PRELIMINARY STUDY ON THE USE OF LOW POWER LASER IN THE TREATMENT OF INFERIOR DENTAL NERVE DYSESTHESIA.
Keywords:
inferior alveolar nerve, laser, Low-Level Light TherapyAbstract
Objective: to analyze the effects of low power laser therapy (LLLT) on changes in sensitivity of the mental region in patients with dysesthesia of the inferior alveolar nerve.
Materials and methods: six patients with dysesthesia in the mental region of six months of evolution, after having undergone extraction of impacted third molars, were analyzed. Sensorineural recovery was assessed by mapping tests, millimetric template use, visual analog scale (VAS), brush stroke, thermal discrimination, skin mapping area. A 940nm diode laser was applied, power: 0.6 watts, power density 3 watts/cm2, energy density 7 Joules/cm2, beam area 0.2 cm2 for a total of 6 sessions. Data were analyzed using Friedman's test (p=0.05).
Results: the mean on the painful VAS scale decreased (p= 0.0056). Regarding the recovery of non-painful sensitivity, this increased (p= 0.0013). The mapping area decreased after the application of the laser sessions: (p= 0.0041). In relation to the application of the brush stimulus in the sixth session, 100% identified the stimulus (p= 0.0492). In the cold stimulus test, 100% of those investigated felt the same stimulus as in normal areas (p= 0.019), after six laser applications.
Conclusion: The protocol proposed here could constitute an important therapeutic alternative to control dysesthesias of the inferior alveolar nerve.
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References
Aldelaimi TN, Khalil AA. Clinical Application of Diode Laser (980 nm) in Maxillofacial Surgical Procedures. J Craniofac Surg. 2015;26(4):1220-1223.
Romanos G, Nentwig GH. Diode laser (980 nm) in oral and maxillofacial surgical procedures: clinical observations based on clinical applications. J Clin Laser Med Surg. 1999;17(5):193-197.
De La Torre F., Alfaro C. Parestesia postquirúrgica: terapia con láser de baja potencia. Reporte de 2 casos. Rev. Estomatol. Herediana. 2016; 26(2): 92-101.
Erthal V., Nohama P. "Treatment for neuropathic pain and chronic inflammation using LASER in animal models," 2015 37th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC), 2015; 1315-1318.
Micheli L, Di Cesare Mannelli L, Lucarini E, Cialdai F, Vignali L, Ghelardini C, Monici M. Photobiomodulation therapy by NIR laser in persistent pain: an analytical study in the rat. Lasers Med Sci. 2017; 32(8):1835-1846.
Hakimiha N, Rokn AR, Younespour S, Moslemi N. Photobiomodulation Therapy for the Management of Patients With Inferior Alveolar Neurosensory Disturbance Associated With Oral Surgical Procedures: An Interventional Case Series Study. J Lasers Med Sci. 2020;11(1):113-118.
Firoozi P, Keyhan SO, Kim SG, Fallahi HR. Effectiveness of low-level laser therapy on recovery from neurosensory disturbance after sagittal split ramus osteotomy: a systematic review and meta-analysis. Maxillofac Plast Reconstr Surg. 2020 17;42(1):41.
Haanpää M., Attal N., Backonja M., Baron R., Bennett M., Bouhassira D., et al. NeuPSIG guidelines on neuropathic pain assessment. Pain. 2011; 152(1):14-27.
El Mobadder M, Nammour S, Ortega M, Grzech-Leśniak K. Photobiomodulation Therapy Applied after 6 Months for the Management of a Severe Inferior Alveolar Nerve Injury. Life (Basel). 2021 17;11(12):1420.
De Andrade A., Bossini P., Parizotto N. Use of low level laser therapy to control neuropathic pain: A systematic review. Journal of Photochemistry and Photobiology B: Biology.2016; 164:36-42.
Vicente-Herrero, M.T. et al. Valoración del dolor. Revisión comparativa de escalas y cuestionarios. Rev. Soc. Esp. Dolor.2018; 25(4):228-236.
Ozen T, Orhan K, Gorur I, Ozturk A. Efficacy of low level laser therapy on neurosensory recovery after injury to the inferior alveolar nerve. Head Face Med. 2006;2(3):1-9.
