Laser therapy for neurosensory recovery after saggital split ramus oseotomy

Temprano, Astrid Virginia Buysse; Piva, Fabio Henrique; Omaña, Jenilee Omaña; Guevara, Henry Garcia; Souza, Dênis Pimenta e

doi:10.1016/j.maxilo.2017.06.003

Cited by 6 publications

(10 citation statements)

References 19 publications

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“…On the other hand, detection bias and attrition bias were minimal (less than 25%). Also, Buysse Temprano et al [ 31 ] and Esmaeelinejad et al [ 32 ] had the most and the least risk of bias among included studies, respectively (Fig. 3 ).…”

Section: Resultsmentioning

confidence: 95%

“…Six studies were double-blind, one was single-blind and one was triple-blind randomized controlled trials. Also, four studies had the split-mouth design in which one side of the lower jaw was radiated by laser and the other side subjected to LLLT without radiation as placebo [ 13 , 18 , 31 , 34 ] and four had two separate treatment (test) and control (non-treated) groups [ 17 , 19 , 32 , 33 ]. The latest study was conducted in 2020.…”

Section: Resultsmentioning

confidence: 99%

“…Totally, 188 patients were evaluated; however, 94 patients were included in the meta-analysis. The study of Guraini et al had the most post-treatment follow-up period and the study carried out by Buysse Temprano et al had no post-treatment follow-up period [ 19 , 31 ].…”

Section: Resultsmentioning

confidence: 99%

“…Also, intra-orally or intra/extra-orally were the lasers used. The typical points of laser radiation in the studies were osteotomy site mucosa, labial mucosa, buccal mucosa, and mandibular foramen in the intra-oral approach [ 13 , 18 , 31 , 33 ], and in the extra-oral approach [ 13 , 18 , 31 , 33 ], the skin surface along with the IAN pathway and chin were radiated. At least 3 [ 17 ] to 25 points [ 31 ] were radiated in the abovementioned areas (Table 2 ).…”

Section: Resultsmentioning

confidence: 99%

“…Titles and abstracts screened based on inclusion and exclusion criteria and 14 studies were retrieved and assessed for full-text evaluation based on the pre-determined inclusion and exclusion criteria and the assumed research question. Hence, five studies were excluded, and finally, eight studies were assessed for qualitative synthesis and five for metaanalysis [13,[17][18][19][31][32][33][34] (Fig. 1).…”

Section: Study Selectionmentioning

confidence: 99%

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Effectiveness of low-level laser therapy on recovery from neurosensory disturbance after sagittal split ramus osteotomy: a systematic review and meta-analysis

Firoozi

Keyhan

Kim

et al. 2020

Maxillofac Plast Reconstr Surg

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Background Orthognathic surgery such as bilateral sagittal split ramus osteotomy (BSSRO) for the treatment of mandibular deformities is one of the most common procedures in maxillofacial operations that may lead to neurosensory disturbance. In this study, we aimed to evaluate the effectiveness of low-level laser therapy (LLLT) on augmenting recovery of neurosensory disturbance of inferior alveolar nerve (IAN) in patients who underwent BSSRO surgery. Methods A comprehensive literature search was conducted by two independent authors in PubMed, Cochrane Central Register of Controlled Trials (CENTRAL), Scopus, Embase, and Google Scholar electronic databases. Besides, a manual search of all textbooks and relevant articles were conducted. Searches took place in August 2020 and were limited to published and peer-reviewed articles from 2000 to 2020. All analysis was performed using the comprehensive meta-analysis (CMA) and the STATA MP (version:16) software. The weighted mean difference (WMD) using the inverse variance method and the standard mean difference (SMD) was considered for continuous variables. Results Seventy-four papers were retrieved after removing duplicate studies and finally, eight studies were assessed for qualitative synthesis and five for meta-analysis. Totally, 94 patients were included in the meta-analysis. Based on the meta-analysis, it was shown that LLLT was not effective in a short interval (0 to 48 h) after surgery, but in a period of more than 1 month after surgery, the positive results of treatment can be observed strikingly. Also, LLLT side/group showed no significant difference in some aspects of neurosensory recovery such as thermal sensation compared to the placebo side/group. Conclusions The meta-analysis of randomized controlled trials revealed that LLLT generally improves IAN sensory disturbance caused by BSSRO. Further high-quality clinical trials with longer follow-up periods and larger sample sizes are recommended.

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Section: Resultsmentioning

confidence: 95%