Low-Level Laser Therapy in the Treatment of Inferior Alveolar Nerve Paresthesia After Surgical Exeresis of a Complex Odontoma
Journal of Lasers in Medical Sciences,
Vol. 10 No. 4 (2019),
1 October 2019
,
Page 342-345
Abstract
Introduction: Orofacial paresthesia is due to trauma to the neural structure of a particular nerve. In dentistry alterations caused by nerve damage in most cases are presented with transient symptomatology. However, it has been agreed by several authors that persistent inferior alveolar sensory aberrations for more than 6 months leave some degree of disability or are considered permanent. The objective of the present study is to report the clinical case of a young patient submitted to low-level laser therapy for the treatment of paresthesia of the inferior alveolar nerve after removal of a complex odontoma in the posterior region of the mandible.
Methods: Twenty-four hours after the surgical procedure the patient started the low-level laser therapy with the following parameters: 100 mW of potency, 140 J/cm² of energy density, 4 J of energy per application point, 40 seconds of application per point and 0.028 cm² of spot area. For this particular case, the technique of alternation of laser wavelengths was used, in the first session of which visible red of 660 nm was applied, followed by near-infrared of 808 nm and so on.
Results: In the first session, the score on the visual analog scale (VAS) was “3”. In the tenth and last sessions, the patient reported a VAS “9”.
Conclusions: It seems that the early initiation of the low-level laser therapy favors a better outcome in cases like the one presented in this paper. The technique of alternation of laser wavelengths between sessions seems to have some role in the outcome possibly because of the constant stimulation of different chromophores along the treatment course. These two factors need further confirmation and validation through randomized clinical trials.
- Lasers
- Low-Level Light Therapy
- Paresthesia
How to Cite
References
Miloro M, Repasky M. Low-level laser effect on neurosensory recovery after sagittal ramus osteotomy. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2000;89(1):12-8. doi:10.1016/S1079-2104(00)80006-2
Jerjes W, Swinson B, Banu B, Al Khawalde M, Hopper C. Paraesthesia of the lip and chin area resolved by endodontic treatment: A case report and review of literature. Br Dent J. 2005, 198:743-745. doi:10.1038/sj.bdj.4812412
Kraut RA, Chahal O: Management of patients with trigeminal nerve injuries after mandibular implant placement. J Am Dent Assoc. 2002;133(10):1351-4. doi: 10.14219/jada.archive.2002.0050.
Aziz SR, Pulse C, Dourmas MA, Roser SM: Inferior alveolar nerve paresthesia associated with a mandibular dentigerous cyst. J Oral Maxillofac Surg. 2002;60(4):457-9. doi: 10.1053/joms.2002.31238
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):845–9. doi: 10.1007/s10103-012-1174-4.
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
Khullar SM, Brodin P, Barkvoll P, Haanæs HR. Preliminary study of low-level laser for treatment of long-standing sensory aberrations in the inferior alveolar nerve. J Oral Maxillofac Surg. 1996;54(1):2-7. doi:10.1016/s0278-2391(96)90290-6
Renton TF, Coulthard P, Esposito M. Interventions for iatrogenic inferior alveolar nerve injury. Cochrane Database Syst Rev. 2005(2). doi: 10.1002/14651858.CD005293
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