Robinson PP, Smith KG, Johnson FP, Coppins DA. Equipment and methods for simple sensory testing. Br J Oral Maxillofac Surg. 1992;30(6):387–389.
Renton T, Van der Cruyssen F. Diagnosis, pathophysiology, management and future issues of trigeminal surgical nerve injuries. Oral Surg. 2020;13(4):389–403.
Meyer, R. A., & Bagheri, S. C. Clinical evaluation of peripheral trigeminal nerve injuries. Atlas of the oral and maxillofacial surgery clinics of North America. 2011 19(1), 15–33.
11Mohajeran S., Tabeie F., Bemanali M.,Tabrizi, R. Effect of Low-Level Laser and Light-Emitting Diode on Inferior Alveolar Nerve Recovery After Sagittal Split Osteotomy of the Mandible. Journal of Craniofacial Surgery. 2017; 28(4):408-411.
Khan M, Nishi SE, Hassan SN, Islam MA, Gan SH. Trigeminal Neuralgia, Glossopharyngeal Neuralgia, and Myofascial Pain Dysfunction Syndrome: An Update. Pain Res Manag. 2017; 1-18.
Ozen T., Orhan K., Gorur I., Ozturk, A. Efficacy of low level laser therapy on neurosensory recovery after injury to the inferior alveolar nerve. Head & Face Medicine. 2006;2(1):1-9.
Salari B., Nikparto N., Babaei A., Fekrazad R. Effect of delayed photobiomodulation therapy on neurosensory recovery in patients with mandibular nerve neurotmesis following traumatic mandibular fracture: A randomized triple-blinded clinical trial, Journal of Photochemistry and Photobiology B: Biology.2022; 232:1-9.
Miloro M, Criddle TR. Does Low-Level Laser Therapy Affect Recovery of Lingual and Inferior Alveolar Nerve Injuries? J Oral Maxillofac Surg. 2018;76(12):2669-2675.
Andreo L, Soldera CB, Ribeiro BG, de Matos PRV, Bussadori SK, Fernandes KPS, Mesquita-Ferrari RA. Effects of photobiomodulation on experimental models of peripheral nerve injury. Lasers Med Sci. 2017;32(9):2155-2165.
Weyh A, Pucci R, Valentini V, Fernandes R, Salman S. Injuries of the Peripheral Mandibular Nerve, Evaluation of Interventions and Outcomes: A Systematic Review. Craniomaxillofac Trauma Reconstr. 2021 Dec;14(4):337-348.
Coulthard P, Kushnerev E, Yates JM, Walsh T, Patel N, Bailey E, Renton TF. Interventions for iatrogenic inferior alveolar and lingual nerve injury. Cochrane Database of Systematic Reviews 2014.
Aldelaimi TN, Khalil AA. Clinical Application of Diode Laser (980 nm) in Maxillofacial Surgical Procedures. J Craniofac Surg. 2015;26(4):1220-1223.
Romanos G, Nentwig GH. Diode laser (980 nm) in oral and maxillofacial surgical procedures: clinical observations based on clinical applications. J Clin Laser Med Surg. 1999;17(5):193-197.
De La Torre F., Alfaro C. Parestesia postquirúrgica: terapia con láser de baja potencia. Reporte de 2 casos. Rev. Estomatol. Herediana. 2016; 26(2): 92-101.
Erthal V., Nohama P. "Treatment for neuropathic pain and chronic inflammation using LASER in animal models," 2015 37th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC), 2015; 1315-1318.
Micheli L, Di Cesare Mannelli L, Lucarini E, Cialdai F, Vignali L, Ghelardini C, Monici M. Photobiomodulation therapy by NIR laser in persistent pain: an analytical study in the rat. Lasers Med Sci. 2017; 32(8):1835-1846.
Hakimiha N, Rokn AR, Younespour S, Moslemi N. Photobiomodulation Therapy for the Management of Patients With Inferior Alveolar Neurosensory Disturbance Associated With Oral Surgical Procedures: An Interventional Case Series Study. J Lasers Med Sci. 2020;11(1):113-118.
