Seyyedi Seyyed Amir, Fini Maryam Baghizadeh, Fekrazad Reza, Abbasian Selda, Abdollahi Amir Ardalan
Departments of Oral and Maxillofacial Disease, Dental School, Urmia University of Medical Sciences, Urmia, Iran.
Master of Health Promotion, Oklahoma State University, Stillwater, OK, USA.
Dent Res J (Isfahan). 2024 Jan 25;21:7. eCollection 2024.
This review aims to perform a complete evaluation of the impact of photobiomodulation (PMB) on postoperative endodontic pain.
The PRISMA checklist was used to perform this systematic review. The electronic databases were searched, including Google Scholar, PubMed, and Embase. Sixty-three papers were obtained through a main electronic search and a hand search. Nine trials met the criteria after screening the titles, abstracts, and/or full texts.
Seven out of nine studies showed that PMB has a significant impact on relieving postoperative endodontic pain, with no statistically significant difference in the severity of pain between the laser and control groups in the two remaining studies. In addition, eight studies showed no adverse effects, indicating that we can remove the adverse effects of drugs such as nonsteroidal anti-inflammatory drugs. However, one study showed evidence of the consequences of PMB application on teeth with symptomatic irreversible pulpitis. Therefore, it can be concluded that PMB should not be used in teeth with pain because of irreversible pulpitis.
Although there is some understanding from a cellular viewpoint of the effects of PMB, there is still some uncertainty about whether these cell-level modifications impact reducing the postendodontic pain.
本综述旨在全面评估光生物调节（PMB）对牙髓治疗术后疼痛的影响。
使用PRISMA清单进行本系统评价。检索了电子数据库，包括谷歌学术、PubMed和Embase。通过主要电子检索和手工检索共获得63篇论文。在对标题、摘要和/或全文进行筛选后，有9项试验符合标准。
9项研究中的7项表明，PMB对缓解牙髓治疗术后疼痛有显著影响，其余2项研究中激光组和对照组在疼痛严重程度上无统计学显著差异。此外，8项研究表明无不良反应，这表明我们可以消除非甾体抗炎药等药物的不良反应。然而，有1项研究显示了PMB应用于有症状不可逆性牙髓炎牙齿的后果。因此，可以得出结论，由于不可逆性牙髓炎而疼痛的牙齿不应使用PMB。
尽管从细胞角度对PMB的作用有了一些了解，但这些细胞水平的改变是否会影响减轻牙髓治疗后疼痛仍存在一些不确定性。
