The Effects of Transcutaneous and Intraoral Low-Level Laser Therapy After Extraction of Lower Third Molars: A Randomized Single Blind, Placebo Controlled Dual-Center Study
Kahraman SA, Cetiner S, Strauss RA
Photomedicine and laser surgery · 36 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
- Virginia Commonwealth University
- Universidad u hospital
- Gazi Üniversitesi
Según 2 financiadores declarados.
Publicación
- Publicado
- 2017-03-15 · Photomed Laser Surg · vol. 35 · número 8 · págs. 401–407
- Editorial
- Mary Ann Liebert, Inc.
- Citado
- 52 citas · más que el 88% de estudios similares · 2.5× el promedio de su campo
- Referencias
- 27 trabajos
- Acceso
- De pago
- Áreas de investigación
- Laser Applications in Dentistry and Medicine · Dental Radiography and Imaging · Biofield Effects and Biophysics
- Palabras clave
- low-level laser therapy, impacted third molar extraction, postoperative pain, alveolar socket healing, mandibular third molar
- MeSH
- mouth, mandible, molar, third, humans, treatment outcome, tooth extraction, risk factors, statistics, nonparametric, single-blind method, wound healing, reference values, adult, female, male, low-level light therapy, postoperative pain
3 autores
- Sevil Kahraman🇹🇷 · autor de correspondenciaGazi University
- Sedat Çeti̇ner🇹🇷Gazi University
- Robert A. Strauss🇺🇸Virginia Commonwealth University; Virginia Commonwealth University Medical Center
Resumen
El texto original del estudio, en el idioma en que se publicó.
Objective and background
The surgical removal of impacted third molars is one of the most common procedures performed by oral and maxillofacial surgeons. The purpose of this study is to determine whether either transcutaneous or intraoral low-level laser therapy (LLLT) reduces postoperative pain and assists in the healing of mandibular third molar extraction.
Materials and methods
This randomized, placebo controlled, single-blind, split-mouth design study was conducted on 60 patients with full bony impacted similar position mandibular third molars bilaterally. The patients were divided into two groups of 30 each: transcutaneous LLLT and intraoral LLLT and the other side of each group treated with nonactive laser (60 teeth). The laser treatment consisted of administering laser energy immediately before and after the extraction procedure with gallium aluminum arsenide (GaAlAs) 830 nm diode lasers. Postoperative pain and healing of the sockets were compared in transcutaneous and intraoral group with placebo for 1 week following the extraction. Descriptive and bivariate statistics was computed, and the p-value was set at 0.05.
Results
Intraoral LLLT application resulted in a statistically significant reduction of postoperative pain in comparison with transcutaneous laser group and placebo. The unhealed socket numbers were compared in two groups at seventh day and no differences were observed.
Conclusions
The results of this study suggest that single-session intraoral LLLT is more effective than extraoral application for reducing postoperative pain. It was postulated that the differences between skin and mucosa could have effect on the results. Although intraoral use would allow closer application to the surgical site, the size of some laser devices precludes their use intraorally.
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