Effect of Photobiomodulation on the Pain Reduction During and After Periodontal Surgery, Oral Surgery and Orthodontic Treatment: An Overview

Fuad Alaijah, Muftah Agoob Alfergany
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Abstract

Periodontal surgery, oral surgery and orthodontic treatment can cause pain both during and after completion of the procedure. The management of pain is particularly critical in children and adolescents. Intraoperative dental pain can usually be removal by local anesthesia. Postoperative dental pain is largely ignored. Postoperative pain emerges from the activation of many passageways, transmission and mechanism process. One type of analgesic often fails to repress all these mechanisms, even when high dose is used [1]. although, treatment of pain, in general is a challenge, there is no reason to assume that pain treatment after surgery is not achievable. Several clinical studies investigated that photobiomodulation (PBM) effect to prevent pain or swelling after the third molars removal and surgical procedures as well as to reduce post-orthodontic pain, while some studies reported beneficial effects of PBM, others showed no [2] PBM it is a light therapy using low-level power lasers to improve wound repair and reduce postoperative pain, that utilizes non-ionizing forms of light origin, broadband light, in the visible and infrared spectrums [3]. There is a so-called optical window in tissue, known as the most depth of penetration in soft tissues through a laser beam, the wavelength is between 650 and 1200nm [4]. PBM can relieve pain and swelling after the surgical procedure, by making a positive effect on the immune response and stimulate lymphatic flow [5]. In addition to the ability of the PBM to stimulate blood circulation, which helps to increase the ability to absorb antibiotic in the body, the PBM has many features, including improvement and remodeling of collagen in the treatment of wounds [6]. Crimson Publishers Wings to the Research Research Article
光生物调节对牙周手术、口腔手术和正畸治疗期间和之后疼痛减轻的影响:综述
牙周手术、口腔手术和正畸治疗在手术期间和完成后都会引起疼痛。对儿童和青少年的疼痛管理尤为重要。术中牙痛通常可以通过局部麻醉消除。术后牙痛在很大程度上被忽视了。术后疼痛是由多个通道、传递和机制过程激活而产生的。一种镇痛药即使使用大剂量也常常不能抑制所有这些机制[1]。虽然疼痛的治疗通常是一个挑战,但没有理由认为手术后疼痛治疗是不可实现的。一些临床研究调查了光生物调节(PBM)在预防第三磨牙切除和手术后疼痛或肿胀以及减轻正畸后疼痛方面的作用,虽然一些研究报道了PBM的有益作用,但其他研究表明PBM没有[2]。PBM是一种利用低功率激光改善伤口修复和减轻术后疼痛的光疗法,利用非电离形式的光源,宽带光,在可见和红外光谱中[3]。组织中存在一个所谓的光学窗口,称为激光束通过软组织穿透的最深度,波长在650 ~ 1200nm之间[4]。PBM可以缓解术后疼痛和肿胀,通过对免疫反应产生积极作用,刺激淋巴流动[5]。PBM除了具有刺激血液循环的能力,有助于提高机体对抗生素的吸收能力外,还具有许多特点,包括在伤口治疗中改善和重塑胶原蛋白[6]。深红出版社的研究之翼研究文章
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