Ahrari Farzaneh, Eshghpour Majid, Zare Reza, Ebrahimi Samaneh, Fallahrastegar Amir, Khaki Hossein
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.
J Lasers Med Sci. 2020 Summer;11(3):274-279. doi: 10.34172/jlms.2020.46. Epub 2020 Jun 21.
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.
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。