Firoozi P, Keyhan SO, Kim SG, Fallahi HR. Effectiveness of low-level laser therapy on recovery from neurosensory disturbance after sagittal split ramus osteotomy: a systematic review and meta-analysis. Maxillofac Plast Reconstr Surg. 2020 17;42(1):41.
Haanpää M., Attal N., Backonja M., Baron R., Bennett M., Bouhassira D., et al. NeuPSIG guidelines on neuropathic pain assessment. Pain. 2011; 152(1):14-27.
El Mobadder M, Nammour S, Ortega M, Grzech-Leśniak K. Photobiomodulation Therapy Applied after 6 Months for the Management of a Severe Inferior Alveolar Nerve Injury. Life (Basel). 2021 17;11(12):1420.
De Andrade A., Bossini P., Parizotto N. Use of low level laser therapy to control neuropathic pain: A systematic review. Journal of Photochemistry and Photobiology B: Biology.2016; 164:36-42.
Vicente-Herrero, M.T. et al. Valoración del dolor. Revisión comparativa de escalas y cuestionarios. Rev. Soc. Esp. Dolor.2018; 25(4):228-236.
Ozen T, Orhan K, Gorur I, Ozturk A. Efficacy of low level laser therapy on neurosensory recovery after injury to the inferior alveolar nerve. Head Face Med. 2006;2(3):1-9.
Robinson PP, Smith KG, Johnson FP, Coppins DA. Equipment and methods for simple sensory testing. Br J Oral Maxillofac Surg. 1992;30(6):387–389.
Renton T, Van der Cruyssen F. Diagnosis, pathophysiology, management and future issues of trigeminal surgical nerve injuries. Oral Surg. 2020;13(4):389–403.
Meyer, R. A., & Bagheri, S. C. Clinical evaluation of peripheral trigeminal nerve injuries. Atlas of the oral and maxillofacial surgery clinics of North America. 2011 19(1), 15–33.
11Mohajeran S., Tabeie F., Bemanali M.,Tabrizi, R. Effect of Low-Level Laser and Light-Emitting Diode on Inferior Alveolar Nerve Recovery After Sagittal Split Osteotomy of the Mandible. Journal of Craniofacial Surgery. 2017; 28(4):408-411.
Khan M, Nishi SE, Hassan SN, Islam MA, Gan SH. Trigeminal Neuralgia, Glossopharyngeal Neuralgia, and Myofascial Pain Dysfunction Syndrome: An Update. Pain Res Manag. 2017; 1-18.
Ozen T., Orhan K., Gorur I., Ozturk, A. Efficacy of low level laser therapy on neurosensory recovery after injury to the inferior alveolar nerve. Head & Face Medicine. 2006;2(1):1-9.
Salari B., Nikparto N., Babaei A., Fekrazad R. Effect of delayed photobiomodulation therapy on neurosensory recovery in patients with mandibular nerve neurotmesis following traumatic mandibular fracture: A randomized triple-blinded clinical trial, Journal of Photochemistry and Photobiology B: Biology.2022; 232:1-9.
Miloro M, Criddle TR. Does Low-Level Laser Therapy Affect Recovery of Lingual and Inferior Alveolar Nerve Injuries? J Oral Maxillofac Surg. 2018;76(12):2669-2675.
Andreo L, Soldera CB, Ribeiro BG, de Matos PRV, Bussadori SK, Fernandes KPS, Mesquita-Ferrari RA. Effects of photobiomodulation on experimental models of peripheral nerve injury. Lasers Med Sci. 2017;32(9):2155-2165.
Weyh A, Pucci R, Valentini V, Fernandes R, Salman S. Injuries of the Peripheral Mandibular Nerve, Evaluation of Interventions and Outcomes: A Systematic Review. Craniomaxillofac Trauma Reconstr. 2021 Dec;14(4):337-348.
Coulthard P, Kushnerev E, Yates JM, Walsh T, Patel N, Bailey E, Renton TF. Interventions for iatrogenic inferior alveolar and lingual nerve injury. Cochrane Database of Systematic Reviews 2014.
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