Table 3. | Study characteristics according to outcomes |
| Study | Primary outcome and measurement tool |
Follow-up times |
Canine retraction rate (mm/month) |
Secondary outcomes and measurement tools |
Canine rotation rate (degrees/month) |
Molar movement rate (mm/month) |
Conclusions |
|---|---|---|---|---|---|---|---|
| Mean (SD) | Mean (SD) | Mean (SD) | |||||
| Salman et al. [7] |
Canine movement rate.
Dental casts |
T0 = initial; T1 = 6 weeks |
FLC: T0-T1 = 1.63 Control: T0-T1 = 0.83 |
Gingival sulcus depth measured with a periodontal probe.
Pulp vitality tested using an electric pulp tester |
N/A | N/A | Flapless laser assisted corticotomy can be considered for acceleration of orthodontic tooth movement in humans |
| Mahmoudzadeh et al. [8] | Canine movement rate measured on plaster model of 3D superimposition (Maestro3D Dental Scanner MDS500 - AGE Solutions; Pisa, Italy) |
T0 = initial; T1 = 1 month |
FLC: T0-T1 = 1.95 (0.22) Control: T0-T1 = 0.79 (0.12) |
Canine rotation - angle between the median raphe and the line through the mesial and distal edges of the canine.
Molar anchorage loss - the distance between the mesial contact point of the permanent first molar and the rugae line that indicates the molar movement |
FLC: T0-T1 = 5.66 (1.13) Control: T0-T1 = 2.54 (0.71) |
FLC: T0-T1 = 0.57 (0.19) Control: T0-T1 = 0.68 (0.18) |
FLC is an effective, minimally invasive technique to increase the speed of canine retraction |
| Alfawal et al. [9] | Rate of canine retraction measured from digital photographs of plaster models using the AudaxCeph® software (Orthodontic software suite - Audax Ltd.; Ljubljana, Slovenia) |
T0 = initial; T1 = first month; T2 = second month; T3 = third month; T4 = fourth month |
FLC: T0-T1 = 1.57 (0.36); T1-T2 = 1.25 (0.3); T2-T3 = 1.06 (0.28); T3-T4 = 0.89 (0.16) Control: T0-T1 = 0.79 (0.11); T1-T2 = 0.85 (0.14); T2-T3 = 0.96 (0.25); T3-T4 = 0.9 (0.16) |
Canine rotation - the angle between the mid-palatal suture and the line passing through the mesial and distal margins of upper canine.
Molar anchorage loss - the distance between medial end of third palatal rugae and the central fossa of maxillary first permanent molar |
FLC: T0-T1 = 6.88 (0.37) T1-T2 = 5.82 (2.26) T2-T3 = 5 (2.04) T3-T4 = 3.39 (1.62) Control: T0-T1 = 6.11 (2.2); T1-T2 = 5.59 (2.53); T2-T3 = 4.75 (2.23); T3-T4 = 2.53 (0.99) |
FLC: T0-T1 = 0.61 (0.2); T1-T2 = 0.5 (0.21); T2-T3 = 0.49 (0.2); T3-T4 = 0.32 (0.22) Control: T0-T1 = 0.69 (0.2); T1-T2 = 0.65 (0.27); T2-T3 = 0.54 (0.21); T3-T4 = 0.33 (0.19) |
Laser-assisted flapless corticotomy doubled canine retraction speed in the first month and increased it 1.5x in the second month |
| Jaber et al. [15] | Canine retraction rate measured as the distance from first molar labial hook to canine bracket hook using a digital Boley gauge |
T0 = initial; T1 = first week; T2 = second week; T3 = fourth week; T4 = eighth week; T5 = twelfth week |
FLC: T0-T1 = 0.85 (0.21) T1-T2 = 0.72 (0.2) T2-T3 = 1.21 (0.35) T3-T4 = 0.4 (0.18) T4-T5 = 0.23 (0.1) Control: T0-T1= 0.34 (0.16); T1-T2 = 0.38 (0.15); T2-T3 = 0.69 (0.34); T3-T4 = 0.22 (0.08); T4-T5 = 0.26 (0.1) |
N/A | N/A | N/A | Laser-assisted flapless corticotomy appeared effective in accelerating canine retraction, achieving a rate 2.5 times faster than the conventional method |
| Toodehzaeim et al. [16] | Magnitude and speed of canine retraction measured on plaster model of 3D superimposition (Maestro3D Dental Scanner MDS500 - AGE Solutions; Pisa, Italy) |
T0 = initial; T1 = first month; T2 = second month; T3 = third month; T4 = fourth month |
FLC: T0-T1 = 2.36 (0.3); T1-T2 = 1.58 (0.41); T2-T3 = 0.81 (0.37); T3-T4 = 0.4 (0.15) Control: T0-T1 = 1.05 (0.64); T1-T2 = 0.8 (0.4); T2-T3 = 0.66 (0.27); T3-T4 = 0.51 (0.24) |
N/A | N/A | N/A | Flapless Er: YAG laser corticotomy significantly enhanced canine retraction with no adverse effect on other parameters and no patients' complication |
| Bakr et al. [17] | Rate of canine retraction measured on plaster model of 3D superimposition (3Shape® Orthoanalyzer software - 3Shape A/S; Copenhagen, Denmark) |
T0 = initial; T1 = first month; T2 = second month; T3 = third month |
FLC: T0-T1 = 0.62 (0.15); T1-T2 = 1.01 (0.68); T2-T3 = 0.84 (0.36) Control: T0-T1= 0.51 (0.22); T1-T2 = 0.91 (0.41); T2-T3 = 1.13 (0.6) |
Canine rotation - the angle between a line connecting the distal and mesial contact points of canines and the sagittal plane Molar anchorage loss - the distance between the AP plane and the mesiobuccal cusp tip of molars |
FLC: T0-T1 = 2.89 (1.01) Control: T0-T1 = 3.49 (2.29) |
FLC: T0-T1 = 0.33 (0.15) Control: T0-T1 = 0.46 (0.35) |
The FLC was unable to accelerate the rate of upper canine retraction |
| Chauhan et al. [18] | Rate of maxillary canine movement measured directly on plaster models with a digital vernier calliper |
T0 = initial; T1 = completion of canine retraction (when canine contacted the second premolar) |
FLC: T0-T1 = 1.43 (0.11) Control: T0-T1 = 1.22 (0.11) |
Mean distance travelled by canine measured linearly on casts: T0-T1 = 6.97 (SD 0.55) mm (FLC); T0-T1 = 5.87 (SD 0.55) mm (Control). Pain perception assessed using a Visual Analogue Scale at 3 h and 24 h after procedure |
N/A | N/A | Use of laser in cases of individual maxillary canine retraction resulted in a higher rate of canine distalization and shorter duration of overall treatment, with no major complications after laser-assisted alveolar corticotomies |
AP plane = antero-posterior plane; 3D = three-dimensional; FLC = flapless laser corticotomy; N/A = not applicable. |
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