El Mobadder Marwan, Nammour Samir, Ortega Marlin, Grzech-Leśniak Kinga
Dental Surgery Department, Wroclaw Medical University, 50-425 Wroclaw, Poland.
Department of Dental Sciences, Faculty of Medicine, University of Liege, 4000 Liege, Belgium.
Life (Basel). 2021 Dec 17;11(12):1420. doi: 10.3390/life11121420.
Despite its significant negative impact on the quality of life, the methods for the management of the inferior alveolar nerve (IAN) injury are still limited. In this case report, the patient did not show any improvement from the day of the iatrogenic accident until 6 months. A significant improvement of the symptoms started to appear only at 6 months when PBMT was applied. A total of 42 sessions of PBMT took place. The application zone included intraoral and extraoral areas. The parameters were: Delivery power of 0.1 W, for 40 s, continuous wave (CW), contact mode, and delivered energy of 4 J. The delivered energy density related to the fiber diameter was 1415 J/cm. Each treated point was considered to be 1 cm of diameter. At the end of the treatment, all of the symptoms disappeared except for an abnormal sensation on touching the mucosa and gingiva of the concerned area. No side effects were noted. This case report shows that PBMT can be a very promising approach for the management of severe cases that are not improving with conventional methods.
尽管下牙槽神经（IAN）损伤对生活质量有重大负面影响，但管理该损伤的方法仍然有限。在本病例报告中，从医源性事故发生之日起直至6个月，患者均未出现任何改善。仅在应用低强度激光疗法（PBMT）6个月时，症状才开始出现显著改善。共进行了42次PBMT治疗。治疗区域包括口腔内和口腔外区域。参数为：输出功率0.1W，持续40秒，连续波（CW），接触模式，输出能量4J。与光纤直径相关的输出能量密度为1415J/cm。每个治疗点直径为1cm。治疗结束时，除了触碰相关区域的黏膜和牙龈时有异常感觉外，所有症状均消失。未观察到副作用。本病例报告表明，对于传统方法无法改善的严重病例，PBMT可能是一种非常有前景的治疗方法。
