Effect of pre-operatory low-level laser therapy on pain, swelling, and trismus associated with third-molar surgery

M Petrini, M Ferrante, P Trentini, G Perfetti, G Spoto, M Petrini, M Ferrante, P Trentini, G Perfetti, G Spoto

Abstract

Background: The extraction of impacted third molars is commonly associated to pain, edema, trismus, limited jaw opening and movements. The aim of this retrospective study is to verify if pre-surgical low-level laser therapy (LLLT) associated with the extraction of impacted lower third molars could add benefits to the postoperative symptoms respect LLLT performed only after surgery.

Material and methods: Data from 45 patients subjected to a surgical extraction of lower third molars were pooled and divided into three groups. Patients that received only routine management were inserted in the control group. Group 1, were patients that received LLLT immediately after surgery and at 24 hours. In group 2 were included patients treated with LLLT immediately before the extraction and immediately after the end of the procedure. Data were analyzed using linear regression and descriptive statistics.

Results: Both laser-treated groups were characterized by minor events of post-surgery complications of pain, edema, trismus. The use of NSAIDs in the first 24 hours was significantly inferior in Group 2.

Conclusions: Pre-surgical LLLT treatment seems to increase the analgesic effect of LLLT. However, trismus and edema were reduced in both laser treated groups, independently from the period of irradiation.

Conflict of interest statement

Conflict of interest statement:The authors have declared that no conflict of interest exist.

Figures

Figure 1
Figure 1
Shows the visual analog scale (VAS) of 10 point for pain measurement and the quantity of Ketoprofen assumption. The level of significance was set at 0.05.
Figure 2
Figure 2
Shows the percentage (%) of increase in facial width after surgery.
Figure 3
Figure 3
Shows the percentage of the decrease of mouth opening after surgery.

