Effects of low-level laser therapy on soft and hard tissue healing after endodontic surgery

Metin, Revnak; Tatlı, Ufuk; Evlıce, Burcu

doi:10.1007/s10103-018-2523-8

Cited by 53 publications

(59 citation statements)

References 15 publications

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“…The most probable factor contributing to post-operative endodontic pain is basically related to the release of inflammatory mediators (ie prostaglandins, bradykinin and cytokines); it can directly excite/sensitise nerve endings and indirectly trigger the release of algesic mediators. 3 A number of pharmacological or non-pharmacological strategies, such as drug prescription 4,5 or, technique/instrument/material selection, [6][7][8] laser/photobiomodulation therapy, 9,10 and occlusal reduction, 11,12 have been suggested to employ by clinicians for the management of post-operative endodontic pain.…”

Section: Backg Rou N Dmentioning

confidence: 99%

“…A number of pharmacological or non‐pharmacological strategies, such as drug prescription or, technique/instrument/material selection, laser/photobiomodulation therapy, and occlusal reduction, have been suggested to employ by clinicians for the management of post‐operative endodontic pain.…”

Section: Introductionmentioning

confidence: 99%

“…One of the most important issues in endodontics is to manage postoperative pain, which might be perceived as the main source of patients' satisfaction. Several non-pharmacological strategies have been employed[6][7][8][9][10][11][12]23,24 to enable endodontic treatments as pain-free procedures. Occlusal reduction has been used as adjunctive therapyin endodontic patients who probably suffered from post-operative pain.…”

mentioning

confidence: 99%

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Does occlusal reduction reduce post‐endodontic pain? A systematic review and meta‐analysis

Shamszadeh

Shirvani

Asgary

2020

J of Oral Rehabilitation

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Objectives Pain management during endodontic therapy is an important issue in clinical practice. The objective of this systematic review and meta‐analysis was to evaluate the efficacy of occlusal reduction to control the post‐operative endodontic pain in adults undergoing root canal therapy. Materials and methods Electronic database and manual searches of English papers were conducted up to August 2019 to identify randomised placebo‐controlled trials. The MeSH terms used were (endodontics OR root canal therapy) AND (postoperative pain) AND (occlusal reduction). The primary outcome measure was the post‐operative pain intensity up to 72 hours. Pooled standardised mean differences (SMDs) and 95% confidence intervals (CIs) were calculated using random‐effects inverse variance method. The statistical heterogeneity was assessed using the Cochrane Q test. The significance level was set at P < .05. Results In total, six randomised controlled trials including 344 participants were included. Our meta‐analyses showed that relief of occlusal surface did not significantly reduce the pain intensity scores at 12‐ (SMD = −0.46; 95% CI = −1.24, 0.30; P = .239), 24‐ (SMD = −0.17; 95% CI = −0.73, 0.38; P = .533) and 48‐ (SMD = −0.67; 95% CI = −1.38, 0.03; P = .063) when compared to placebo. However, at 72 hours, patients received intervention showed significant more pain reduction than placebo groups (SMD = −1.07; 95% CI = −1.81, −0.32; P = .005). Conclusion Based on this meta‐analysis, the efficacy of occlusal reduction in post‐endodontic pain control for up to 2 days is not supported. However, on day three, it had a positive influence on the control of post‐endodontic pain.

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Section: Backg Rou N Dmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

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Does occlusal reduction reduce post‐endodontic pain? A systematic review and meta‐analysis

Shamszadeh

Shirvani

Asgary

2020

J of Oral Rehabilitation

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“…In a clinical observation, PBM with NIR 808 nm laser has shown to reduce inflammation, seroma, and pain along with improved cicatrization in bariatric surgical wound . In another study, 810 nm laser accelerated soft and hard tissue healing after endodontic surgery and exhibited favorable effects on pain and life‐quality of patients . PBM with 830 nm laser before high‐intensity exercise led to an increased removal of blood lactate, reduced muscle damage, along with fast muscle recovery between exercise sessions in athletes .…”

