Is Low-Level Laser Therapy Effective on Sensorineural Recovery After Bilateral Sagittal Split Osteotomy? Randomized Trial
Santos FT, Sciescia R, Santos PL, Weckwerth V, Dela Coleta Pizzol KE, Queiroz TP
Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons · 23 citas
Etiquetas de revisión
Financiación no declaradaDatos neutrales que nuestra revisión registró sobre cómo se hizo este estudio. Describen el método, nunca si nos gusta el resultado.
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
- 2018-06-12 · J Oral Maxillofac Surg · vol. 77 · número 1 · págs. 164–173
- Editorial
- Elsevier BV
- Citado
- 38 citas · más que el 92% de estudios similares · 3.0× el promedio de su campo
- Impacto
- Entre el 10 % más citado de su campo
- Referencias
- 32 trabajos
- Acceso
- De pago
- Áreas de investigación
- Laser Applications in Dentistry and Medicine · Temporomandibular Joint Disorders · Orthodontics and Dentofacial Orthopedics
- Palabras clave
- low-level laser therapy, sagittal split ramus osteotomy, inferior alveolar nerve injury, mandibular orthognathic surgery, Semmes-Weinstein monofilament test, mental foramen
- MeSH
- chin, mandible, mandibular nerve, humans, adult, female, male, orthognathic surgical procedures, osteotomy, sagittal split ramus, low-level light therapy
6 autores
- Fagner Teixeira Santos🇧🇷Centro Universitário Herminio Ometto de Araras
- Rodrigo Sciescia🇧🇷Centro Universitário Herminio Ometto de Araras
- Pâmela Letícia dos Santos🇧🇷 · autor de correspondenciaCentro Universitário Herminio Ometto de Araras
- Vitor Villas Boas Weckwerth🇧🇷Universidade Sagrado Coração
- Karina Eiras Dela Coleta Pizzol🇧🇷Centro Universitário Herminio Ometto de Araras
- Thallita Pereira Queiroz🇧🇷Centro Universitário Herminio Ometto de Araras
Resumen
El texto original del estudio, en el idioma en que se publicó.
Purpose
When performing a sagittal osteotomy of the mandibular ramus, one must consider the risk of long-term postsurgical sensory abnormalities from lesions to the inferior alveolar nerve. One treatment for these changes is low-level laser therapy (LLLT). Thus, the aim of this research was to evaluate the effectiveness of LLLT on sensorineural recovery after split ramus osteotomy of the mandible.
Materials and methods
This randomized, double-blinded, split-mouth design trial included patients who underwent advanced surgery of the mandible and then received LLLT on 1 side of the mandible (experimental) and a random placebo (control) treatment on the opposite site. Patients were divided into 2 groups: group 1 was treated during the short postoperative period (within 30 days) and group 2 was treated for persistent sensory abnormalities during the late postoperative period (6 months to 1 yr). Each patient received 5 LLLT and control sessions with intervals of 3 to 4 weeks between sessions. The experimental side in each patient received LLLT in the extraoral area (mandibular ramus and entire length of the inferior alveolar nerve to the mental region) and the intraoral area (mental foramen region). The control side received simultaneous placebo treatments. The sensorineural response was analyzed before the onset of treatment and after each LLLT and control session using the Semmes-Weinstein monofilament test.
Results
Twenty adult patients (mean age, 35.6 years; 70.0% women) showed improvement in the experimental and control sides during the follow-up period. However, the experimental side in groups 1 and 2 exhibited a marked improvement in sensorineural recovery over the course of the sessions, and group 1 had the best results.
Conclusion
LLLT was effective in the recovery from sensorineural disorders after orthognathic surgery during the short postoperative period, particularly in the fifth session.
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