Can Photobiomodulation Therapy Be an Alternative to Methylprednisolone in Reducing Pain, Swelling, and Trismus After Removal of Impacted Third Molars?

Feslihan, Erkan; Eroğlu, Cennet Neslihan

doi:10.1089/photob.2019.4696

Cited by 12 publications

(9 citation statements)

References 27 publications

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“…Considering that edema after third molar surgery is also caused by inflammatory processes triggered by surgical trauma (Feslihan et al, 2019), it was expected that pain reduction would be followed by a reduction in edema. The measurements of edema showed low scores for both groups, indicating acceptable edema control.…”

Section: Discussionmentioning

confidence: 99%

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Is ozone effective in reducing pain, edema, and trismus after third molar surgery? A systematic review

Silva

Almeida

Vieira

et al. 2020

RSD

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This study aimed to evaluate the efficacy of ozone as a supporting therapy in reducing pain, edema, and trismus after lower third molar extraction. The protocol was registered in PROSPERO. Six electronic databases (PubMed, Scopus, LILACS, SciELO, Embase, and Web of Science) were used. Only randomized clinical trials were included, without restriction of year, language, and publication status. The JBI tool was used to assess the risk of bias. The GRADE approach assessed the certainty of evidence. The search yielded 3386 results, from which only three articles were eligible. The studies were published between the years 2013 and 2017, resulting in a sample of 133 patients. Ozone was used in the form of gas or gel. All studies found significant results for pain reduction after one, three, and seven days. Success in reducing trismus and edema varied between studies. The risk of bias varied between moderate and low. All outcomes were classified as a very low level of certainty. Although presenting favorable results for pain reduction, there is insufficient evidence to indicate the use of ozone as a complementary therapy during the extraction of third molars.

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Section: Discussionmentioning

confidence: 99%

“…The magnitude of edema can be compared to the complexity of the surgery (Feslihan et al, 2019). Thus, patients with a similar degree of teeth impaction were chosen and operative time was comparable to reveal no intergroup bias in the studies included.…”

Section: Discussionmentioning

confidence: 99%

Is ozone effective in reducing pain, edema, and trismus after third molar surgery? A systematic review

Silva

Almeida

Vieira

et al. 2020

RSD

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“…In these studies, lasers were used both intraorally and extraorally, and the laser's parameters were as follows: wavelengths ranged from 632 to 1064 nm; powers were between 4 and 1000 mW; energy densities were between 3 and 212 J/cm 2 . Eleven articles reported no statistically significant difference of PBM on reducing pain in comparison with placebo [25,38,[41][42][43][44][45][46][47]51,57]. The lasers used in these studies were diode lasers with wavelengths of 660 nm, 810 nm, and 980 nm, different powers (30-500 mW) and energy densities (2-60 J/cm 2 ).…”

Section: Painmentioning

confidence: 99%

“…Facial swelling was assessed in 36 studies [23,25,[28][29][30][31][32][33][34][35][42][43][44][45][46][47][48][49][50][51]53,54,[56][57][58][59][60][61][62][63]. Nineteen articles reported significant decrease in facial swelling after PBM application when compared with placebo [25,[27][28][29][30][31][32]39,40,[48][49][50]53,54,56,59,61,63].…”

Section: Facial Swellingmentioning

confidence: 99%

Photobiomodulation after Surgical Extraction of the Lower Third Molars: A Narrative Review

Pergolini

Vecchio

Palaia

et al. 2022

Oral

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The surgical extraction of the lower third molar is widely practiced in oral surgery. Inflammatory complications such as pain, swelling, and trismus can cause discomfort to the patients after third molar extraction. Several methods have been used to reduce these postoperative sequelae, including the use of corticosteroids, nonsteroidal anti-inflammatory drugs, analgesics, antibiotics, less traumatic surgical methods, and the use of photobiomodulation. This narrative review summarizes the current evidence on the effect of photobiomodulation on pain, facial swelling and trismus after third molar surgery. A literature search using MEDLINE (NCBI PubMed and PMC), EMBASE, Scopus, Cochrane library, Web of Science, and Google Scholar was undertaken up to October 2021. Forty-one articles met the inclusion criteria. Photobiomodulation can be considered an alternative and useful method for controlling pain following impacted wisdom tooth surgery. The effectiveness of PBM in reducing swelling and trismus is still controversial. This review highlights the lack of consensus in the literature on protocols used in PBM therapy.

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“…The degree of swelling was evaluated by using the method of Feslihan and Eroğlu [29]. The baseline facial distance was calculated, using a flexible tape, immediately before surgery as the arithmetic mean of three facial linear measurements: the labial commissure -tragus, the gonion -lateral canthus, and the gonion -labial commissure.…”

Section: Measurement Of Pain Swelling and Trismusmentioning

confidence: 99%

Effect Of Low-Level Laser Therapy On Inflammatory Sequеlae Of Impacted Mandibular Third Molar Surgery: A Single-Blind, Placebo-Controlled, Randomized Clinical Trial

Hamad

2022

Russ Open Med J

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Objective — Postoperative pain, facial swelling, and limitation of mouth opening are common sequеlae of lower third molar surgery. The objective of the study was to evaluate the effect of Low- level laser irradiation in controlling these sequеlae. Material and Methods — This randomized, single-blinded, split-mouth pilot study was carried out at the department of oral and maxillofacial surgery, university affiliated hospital, Erbil, Iraq. The study was conducted on 20 patients (13 males and 7 females), with a mean age of 26.3±7.4 years, who needed surgical removal of symmetrical bilateral impacted lower third molars. In each patient, one side was treated by low level laser and the other side was control. Laser irradiation was performed by postoperative single intraoral application of 940 nm laser beam at four points. Pain, trismus, and facial swelling were evaluated at the first, third, and seventh postoperative days. The data were analyzed using Mann–Whitney U test and unpaired t -test. Results — As compared to the control sides, low- level laser irradiated sides showed a significant reduction in visual analogue pain scales (VAS) during the first three postoperative days (P<0.05). The VAS scores of the laser treated sides were 4.46, 4.00, and 3.35 as compared to 6.58, 5.82, and 5.17 for the control sides. The swelling, and trismus were significantly reduced on the first and third postoperative days in the laser treated sides, as compared to the control sides (P<0.05). The facial measurements during the first and third postoperative days were 108.72 mm and 114.77 mm in the laser sides and 113.57 mm and 118.43 mm in the control sides. The degree of mouth opening during the first and third postoperative days were 33.48 mm and 30.37 mm in the laser sides and 27.93 mm and 25.58 mm in the control sides Conclusions — Single intraoral application of low- level laser is effective in reducing pain, swelling and trismus after mandibular third molar surgery. Therefore, it can be used as an adjuvant in controlling postoperative complications after lower third molar surgery.

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Can Photobiomodulation Therapy Be an Alternative to Methylprednisolone in Reducing Pain, Swelling, and Trismus After Removal of Impacted Third Molars?

Cited by 12 publications

References 27 publications

Is ozone effective in reducing pain, edema, and trismus after third molar surgery? A systematic review

Is ozone effective in reducing pain, edema, and trismus after third molar surgery? A systematic review

Photobiomodulation after Surgical Extraction of the Lower Third Molars: A Narrative Review

Effect Of Low-Level Laser Therapy On Inflammatory Sequеlae Of Impacted Mandibular Third Molar Surgery: A Single-Blind, Placebo-Controlled, Randomized Clinical Trial

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