The effect of low-level laser therapy as an adjunct to periodontal surgery in the management of postoperative pain and wound healing: a systematic review and meta-analysis
Zhao H, Hu J, Zhao L
Lasers in medical science · 39 citas
Cómo se estudió
- Diseño
- Metaanálisis (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Marcadores de salud y funcionamiento
Quién lo pagó
- Financiación
- Financiación independiente
- Gobierno
- China Scholarship Council
- Universidad u hospital
- Beijing Stomatological Hospital, School of Stomatology, Capital Medical University
- Subvenciones
- China Scholarship Council (201809110017)
Según 2 financiadores declarados.
Publicación
- Publicado
- 2020-07-01 · Lasers Med Sci · vol. 36 · número 1 · págs. 175–187
- Editorial
- Springer Science+Business Media
- Citado
- 59 citas · más que el 75% de estudios similares · 1.2× el promedio de su campo
- Referencias
- 43 trabajos
- Acceso
- De pago
- Áreas de investigación
- Laser Applications in Dentistry and Medicine · Periodontal Regeneration and Treatments · Biofield Effects and Biophysics
- Palabras clave
- low-level laser therapy, periodontal surgery, postoperative pain, wound healing, free gingival graft, re-epithelialization, analgesic use, laser fluence, laser power settings, adjunctive therapy
- MeSH
- periodontium, humans, edema, analgesics, treatment outcome, combined modality therapy, risk, wound healing, publication bias, re-epithelialization, low-level light therapy, postoperative pain
3 autores
- Han Zhao🇩🇪🇨🇳Witten/Herdecke University; Capital Medical University
- Jingchao Hu🇩🇪🇨🇳Witten/Herdecke University; Capital Medical University
- Li Zhao🇨🇳 · autor de correspondenciaStomatological Hospital of Chongqing Medical University; Chongqing Medical University
Resumen
El texto original del estudio, en el idioma en que se publicó.
The meta-analysis and systematic review aimed to evaluate the effect of low-level laser therapy (LLLT) as an adjunct to periodontal surgery in the management of postoperative pain and wound healing. An electronic search in 4 databases (PubMed, Embase, Cochrane, and OpenGrey) was conducted for randomized clinical trials reporting the effectiveness of LLLT used as an adjunct to periodontal surgery to alleviate pain and accelerate wound healing compared with surgery alone. Finally, 13 studies were eligible and included. The results showed a significant difference of pain relief between groups at day 3 post-surgery, whereas no difference was found at day 7. Moreover, a significant reduction was observed in the mean analgesic intake during the first week in the LLLT group. On day 14, the adjunctive use of LLLT showed significantly faster re-epithelialization and better wound healing in palatal donor sites following free gingival graft procedures. Based on the results, LLLT used as an adjunct to periodontal surgery positively influenced postsurgical pain control. Low power (≤ 500 mW) combined with energy density ≥ 5 J/cm2 might be more appropriate for postoperative pain relief. Moreover, adjunctive LLLT to free gingival grafts could significantly accelerate wound healing of palate sites at early healing phase. Multicenter studies using different LLL parameters without postsurgical analgesics are needed to determine optimal laser settings.
Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial.
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