Is Low-Level Laser Therapy Effective for Treatment of Neurosensory Deficits Arising From Sagittal Split Ramus Osteotomy?
Eshghpour M, Shaban B, Ahrari F, Erfanian M, Shadkam E
Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons · 32 citas
Etiquetas de revisión
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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 no declarada
Publicación
- Publicado
- 2017-04-13 · J Oral Maxillofac Surg · vol. 75 · número 10 · págs. 2085–2090
- Editorial
- Elsevier BV
- Citado
- 47 citas · más que el 90% de estudios similares · 2.8× el promedio de su campo
- Impacto
- Entre el 10 % más citado de su campo
- Referencias
- 44 trabajos
- Acceso
- De pago
- Áreas de investigación
- Laser Applications in Dentistry and Medicine · Orthodontics and Dentofacial Orthopedics · Temporomandibular Joint Disorders
- Palabras clave
- low-level laser therapy, sagittal split ramus osteotomy, inferior alveolar nerve injury, neurosensory deficit, two-point discrimination, 660 nm laser, 810 nm laser
- MeSH
- mandibular nerve, humans, cranial nerve diseases, sensation disorders, postoperative complications, treatment outcome, prospective studies, double-blind method, female, male, young adult, osteotomy, sagittal split ramus, low-level light therapy
5 autores
- Majid Eshghpour🇮🇷Mashhad University of Medical Sciences
- Baratollah Shaban🇮🇷Mashhad University of Medical Sciences
- Farzaneh Ahrari🇮🇷 · autor de correspondenciaMashhad University of Medical Sciences
- Mahdi Erfanian🇮🇷Mashhad University of Medical Sciences
- Elaheh Shadkam🇮🇷Mashhad University of Medical Sciences
Resumen
El texto original del estudio, en el idioma en que se publicó.
Purpose
This study investigated the effectiveness of low-level laser therapy (LLLT) for treating neurosensory impairment after bilateral sagittal split osteotomy (BSSO).
Materials and methods
This randomized, double-blinded, split-mouth trial included patients requiring BSSO. After surgery, 1 side of each patient was randomly assigned to laser therapy and the other side served as the control. At 24, 48, and 72 hours after surgery, LLLT was accomplished by intraoral application of a 660-nm laser around the surgical site (200 mW, 10 seconds, 2 J, 1.5 J/cm2) followed by extraoral irradiation by an 810-nm laser (200 mW, 10 seconds, 2 J, 7 J/cm2) along the distribution of the inferior alveolar nerve. Subsequently, extraoral irradiation was repeated 2 times per week for 3 weeks along the path of the inferior alveolar nerve, lower lip, and chin. On the control side, the treatment was similar to the laser side but with laser simulation. The main outcome was assessing nerve damage by a "2-point discrimination test" before and up to 60 days after surgery.
Results
The sample consisted of 16 patients. No significant difference was found between the laser and control sides before and after surgery and on postoperative days 15 and 30 (P > .05). The 2-point discrimination distance was significantly shorter on the laser side than on the control side on postoperative days 45 and 60 (P < .05).
Conclusion
LLLT was effective in the treatment of neurosensory disturbances arising from BSSO. Therefore, LLLT can be recommended to accelerate the recovery of sensory aberrations in patients undergoing BSSO.
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