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蓝光疗法用于拔牙后止血及加速伤口愈合:一项随机对照试验

Blue Light Therapy for Achieving Hemostasis and Accelerated Wound Healing Post Extraction: A Randomized Control Trial.

作者信息

Koyi Pujita, Saraf Suma P, Gudi Santhoshkumar S, Das Somudra Neel, Arabi Amrutavarshini U, Shaikh Shamataskeen Altaf

机构信息

Department of Oral and Maxillofacial Surgery, P.M.N.M. Dental College and Hospital, Navanagar, Bagalkot, Karnataka 587103 India.

出版信息

J Maxillofac Oral Surg. 2025 Jun;24(3):760-765. doi: 10.1007/s12663-025-02438-y. Epub 2025 Apr 10.

DOI:10.1007/s12663-025-02438-y
PMID:40453608
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12122942/
Abstract

INTRODUCTION

The study investigated the use of LED light therapy in tooth extraction procedures, focusing on its effects on hemostasis and socket healing. LED therapy, typically used for composite resin polymerization, was explored for its potential to induce hemostasis through photo-thermo-coagulation.

METHODOLOGY

Fifty patients with bilateral extractions were selected. One socket received LED therapy (480 nm wavelength, 20 s), the other served as control. Bleeding cessation time and socket healing after 72 h were evaluated.

RESULTS

The LED-treated group showed significantly faster bleeding cessation (30.80 ± 5.22 s) compared to the control group (161.04 ± 25.69 s). After 72 h, the LED-treated sockets exhibited better healing than the control group.

DISCUSSION

The study suggested LED photocoagulation promotes rapid hemostasis and accelerates periodontal tissue healing. The mechanism involves vascular spasm, platelet aggregation, and coagulation. LED therapy shows promise as an alternative to traditional hemostatic methods, potentially reducing the need for sutures or local hemostatic agents.

CONCLUSION

LED light therapy demonstrates significant potential in improving post-extraction hemostasis and healing, offering a novel approach in dental procedures and periodontal photo-engineering.

摘要

引言

本研究调查了LED光疗法在拔牙手术中的应用,重点关注其对止血和牙槽窝愈合的影响。通常用于复合树脂聚合的LED疗法,因其通过光热凝固诱导止血的潜力而被探索。

方法

选择50例双侧拔牙患者。一个牙槽窝接受LED疗法(波长480nm,持续20秒),另一个作为对照。评估止血时间和72小时后的牙槽窝愈合情况。

结果

与对照组(161.04±25.69秒)相比,LED治疗组的止血速度明显更快(30.80±5.22秒)。72小时后,接受LED治疗的牙槽窝比对照组愈合得更好。

讨论

该研究表明LED光凝能促进快速止血并加速牙周组织愈合。其机制包括血管痉挛、血小板聚集和凝血。LED疗法有望成为传统止血方法的替代方法,可能减少缝合或局部止血剂的使用。

结论

LED光疗法在改善拔牙后止血和愈合方面显示出巨大潜力,为牙科手术和牙周光工程提供了一种新方法。

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Current Knowledge on the Healing of the Extraction Socket: A Narrative Review.拔牙创愈合的当前知识:一项叙述性综述
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The Optimal Hemostasis Duration After Tooth Extraction: A Randomized Controlled Trial.拔牙后最佳止血时间:一项随机对照试验。
Cureus. 2023 Jan 3;15(1):e33331. doi: 10.7759/cureus.33331. eCollection 2023 Jan.
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Effects of light-emitting diode (led 640nm) on human gingival fibroblasts: a comparative study.发光二极管(640纳米)对人牙龈成纤维细胞的影响:一项对比研究。
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Haemostasis in Oral Surgery with Blue-Violet Light.口腔外科中蓝紫光止血法
Open Access Maced J Med Sci. 2018 Apr 3;6(4):687-691. doi: 10.3889/oamjms.2018.181. eCollection 2018 Apr 15.
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Bactericidal effects of 310 nm ultraviolet light-emitting diode irradiation on oral bacteria.310纳米发光二极管照射对口腔细菌的杀菌作用。
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Hemostasis in oral surgery.口腔外科中的止血
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The nuts and bolts of low-level laser (light) therapy.低水平激光(光)疗法的基本原理。
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10
Blue-violet light emitting diode (LED) irradiation immediately controls socket bleeding following tooth extraction: clinical and electron microscopic observations.蓝紫光发光二极管(LED)照射可立即控制拔牙后牙槽窝出血:临床及电子显微镜观察
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