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二极管激光在口腔面部疼痛管理中的作用。

Role of diode lasers in oro-facial pain management.

作者信息

Javed F, Kellesarian S V, Romanos G E

机构信息

Department of General Dentistry, Eastman Institute for Oral Health, University of Rochester, NY., USA.

Department of Periodontology, School of Dental Medicine, Stony Brook University, Stony Brook, NY, USA.

出版信息

J Biol Regul Homeost Agents. 2017 Jan-Mar;31(1):153-155.

PMID:28337885
Abstract

With the increasing use of low level laser therapy (LLLT) in clinical dentistry, the aim of the present study was to assess the effectiveness of diode lasers in the management of orofacial pain. Indexed databases were searched without language and time restrictions up to and including July 2016 using different combinations of the following key words: oral, low level laser therapy, dental, pain, diode lasers, discomfort and analgesia. From the literature reviewed it is evident that LLLT is effective compared to traditional procedures in the management of oro-facial pain associated to soft tissue and hard tissue conditions such as premalignant lesions, gingival conditions and dental extractions. However, it remains to be determined which particular wavelength will produce the more favorable and predictable outcome in terms of pain reduction. It is highly recommended that further randomized control trials with well-defined control groups should be performed to determine the precise wavelengths of the diode lasers for the management of oro-facial pain. Within the limits of the present review, it is concluded that diode lasers therapy is more effective in the management of oro-facial pain compared to traditional procedures.

摘要

随着低强度激光疗法(LLLT)在临床牙科中的使用日益增加,本研究的目的是评估二极管激光在治疗口腔面部疼痛方面的有效性。截至2016年7月,使用以下关键词的不同组合,对索引数据库进行了无语言和时间限制的检索:口腔、低强度激光疗法、牙科、疼痛、二极管激光、不适和镇痛。从所回顾的文献中可以明显看出,与传统方法相比,低强度激光疗法在治疗与软组织和硬组织状况相关的口腔面部疼痛方面是有效的,这些状况如癌前病变、牙龈疾病和拔牙。然而,就减轻疼痛而言,哪种特定波长会产生更有利和可预测的结果仍有待确定。强烈建议进行进一步的、具有明确对照组的随机对照试验,以确定用于治疗口腔面部疼痛的二极管激光的确切波长。在本综述的范围内,得出的结论是,与传统方法相比,二极管激光疗法在治疗口腔面部疼痛方面更有效。

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