170 orthodontic patients with a Little’s irregularity index (LII) ≥ 3 mm treated with Invisalign clear aligners (Align Technology, Santa Clara, CA, USA) were included. The treatment group (PBM) (n = 90 patients) was trained in the use of the OrthopulseTM device (Biolux Research, Vancouver, Canada) according to an application protocol of 5 min per day. The control group (n = 80 patients) was treated with transparent Invisalign® without PBM applications. The LII was measured at a baseline and each aligner change until the end of the treatment when the LII was less than 1 mm. The crowding resolution rate (CRR), expressed in mm/week, and the total treatment time were measured. Results: The alignment rate of the PBM group was significantly higher than that of the control group (0.33 mm/week vs. 0.21 mm/week) with a reduction in the treatment time of 57.5 weeks in the PBM group compared with the control group. Conclusion: The PBM performed with the Orthopulse™ is shown to be an effective and noninvasive technique for accelerating teeth movements and can contribute in a relevant way to increase access to orthodontic treatment by the adult population as well as increase its compliance.