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940nm 激光光生物调节辅助正颌手术:一项随机临床试验。

Photobiomodulation using 940-nm laser as an adjuvant therapy on orthognathic surgery: A randomized clinical trial.

机构信息

Department of Oral and Maxillofacial Surgery, School of Dentistry, University of Sao Paulo, Sao Paulo, Brazil.

Department of Oral and Maxillofacial Surgery, Santa Catarina Hospital, Sao Paulo, Brazil.

出版信息

J Biophotonics. 2023 Jul;16(7):e202300011. doi: 10.1002/jbio.202300011. Epub 2023 May 4.

Abstract

This study aimed to evaluate the effectiveness of photobiomodulation (PBM) therapy using 940-nm laser in patients undergoing orthognathic surgery. Twenty individuals were randomly distributed into laser (n = 10) and control (n = 10) groups. The PBM was conducted immediately after surgery, after 24 h, 48 h, and weekly for up to 4 weeks. All participants were evaluated for pain, edema, trismus and paresthesia. Data were compared by Fisher's and Mann-Whitney or chi-square tests (5%). The pain decreased from 24 h to 4 weeks, with the laser group reaching any pain after 3 weeks (p < 0.001). A significant difference was noticed for trismus on days 14 and 30 (p = 0.002; p = 0.019), without difference in paresthesia (p = 0.198). Edema was lower on the laser group compared to control, without a significant difference for most measurements. Data indicate that 940-nm PBM therapy decreased the occurrence of postoperative pain and significantly improved trismus.

摘要

本研究旨在评估 940nm 激光的光生物调节(PBM)疗法在接受正颌手术患者中的疗效。20 名患者被随机分为激光组(n=10)和对照组(n=10)。PBM 在手术后立即进行,之后分别在 24 小时、48 小时和每周进行,持续 4 周。所有参与者均评估疼痛、肿胀、牙关紧闭和感觉异常。采用 Fisher 和 Mann-Whitney 或卡方检验(5%)比较数据。疼痛从 24 小时到 4 周逐渐减轻,激光组在 3 周后达到任何疼痛(p<0.001)。第 14 天和第 30 天的张口度有显著差异(p=0.002;p=0.019),但感觉异常无差异(p=0.198)。与对照组相比,激光组的肿胀程度较低,但大多数测量值无显著差异。数据表明,940nm PBM 疗法可减少术后疼痛的发生,并显著改善牙关紧闭。

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