Photobiomodulation therapy in third molar extraction complications

Authors

DOI:

https://doi.org/10.33448/rsd-v11i14.36175

Keywords:

Pain; Edema; Laser therapy; Molar, third.

Abstract

Alternatives have been studied to reduce pain, edema and greater non-post-operative tissue regeneration after the extraction of third molars. Photobiomodulation therapy (TFB) has been successfully used, besides having anti-inflammatory and analgesic action, it also has a local effect, accelerating tissue repair. The objective of this work is to present a case report using non-postoperative TFB of a patient who presented ecchymoses in the region of the palate originating from a fracture of the maxillary tuberosity, along with trismus and edema during the extraction of two third molars. Male patient, sought out the “Laser Therapy in Odontology” extension project from UFMA, 6 days after exodontia of two elements 18 and 48 with complaints of edema and lockjaw, without painful symptoms. Due to lockjaw that made adequate intraoral irradiation difficult, she was first performed with low-power extraoral laser irradiation. Subsequently, aiming to accelerate the drainage of liquids from the hemiface directly and as well as reduce the edema, it was carried out by irradiating the main lymph nodes. Intraoral irradiation with a low-power laser in the region of the sutures was performed 2 days after the 1st session in order to accelerate healing. After 6 sessions, there was a decrease in edema, an improvement in the mouth opening from 23 mm to 46 mm, in addition to the disappearance of the broken mucosa in the region of the tube, favoring healing, including in the region of the tooth 48, concluding that TFB with our parameters was effective. for the treatment of these complications in a reduced time.

References

Almeida, R. de A. C., Lemos, C. A. A., de Moraes, S. L. D., Pellizzer, E. P., & Vasconcelos, B. C. (2019). Efficacy of corticosteroids versus placebo in impacted third molar surgery: systematic review and meta-analysis of randomized controlled trials. International Journal of Oral and Maxillofacial Surgery, 48(1). https://doi.org/10.1016/j.ijom.2018.05.023

Amarillas-Escobar, E. D., Toranzo-Fernández, J. M., Martínez-Rider, R., Noyola-Frías, M. A., Hidalgo-Hurtado, J. A., Serna, V. M. F., Gordillo-Moscoso, A., & Pozos-Guillén, A. J. (2010). Use of Therapeutic Laser After Surgical Removal of Impacted Lower Third Molars. Journal of Oral and Maxillofacial Surgery, 68(2), 319–324. https://doi.org/10.1016/j.joms.2009.07.037

Andrade, F. do S. da S. D., Clark, R. M. de O., & Ferreira, M. L. (2014). Effects of low-level laser therapy on wound healing. Revista Do Colégio Brasileiro de Cirurgiões, 41(2). https://doi.org/10.1590/S0100-69912014000200010

Aras, M. H., & Güngörmüş, M. (2010). Placebo-controlled randomized clinical trial of the effect two different low-level laser therapies (LLLT)--intraoral and extraoral--on trismus and facial swelling following surgical extraction of the lower third molar. Lasers in Medical Science, 25(5). https://doi.org/10.1007/s10103-009-0684-1

Cavalcanti, T. M., Almeida-Barros, R. Q. de, Catão, M. H. C. de V., Feitosa, A. P. A., & Lins, R. D. A. U. (2011). Conhecimento das propriedades físicas e da interação do laser com os tecidos biológicos na odontologia. Anais Brasileiros de Dermatologia, 86(5). https://doi.org/10.1590/S0365-05962011000500014

Chow, R., Armati, P., Laakso, E.-L., Bjordal, J. M., & Baxter, G. D. (2011). Inhibitory effects of laser irradiation on peripheral mammalian nerves and relevance to analgesic effects: a systematic review. Photomedicine and Laser Surgery, 29(6). https://doi.org/10.1089/pho.2010.2928

Chrcanovic, B. R., & Freire-Maia, B. (2011). Considerations of maxillary tuberosity fractures during extraction of upper molars: a literature review. Dental Traumatology : Official Publication of International Association for Dental Traumatology, 27(5). https://doi.org/10.1111/j.1600-9657.2011.01012.x

de Freitas, L. F., & Hamblin, M. R. (n.d.). Proposed Mechanisms of Photobiomodulation or Low-Level Light Therapy. IEEE Journal of Selected Topics in Quantum Electronics : A Publication of the IEEE Lasers and Electro-Optics Society, 22(3). https://doi.org/10.1109/JSTQE.2016.2561201

de Oliveira, R. F., de Andrade Salgado, D. M. R., Trevelin, L. T., Lopes, R. M., da Cunha, S. R. B., Aranha, A. C. C., de Paula Eduardo, C., & de Freitas, P. M. (2015). Benefits of laser phototherapy on nerve repair. Lasers in Medical Science, 30(4). https://doi.org/10.1007/s10103-014-1531-6

