Electro-acupuncture efficacy on pain control after mandibular third molar surgery

Abstract

The aim of this study was to evaluate the efficacy of electro-acupuncture (EAC) on postoperative pain control after mandibular third molar surgery. Twenty four young patients (12 male and 12 female) with symmetrically impacted mandibular third molars were selected. Each patient was submitted to two separate surgical procedures under local anesthesia. At one side, extraction was carried out employing both prior (24h) and immediately postoperative application of EAC, while on the contralateral side surgery was carried out without any treatment. EAC was applied on 6 bilateral systemic and 2 auricular points with a WQ10Dl appliance using 40-60Hz frequency for 20 min and individually adjusted intensity. Postoperative pain intensity was rated on a 100 mm visual analog scale (VAS) between 2 and 72 h and recording the amount of analgesics intake after surgery. Statistical analysis was performed using theWilcoxon test. Postoperative pain VAS scores were significantly lower for the EAC group (p<0.05) and analgesic intake decreased (p<0.05) for all evaluated periods (p<0.05). Under the tested conditions EAC therapy is efficient was proved controlling postoperative pain following mandibular third molar surgical removal.

Efectividad de la acupuntura en el tratamiento del dolor agudo postquirúrgico en adultos, en comparación con tratamientos activos o con acupuntura simulada

“…Para el dolor post operatorio agudo se encontraron 37 resúmenes, donde 6 cumplieron los criterios de selección, estos fueron ECC sobre tonsilectomía 10 , reemplazo de rodilla 11 y extracción del tercer molar [12][13][14] , y dos RS sobre dolor post-operario agudo 15,16 . Los resultados se encuentran en las Tablas 1, 2, 3 y 4.…”

Acupuncture: An Alternative Therapy in Dentistry and Its Possible Applications

“…24 Karst et al 22 concluded that auricular acupuncture and intranasal midazolam were similarly effective for the treatment of dental anxiety. Tavares et al 16 suggested that EA controlled postoperative pain following mandibular third-molar surgical removal; this could be because of efferent vagus-nerve activation and inflammatory macrophage deactivation.…”

“…16 Postoperative pain and swelling after third-molar surgery are usually controlled by administering drugs to patients before and after surgery. Nonsteroidal anti-inflamatory drugs (NSAIDs) are commonly used to produce an inhibitory effect on the cyclo-oxygenase enzyme.…”

“…Tavares et al 16 evaluated the efficacy of EA on postoperative pain control after mandibular third-molar surgery. Twenty-four young patients with symmetrically impacted mandibular third molars were selected.…”

Influência da eletroacupuntura e laser-acupuntura no tratamento de parestesia em pacientes submetidos à cirurgia ortognática combinada e mentoplastia

“…Além disso, tem aplicação descrita na diminuição das reações associadas ao ato cirúrgico (ex. : náuseas e vômitos), no controle da ansiedade no período pré-operatório e como possibilidade de tratamento de paralisias e parestesias, sendo a acupuntura descrita como promotora de sucesso clínico em casos de deficiência neurossensorial (Christensen et al, 1989;Hao et al,1995;Lao et al, 1999;Kitade;Ohyabu, 2000;Carneiro, 2001;Hsing, 2001;Somri et al, 2001;Kloth, 2003;Rosted et al, 2006;Tavares et al, 2007;Karst et al, 2007;Wen, 2009;Rosted et al, 2010;Sari;Sari, 2010;Wong, 2012;Gupta et al, 2014). Outras duas terapias atualmente utilizadas para o tratamento das parestesias do tipo neuropraxia e axonotmese de diversas etiologias são: (1) eletroacupuntura, que apresenta a mesma base da acupuntura, porém com agulhas ligadas a aparelhos elétricos que, ao serem acionados, produzem estímulos elétricos que geram uma ação analgésica e (2) laser-acupuntura, que é o uso do laser terapêutico de baixa potência nos pontos de acupuntura, seguindo os princípios da medicina tradicional chinesa (de Oliveira et al, 2015a).…”