Altuhafy Maryam, Baig Virda, Jabr Luay, Khan Junad
Department of Orofacial Pain and TMJ Disorders, Eastman Institute for Oral Health, University of Rochester, New York, USA.
Department of Orthodontics and Dentofacial Orthopedics, Eastman Institute for Oral Health, University of Rochester, New York, USA.
J Dent Anesth Pain Med. 2024 Jun;24(3):145-159. doi: 10.17245/jdapm.2024.24.3.145. Epub 2024 May 27.
Dental injections are routinely performed and can result in pain and anxiety in patients. This systematic review aimed to evaluate the efficacy of photobiomodulation therapy (PBMT) in dental injections for pain management in patients undergoing dental treatment. Indexed databases, including PubMed, EMBASE, Scopus, ISI Web of Knowledge, and Cochrane Library, were electronically searched without a time limit up to February 2024. A risk of bias evaluation was performed using the Cochrane tool. A preliminary investigation using electronic and manual methods yielded 4,920,881 manuscripts. Based on the eligibility requirements, 13 randomized control trials (RCTs) were included. Self-assessed pain was determined using the visual analog scale, Face, Legs, Activity, Cry, Controllability scale, or Wong-Baker face pain scale. Eight RCTs demonstrated a notable decrease in needle pain in patients undergoing dental needle injections using PBMT. Based on current evidence, PBMT may help reduce needle pain related to dental anesthesia. Further standardized studies are needed to assess the significance of PBMT for postoperative pain in patients undergoing dental injections.
牙科注射是常规操作，可能会给患者带来疼痛和焦虑。本系统评价旨在评估光生物调节疗法（PBMT）在牙科注射中对接受牙科治疗患者疼痛管理的疗效。对包括PubMed、EMBASE、Scopus、ISI Web of Knowledge和Cochrane图书馆在内的索引数据库进行了电子检索，检索时间截至2024年2月，无时间限制。使用Cochrane工具进行偏倚风险评估。通过电子和手动方法进行的初步调查共获得4,920,881篇手稿。根据纳入标准，纳入了13项随机对照试验（RCT）。使用视觉模拟量表、面部、腿部、活动、哭闹、可控制度量表或Wong-Baker面部疼痛量表来确定自我评估的疼痛程度。八项RCT表明，使用PBMT进行牙科注射的患者针刺痛感显著降低。根据目前的证据，PBMT可能有助于减轻与牙科麻醉相关的针刺痛。需要进一步开展标准化研究，以评估PBMT对接受牙科注射患者术后疼痛的意义。
