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Low-level laser therapy for treatment of neurosensory disorders after orthognathic surgery: A systematic review of randomized clinical trials
Bittencourt, Marcos-Alan-Vieira; Paranhos, Luiz-Renato; Martins Filho, Paulo-Ricardo-Saquete.
Afiliação
  • Bittencourt, Marcos-Alan-Vieira; Federal University of Sergipe. Aracaju. Brazil
  • Paranhos, Luiz-Renato; Federal University of Sergipe. Department of Dentistry. Lagarto. Brazil
  • Martins Filho, Paulo-Ricardo-Saquete; Federal University of Sergipe. Investigative Pathology Laboratory. Aracaju. Brazil
Med. oral patol. oral cir. bucal (Internet) ; 22(6): e780-e787, nov. 2017. graf, tab, ilus
Artigo em Inglês | IBECS | ID: ibc-168755
Biblioteca responsável: ES1.1
Localização: BNCS
ABSTRACT

Background:

Low-level laser has been widely used in Dentistry and many studies have focused on its application in oral surgeries. This study was conducted with the aim of searching for scientific evidence concerning the effectiveness of laser to reduce pain or paresthesia related to orthognathic surgery. Material and

Methods:

An electronic search was performed in PubMed, Scopus, Science Direct, LILACS, SciELO, CENTRAL, Google Scholar, OpenGrey, and ClinicalTrials.gov, up to November 2016, with no restrictions on language or year of publication. Additionally, a hand search of the reference list of the selected studies was carried out. The PICOS strategy was used to define the eligibility criteria and only randomized clinical trials were selected.

Results:

Out of 1,257 identified citations, three papers fulfilled the criteria and were included in the systematic review. The risk of bias was assessed according to the Cochrane Guidelines for Clinical Trials and results were exposed based on a descriptive analysis. One study showed that laser therapy was effective to reduce postoperative pain 24 hours (P=0.007) and 72 hours (P=0.007) after surgery. Other study revealed the positive effect of laser to improve neurosensory recovery 60 days after surgery, evaluated also by the two-point discrimination (P=0.005) and sensory (P=0.008) tests. The third study reported an improvement for general sensibility of 68.75% for laser group, compared with 21.43% for placebo (P=0.0095), six months after surgery.

Conclusions:

Individual studies suggested a positive effect of low-level laser therapy on reduction of postoperative pain and acceleration of improvement of paresthesia related to orthognathic surgery. However, due to the insufficient number and heterogeneity of studies, a meta-analysis evaluating the outcomes of interest was not performed, and a pragmatic recommendation about the use of laser therapy is not possible. This systematic review was conducted according to the statements of PRISMA and was registered at PROSPERO under the number CRD42016043258 (AU)
RESUMEN
No disponible
Assuntos

Texto completo: Disponível Coleções: Bases de dados nacionais / Espanha Contexto em Saúde: Agenda de Saúde Sustentável para as Américas Problema de saúde: Objetivo 9: Redução de doenças não transmissíveis Base de dados: IBECS Assunto principal: Transtornos das Sensações / Terapia a Laser / Cirurgia Ortognática Tipo de estudo: Ensaio clínico controlado / Guia de prática clínica / Estudo prognóstico / Revisão sistemática Limite: Humanos Idioma: Inglês Revista: Med. oral patol. oral cir. bucal (Internet) Ano de publicação: 2017 Tipo de documento: Artigo Instituição/País de afiliação: Federal University of Sergipe/Brazil

Texto completo: Disponível Coleções: Bases de dados nacionais / Espanha Contexto em Saúde: Agenda de Saúde Sustentável para as Américas Problema de saúde: Objetivo 9: Redução de doenças não transmissíveis Base de dados: IBECS Assunto principal: Transtornos das Sensações / Terapia a Laser / Cirurgia Ortognática Tipo de estudo: Ensaio clínico controlado / Guia de prática clínica / Estudo prognóstico / Revisão sistemática Limite: Humanos Idioma: Inglês Revista: Med. oral patol. oral cir. bucal (Internet) Ano de publicação: 2017 Tipo de documento: Artigo Instituição/País de afiliação: Federal University of Sergipe/Brazil
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