Modulation of substance P in gingival crevicular fluid following 810 nm photobiomodulation during early orthodontic force application: a pilot study
摘要
To evaluate the temporal dynamics of Substance P (SP) regulation following photobiomodulation (PBM) in an orthodontic inflammation model, and to explore the implications of delayed immunological response kinetics.
Materials and methodsA randomized split-mouth design was implemented in orthodontic patients receiving low-level laser therapy (PBM). SP concentrations were quantified using ELISA at baseline, 24 hours post-irradiation, and following a second PBM dose. Technical validation included wavelength extrapolation and duplicate sampling to ensure reproducibility.
ResultsSP levels decreased at 24 hours post-PBM, followed by a subsequent increase after the second irradiation. This oscillatory pattern suggests a non-linear regulatory trajectory, consistent with delayed neuroimmune processing. The findings suggest a temporal dissociation between clinical symptom relief and molecular biomarker behavior.
ConclusionThis pilot study suggests that photobiomodulation (PBM) with an 810 nm diode laser may modulate neuropeptide expression during the initial phase of orthodontic force application.