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低强度激光疗法对颌面中部创伤后疼痛、咬合力及开口度的评估

Evaluation of the Low-Level Laser Therapy in Pain, Bite Force, and Mouth Opening Following Midfacial Trauma.

作者信息

Pavelski Mateus Diego, Pavelski Maicon Douglas, Oliveira Luana Ferreira, da Silva Helio Doyle Pereira, Frigo Lucio, Magro-Filho Osvaldo

机构信息

School of Dentistry, São Paulo State University, Araçatuba 16015-050, Brazil.

Guarulhos University, Guarulhos 07023-070, Brazil.

出版信息

Life (Basel). 2024 Dec 9;14(12):1626. doi: 10.3390/life14121626.

Abstract

Low-level laser therapy (LLLT) is known for its biostimulant properties, which can reduce inflammation and promote tissue regeneration. The present study is randomized, blinded, and placebo-controlled and aims to investigate the role of LLLT in the postoperative recovery of facial fractures. Patients with fractures of the zygomatic bone are selected and divided into two groups: low-level laser and red placebo light. The patients are evaluated for bite force, pain, mouth opening, and paresthesia in the pre-operatory day, on days 1, 2, 7, and 14. The trismus data demonstrated better results in the laser with a significant difference in the periods 7 and 14 days, with -values of 0.0442 and 0.026, respectively. Regarding the bite force analyzed, no statistically significant differences were observed. In the pain scale comparison, there was a difference between the PLACEBO group and the LASER group for day 1 ( = 0.011), day 2 ( = 0.001), 7 ( = 0.001), and 14 days ( = 0.010). In the evaluation of paresthesia, on days 7 and 14, there were better results in the LASER group with = 0.012 and = 0.001. The laser acted as a moderator of the healing process, having a considerable effect on the aspects of trismus, pain, postoperative paresthesia, and bite force.

摘要

低强度激光疗法(LLLT)以其生物刺激特性而闻名,它可以减轻炎症并促进组织再生。本研究为随机、双盲和安慰剂对照研究,旨在探讨低强度激光疗法在面部骨折术后恢复中的作用。选取颧骨骨折患者并分为两组:低强度激光组和红色安慰剂光组。在术前一天、术后第1天、第2天、第7天和第14天对患者的咬合力、疼痛、张口度和感觉异常进行评估。牙关紧闭数据显示激光组效果更好,在第7天和第14天有显著差异,P值分别为0.0442和0.026。关于分析的咬合力,未观察到统计学上的显著差异。在疼痛量表比较中,安慰剂组和激光组在第1天(P = 0.011)、第2天(P = 0.001)、第7天(P = 0.001)和第14天(P = 0.010)存在差异。在感觉异常评估中,在第7天和第14天,激光组效果更好,P值分别为0.012和0.001。激光起到了愈合过程调节剂的作用,对牙关紧闭、疼痛、术后感觉异常和咬合力等方面有相当大的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e382/11677420/86d5d2287996/life-14-01626-g001.jpg

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