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低强度激光照射对减少拔牙后疼痛及加速拔牙创愈合的效果

Effectiveness of Low-Level Laser Irradiation in Reducing Pain and Accelerating Socket Healing After Undisturbed Tooth Extraction.

作者信息

Ahrari Farzaneh, Eshghpour Majid, Zare Reza, Ebrahimi Samaneh, Fallahrastegar Amir, Khaki Hossein

机构信息

Dental Research Center, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran.

Oral & Maxillofacial Diseases Research Center, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran.

出版信息

J Lasers Med Sci. 2020 Summer;11(3):274-279. doi: 10.34172/jlms.2020.46. Epub 2020 Jun 21.

Abstract

This study aimed to determine the effect of low-level laser therapy (LLLT) on reducing complications following tooth extraction. This randomized clinical trial consisted of 40 subjects who underwent lower molar extraction. The patients were randomly assigned to 4 groups. Group 1 was irradiated with a 660 nm laser (200 mW, 30 seconds radiation to lingual, buccal and occlusal surfaces of the socket, 6 J/area). In group 2, an 810 nm laser was applied similar to group 1. In group 3, a combination of 660 and 810 nm lasers was used. The patients in group 4 served as a placebo group. LLLT was performed after 0.5-1 hour of extraction and 2 days later. The participants were asked to record pain degree using a visual analogue scale (VAS) over 7 days. The amount of wound healing was evaluated on the third and seventh days. There was no significant difference in pain scores among the groups at any of the assessment intervals ( >0.05). The between-group differences in wound healing scores were small and insignificant ( >0.05). LLLT with 660 nm or 810 nm lasers or their combination had no greater effect than the placebo laser for reducing the complications of tooth extraction.

摘要

本研究旨在确定低强度激光疗法(LLLT)对减少拔牙后并发症的效果。这项随机临床试验包括40名接受下颌磨牙拔除术的受试者。患者被随机分为4组。第1组用660纳米激光照射(200毫瓦,对牙槽窝的舌侧、颊侧和咬合面各照射30秒,每区域6焦耳)。第2组与第1组类似,应用810纳米激光。第3组使用660纳米和810纳米激光的组合。第4组患者作为安慰剂组。在拔牙后0.5 - 1小时及2天后进行LLLT。要求参与者在7天内使用视觉模拟量表(VAS)记录疼痛程度。在第3天和第7天评估伤口愈合情况。在任何评估时间点,各组之间的疼痛评分均无显著差异(P>0.05)。各组之间伤口愈合评分的组间差异很小且无统计学意义(P>0.05)。使用660纳米或810纳米激光或其组合的LLLT在减少拔牙并发症方面并不比安慰剂激光有更大效果。

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