Section: Introductionmentioning

confidence: 97%

Effects of Pulsed 810 nm Al‐Ga‐As Diode Laser on Wound Healing Under Immunosuppression: A Molecular Insight

et al. 2019

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Background and Objectives Dysregulated inflammation is one of the major contributing factors for the prevalence of non‐healing chronic wound in immunosuppressed subjects. Photobiomodulation (PBM) has emerged as a potential non‐thermal, light‐based therapeutic healing intervention for the treatment of impaired wounds. Study Design/Materials and Methods The present study delineates the underlying molecular mechanisms of PBM 810 nm laser‐induced full‐thickness cutaneous wound repair in immunosuppressed rats at continuous and pulsed wave‐mode with power‐density of 40 mW/cm 2, fluence 22.6 J/cm 2 for 10 minutes daily for 7 post‐wounding days. Molecular markers were assessed using biochemical, enzyme‐linked immunosorbent assay quantification, enzyme kinetics and immunoblots analyses pertaining to inflammation, oxidative stress, cell survival, calcium signaling, and proliferation cascades. Results Results distinctly revealed that pulsed 810 nm (10 Hz) PBM potentially influenced the cell survival and proliferation signaling pathway by significantly upregulated phospho‐protein kinase B(phospho‐Akt), phospho‐extracellular‐signal‐regulated kinase 1 (ERK1), transient receptor potential vanilloid‐3 (TRPV3), Ca2+, calmodulin, transforming growth factor‐β1 (TGF‐β1), TGF‐βR3, and Na +/K +‐ATPase pump levels. PBM treatment resulted in reduction of exaggerated inflammatory responses evident by significantly repressed levels of interleukin‐1β (IL‐1β), IL‐6, cyclooxygenase 2 (COX‐2), and substance‐P receptor (SPR), as well as inhibited apoptotic cell death by decreasing p53, cytochrome C, and caspase 3 levels (P < 0.05), which, in turn, effectively augment the wound repair in immunosuppressed rats. PBM treatment also lowered 4‐hydroxynoneal (HNE) adduct level and NADP/NADPH ratio and upregulated the GRP78 expression, which might culminate into reduced oxidative stress and maintained the redox homeostasis. Conclusions Taken together, these findings would be helpful in better understanding of the molecular aspects involved in pulsed 810 nm laser‐mediated dermal wound healing in immunosuppressed rats through regulation of cell survival and proliferation via Ca2+‐calmodulin, Akt, ERK, and redox signaling. Lasers Surg. Med. © 2019 Wiley Periodicals, Inc.

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“…On the contrary, opioids have been misused and pose a well-recognised public health issue (Weekes, 2016). Recently lasers are being employed to reduce pulpal in lammation and pain (Metin et al, 2018). Culturing to know the de inite root cause for the pain is seldom done in routine practice.…”

Section: Introductionmentioning

confidence: 99%

Analgesic prescription practice for pulpal pain — An institution-based retrospective study

Cinthura¹,

Ganapathy²,

Rajasekar³

2020

ijrps

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Analgesics are prescribed for various surgical and non-surgical treatments in dentistry; however, they are commonly given for relieving pain. This study is aimed at determining the current analgesic prescription pattern in Chennai to help ascertain that these medications are recommended only when absolutely necessary. The patient records from the Department of Endodontics, Saveetha dental college, Chennai from June 2019-April 2020, and patients who were prescribed analgesics for pulpal pain - pretreatment purpose, pain management, pulp capping, endodontic emergencies and multi-visit RCTs were identified by non- probability sampling method. Data regarding their age, gender, analgesic prescribed and clinic treated were collected and then subjected to statistical analysis. The results of the study show that among the patients for whom analgesics were prescribed for pulpal pain, individuals within the age group of 35-55 years (48.5%) were common and those above 75 years (0.3%) were uncommon. Undergraduate clinics had prescribed the most for patients (85.57%). Male predominance was observed among the patients (52.3%). Majority of the patients have prescribed paracetamol (72.9%), followed by paracetamol and Aceclofenac together (10.9%) whereas tramadol, paracetamol and ketorolac combinations were rarely prescribed (0.1%). Analgesics prescribed and the type of clinic was found to have a strong association (p=0.000). The study draws attention to the fact that there was a lack of uniformity among the dental students, both undergraduate and postgraduate courses regarding use of analgesics in different clinical situations.

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Effects of low-level laser therapy on soft and hard tissue healing after endodontic surgery

Cited by 53 publications

References 15 publications

Does occlusal reduction reduce post‐endodontic pain? A systematic review and meta‐analysis

Does occlusal reduction reduce post‐endodontic pain? A systematic review and meta‐analysis

Effects of Pulsed 810 nm Al‐Ga‐As Diode Laser on Wound Healing Under Immunosuppression: A Molecular Insight

Analgesic prescription practice for pulpal pain — An institution-based retrospective study

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