References

    1. Piecuch JF. What strategies are helpful in the operative management of third molars? J Oral Maxillofac Surg. 2012;70:S25–32.
    1. Kim K, Brar P, Jakubowski J, Kaltman S, Lopez E. The use of corticosteroids and nonsteroidal antiinflammatory medication for the management of pain and inflammation after third molar surgery: a review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009;107:630–40.
    1. D'Ercole S, Spoto G, Trentini P, Tripodi D, Petrini M. In vitro inactivation of Enterococcus faecalis with a LED device. J Photochem Photobiol B. 2016;160:172–7.
    1. Chow R, Armati P, Laakso EL, Bjordal JM, Baxter GD. Inhibitory effects of laser irradiation on peripheral mammalian nerves and relevance to analgesic effects: a systematic review. Photomed Laser Surg. 2011;29:365–81.
    1. Oliveira Sierra S, Melo Deana A, Mesquita Ferrari RA, Maia Albarello P, Bussadori SK, Santos Fernandes KP. Effect of low-level laser therapy on the post-surgical inflammatory process after third molar removal: study protocol for a double-blind randomized controlled trial. Trials. 2013;14:373.
    1. Asnaashari M, Safavi N. Application of Low level Lasers in Dentistry (Endodontic) J Lasers Med Sci. 2013;4:57.
    1. Elbay ÜŞ, Tak Ö, Elbay M, Uğurluel C, Kaya C. Efficacy of Low-Level Laser Therapy in the Management of Postoperative Pain in Children After Primary Teeth Extraction: A Randomized Clinical Trial. Photomed Laser Surg. 2016;34:171–7.
    1. Cotler HB, Chow RT, Hamblin MR, Carroll J. The Use of Low Level Laser Therapy (LLLT) For Musculoskeletal Pain. MOJ Orthop Rheumatol. 2015;5:00068.
    1. Baltzer AW, Ostapczuk MS, Stosch D. Positive effects of low level laser therapy (LLLT) on Bouchard's and Heberden's osteoarthritis. Lasers Surg Med. 2016;48:498–504.
    1. Stasinopoulos D, Papadopoulos K, Lamnisos D, Stergioulas A. LLLT for the management of patients with ankylosing spondylitis. Lasers Med Sci. 2016;31:459–69.
    1. Ferrante M, Petrini M, Trentini P, Perfetti G, Spoto G. Effect of low-level laser therapy after extraction of impacted lower third molars. Lasers Med Sci. 2013;28:845–9.
    1. Avci P, Gupta A, Sadasivam M, Vecchio D, Pam Z, Pam N. Low-level laser (light) therapy (LLLT) in skin: stimulating, healing, restoring. Semin Cutan Med Surg. 2013;32:41–52.
    1. He WL, Yu FY, Li CJ, Pan J, Zhuang R, Duan PJ. A systematic review and meta-analysis on the efficacy of low-level laser therapy in the management of complication after mandibular third molar surgery. Lasers Med Sci. 2015;30:1779–88.
    1. Rana MV, Desai R, Tran L, Davis D. Perioperative Pain Control in the Ambulatory Setting. Curr Pain Headache Rep. 2016;20:18.
    1. Neĭmark AI, Muzalevskaia NI. [Low-intensity laser radiation in preoperative preparation of patients with benign prostatic hyperplasia] Urologiia. 2000;1:11–5.
    1. Almendros-Marqués N, Berini-Aytés L, Gay-Escoda C. Influence of lower third molar position on the incidence of preoperative complications. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006;102:725–32.
    1. Koszowski R, Smieszek-Wilczewska J, Dawiec G. Comparison of analgesic effect of magnetic and laser stimulation before oral surgery procedures. Wiad Lek. 2006;59:630–3.
    1. Uspenskiĭ LV, Chistov LV, Kogan EA, Loshchenov VB, Ablitsov IuA, Rybin VK. Endobronchial laser therapy in complex preoperative preparation of patients with lung diseases. Khirurgiia (Mosk) 2000;2:38–40.
    1. Camillo de Carvalho PT, Leal-Junior ECP, Alves ACA, De Melo Rambo CS, Sampaio LMM, Oliveira CS. Effect of low-level laser therapy on pain, quality of life and sleep in patients with fibromyalgia: study protocol for a double-blinded randomized controlled trial. Trials. 2012;13:221.
    1. Gür A, Karakoç M, Nas K, Cevik R, Saraç J, Demir E. Efficacy of low power laser therapy in fibromyalgia: a single-blind, placebo-controlled trial. Lasers Med Sci. 2002;17:57–61.
    1. Hsieh YL, Hong CZ, Chou LW, Yang SA, Yang CC. Fluence-dependent effects of low-level laser therapy in myofascial trigger spots on modulation of biochemical associated with pain in a rabbit model. Lasers Med Sci. 2015;30:209–16.
    1. Rizzi CF, Mauriz JL, Freitas Corre^a DS, Moreira AJ, Zettler CG, Filippin LI. Effects of low-level laser therapy (LLLT) on the nuclear (NF)- kappaB signaling pathway in traumatized muscle. Lasers Surg. Med. 2006;38:704–13.
    1. Tomaz de Magalhães M, Núñez SC, Kato IT, Ribeiro MS. Light therapy modulates serotonin levels and blood flow in women with headache. A preliminary study. Exp Biol Med (Maywood) 2016;241:40–5.
    1. Smoot B, Chiavola-Larson L, Lee J, Manibusan H, Allen DD. Effect of low-level laser therapy on pain and swelling in women with breast cancer-related lymphedema: a systematic review and meta-analysis. J Cancer Surviv. 2015;9:287–304.
    1. Ihsan FR. Low-level laser therapy accelerates collateral circulation and enhances microcirculation. Photomed Laser Surg. 2005;23:289–94.
    1. Herpich CM, Leal-Junior ECP, Amaral AP, de Paiva TJ, dos Santos Glória IP, Garcia MBS. Effects of phototherapy on muscle activity and pain in individuals with temporo-mandibular disorder: a study protocol for a randomized controlled trial. Trials. 2014;15:491.
    1. Leal Junior EC, Lopes–Martins RA, Frigo L, De Marchi T, Rossi RP, de Godoi V. Effects of low-level laser therapy (LLLT) in the development of exercise-induced skeletal muscle fatigue and changes in biochemical markers related to post-exercise recovery. J Orthop Sports Phys. Ther. 2010;40:524–32.

Source: PubMed

Sponsoren und Mitarbeiter

Krankheiten

Drogeninterventionen

3
Abonnieren