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激光针灸治疗牙科神经病变:系统评价。

Laser acupuncture in the treatment of neuropathies in dentistry: a systematic review.

机构信息

Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, Brazil.

Department of Restorative Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, Brazil.

出版信息

Lasers Med Sci. 2023 Mar 25;38(1):92. doi: 10.1007/s10103-023-03754-w.

Abstract

Laser acupuncture can be used to treat neurosensory alterations and motor disorders caused by dental treatments. This study aimed to review the existing literature on the effects of laser acupuncture on neuropathies in the context of dentistry and to search for treatment modalities in which this technique is used. This systematic review was conducted in accordance with the Cochrane Collaboration guidelines and the PICOS strategy. Randomized clinical trials that evaluated laser acupuncture as a primary intervention for facial neuropathy were included. We searched the database for relevant studies and manually searched the gray literature until April 2022, and finally included four studies. The study was considered eligible if it included patients with paresthesia, facial paralysis, or neuralgia, neuropathies within dentistry, and referred to the application of laser acupuncture as a treatment method. The risk of bias was assessed using the RoB 2 tool. It was observed that the recommended wavelengths ranged from 790 nm to 810 nm, with a frequency of at least two applications per week, and to a greater or lesser degree, all evaluated studies obtained an improvement in sensory or motor recovery of the facial nerves. The use of laser acupuncture presented itself as a viable alternative in dentistry for the treatment of paresthesia and facial paralysis due to its therapeutic potential in neuropathic treatment (CRD42022344339).

摘要

激光针灸可用于治疗牙科治疗引起的感觉神经改变和运动障碍。本研究旨在回顾激光针灸治疗牙科神经病变的现有文献,并寻找该技术应用的治疗方式。本系统评价按照 Cochrane 协作组指南和 PICOS 策略进行。纳入评估激光针灸作为面部神经病变主要干预措施的随机临床试验。我们在数据库中搜索相关研究,并手动搜索灰色文献,直到 2022 年 4 月,最终纳入 4 项研究。如果研究纳入了感觉异常、面瘫或神经痛患者,且神经病变在牙科范围内,并提到将激光针灸作为一种治疗方法,则研究被认为符合条件。使用 RoB 2 工具评估偏倚风险。观察到推荐的波长范围为 790nm 至 810nm,每周至少应用两次,所有评估研究或多或少都获得了面神经感觉或运动恢复的改善。由于在治疗神经病变方面具有治疗潜力,激光针灸在牙科治疗感觉异常和面瘫方面表现出一种可行的替代方法(CRD42022344339)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62c9/10039357/b0132f78f0f8/10103_2023_3754_Fig1_HTML.jpg

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