The Impacts of Low-Level Laser Therapy – A Complementary Treatment in the Management of Side Effects After Implant Surgery
Journal of Lasers in Medical Sciences,
Vol. 9 No. 3 (2018),
28 July 2018
,
Page 207-211
Abstract
Introduction: One of the most important medical applications of laser is low-level laser therapy (LLLT). In this method, laser radiation penetrates easily into the target tissue. The aim of this study was to investigate whether LLLT can reduce the side effects of advanced implant surgery.Methods: In this triple-blind clinical trial, 30 patients aged 25 to 65 years were selected for implant insertion and divided into two groups. In the laser group, immediately after the surgery, 72 hours and 1 week after the surgery, the surgical site was irradiated with an 830 nm laser. The dose required for the laser therapy was 5 J/cm2. The degree of pain, facial swelling and wound healing were analyzed using statistical methods.
Results: Our results showed that at 12, 24, 48, and 72 hours after the surgery, the pain level was reduced in the laser group compared with the placebo group (P < 0.05). Swelling of the face was also significantly reduced 7 days after surgery in the laser group (P < 0.05). The investigation on the recovery conditions of the surgical site showed that on the 3rd, 7th and 14th days after the surgery, higher levels of wound healing have been achieved (P < 0.05).
Conclusion: Our results suggest that laser, as a complementary therapy; can be used to reduce the severity and duration of pain. Also, laser can reduce facial swelling and accelerate wound healing.
- Low-level laser therapy
- Sinus lift
- Wound healing
- Side effects
- Implant failure.
How to Cite
References
Camargo IB, Van Sickels JE. Surgical complications after implant placement. Dent Clin North Am. 2015;59(1):57-72. doi:10.1016/j.cden.2014.08.003
Froum SJ. Dental Implant Complications: Etiology, Prevention, and Treatment. John Wiley & Sons; 2015.
Misch CE, Resnik RR. Medical Evaluation of the Dental Implant. 4th ed. Elsevier, Contemporary Implant Dentistry; 2007:421.
Poeschl PW, Eckel D, Poeschl E. Postoperative prophylactic antibiotic treatment in third molar surgery--a necessity? J Oral Maxillofac Surg. 2004;62(1):3-8.
Niemz MH. Laser-Tissue Interactions: Fundamentals and Applications. 2nd ed. Springer Science & Business Media; 2013.
Hillenkamp F. Lasers in biology and medicine. Springer Science & Business Media; 2013.
Reichelt J, Winter J, Meister J, Frentzen M, Kraus D. A novel blue light laser system for surgical applications in dentistry: evaluation of specific laser-tissue interactions in monolayer cultures. Clin Oral Investig. 2017;21(4):985-994. doi:10.1007/s00784-016-1864-6
Walsh LJ. The use of lasers in implantology: an overview. J Oral Implantol. 1992;18(4):335-340.
Lubart R, Eichler M, Lavi R, Friedman H, Shainberg A. Low-energy laser irradiation promotes cellular redox activity. Photomed Laser Surg. 2005;23(1):3-9. doi:10.1089/ pho.2005.23.3
Khadra M, Kasem N, Haanaes HR, Ellingsen JE, Lyngstadaas SP. Enhancement of bone formation in rat calvarial bone defects using low-level laser therapy. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004;97(6):693-700. doi:10.1016/s1079210403006851
Khadra M, Ronold HJ, Lyngstadaas SP, Ellingsen JE, Haanaes HR. Low-level laser therapy stimulates bone-implant interaction: an experimental study in rabbits. Clin Oral Implants Res. 2004;15(3):325-332. doi:10.1111/j.1600- 0501.2004.00994.x
Rashidi S, Yadollahpour A, Mirzaiyan M. Low Level Laser Therapy for the Treatment of Chronic Wound: Clinical Considerations. Biomed Pharmacol J. 2015;8(2):1121-7. doi:10.13005/bpj/866
Bjordal JM, Johnson MI, Iversen V, Aimbire F, Lopes- Martins RA. Low-level laser therapy in acute pain: a systematic review of possible mechanisms of action and clinical effects in randomized placebo-controlled trials. Photomed Laser Surg. 2006;24(2):158-168. doi:10.1089/ pho.2006.24.158
Ferreira DM, Zangaro RA, Villaverde AB, et al. Analgesic effect of He-Ne (632.8 nm) low-level laser therapy on acute inflammatory pain. Photomed Laser Surg. 2005;23(2):177- 181. doi:10.1089/pho.2005.23.177
Misch CE. Contemporary Implant Dentistry. Elsevier Health Sciences; 2007.
