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01.03.2024 | Research

Clinical and thermographic evaluation after lower third molar extractions and the application of different photobiomodulation protocols: double-blind randomised clinical trial

verfasst von: Laiz Moreira de Paula, Alessah Carolyna de Andrade Fernandes, Beatriz Castro Evangelista, Francine do Couto Lima-Moreira, Geovana Andrade, João Victor de Andrade Fernandes, Fabrício Luscino Alves de Castro, Virgílio Moreira Roriz

Erschienen in: Clinical Oral Investigations | Ausgabe 3/2024

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Abstract

Objectives

to compare the parameters of pain, oedema, temperature, and soft tissue closure in dental sockets that received two different photobiomodulation (PBM) protocols following extractions.

Materials and methods

Thirty-one participants had their teeth 38 and 48 extracted. Subsequently, one of the dental sockets received PBM at a wavelength (WL) of 808 nanometers (808 group- nm) and the other dental socket received the PBM at WLs of 808 nm and 660 nm, simultaneously (808 + 660 group). The PBM was applied immediately after the surgical procedure and on the 3rd and 7th days.

Results

The mean of Visual Analogue Scale (VAS) values for pain were 1.45 for the 3rd day and 0.52 for the 7th day in the 808 + 660 and 808 group, respectively. The mean the pogonion-tragus measurement, used to assess facial oedema on the 3rd day, was 15.38 cm (range 13.5–17.5) in the 808 + 660 group and 15.48 cm (range 14.0–17.5) in the 808 group. The mean facial temperatures in the 808 + 660 group were 34.9 degrees Celsius (ºC) (range 33.5–36.4) on the 3rd day and 35 ºC (range 33.4–36.4) on the 7th day. In the 808 group, the mean temperatures were 34.9 ºC (range 33.9–36.2) on the 3rd day and 34.9 ºC (33.7–36.2) on the 7th day. Regarding the dimensions of the dental socket, the mean were similar for both groups. Significant differences between the groups were only observed in the pain parameter and only on the 7th day, being greater for the 808 + 660 group (p = 0.031).

Conclusions

The association of the 660 nm with 808 nm, and the increase in energy did not showed more benefits in pain reduction oedema, or acceleration of the closure of the soft tissues of the dental sockets of lower third molars, in the protocols used here.

Clinical relevance

There is no need to combine lasers at wavelengths of 660 and 808 nm to reduce oedema, pain and repair of soft tissues after extraction of lower third molars.

Clinical trial registration

This trial was registered in the Brazilian Registry of Clinical Trials (ReBEC) with the following code: RBR-66pyrh8, on 29th December, 2022.

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Titel: Clinical and thermographic evaluation after lower third molar extractions and the application of different photobiomodulation protocols: double-blind randomised clinical trial
verfasst von: Laiz Moreira de Paula
Alessah Carolyna de Andrade Fernandes
Beatriz Castro Evangelista
Francine do Couto Lima-Moreira
Geovana Andrade
João Victor de Andrade Fernandes
Fabrício Luscino Alves de Castro
Virgílio Moreira Roriz
Publikationsdatum: 01.03.2024
Verlag: Springer Berlin Heidelberg
Erschienen in: Clinical Oral Investigations / Ausgabe 3/2024
Print ISSN: 1432-6981
Elektronische ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-024-05594-6

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Clinical and thermographic evaluation after lower third molar extractions and the application of different photobiomodulation protocols: double-blind randomised clinical trial