{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T02:46:25Z","timestamp":1780368385926,"version":"3.54.1"},"reference-count":41,"publisher":"MDPI AG","issue":"6","license":[{"start":{"date-parts":[[2023,11,22]],"date-time":"2023-11-22T00:00:00Z","timestamp":1700611200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100020595","name":"University of Damascus Postgraduate Research Budget","doi-asserted-by":"publisher","award":["23654267DEJ"],"award-info":[{"award-number":["23654267DEJ"]}],"id":[{"id":"10.13039\/501100020595","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinics and Practice"],"abstract":"<jats:p>(1) Background: This study aimed to compare patient-reported outcome measures when accelerating en masse retraction between the piezocision procedure and the subsequent application of low-level laser therapy (FC+LLLT), with the piezocision alone (FC), and in a control group. (2) Methods: A three-arm randomized controlled trial (RCT) was conducted involving 60 patients (41 females and 19 males) with Class II division I malocclusion. The en masse retraction was performed using NiTi closed coil springs attached to miniscrews. The LLLT was performed using an 808 nm Ga-Al-As diode laser. Patient responses regarding pain, discomfort, swelling, and chewing difficulties were reported at ten assessment points. (3) Results: The greatest pain levels were observed 24 h after the application of force during the first and third months of retraction. The mean pain, discomfort, swelling, and chewing difficulties were significantly smaller in the control group than in the FC and FC+LLLT groups. High satisfaction levels were reported in all three groups (p &lt; 0.05). (4) Conclusions: The accelerated en masse retraction via piezocision, followed by a small course of LLLT, was accompanied by significantly fewer pain, discomfort, and chewing difficulties than the control group. LLLT is a valuable addition to piezocision, with an improved patient experience.<\/jats:p>","DOI":"10.3390\/clinpract13060132","type":"journal-article","created":{"date-parts":[[2023,11,22]],"date-time":"2023-11-22T04:21:27Z","timestamp":1700626887000},"page":"1501-1519","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Patient-Reported Outcome Measures of Flapless Corticotomy with Low-Level Laser Therapy in En Masse Retraction of Upper Anterior Teeth: A Three-Arm Randomized Controlled Trial"],"prefix":"10.3390","volume":"13","author":[{"given":"Mudar M.","family":"Mousa","sequence":"first","affiliation":[{"name":"Department of Orthodontics, Faculty of Dentistry, University of Damascus, Damascus P.O. Box 30621, Syria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad Y.","family":"Hajeer","sequence":"additional","affiliation":[{"name":"Department of Orthodontics, Faculty of Dentistry, University of Damascus, Damascus P.O. Box 30621, Syria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmad S.","family":"Burhan","sequence":"additional","affiliation":[{"name":"Department of Orthodontics, Faculty of Dentistry, University of Damascus, Damascus P.O. Box 30621, Syria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khaldoun M. A.","family":"Darwich","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, University of Damascus, Damascus P.O. Box 30621, Syria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wael H.","family":"Almahdi","sequence":"additional","affiliation":[{"name":"Department of Periodontics, Faculty of Dentistry, University of Damascus, Damascus P.O. Box 30621, Syria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ossama","family":"Aljabban","sequence":"additional","affiliation":[{"name":"Department of Restorative Dentistry and Endodontics, Faculty of Dentistry, Damascus University, Damascus P.O. Box 30621, Syria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6242-1797","authenticated-orcid":false,"given":"Mohammed A.","family":"Awawdeh","sequence":"additional","affiliation":[{"name":"Preventive Dental Science Department, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences (KSAU-HS), Riyadh 11426, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4741-3721","authenticated-orcid":false,"given":"Imad Addin","family":"Almasri","sequence":"additional","affiliation":[{"name":"Department of Applied Sciences, Faculty of Economics, Damascus University, Damascus P.O. Box 30621, Syria"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,11,22]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1186\/2196-1042-14-42","article-title":"Acceleration of tooth movement during orthodontic treatment\u2014A frontier in orthodontics","volume":"14","author":"Nimeri","year":"2013","journal-title":"Prog. Orthod."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"S65","DOI":"10.1016\/j.ajodo.2013.12.015","article-title":"Patients\u2019, parents\u2019, and orthodontists\u2019 perceptions of the need for and costs of additional procedures to reduce treatment time","volume":"145","author":"Uribe","year":"2014","journal-title":"Am. J. Orthod. Dentofac. 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