Oteri Giacomo, Marcianò Antonia, Cervino Gabriele, Peditto Matteo
Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Policlinic "Gaetano Martino", Messina, Italy.
Eur J Dent. 2018 Jan-Mar;12(1):77-88. doi: 10.4103/ejd.ejd_296_17.
The purpose of this study was to evaluate the impact of a treatment with electro-neuro-feedback (ENF), a portable transcutaneous electrical nerve stimulation (TENS) device, on the clinical outcome and inflammatory biochemical parameters related to the impacted lower third molar surgery.
A randomized, split-mouth, and single-blind study was conducted on 32 patients requiring lower third molars extractions and referred to the Oral Surgery Unit of the School of Dentistry of the University of Messina. Every patient underwent surgical removal of both lower third molars. The first extraction included a placebo (electrodes placement with turned-off device) treatment following the surgery, while the second had the ENF used next to the avulsion and the following days. Clinical parameters were collected 4 days before, immediately after, 2, 4, and 7 days after the surgical procedure. Biochemical parameters were obtained 1 day before the surgical removal and 7 days after. Data were processed using Wilcoxon-Mann-Whitney test, with significance being set at < 0.05.
Clinical outcome parameters showed a significant improvement after the ENF treatment, while considered inflammatory markers expressed different patterns.
ENF, a reliable portable TENS device, has demonstrated to be a useful tool in the managing of the postsurgical phases, reducing edema, pain, and consequent pain-killers consumption.
本研究旨在评估使用神经电反馈（ENF，一种便携式经皮电刺激神经（TENS）设备）治疗对下颌阻生第三磨牙手术的临床结局及相关炎症生化参数的影响。
对32例需要拔除下颌第三磨牙并转诊至墨西拿大学牙科学院口腔外科的患者进行了一项随机、双侧对照、单盲研究。每位患者均接受双侧下颌第三磨牙拔除术。首次拔牙术后采用安慰剂治疗（电极放置但设备关闭），第二次拔牙术后及随后几天使用ENF。在手术前4天、术后即刻、术后2天、4天和7天收集临床参数。在手术切除前1天和术后7天获取生化参数。数据采用Wilcoxon-Mann-Whitney检验进行处理，显著性设定为<0.05。
ENF治疗后临床结局参数有显著改善，而炎症标志物呈现不同模式。
ENF作为一种可靠的便携式TENS设备，已证明是管理术后阶段的有用工具，可减轻水肿、疼痛以及随之而来的止痛药消耗。
