Effectiveness of low level laser in minimizing edema and promoting wound healing after third molar surgery: a randomized clinical trial
Abstract
Introduction: Surgical removal of third molar is one of the most common surgical procedures in oral surgery and is often associated with complications such as pain, swelling and trismus. The main purpose of the study was to assess the therapeutic effect of low level laser (LLL) irradiation on postoperative edema and wound healing compared to routine postoperative management after third molar surgery.Materials and Methods: A double blinded, randomized, controlled clinical trial was conducted in 2 groups of 20 patients, each undergoing surgical removal of their impacted mandibular third molars. Postoperatively, patients in study group were irradiated with Ga-Al-As laser with a diode wavelength of 890nm and a power output of 80 mw in pulsed mode for 6 minutes intraorally. The control group received only routine post-surgical management including 400 mg Ibuprofen 4 times daily and cold packs.Results: Intraoral low level laser therapy (LLLT) resulted in a statistically significant reduction in the amount of swelling on the 2nd postoperative day compared to the control group. The healing process was significantly better in laser- irradiated wounds.Conclusion: The LLLT with Ga-Al-As laser seems to be safe and can be considered as an effective modality for reducing postoperative discomfort and promoting wound healing after third molar surgery.Mester E, Spiry T, Szende B, Tota JG. Effect of laser rays on wound healing. Am J Surg.1971; 122:532-5.
Miloro M, Miller JJ, Stoner JA. Low-level laser effect on mandibular distraction osteogenesis. J Oral Maxillofac Surg. 2007; 65:168-76.
Parker S. Low-level laser use in dentistry. Br Dent J. 2007 10; 202:131-8.
Oltra-Arimon D, España TA, Berini AL, Gay EC. Aplicaciones del láser de bajapotencia en Odontología. RCOE. 2004, 9:517.
Yu W, Naim JO, Lanzafame RJ.The effect of laser irradiation on the release of bFGF from 3T3 fibroblasts. Photochem Photobiol. 1994;59: 167-70.
Pourreau-Schneider N, Ahmed A, Soudry M, Jacquemier J, Kopp F, Franquin JC, Martin PM. Helium-Neon laser treatment transforms fibroblasts into myofibroblasts. Am J Pathol.1990; 137:171-8.
Tadakuma T. Possible application of the laser in immunobiology. Keio J Med.1993; 42:180-2.
Gal D, Chokshi SK, Mosseri M, Clarke RH, Isner JM. Percutaneous delivery of low-level laser energy reverses histamine-induced spasm in atherosclerotic Yucatan microswine. Circulation. 1992; 85:756-68.
Honmura A, Yanase M, Obata J, Haruki E.Therapeutic effect of Ga-Al-As diode laser irradiation on experimentally induced inflammation in rats. Lasers Surg Med. 1992;12:441-9.
P. C. Lievens. The effect of a combined He- Ne and IR laser treatment on the regeneration of the lymphatic system during the process of wound healing. Lasers Med Sci, 1991; 6: 193-99.
Kuliev RA, Babaev RF. Therapeutic action of laser irradiation and immunomodulators in purulent injuries of the soft tissues in diabetic patients. Probl Endokrinol (Mosk). 1991; 37:31-2..
Moscoso A, Pozos-Guillén AJ. Use of therapeutic laser after surgical removal of impacted lower third molars. J Oral Maxillofac Surg. 2010; 68: 319-24.
Marković AB, Todorović 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:e4-8.
Markovic A, Todorovic Lj. Effectiveness of dexamethasone and low-power laser in minimizing oedema after third molar surgery: a clinical trial. Int J Oral Maxillofac Surg.2007; 36: 226-9.
Fernando S, Hill CM, Walker R. A randomised double blind comparative study of low level laser therapy following surgical extraction of lower third molar teeth.Br J Oral Maxillofac Surg. 1993; 31:170-2.
Files | ||
Issue | Vol 1, No 3-4 (Summer/Autumn 2014) | |
Section | Original Article(s) | |
Keywords | ||
Third molar Low level laser Edema Wound healing |
Rights and permissions | |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |