Methods useful for remodeling maxillofacial bone using light therapy and a functional appliance

Abstract

Methods are provided for regulating bone remodeling or tooth movement, comprising allowing a functional appliance to exert a force on oral or maxillofacial bone, muscle, or soft tissue, or one or more teeth of a patient in need thereof; and administering an effective amount of light to the oral or maxillofacial bone, muscle, or soft tissue, or one or more teeth, wherein the light is administered before, during, or after the force is exerted. Methods are also provided for regulating bone remodeling, comprising administering an effective amount of vitamin D to an oral or maxillofacial bone, muscle, or soft tissue, or to one or more teeth of a patient in need thereof; and administering an effective amount of light to the oral or maxillofacial bone, muscle, or soft tissue, or to the one or more teeth. Apparatuses useful for providing light therapy and/or vitamin D is also provided.

1 . A method for treating a patient's overjet, comprising:
 positioning a light therapy apparatus on a patient in need of overjet treatment, that includes a first light array and a second light array so that the first light array contacts a portion of the patient's face overlying the patient's left temporomandibular joint and the second light array contacts a portion of the patient's face overlying the patient's right temporomandibular joint,   transdermally irradiating the patient's left temporomandibular joint and the patient's right temporomandibular joint with the light, wherein the light has a wavelength of about 850 nm,   wherein the patient wears a mandibular repositioner that creates tension on the patient's intra-oral tissue to position the patient's mandible forward during the irradiating,   wherein the tension and light increase the rate of overjet treatment compared to that associated with the use of the mandibular repositioner in the absence of administering light.   
     
     
         2 . The method of  claim 1 , wherein the mandibular repositioner is a HERBST appliance, Twin Block appliance, Fixed Twin Block appliance, Bonded Twin Block appliance, BIOBLOC appliance, FORSUS Fatigue appliance, XBOW appliance, mandibular anterior repositioning appliance, Bass Dynamax appliance, Bionator appliance, Open Face Activator appliance, Activator appliance, Woodside Activator appliance, Frankel appliance, Teuscher appliance, Andreson appliance, 3-Way Sagittal appliance, Lower Schwartz appliance, 3 Way Expander appliance, jaw repositioning appliance, removable orthotic appliance, BioPedic Appliance, Ritto Appliance, Alpern Class II Closer appliance, Rapid palatal expander appliance, facemask appliance, reverse pull headgear or conventional orthodontic headgear. 
     
     
         3 . The method of  claim 1 , wherein the mandibular repositioner is a HERBST appliance. 
     
     
         4 . The method of  claim 1 , wherein the mandibular repositioner is a mandibular anterior repositioning appliance. 
     
     
         5 . The method of  claim 1 , wherein the mandibular repositioner is a fixed mandibular repositioning appliance. 
     
     
         6 . The method of  claim 1 , wherein the light has an intensity of about 50 mW/cm 2 . 
     
     
         7 . The method of  claim 1 , wherein the patient is a human. 
     
     
         8 . The method of  claim 1 , wherein the light has an intensity of about 50 mW/cm 2.