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低强度激光疗法在颌面部疾病治疗中的应用

Low-level laser therapy in the management of disorders of the maxillofacial region.

作者信息

Pinheiro A L, Cavalcanti E T, Pinheiro T I, Alves M J, Manzi C T

机构信息

School of Dentistry, Universidade Federal de Pernambuco, Recife, Brazil.

出版信息

J Clin Laser Med Surg. 1997;15(4):181-3. doi: 10.1089/clm.1997.15.181.

DOI:10.1089/clm.1997.15.181
PMID:9612167
Abstract

OBJECTIVE

The authors analysed the effects of low-level laser therapy (LLLT) on the treatment of maxillofacial disorders.

SUMMARY BACKGROUND DATA

Pioneer work published by Mester et al. opened a new frontier in the clinical treatment of many disorders with the use of LLLT. Although LLLT is not well accepted in many places, its use is growing steadily in others, including Europe and more recently in Brazil.

METHODS

One hundred forty-one female and 24 male patients, between 7 and 81 years of age (average = 39.2 years old), suffering from disorders of the maxillofacial region were treated with 632.8-nm, 670-nm, and 830-nm diode lasers at the Laser Center of the Universidade Federal de Pernambuco. The disorders included temperomandibular joint pain, trigeminal neuralgia, muscular pain, aphatae, inflammation, and tooth hypersensitivity both postoperatively and in small hemangiomas. Most treatment consisted of a series of 12 applications (twice a week), and in eight cases a second series was applied. Patients were treated with an average dose of 2.5 J/cm2.

RESULTS

One hundred twenty out of 165 patients were asymptomatic at the end of the treatment, 25 improved considerably, and 20 were symptomatic.

CONCLUSIONS

These preliminary results indicate that LLLT is an important tool and brings many benefits for the treatment of many disorders of the maxillofacial region.

摘要

目的

作者分析了低强度激光疗法(LLLT)对颌面部疾病的治疗效果。

总结背景数据

梅斯特等人发表的开创性研究开启了利用LLLT治疗多种疾病的临床新领域。尽管LLLT在许多地方尚未被广泛接受,但在其他一些地方,包括欧洲以及最近在巴西,其应用正在稳步增长。

方法

在伯南布哥联邦大学激光中心,对141名女性和24名男性患者进行了治疗,患者年龄在7至81岁之间(平均39.2岁),患有颌面部疾病。使用632.8纳米、670纳米和830纳米的二极管激光进行治疗。疾病包括颞下颌关节疼痛、三叉神经痛、肌肉疼痛、失语症、炎症以及术后和小血管瘤中的牙齿过敏。大多数治疗包括一系列12次照射(每周两次),8例患者进行了第二个疗程。患者平均接受剂量为2.5 J/cm²。

结果

165名患者中有120名在治疗结束时无症状,25名有显著改善,20名仍有症状。

结论

这些初步结果表明,LLLT是一种重要的治疗手段,对治疗许多颌面部疾病有诸多益处。

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