Effect of pre-operatory low-level laser therapy on pain, swelling, and trismus associated with third-molar surgery
Identifieur interne : 000612 ( Main/Exploration ); précédent : 000611; suivant : 000613Effect of pre-operatory low-level laser therapy on pain, swelling, and trismus associated with third-molar surgery
Auteurs : Morena Petrini ; Maurizio Ferrante ; Paolo Trentini ; Giorgio Perfetti ; Giuseppe SpotoSource :
- Medicina Oral, Patología Oral y Cirugía Bucal [ 1698-4447 ] ; 2017.
Abstract
The extraction of impacted third molars is commonly associated to pain, edema, trismus, limited jaw opening and movements. The aim of this retrospective study is to verify if pre-surgical low-level laser therapy (LLLT) associated with the extraction of impacted lower third molars could add benefits to the postoperative symptoms respect LLLT performed only after surgery.
Data from 45 patients subjected to a surgical extraction of lower third molars were pooled and divided into three groups. Patients that received only routine management were inserted in the control group. Group 1, were patients that received LLLT immediately after surgery and at 24 hours. In group 2 were included patients treated with LLLT immediately before the extraction and immediately after the end of the procedure. Data were analyzed using linear regression and descriptive statistics.
Both laser-treated groups were characterized by minor events of post-surgery complications of pain, edema, trismus. The use of NSAIDs in the first 24 hours was significantly inferior in Group 2.
Pre-surgical LLLT treatment seems to increase the analgesic effect of LLLT. However, trismus and edema were reduced in both laser treated groups, independently from the period of irradiation.
Url:
DOI: 10.4317/medoral.21398
PubMed: 28578368
PubMed Central: 5549519
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Effect of pre-operatory low-level laser therapy on pain,
swelling, and trismus associated with third-molar surgery</title><author><name sortKey="Petrini, Morena" sort="Petrini, Morena" uniqKey="Petrini M" first="Morena" last="Petrini">Morena Petrini</name><affiliation><nlm:aff id="A1">DDS, Ph.D, Oral Surgery Specialist, Dental Materials and Medical Chemistry Unit, Department of Medical, Oral and Biotechnological Sciences, University of Chieti</nlm:aff><wicri:noCountry code="subfield">University of Chieti</wicri:noCountry></affiliation></author><author><name sortKey="Ferrante, Maurizio" sort="Ferrante, Maurizio" uniqKey="Ferrante M" first="Maurizio" last="Ferrante">Maurizio Ferrante</name><affiliation><nlm:aff id="A2">DDS, Oral Surgery Specialist, Dental Materials and Medical Chemistry Unit, Department of Medical, Oral and Biotechnological Sciences, University of Chieti</nlm:aff><wicri:noCountry code="subfield">University of Chieti</wicri:noCountry></affiliation></author><author><name sortKey="Trentini, Paolo" sort="Trentini, Paolo" uniqKey="Trentini P" first="Paolo" last="Trentini">Paolo Trentini</name><affiliation><nlm:aff id="A3">MD, Dental Materials and Medical Chemistry Unit, Department of Medical, Oral and Biotechnological Sciences, University of Chieti</nlm:aff><wicri:noCountry code="subfield">University of Chieti</wicri:noCountry></affiliation></author><author><name sortKey="Perfetti, Giorgio" sort="Perfetti, Giorgio" uniqKey="Perfetti G" first="Giorgio" last="Perfetti">Giorgio Perfetti</name><affiliation><nlm:aff id="A4">Full Professor of Oral Surgery, Oral Surgery Unit, Department of Medical, Oral and Biotechnological Sciences, University of Chieti</nlm:aff><wicri:noCountry code="subfield">University of Chieti</wicri:noCountry></affiliation></author><author><name sortKey="Spoto, Giuseppe" sort="Spoto, Giuseppe" uniqKey="Spoto G" first="Giuseppe" last="Spoto">Giuseppe Spoto</name><affiliation><nlm:aff id="A5">Full Professor of Dental Materials, Dental Materials and Medical Chemistry Unit, Department of Medical, Oral and Biotechnological Sciences, University of Chieti</nlm:aff><wicri:noCountry code="subfield">University of Chieti</wicri:noCountry></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">28578368</idno><idno type="pmc">5549519</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5549519</idno><idno type="RBID">PMC:5549519</idno><idno type="doi">10.4317/medoral.21398</idno><date when="2017">2017</date><idno type="wicri:Area/Pmc/Corpus">004186</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">004186</idno><idno type="wicri:Area/Pmc/Curation">004185</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">004185</idno><idno type="wicri:Area/Pmc/Checkpoint">000310</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000310</idno><idno type="wicri:Area/Ncbi/Merge">009151</idno><idno type="wicri:Area/Ncbi/Curation">009151</idno><idno type="wicri:Area/Ncbi/Checkpoint">009151</idno><idno type="wicri:doubleKey">1698-4447:2017:Petrini M:effect:of:pre</idno><idno type="wicri:Area/Main/Merge">000613</idno><idno type="wicri:Area/Main/Curation">000612</idno><idno type="wicri:Area/Main/Exploration">000612</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Effect of pre-operatory low-level laser therapy on pain,
