Bulletin of Stomatology and Maxillofacial Surgery
ISSN 1829-006X
2025; 273–283
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EVALUATION OF RAPID ACCELERATED PHENOMENON USING LOW LEVEL LASER THERAPY AND FLAPLESS OSTEOPUNCTURE METHOD DURING ENMASSE RETRACTION USING PREADJUSTED EDGEWISE APPLIANCE: AN IN VIVO COMPARATIVE STUDY

Aisha Mohammed*, Javeed Mohammed, Prasanna Jakkireddy

Department of Orthodontics and Dentofacial Orthopedics, Care Dental College and Hospital, Guntur, India · Department of Oral and Maxillofacial Surgery, Prince Saud Bin Julawy Hospital, Al Ahsa, KSA, Saudi Arabia · Department of Oral and Maxillofacial Surgery, Sindhu Hospitals, Hyderabad, India

Received: 2026-04-08 · Published: 2025-11-06

© 2025 The Author(s) and the original publisher.

CC BY-NC 4.0 This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
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Original title
EVALUATION OF RAPID ACCELERATED PHENOMENON USING LOW LEVEL LASER THERAPY AND FLAPLESS OSTEOPUNCTURE METHOD DURING ENMASSE RETRACTION USING PREADJUSTED EDGEWISE APPLIANCE: AN IN VIVO COMPARATIVE STUDY
Authors
Aisha Mohammed, Javeed Mohammed, Prasanna Jakkireddy
Source journal
Bulletin of Stomatology and Maxillofacial Surgery
Published
2025-11-06
Licence
Creative Commons Attribution-NonCommercial 4.0 International
Original
https://doi.org/10.58240/1829006X-2025.21.10-273

Abstract

Background: En-masse retraction of maxillary anterior teeth is a critical phase in orthodontics, and optimizing tooth movement is essential. This study evaluates the clinical effects of Low-Level Laser Therapy (LLLT) and flapless osteopuncture on en-masse retraction during orthodontic treatment using the Pre-Adjusted Edgewise Appliance (PEA). Objectives: To compare the rate of en-masse retraction in the maxillary arch using three methods: 1) LLLT, 2) Flapless Osteopuncture, 3) Conventional Friction Mechanics. Methods: A total of 24 orthodontic patients undergoing en-masse retraction with PEA were divided into three groups: Group 1: LLLT, Group 2: Flapless Osteopuncture, Group 3: Conventional Friction Mechanics (control). Tooth movement rates were measured and compared using clinical and radiographic assessments at specified intervals. Statistical analysis was conducted with p<0.05. Results: The rate of en-masse retraction was compared among the three groups. No significant difference was found between the laser and micro-osteoperforation groups, but the micro-osteoperforation group showed a faster rate of tooth movement. Conclusions: LLLT and flapless osteopuncture methods were effective in accelerating en-masse retraction using the PEA technique, with micro-osteoperforation demonstrating greater effectiveness than LLLT. These adjunctive techniques may provide alternatives to conventional friction mechanics for improving tooth movement.
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