Does Low-Level Laser Therapy Affect Recovery of Lingual and Inferior Alveolar Nerve Injuries?

Miloro, Michael; Criddle, Thalia Rae

doi:10.1016/j.joms.2018.06.001

Cited by 32 publications

(33 citation statements)

References 10 publications

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“…15 Despite the promising finding in animal studies, there are conflicting results in human clinical nerve injury studies. 16,17 This study aimed to evaluate the efficacy of PBM on neurosensory recovery in patients suffering from IAN disturbance associated with routine intraoral procedures.…”

Section: Introductionmentioning

confidence: 99%

Photobiomodulation Therapy for the Management of Patients With Inferior Alveolar Neurosensory Disturbance Associated With Oral Surgical Procedures: An Interventional Case Series Study

Hakimiha¹,

Rokn

Younespour³

et al. 2020

J Lasers Med Sci

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Introduction: Inferior alveolar nerve (IAN) injury is a serious complication during intraoral surgeries. We aimed to evaluate the outcome of photobiomodulation (PBM) therapy in patients with IAN injury associated with third molar or implant procedures. Methods: Eight patients with an alteration of sensory function of the IAN after third molar or implant surgeries were enrolled in this case series study. The patients received 10 sessions of PBM therapy (810 nm diode laser, 200 mW, 10 J/cm 2 per point, three times a week). Pinprick (PP) and visual analogue scale (VAS) neurosensory tests were recorded at each treatment session and 14 days after the last treatment. The association between explanatory variables and the outcome of interest was analyzed using generalized estimating equations. Results: The median percentage change of outcomes from the first to the last visit was as follows: VAS score: +125.00% (range: 50.00 to 166.67); PP score: +350% (range: 150 to 800). The duration of paresthesia was inversely correlated with changes in VAS and PP scores. No significant association was found between patients' gender or age and changes in VAS and PP scores. Conclusion:Considering the limitations of this study, PBM with the parameters used in this study presented positive effects on neurosensory recovery in patients suffering from IAN injury associated with routine intraoral procedures. Patients with shorter duration of paresthesia tended to respond more favorably to PBM therapy.

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Section: Introductionmentioning

confidence: 99%

Photobiomodulation Therapy for the Management of Patients With Inferior Alveolar Neurosensory Disturbance Associated With Oral Surgical Procedures: An Interventional Case Series Study

Hakimiha¹,

Rokn

Younespour³

et al. 2020

J Lasers Med Sci

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“…Though the latter therapy can improve neurosensory function in lingual PTTN patients, existing evidence may be of low quality and has excluded neuropathic pain patients and pain outcomes. 17,19 Nerve blocks and radiofrequency ablation may be effective for the management of atypical facial pain; in our case, however, multiple blocks and radiofrequency ablations had failed, with the patient reporting minimal, short-lived relief. 20,21 Endoscopic trigeminal thermoablation of the inferior alveolar and lingual nerves has been described in the successful treatment of V3 trigeminal neuralgia; in our case, however, ablation failed as well since trigeminal neuropathy is a separate entity.…”

Section: Discussionmentioning

confidence: 62%

Neuromodulation of the lingual nerve: a novel technique

Talbot

Zhao

Ward

et al. 2021

Journal of Neurosurgery

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Acute injury of the trigeminal nerve or its branches can result in posttraumatic trigeminal neuropathy (PTTN). Affected patients suffer from chronic debilitating symptoms long after they have recovered from the inciting trauma. Symptoms vary but usually consist of paresthesia, allodynia, dysesthesia, hyperalgesia, or a combination of these symptoms. PTTN of the trigeminal nerve can result from a variety of traumas, including iatrogenic injury from various dental and maxillofacial procedures. Treatments include medications, pulsed radiofrequency modulation, and microsurgical repair. Although trigeminal nerve stimulation has been reported for trigeminal neuropathy, V3 implantation is often avoided because of an elevated migration risk secondary to mandibular motion, and lingual nerve implantation has not been documented. Here, the authors report on a patient who suffered from refractory PTTN despite multiple alternative treatments. He elected to undergo novel placement of a lingual nerve stimulator for neuromodulation therapy. To the best of the authors’ knowledge, this is the first documented case of lingual nerve stimulator implantation for lingual neuropathy, a technique for potentially reducing the risk of electrode migration.

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“…The first randomized controlled clinical trial with PBMT on neurosensory deficits was reported in 1996. Until 2018, only 7 were disclosed ( 10 , 12 , 13 , 18 - 21 ). According to Chung et al ( 22 ), PBMT dosimetry is highly complicated.…”

Section: Discussionmentioning

confidence: 99%

“…The choice of parameters is often depended on the practitioner’s personal preference or experience rather than on a consensus statement by an authoritative body ( 22 ). None of the 7 studies ( 10 , 12 , 13 , 18 - 21 ) used a standardized protocol.…”

Section: Discussionmentioning

confidence: 99%

“…The comparison between the studies’ results was hampered by the methodological non-standardization, explicitly in the clinical neurosensory disturbance evaluation. All of the studies ( 10 , 12 , 13 , 18 - 21 ) included objective testing, however with different methodologies. Only two studies ( 12 , 21 ) included a subjective assessment, which was a self-completed VAS scale in both cases.…”

Section: Discussionmentioning

confidence: 99%

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UC-USP collaborative exercise on photobiomodulation therapy in neurological orofacial disturbances

et al. 2020

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Background Neurosensory peripheral disorders are one of the most common risks associated with iatrogenic and/or post-traumatic injuries. It is often related to disability. Photobiomodulation therapy (PBMT) is a nonsurgical and safe procedure which can accelerate and improve the regeneration of injured biological tissue. This study aims to analyze the impact of PBMT, in the quality of life and impairment of individuals with orofacial neurological peripheral disturbance. Material and Methods A retrospective analysis in the database of the dental traumatology clinic of the Hospital Centre of the University of Coimbra/Faculty of Medicine of the University of Coimbra was performed.5 out of 50 individuals were selected, according to the selection criteria. The neurosensory activity was assessed by a pinprick nociceptive test and the EQ-5D-5L self-report questionnaire was used to analyse the quality of life. The study was performed in two phases:1) inactive laser or placebo phase, for one month and 2) active laser or treatment phase. A diode low-level laser device (SIROLaserBlue;Sirona,Germany) was used, according to our protocol. A collaborative protocol in the PBMT influence in individuals with neurosensory peripheral disturbances was studied. Results There was no improvement in the neurosensory activity nor in the quality of life, in the placebo phase. After the treatment phase, the EQ-5D-5L final results reported no problems in all of the five dimensions, except for anxiety/depression in individuals with long-standing neurosensory peripheral disturbances. The EQ-VAS scores increased in all the individuals. Conclusions Our results supported the improvement of quality of life and impairment reduction in the individuals submitted to PBMT. Key words: Low-level light therapy, peripheral nerve injuries, sensation disorders, quality of life, forensic medicine.

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Does Low-Level Laser Therapy Affect Recovery of Lingual and Inferior Alveolar Nerve Injuries?

Cited by 32 publications

References 10 publications

Photobiomodulation Therapy for the Management of Patients With Inferior Alveolar Neurosensory Disturbance Associated With Oral Surgical Procedures: An Interventional Case Series Study

Photobiomodulation Therapy for the Management of Patients With Inferior Alveolar Neurosensory Disturbance Associated With Oral Surgical Procedures: An Interventional Case Series Study

Neuromodulation of the lingual nerve: a novel technique

UC-USP collaborative exercise on photobiomodulation therapy in neurological orofacial disturbances

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