Dompe, C., Moncrieff, L., Matys, J., Grzech-Leśniak, K., Kocherova, I., Bryja, A., Bruska, M., Dominiak, M., Mozdziak, P., Skiba, T. H. I., Shibli, J. A., Angelova Volponi, A., Kempisty, B., & Dyszkiewicz-Konwińska, M. (2020). Photobiomodulation-Underlying Mechanism and Clinical Applications. Journal of Clinical Medicine, 9(6). https://doi.org/10.3390/jcm9061724

Eshghpour, M., Ahrari, F., & Takallu, M. (2016). Is Low-Level Laser Therapy Effective in the Management of Pain and Swelling After Mandibular Third Molar Surgery? Journal of Oral and Maxillofacial Surgery, 74(7). https://doi.org/10.1016/j.joms.2016.02.030

Hamid, M. (2017). Low-level laser therapy on postoperative pain after mandibular third molar surgery. Annals of Maxillofacial Surgery, 7(2), 207. https://doi.org/10.4103/ams.ams_5_17

Hartmann Atuá, R., Pereira, K. F. S., Gaetti Jardim, E. C., Zafalon, E. J., de Freitas Boscaine, E., & Silva, J. C. L. da. (2021). Emprego do Laser de baixa intensidade no pós-operatório de exodontia de terceiros molares. ARCHIVES OF HEALTH INVESTIGATION, 10(3). https://doi.org/10.21270/archi.v10i3.5002

Hosseinpour, S., Tunér, J., & Fekrazad, R. (2019). Photobiomodulation in Oral Surgery: A Review. Photobiomodulation, Photomedicine, and Laser Surgery, 37(12). https://doi.org/10.1089/photob.2019.4712

Isolan, CP., Kinalski, Md., Leão, OA., Post, LK., Isolan, TM., & dos Santos, MB. (2021). Photobiomodulation therapy reduces postoperative pain after third molar extractions: A randomized clinical trial. Medicina Oral Patología Oral y Cirugia Bucal. https://doi.org/10.4317/medoral.24228

Karu, T. (1989a). Photobiology of low-power laser effects. Health Physics, 56(5). https://doi.org/10.1097/00004032-198905000-00015

Karu, T. (1989b). Photobiology of low-power laser effects. Health Physics, 56(5). https://doi.org/10.1097/00004032-198905000-00015

Merigo, E., Vescovi, P., Margalit, M., Ricotti, E., Stea, S., Meleti, M., Manfredi, M., & Fornaini, C. (2015). Efficacy of LLLT in swelling and pain control after the extraction of lower impacted third molars. Laser Therapy, 24(1). https://doi.org/10.5978/islsm.15-OR-05

Momeni, E., Kazemi, F., & Sanaei-rad, P. (2022). Extraoral low-level laser therapy can decrease pain but not edema and trismus after surgical extraction of impacted mandibular third molars: a randomized, placebo-controlled clinical trial. BMC Oral Health, 22(1), 417. https://doi.org/10.1186/s12903-022-02461-2

Olkoski, L. E., Bonai, N., Pavelski, M. D., Magro Filho, O., Luciano, A. A., Frigo, L., Barbieri, T., & Pavelski, M. D. (2021). Laserterapia de baixa intensidade e seus efeitos sobre a dor, edema, trismo e parestesia: uma revisão integrativa da literatura. Research, Society and Development, 10(2). https://doi.org/10.33448/rsd-v10i2.12159

Santos, P. L., Marotto, A. P., Zatta da Silva, T., Bottura, M. P., Valencise, M., Marques, D. O., & Queiroz, T. P. (2020). Is Low-Level Laser Therapy Effective for Pain Control After the Surgical Removal of Unerupted Third Molars? A Randomized Trial. Journal of Oral and Maxillofacial Surgery, 78(2). https://doi.org/10.1016/j.joms.2019.08.029

Soares, A., Dorlivete, P., Shitsuka, M., Parreira, F. J., & Shitsuka, R. (2018). Metodologia da Pesquisa Científica.

Published

24/10/2022

How to Cite

FERREIRA, O. C. .; VALE JÚNIOR, E. C. L.; FERREIRA, W. D. R.; SILVA, M. B. F.; NUNES, F. R. S. .; LAGO, A. D. N. Photobiomodulation therapy in third molar extraction complications. Research, Society and Development, [S. l.], v. 11, n. 14, p. e211111436175, 2022. DOI: 10.33448/rsd-v11i14.36175. Disponível em: https://www.rsdjournal.org/index.php/rsd/article/view/36175. Acesso em: 18 apr. 2024.

Issue

Section

Health Sciences