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Three-dimensional evaluation of the effect of low-level laser therapy on facial swelling after lower third molar surgery: A randomized, placebo-controlled study

Asutay F, Ozcan-Kucuk A, Alan H, Koparal M

Nigerian journal of clinical practice · 30 citas

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Financiación no declarada

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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
2018-01-01 · Niger J Clin Pract · vol. 21 · número 9 · pág. 1107
Editorial
Medknow
Citado
49 citas · más que el 93% de estudios similares · 3.2× el promedio de su campo
Impacto
Entre el 10 % más citado de su campo
Referencias
0 trabajos
Acceso
Acceso abierto (publicación gratuita) · CC-BY-NC-SA
Áreas de investigación
Laser Applications in Dentistry and Medicine · Dermatologic Treatments and Research · Dental Radiography and Imaging
Palabras clave
low-level laser therapy, third molar extraction, postoperative pain, facial swelling, trismus, edema volume, 3D surface imaging, photogrammetry, sham treatment, ice application
MeSH
face, molar, third, humans, tooth, impacted, trismus, edema, imaging, three-dimensional, treatment outcome, tooth extraction, prospective studies, pilot projects, double-blind method, adult, female, male, lasers, semiconductor, pain management, low-level light therapy, postoperative pain

4 autores

  • Ayşe Özcan Küçük🇹🇷 · autor de correspondenciaMersin Üniversitesi; Afyon Kocatepe University
  • Fatih Asutay🇹🇷Afyon Kocatepe University
  • Hilal Türker ALAN🇹🇷Inonu University; Afyon Kocatepe University
  • Mahmut Koparal🇹🇷Adıyaman University; Afyon Kocatepe University

Resumen

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

Purpose

This study aimed to evaluate the effect of a low-level laser therapy (LLLT) on pain, trismus, and swelling of patients whose impacted 3rd molar tooth was extracted compared to placebo or "sham" treatment and measure volumetrically the edema with a three-dimensional (3D) surface imaging device (3dMD face system).

Materials and methods

Forty-five patients over 17 years of age were included in the study. Patients were randomized to three groups; Group 1, the control group, received only routine management (ice application) (n = 15); Group 2, received single-dose LLLT immediately after surgery (n = 15); and Group 3, placebo group, received sham therapy immediately after surgery (n = 15). In this study, a gallium-aluminum-arsenide diode laser device was used. The laser was applied extraorally (0.3 W, 40 s, 4 J/cm2). The trismus, pain, and facial swelling were evaluated. A 3D surface imaging device (3dMD Photogrammetric System) was used to evaluate the volumetric changes of the swelling. The 3D morphology of the facial swelling was recorded using this imaging device immediately before surgery, the second day after surgery, and the 7th day after surgery. IBM SPSS statistics 22.0 program was used in the statistical assessment and P < 0.05 was considered statistically significant.

Results

There was no statistically significant difference in the edema and trismus between the groups. The pain level in Group 2 was significantly lower than that in Group 3 at all-time points. Furthermore, the pain level in Group 2 was significantly lower than that in Group 1 on day 7.

Conclusions

LLLT reduced the intensity of pain following third molar surgery by single dose. The results of this study revealed that LLLT reduced facial swelling, but no significant differences were found among the three groups. In addition, a 3D craniomaxillofacial imaging method provided insight into volume changes after 3rd molar surgery and the evaluation of facial swelling in an objective way.

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