Analysis of mechanism in reducing pain during orthodontic tooth movement by CO_2 laser

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The aim of this study is to investigate the pain reducing effect and mechanism of CO2 laser during orthodontic tooth movement. In the present study, we analyzed the effect of CO2 laser in the central (medullary dorsal horn)and in the peripheral (tooth pulp, periodontal ligament)nervous system during experimental tooth movement in rats. As a result, increased c-fos known as the pain marker, was observed after experimental tooth movement, and it significantly decreased at the medullary dorsal horn after CO2 laser irradiation. On the other hand, there was no significant change in the calcitonin gene-related peptide (CGRP)and PGP9. 5 at the tooth pulp and periodontal ligament after the irradiation of CO2 laser. Furthermore, by the temperature measurements, the maximum temperatures were less than 40°C, which cannot cause tissue injury. Therefore, it is suggested that the CO2 laser reduces pain during experimental tooth movement by inhibiting c-fos neurons at the central nervous system without damaging peripheral tissue.