swelling, and trismus associated with third-molar surgery</title><author><name sortKey="Petrini, Morena" sort="Petrini, Morena" uniqKey="Petrini M" first="Morena" last="Petrini">Morena Petrini</name><affiliation><nlm:aff id="A1">DDS, Ph.D, Oral Surgery Specialist, Dental Materials and Medical Chemistry Unit, Department of Medical, Oral and Biotechnological Sciences, University of Chieti</nlm:aff><wicri:noCountry code="subfield">University of Chieti</wicri:noCountry></affiliation></author><author><name sortKey="Ferrante, Maurizio" sort="Ferrante, Maurizio" uniqKey="Ferrante M" first="Maurizio" last="Ferrante">Maurizio Ferrante</name><affiliation><nlm:aff id="A2">DDS, Oral Surgery Specialist, Dental Materials and Medical Chemistry Unit, Department of Medical, Oral and Biotechnological Sciences, University of Chieti</nlm:aff><wicri:noCountry code="subfield">University of Chieti</wicri:noCountry></affiliation></author><author><name sortKey="Trentini, Paolo" sort="Trentini, Paolo" uniqKey="Trentini P" first="Paolo" last="Trentini">Paolo Trentini</name><affiliation><nlm:aff id="A3">MD, Dental Materials and Medical Chemistry Unit, Department of Medical, Oral and Biotechnological Sciences, University of Chieti</nlm:aff><wicri:noCountry code="subfield">University of Chieti</wicri:noCountry></affiliation></author><author><name sortKey="Perfetti, Giorgio" sort="Perfetti, Giorgio" uniqKey="Perfetti G" first="Giorgio" last="Perfetti">Giorgio Perfetti</name><affiliation><nlm:aff id="A4">Full Professor of Oral Surgery, Oral Surgery Unit, Department of Medical, Oral and Biotechnological Sciences, University of Chieti</nlm:aff><wicri:noCountry code="subfield">University of Chieti</wicri:noCountry></affiliation></author><author><name sortKey="Spoto, Giuseppe" sort="Spoto, Giuseppe" uniqKey="Spoto G" first="Giuseppe" last="Spoto">Giuseppe Spoto</name><affiliation><nlm:aff id="A5">Full Professor of Dental Materials, Dental Materials and Medical Chemistry Unit, Department of Medical, Oral and Biotechnological Sciences, University of Chieti</nlm:aff><wicri:noCountry code="subfield">University of Chieti</wicri:noCountry></affiliation></author></analytic><series><title level="j">Medicina Oral, Patología Oral y Cirugía Bucal</title><idno type="ISSN">1698-4447</idno><idno type="eISSN">1698-6946</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>The extraction of impacted third molars is commonly associated to pain, edema, trismus, limited jaw opening and movements. The aim of this retrospective study is to verify if pre-surgical low-level laser therapy (LLLT) associated with the extraction of impacted lower third molars could add benefits to the postoperative symptoms respect LLLT performed only after surgery.</p></sec><sec><title>Material and Methods</title><p>Data from 45 patients subjected to a surgical extraction of lower third molars were pooled and divided into three groups. Patients that received only routine management were inserted in the control group. Group 1, were patients that received LLLT immediately after surgery and at 24 hours. In group 2 were included patients treated with LLLT immediately before the extraction and immediately after the end of the procedure. Data were analyzed using linear regression and descriptive statistics.</p></sec><sec><title>Results</title><p>Both laser-treated groups were characterized by minor events of post-surgery complications of pain, edema, trismus. The use of NSAIDs in the first 24 hours was significantly inferior in Group 2.</p></sec><sec><title>Conclusions</title><p>Pre-surgical LLLT treatment seems to increase the analgesic effect of LLLT. However, trismus and edema were reduced in both laser treated groups, independently from the period of irradiation.</p><p><bold> Key words:</bold>Laser, LLLT, pain, surgery, extraction, third molars, wisdom teeth.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Piecuch, Jf" uniqKey="Piecuch J">JF Piecuch</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kim, K" uniqKey="Kim K">K Kim</name></author><author><name sortKey="Brar, P" uniqKey="Brar P">P Brar</name></author><author><name sortKey="Jakubowski, J" uniqKey="Jakubowski J">J Jakubowski</name></author><author><name sortKey="Kaltman, S" uniqKey="Kaltman S">S Kaltman</name></author><author><name sortKey="Lopez, E" uniqKey="Lopez E">E Lopez</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="D Ercole, S" uniqKey="D Ercole S">S D'Ercole</name></author><author><name sortKey="Spoto, G" uniqKey="Spoto G">G 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sortKey="Garcia, Mbs" uniqKey="Garcia M">MBS Garcia</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Leal Junior, Ec" uniqKey="Leal Junior E">EC Leal Junior</name></author><author><name sortKey="Lopes Artins, Ra" uniqKey="Lopes Artins R">RA Lopes–Martins</name></author><author><name sortKey="Frigo, L" uniqKey="Frigo L">L Frigo</name></author><author><name sortKey="De Marchi, T" uniqKey="De Marchi T">T De Marchi</name></author><author><name sortKey="Rossi, Rp" uniqKey="Rossi R">RP Rossi</name></author><author><name sortKey="De Godoi, V" uniqKey="De Godoi V">V de Godoi</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list></list><tree><noCountry><name sortKey="Ferrante, Maurizio" sort="Ferrante, Maurizio" uniqKey="Ferrante M" first="Maurizio" last="Ferrante">Maurizio Ferrante</name><name sortKey="Perfetti, Giorgio" sort="Perfetti, Giorgio" uniqKey="Perfetti G" first="Giorgio" last="Perfetti">Giorgio Perfetti</name><name sortKey="Petrini, Morena" sort="Petrini, Morena" uniqKey="Petrini M" first="Morena" last="Petrini">Morena Petrini</name><name sortKey="Spoto, Giuseppe" sort="Spoto, Giuseppe" uniqKey="Spoto G" first="Giuseppe" last="Spoto">Giuseppe Spoto</name><name sortKey="Trentini, Paolo" sort="Trentini, Paolo" uniqKey="Trentini P" first="Paolo" last="Trentini">Paolo Trentini</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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