Impact of photobiomodulation on pain associated with orthodontic treatment

ISRCTN ISRCTN16566195
DOI https://doi.org/10.1186/ISRCTN16566195
Secondary identifying numbers Pro00134382
Submission date
29/02/2024
Registration date
01/03/2024
Last edited
26/07/2024
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Oral Health
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
This study investigates how using photobiomodulation (PBM) affects the pain that comes with orthodontic treatment. Photobiomodulation is a therapy that uses light to stimulate biological processes in the body. We're exploring whether this therapy can help reduce the discomfort often experienced during orthodontic procedures.
This study was a retrospective study that collected information and data from the dental charts of patients who provided informed consent/authorization to the dental clinic to use their data for research purposes.

Who can participate?
Patients at 7 dental clinics in Japan aged 18 - 65 years.

What does the study involve?
Patients were asked to use an intraoral light therapy device called PBM Ortho and to record their pain level on a scale from 0 to 10 (0 = no pain, 10 = worst pain imaginable) for 7 days at the beginning of orthodontic treatment with either clear aligners or fixed appliances. The device was to be used for 4 minutes per arch, so a total of 8 minutes per day. Other patients were asked to just record their pain levels in the same manner as described, but they did not use any device.
The PBM Ortho devices were made by a company called PBM Healing International Limited. This study aimed to investigate the impact of this light therapy device on orthodontic pain.

What are the possible benefits and risks of participating?
Patients that used the device may have experienced a reduction in pain, but there were no risks with using the device.

Where is the study run from?
PBM Healing International Limited (Hong Kong)

When is the study starting and how long is it expected to run for?
October 2023 to February 2024

Who is funding the study?
PBM Healing International Limited (Hong Kong)

Who is the main contact?
Dr Alan Kwong Hing, dr.al@pbmhealing.com

Contact information

Dr Alan Kwong Hing
Public, Scientific, Principal Investigator

Unit D, 23/F, Sun Ying Industrial Centre, 9 Tin Wan Close
Aberdeen
-
Hong Kong

Phone +852 3611 2573
Email dr.al@pbmhealing.com

Study information

Study designMulticenter 7-day case-control retrospective observational study
Primary study designObservational
Secondary study designCase-control study
Study setting(s)Dental clinic
Study typeTreatment
Participant information sheet Not applicable (retrospective study)
Scientific titleImpact of photobiomodulation on pain associated with orthodontic treatment with clear aligners or fixed appliances - a retrospective, multicentre study
Study objectivesPhotobiomodulation (PBM) reduces orthodontic pain
Ethics approval(s)

Approved 03/10/2023, University of Alberta Research Ethics Board (2-01 North Power Plant (NPP), 11312 - 89 Avenue NW, Edmonton, T6G 2N2, Canada; +1-780-492-0459; reoffice@ualberta.ca), ref: Pro00134382

Health condition(s) or problem(s) studiedReduction of pain associated with orthodontic treatment in patients undergoing orthodontic treatment
InterventionUpon starting orthodontic treatment with either clear aligners or fixed appliances, some patients were asked to use the PBM Ortho device and to record their pain level every day for 7 days, and some patients were asked to record their pain levels every day for 7 days without using any devices. The PBM Ortho device is an intraoral device with a mouthpiece that produces photobiomodulation, also know as low level laser/light therapy, for 4 minutes per arch.
Intervention typeDevice
Pharmaceutical study type(s)Not Applicable
PhaseNot Applicable
Drug / device / biological / vaccine name(s)PBM Ortho device
Primary outcome measureSelf-reported pain level for 7 days using a visual analog scale form (0 = no pain, 10 = worst pain imaginable)
Secondary outcome measuresAny report of adverse events measured using patient records throughout the study
Overall study start date03/10/2023
Completion date20/02/2024

Eligibility

Participant type(s)Healthy volunteer, Patient
Age groupAdult
Lower age limit18 Years
Upper age limit65 Years
SexBoth
Target number of participants32
Total final enrolment32
Key inclusion criteria1. Systemically healthy male and female patients (age 18 - 65), i.e., did not suffer from systemic illness nor require medication during the study period.
2. Permanent dentition, with Little's Irregularity Index (LII) of 2 mm or greater for the upper and lower arch.
3. Orthodontic treatment using clear aligners or fixed appliances via non-extraction therapy.
4. Non-smoker with no use of chewing tobacco.
5. Good oral hygiene.
6. Caries free.
7. No sign of periodontal disease.
Key exclusion criteria1. Systemic diseases
2. Medication use for the past 6 months; especially use of anti-inflammatory (e.g., NSAIDs)
3. Smoking.
4. Active dental caries.
5. Any periodontal problem including bleeding, tooth mobility, bone loss, attachment loss, deep pockets.
6. Sleep apnea and other airway pathologies
7. Photosensitivity or use of drugs that may cause photosensitivity
8. Use of osteoporosis drugs
9. Epilepsy
10. Patients who had an implanted cardiac device unless the device is known to not be affected by magnetic fields
Date of first enrolment03/10/2023
Date of final enrolment20/02/2024

Locations

Countries of recruitment

  • Japan

Study participating centres

IXI Family Dental Clinic
Tokyo
183-0015
Japan
Sawa Dental Clinic
Kasugai
486-0806
Japan
Tsujimura Dental Clinic
Tanabe
646-0028
Japan
Miki Dental Clinic
Tokyo
187-0021
Japan
Bio Dental Clinic Ashiya
Ashiya
659-0065
Japan
Higashimachigran Dental Clinic
Kumamoto
830-0032
Japan
Soejima Dental Clinic
Kitakyushu
860-0952
Japan

Sponsor information

PBM Healing International Limited
Industry

Unit D, 23/F, Sun Ying Industrial Centre, 9 Tin Wan Close
Aberdeen
-
Hong Kong

Phone +852 3611 2573
Email pbmstudies@pbmhealing.com
Website http://www.pbmhealing.com

Funders

Funder type

Industry

PBM Healing International Limited

No information available

Results and Publications

Intention to publish date01/10/2024
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination planThe study results will be published in a peer-reviewed journal.
IPD sharing planThe datasets generated during and/or analysed during the current study may be available upon reasonable request from Dr. Jacqueline Crossman (jacqueline@pbmhealing.com).

Editorial Notes

27/07/2024: The intention to publish date was changed from 01/07/2024 to 01/10/2024.
09/05/2024: The sponsor email was changed.
01/03/2024: Trial's existence confirmed by University of Alberta Research Ethics Board.