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Ensayo controlado aleatorizado2016

Is Low-Level Laser Therapy Effective in the Management of Pain and Swelling After Mandibular Third Molar Surgery?

Eshghpour M, Ahrari F, Takallu M

Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons · 54 citas

Cómo se estudió

Diseño
Ensayo controlado aleatorizado (indexado por PubMed)
Estudiado en
Personas
Resultado principal
Marcadores de salud y funcionamiento

Quién lo pagó

Financiación
Financiación independiente
Universidad u hospital
Mashhad University of Medical Sciences

Según 1 financiador declarado.

Publicación

Publicado
2016-03-12 · J Oral Maxillofac Surg · vol. 74 · número 7 · págs. 1322.e1–1322.e8
Editorial
Elsevier BV
Citado
89 citas · más que el 95% de estudios similares · 5.3× el promedio de su campo
Impacto
Entre el 10 % más citado de su campo
Referencias
36 trabajos
Acceso
De pago
Áreas de investigación
Laser Applications in Dentistry and Medicine · Dermatologic Treatments and Research · Biofield Effects and Biophysics
Palabras clave
low-level laser therapy, mandibular third molar extraction, impacted third molar, postoperative pain, postoperative swelling, edema, 660 nm laser, 810 nm laser, split-mouth design
MeSH
molar, third, humans, tooth, impacted, edema, pain measurement, treatment outcome, tooth extraction, double-blind method, female, male, lasers, semiconductor, young adult, pain management, low-level light therapy, postoperative pain

3 autores

  • Majid Eshghpour🇮🇷Mashhad University of Medical Sciences
  • Farzaneh Ahrari🇮🇷 · autor de correspondenciaMashhad University of Medical Sciences
  • Mohammad Takallu🇮🇷Mashhad University of Medical Sciences

Resumen

El texto original del estudio, en el idioma en que se publicó.

Purpose

This study evaluated the effect of low-level laser therapy (LLLT) on decreasing pain and swelling after removal of impacted third molars.

Patients and methods

This randomized, double-blinded, split-mouth study included patients presenting 2 symmetrically impacted mandibular third molars. In each participant, one side was randomly assigned to laser treatment and the other side received placebo. LLLT was performed by intraoral application of a 660-nm laser (200 mW, 6 J per point at 4 points) followed by extraoral application of an 810-nm laser (200 mW, 6 J per point at 3 points). Irradiation at the 810-nm wavelength was repeated on days 2 and 4 after surgery. On the control side, the treatment protocol was similar to the experimental side, but with laser simulation. The main outcomes were the degree of pain during the next 7 days and the edema coefficients on days 2, 4, and 7 after surgery. Data were analyzed using generalized linear models to determine the effect of group and time on pain level and edema coefficients.

Results

The final sample consisted of 40 patients. Pain level was significantly lower in the laser than in the placebo side at all time points during the experiment (P < .05). Swelling was significantly lower in the laser than in the placebo group on days 2, 4, and 7 after surgery (P < .05).

Conclusion

LLLT proved effective in decreasing the intensity of pain and swelling after removal of impacted third molars and can be recommended to alleviate patients' symptoms after surgery.

Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial.

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