Use of Therapeutic Laser After Surgical Removal of Impacted Lower Third Molars

• Published in: Journal of oral and maxillofacial surgery Vol. 68; no. 2; pp. 319 - 324
• Main Authors: Amarillas-Escobar, E. Darío, DDS, Toranzo-Fernández, J. Martin, DDS, Martínez-Rider, Ricardo, DDS, Noyola-Frías, Miguel A., DDS, Hidalgo-Hurtado, J. Antonio, DDS, Serna, Víctor M. Fierro, DDS, Gordillo-Moscoso, Antonio, MD, PhD, Pozos-Guillén, Amaury J., DDS, PhD
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01-02-2010; Elsevier
• Subjects: Adolescent; Adult; Biological and medical sciences; Dentistry; Double-Blind Method; Edema - prevention & control; Facial bones, jaws, teeth, parodontium: diseases, semeiology; Female; Humans; Lasers, Semiconductor - therapeutic use; Low-Level Light Therapy; Male; Mandible; Medical sciences; Molar, Third - surgery; Non tumoral diseases; Otorhinolaryngology. Stomatology; Pain, Postoperative - prevention & control; Surgery; Tooth, Impacted - surgery; Trismus - prevention & control; Young Adult; Treatment; Stomatology; Surgery; Dental disease; Laser; Unerupted tooth
• ISSN: 0278-2391; 1531-5053
• DOI: 10.1016/j.joms.2009.07.037

Purpose To evaluate the effectiveness of a therapeutic laser in the control of postoperative pain, swelling, and trismus associated with the surgical removal of impacted third molars. Patients and Methods A double-blind, randomized, controlled clinical trial was conducted in 2 groups of 15 patients each undergoing surgical removal of impacted lower third molars under local anesthesia. The experimental group received 4 J/cm2 of energy density intraorally and extraorally, with a laser with a diode wavelength of 810 nm and output power of 100 mW in a continuous wave. The control group received only standard management. The degree of postoperative pain, swelling, and trismus was registered for both groups. Results The experimental group exhibited a lower intensity of postoperative pain, swelling, and trismus than the control group, without significant statistical differences. Patients of both groups required rescue medication; however, the time lapse between the end of the surgery and the administration of the medication was shorter for the control group. Conclusion The use of therapeutic laser in the postoperative management of patients having surgical removal of impacted third molars, using the protocol of this study, decreases postoperative pain, swelling, and trismus, without statistically significant differences.