Efficacy of LLLT in swelling and pain control after the extraction of lower impacted third molars

Merigo, Elisabetta; Vescovi, Paolo; Margalit, Meirav; Ricotti, E; Stea, Stefano; Meleti, Marco; Manfredi, Maddalena; Fornaini, Carlo

doi:10.5978/islsm.15-or-05

Cited by 56 publications

(28 citation statements)

References 19 publications

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“…In all these studies, the third molar was the extracted tooth except in one study conducted on premolar's extraction sockets. 23 PBM effectively reduced post extraction pain as shown in 16 studies 5,6,13,[15][16][17][18][19][24][25][26][27][28][29][30][31] compared with placebo. In these studies, wavelengths ranged from 650 to 980 nm.…”

Section: Study Selectionmentioning

confidence: 78%

“…11,12 A number of studies have demonstrated that PBM has an impact on the management of pain and swelling. 5,[13][14][15][16][17][18] Ferrante reported that PBM is useful for pain reduction after impacted third molar surgery. 19 In an animal study, it has been shown that PBM could reduce pain intensity, inflammation, and immunological reactions; while in human studies some factors including the type of disease, surgery, and laserrelated variables influence the outcome of PBM.…”

Section: Introductionmentioning

confidence: 99%

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Photobiomodulation in Oral Surgery: A Review

Hosseinpour

Tunér

Fekrazad

2019

Photobiomodulation, Photomedicine, and Laser Surgery

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Objective: This article presents a review of current data on the applications of photobiomodulation (PBM) in the field of oral and maxillofacial surgery (OMFS), to guide future research. Background data: Photobiomodulation therapy (PBMT) has been reported to be effective for various postoperative conditions, including pain relief, improvement of mastication, neurosensory recovery, and wound healing. There is a need for identifying the therapeutic irradiation windows for these conditions, based upon the available literature. Materials and methods: All original articles related to PBM for oral surgery in MEDLINE (NCBI PubMed and PMC), EMBASE, Scopus, Cochrane library, Web of Science, and Google Scholar were reviewed until December 2018. Results: Forty-six clinical trials were included in this study. These trials were categorized into three different types of PBM applications. After reviewing all these studies, the most effective physical properties for PBM pain reduction after tooth extraction were as follows: wavelength 650-980 nm; power 4-300 mW; and energy density 3-85.7 J/cm 2. PBMT at 660-910 nm with 4-500 mW power and 2-480 J/cm 2 energy density was effective for decreasing facial swelling. At the same wavelength and power range with 4-106 J/cm 2 energy density, PBM was effective for alleviating trismus after tooth extraction. Conclusions: Most papers suggested that PBM seemed to be effective in reducing pain, swelling, and trismus after third molar tooth extraction, neurosensory and nerve recovery after mandibular ramus osteotomy. The heterogeneity of the standardization regarding the parameters of laser calls for caution in interpretation of these results. However, this evidence-based review regarding the best protocols for OMFS applications can be beneficial for both future research and clinical applications.

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Section: Study Selectionmentioning

confidence: 78%

Section: Introductionmentioning

confidence: 99%

Photobiomodulation in Oral Surgery: A Review

Hosseinpour

Tunér

Fekrazad

2019

Photobiomodulation, Photomedicine, and Laser Surgery

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“…L'hémostase est assurée à la pince bipolaire ou grâce au laser comme dans le cas présenté et la plaie est suturée si nécessaire avec un fil monobrin non résorbable 5.0. Les suites opératoires sont en général simples, notamment avec l'utilisation du laser diode [4]. La prescription d'antalgiques de palier 1 est recommandée pendant 3 à 5 jours et une alimentation liquide et froide pendant 3 jours est préférable.…”

Section: Discussionunclassified

“…Le traitement repose sur une exérèse de la double lèvre à la lame froide. Le traitement de la double lèvre du SA au laser diode n'a jamais été décrit et pourrait présenter une alternative simple et non iatrogène [4].…”

Section: Introductionunclassified

Syndrome d’Ascher : cas clinique et revue de la littérature

Regnault

Catros

Fricain

2015

Med Buccale Chir Buccale

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Résumé -Introduction :Le syndrome d'Ascher (SA) a été décrit pour la première fois en 1920 par Ascher. Le SA est caractérisé par l'association d'une tuméfaction du versant muqueux de la lèvre supérieure réalisant une double lèvre, un blépharochalasis bilatéral et un goitre thyroïdien non toxique (non indispensable au diagnostic). Observation : Un patient de 30 ans sans antécédent médico-chirurgical consultait pour une double lèvre responsable d'un désagrément esthétique. L'interrogatoire révélait l'apparition de la double lèvre à l'adolescence. L'examen clinique confirmait la double lèvre et mettait en évidence un prolapsus des paupières supérieures avec un ptosis plus accentué à droite. Une exérèse au laser diode de la double lèvre était réalisée sous anesthésie locale. Discussion : Des cas de double lèvres ne rentrant pas dans le cadre d'un SA ont été décrits. La lèvre supérieure est le plus souvent atteinte mais des cas touchant la lèvre inférieure ou les deux lèvres ont été décrits. Les doubles lèvres seraient dues à une hypertrophie du chorion sans participation du muscle orbiculaire. La majorité des auteurs réalisent une incision elliptique associée à une plastie en Z ou W pour traiter ces lésions. L'utilisation du laser diode présente plusieurs avantages : hémostase, absence de suture, rapidité et simplicité du geste et diminution des suites opératoires.Abstract -Ascher's syndrome: case report and review of the literature.

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“…Diode lasers have wavelengths in the near infrared range (700-900 nm) and can penetrate to a depth of 2 to 3 cm depending on the target tissue 3) . For these reasons, diode lasers can be used for TMD (Temporo-mandibular disorder) pain relief 4,5) , promoting wound healing 6,7) , cell growth 8,9) as well as soft tissue ablation with HLLT 1) . Although diode lasers have been beneficial for dental treatment in a variety of clinical situations, there is a paucity of studies reporting on the cellular mechanisms following LLLT irradiation.…”

Section: Introductionmentioning

confidence: 99%