Effects of low-level laser therapy on reducing pain, edema, and trismus after orthognathic surgery: a systematic review
Meneses-Santos D, Costa MDMA, Inocêncio GSG, Almeida AC, Vieira WA, Lima IFP, Paranhos LR
Lasers in medical science · 16 citas
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Cómo se estudió
- Diseño
- Revisión sistemática (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Marcadores de salud y funcionamiento
Quién lo pagó
- Financiación
- Financiación no declarada
Publicación
- Publicado
- 2021-11-17 · Lasers Med Sci · vol. 37 · número 3 · págs. 1471–1485
- Editorial
- Springer Science+Business Media
- Citado
- 19 citas · más que el 60% de estudios similares · 0.7× el promedio de su campo
- Referencias
- 66 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, orthognathic surgery, postoperative pain, edema, trismus, bimaxillary surgery, maxillofacial surgery, postoperative complications, mouth opening
- MeSH
- humans, trismus, pain, edema, orthognathic surgery, low-level light therapy
7 autores
- Daniela Meneses Santos🇧🇷Universidade Federal de Sergipe
- Marcelo D. M. A. Costa🇧🇷Universidade Federal de Uberlândia
- Gabriel Santiago Giuglio Inocêncio🇧🇷Universidade Federal de Uberlândia
- Arthur Caetano de Almeida🇧🇷Universidade Federal de Uberlândia
- Walbert de Andrade Vieira🇧🇷Universidade Estadual de Campinas (UNICAMP)
- Igor Felipe Pereira Lima🇧🇷Universidade Federal do Rio Grande do Sul
- Luiz Renato Paranhos🇧🇷 · autor de correspondenciaUniversidade Federal de Uberlândia
Resumen
El texto original del estudio, en el idioma en que se publicó.
The purpose of this study was to systematically review the scientific evidence of the effect of low-level laser therapy (LLLT) on the perception of pain, edema, and trismus after orthognathic surgery. The literature was searched in 11 databases (MedLine via PubMed, Scopus, LILACS, SciELO, Embase, Web of Science, Cochrane Library, and LIVIVO, OpenGrey, OADT, and OpenThesis), without restriction of publication year or language. This search aimed to identify randomized clinical trials comparing low-level laser therapy and placebo for controlling pain, edema, and trismus after orthognathic surgeries. Two reviewers extracted the data and assessed the individual risk of bias of the eligible studies using the Cochrane Collaboration Risk of Bias Tool (RoB, version 2.0). The initial search resulted in 808 articles, from which only five (total of 190 participants) were included in the qualitative synthesis. The studies were published from 2014 to 2020. Two presented a low risk of bias + in the mean mouth opening of all patients subjected to bimaxillary surgery who received LLLT. However, the other study found a significant difference in maximum mouth opening in the LLLT group at 14, 30, and 60 days after surgery. Based on limited evidence, LLLT was presented as an auxiliary tool for reducing pain and trismus after surgery. However, the reduction of edema is controversial due to the absence of measuring standardization.
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