Low-intensity laser efficacy in postoperative extraction of third molars

Tiago Nascimento Mileto,Fabiano Goulart Azambuja

doi:10.1590/1981-863720170001000023084

Tiago Nascimento Mileto, Fabiano Goulart Azambuja

Open Access

https://doi.org/10.1590/1981-863720170001000023084

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Abstract

ABSTRACT The search for means that enable a better quality of life for postoperative patients should be incessant. The surgical extraction of third molars can result in potential complications such as pain, swelling and trismus, along with discomfort in the recovery phase. Therefore, this narrative review was to analyze, from systematic reviews and randomized clinical trials, the use of low level laser therapy as influencer the clinical state after third molar surgery. Scientific articles were searched through PubMed and Science Direct database. In spite of the evaluated studies have cited the effectiveness of laser therapy such as tissue repair, anti-inflammatory and analgesic, variety of analysis models and diversity of dosimetry leaves a gap on their true efficacy. Based on the research conducted, we suggest the adjuvant use of diode laser GaAlAs with 810 nm (λ), 100 mW constant power and 4 J/cm2 of energy, intra and extra oral form at least three sections to minimize possible occurrences of third molar surgery.

Highlights

The surgical extraction of third molars (SETMs) is a habitual procedure in dental practice, practiced mainly by maxillofacial surgeons
The therapeutic effectiveness promoted by light interaction is already elucidated by literature, there is a lack of further development on how the laser energy acts on the organism cell levels and what the irradiation adequate parameters for the several indications[8]
The recovery of patients who underwent the extraction of third molars, in most cases, is followed by complications like pain, swelling and trismus

Summary

Introduction

The surgical extraction of third molars (SETMs) is a habitual procedure in dental practice, practiced mainly by maxillofacial surgeons. Among the probable complications post third molars extraction, we can mention alveolitis, bleeding, infection, pain, swelling, trismus, damage to the inferior alveolar nerve, bone fracture, oroantral communication, periodontal problems in surrounding teeth and teeth displacement to noble anatomic spaces[2]. The knowledge of these conditions ought to be well elucidated by the dental surgeon, allowing the identification and counseling to high-risk patients, and the management of the conditions in the proper way[1]. The recommendation of this entity focuses on the use of pertinent scientific data, with each case evaluated

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