Evaluation of Root Resorption During the Correction of Deep Bite With the Help of Laser Irradiation

This study aims to investigate the effectiveness of low-level laser in reducing the resorption of the roots of the upper incisors. Participants will be recruited from patients who will attend the Department of Orthodontics and Dentofacial Orthopaedics at Damascus University. The study sample will consist of 30 patients with a deep bite who will be randomly distributed equally into two groups, 15 patients in each group, average age: 22.37±3.38 years. Mini-implants will apply between the roots of the maxillary central and lateral incisor at both sides with a loading force of 40 g on each end by using a nickel-titanium spring extending from the head of the mini-implants to a wire welded to it with two hooks. A low-level laser (Ga-Al-As) will be used with 808 nm wavelength in continuous mode, 250 milli-Watt power output, 4 Joules/point energy density, 16 s per point in the experimental group. It will be applied on the day of intrusion, then on days 3,7, and 14 of the first month, and then every 15 days starting from the second month until the end of the intrusion. In addition to adjusting the force gauge every 4 weeks until the end of the intrusion stage and reaching normal coverage will be activated every 4 weeks in both groups until normal overbite was reached.

Inclusion Criteria:overbite > 4 mmClass I or II molar and canine relationship malocclusionmaxillary anterior crowding < 2 mmmaxillary incisors positioned below the functional occlusal planeincisor display of 2-3 mm or more at restthe facial growth pattern is normal or horizontal.Exclusion Criteria:the maxillary incisors had a history of any trauma or endodontic treatmentincreased inclination of the maxillary incisors towards the labialthe subject had any systemic diseasethe patient exhibited poor oral hygiene