de Abreu João Mendes, Nunes Tiago, Almiro Pedro A, Figueiredo José, Corte-Real Ana
Faculty of Medicine, University of Coimbra, 3000-548 Coimbra, Portugal.
Stomatology Service, Head, Neck & Skin Surgery Department, Coimbra Hospital and University Centre, 3004-561 Coimbra, Portugal.
J Clin Med. 2024 Nov 28;13(23):7237. doi: 10.3390/jcm13237237.
: Photobiomodulation therapy (PBM) creates a biostimulatory or modulatory effect, promoting tissue regeneration and improving patients' health-related quality of life (HRQoL). PBM has shown promise as an effective treatment and management strategy for peripheral nerve injuries, including inferior alveolar nerve (IAN) damage. This study aims to assess the impact of PBM on HRQoL in patients with iatrogenic IAN injuries. : A prospective study was implemented to investigate the research question. PBM treatments were administered weekly, with patient discharge contingent upon either complete recovery or stabilization of associated signs and symptoms. HRQoL was assessed using the EQ-5D-5L questionnaire at the initial and final appointments. : The study included 71 participants, divided into 3 groups based on etiology: inferior third molar surgery, mandibular orthognathic surgery, and dental implant surgery. The results showed a widespread reduction of symptoms along with a statistically significant improvement ( < 0.001) across four of the five dimensions of the EQ-5D-5L questionnaire, as well as in patients' perceived health levels in both Groups I and II. Group III patients also demonstrated a notable improvement; however, due to the small sample size, statistical analysis was not conducted for this group. : PBM demonstrated a comparable ability to enhance HRQoL and alleviate symptoms in patients with IAN injuries within different etiologies. These findings underscore the effectiveness of the protocol used in this study and highlight potential avenues for expanding research in this field.
光生物调节疗法(PBM)产生生物刺激或调节作用,促进组织再生并改善患者的健康相关生活质量(HRQoL)。PBM已显示出有望成为治疗和管理周围神经损伤(包括下牙槽神经(IAN)损伤)的有效策略。本研究旨在评估PBM对医源性IAN损伤患者HRQoL的影响。
开展了一项前瞻性研究以调查该研究问题。PBM治疗每周进行一次,患者出院取决于相关体征和症状的完全恢复或稳定。在初次和末次就诊时使用EQ-5D-5L问卷评估HRQoL。
该研究纳入了71名参与者,根据病因分为3组:下颌第三磨牙手术、下颌正颌手术和牙种植手术。结果显示,EQ-5D-5L问卷五个维度中的四个维度以及I组和II组患者的自我感知健康水平上,症状普遍减轻且有统计学显著改善(<0.001)。III组患者也有显著改善;然而,由于样本量小,未对该组进行统计分析。
PBM在不同病因的IAN损伤患者中显示出提高HRQoL和减轻症状的类似能力。这些发现强调了本研究中使用的方案的有效性,并突出了该领域扩大研究的潜在途径。