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ePaper created 2016-04-19, 11:44:05 | version 1.38.0
56 ortho 1 2016 products photobiomodulation OrthoPulse from Biolux Research shortens duration of orthodontic treatment ‘Howlongwillittake?’istheever-recurringques- tion most orthodontists hear during orthodontic treatment, especially with adults. An increasing numberofpatientsareseekingshorterorthodon- tic treatment times. Various techniques exist to accelerate tooth movement and thereby shorten treatment time. Most of these approaches are invasive and require additional surgical interven- tions, reducing their acceptance by patients and orthodontists.Onemethodthatisgainingtraction due to its convenience and effectiveness is the acceleration of orthodontic tooth movement through photobiomodulation with an OrthoPulse, a device from Canadian company Biolux Re- search Ltd. What is photobiomodulation? Photobiomodulation (PBM), also known as low- levellighttherapy(LLLT),isnon-invasiveanduses lowenergylasersorlight-emittingdiodes(LED)to modify cellular biology by exposure to light in the red to near-infrared (NIR) wavelength range be- tween 600 and 1,000nm. This NIR light is almost invisible to the human eye; however it has been showntoprovideatherapeuticbenefitbyincreas- ingthemetabolicactivityofboneandsofttissues. PBM leads to a non-thermal photochemical reac- tion in the irradiated cells, of which the effect on the mitochondria should be particularly high- lighted. Back in the 1930s, German chemist and Nobel laureate Otto Wartburg discovered the ef- fect of specific light frequencies on mitochondrial activity. This therapy is used in dentistry for pain relief, dentinal hypersensitivity, treatment of cranioman- dibular dysfunction (CMD), improving implant sta- bility, and treating mucositis, as well as in the ac- celeration of orthodontic treatments. PBMtherapyispainlessandfreeofsideeffects,as shown in the application of other medical fields, suchasaccelerationofwoundhealing,physiother- apy or hair loss. Since 2003, Biolux Research Ltd. focuses on pho- tobiomudulation in the field of dentistry–orstrictlyspeaking, theaccelerationofboneregen- eration. Based on its experience in the areas of bone attachments and bone remodelling, Bio- lux entered the market withOrthoPulse(Fig.2),a devicefortheaccelerationof orthodontictreatmentthatcanbeusedincombina- tionwithanyfixedappliance,whetheritisbuccalor lingual, or treatment with aligners. The intraoral device is used daily by the patient and emits via the LEDs a NIR with a wavelength of 850nm, which ir- radiates the buccal surface of the jaw towards the parodentium in order to accelerate bone remodel- ling.Theenergydensityis19.5J/cm2 foradailyuse of 5 minutes per jaw. After providing the patient with instructions in the practice, he uses the device once a day for 5 min- utes per treated jaw. Accidental misuse by the patient is avoided thanks to the automatic start of the session once the device is in the mouth and stopsoncethetreatmenthasbeencompleted.The OrthoPulse smartphone app has been to provide doctors and patients with OrthoPulse treatment compliance at a glance, by tracking of the overall patient’s treatment consistency and percentage compliance. The continuous monitoring of the treatment by the orthodontist is ensured in the time between inspections. In addition to shortening the duration of the treatment up to of 50% through the use of OrthoPulse, patients report significantly reduced tobiomudulation in the field of dentistry–orstrictlyspeaking, Based on its experience in the areas of bone attachments and bone remodelling, Bio- withOrthoPulse(Fig.2),a Fig. 3: The app enables the treating orthodontist to check whether the treatments are actually carried out. Fig. 1: Photons penetrate the bone and soft tissue aroundtherootoftheteethandstimulatethemitochon- drial enzymes, which enhances the production of ATP. The increased energy enables the acceleration of tooth movement. Fig. 2: OrthoPulse with charging box. 12016