Misch CE, Dietsh F. Bone-grafting materials in implant dentistry. Implant Dent. 1993;2(3):158-167.
Chow RT, Johnson MI, Lopes-Martins RA, Bjordal JM. Efficacy of low-level laser therapy in the management of neck pain: a systematic review and meta-analysis of randomised placebo or active-treatment controlled trials. Lancet. 2009;374(9705):1897-1908. doi:10.1016/s0140- 6736(09)61522-1
Fekrazad R, Chiniforush N, Bouraima SA, et al. Low Level Laser Therapy in Management of Complications after Intra Oral Surgeries. J Lasers Med Sci. 2012. 2012;3(4):6. doi:10.22037/2010.v3i4.3543
Hagiwara S, Iwasaka H, Okuda K, Noguchi T. GaAlAs (830 nm) low-level laser enhances peripheral endogenous opioid analgesia in rats. Lasers Surg Med. 2007;39(10):797- 802. doi:10.1002/lsm.20583
Basford JR. Low intensity laser therapy: still not an established clinical tool. Lasers Surg Med. 1995;16(4):331- 342.
Parker S, Convissar RA. Principles and Practice of Laser Dentistry. St. Louis: Mosby Elsevier; 2011.
Merigo E, Vescovi P, Margalit M, et al. Efficacy of LLLT in swelling and pain control after the extraction of lower impacted third molars. Laser Ther. 2015;24(1):39-46. doi:10.5978/islsm.15-OR-05
Kazancioglu HO, Ezirganli S, Demirtas N. Comparison of the influence of ozone and laser therapies on pain, swelling, and trismus following impacted third-molar surgery. Lasers Med Sci. 2014;29(4):1313-1319. doi:10.1007/s10103- 013-1300-y
Markovic AB, Todorovic L. Postoperative analgesia after lower third molar surgery: contribution of the use of long-acting local anesthetics, low-power laser, and diclofenac. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006;102(5):e4-8. doi:10.1016/j.tripleo.2006.02.024
Ferrante M, Petrini M, Trentini P, Perfetti G, Spoto G. Effect of low-level laser therapy after extraction of impacted lower third molars. Lasers Med Sci. 2013;28(3):845-849. doi:10.1007/s10103-012-1174-4
Paschoal MA, Santos-Pinto L. Therapeutic effects of low-level laser therapy after premolar extraction in adolescents: a randomized double-blind clinical trial. Photomed Laser Surg. 2012;30(9):559-564. doi:10.1089/pho.2012.3243
Aras MH, Gungormus M. Placebo-controlled randomized clinical trial of the effect two different low-level laser therapies (LLLT)--intraoral and extraoral--on trismus and facial swelling following surgical extraction of the lower third molar. Lasers Med Sci. 2010;25(5):641-645. doi:10.1007/s10103-009-0684-1
Ozcelik O, Cenk Haytac M, Kunin A, Seydaoglu G. Improved wound healing by low-level laser irradiation after gingivectomy operations: a controlled clinical pilot study. J Clin Periodontol. 2008;35(3):250-254. doi:10.1111/ j.1600-051X.2007.01194.x
Martu S, Amalinei C, Tatarciuc M, et al. Healing process and laser therapy in the superficial periodontium: a histological study. Rom J Morphol Embryol. 2012;53(1):111-116.
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