Efficacy of Nd: Yag Laser Biostimulation in the Treatment of Inferior Alveolar Nerve Injury after Implant Surgery

F. Ayrancı, E. Sivrikaya, M. Omezli, Polat Me, B. Cezayirli, A. Eroglu
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Abstract

The inferior alveolar nerve (IAN) is a branch of the trigeminal nerve and this nerve supplies sensation to the ipsilateral lower lip, teeth, and buccal mandibular gingivae. The anatomical position of IAN places this nerve at increased injury risk. During oral surgery, the nerve tissue may be damaged so paresthesia which is characterized by the sensorineural loss that may occur [1,2]. Neurosensory damage of peripheral innervation still remains a problem which is not treated easily. A solution of this situation may consist of systemic administration of medication, local electrical stimulation, physiotherapy, nerve repair surgery or LLLT [3]. The LLLT in dentistry is used before, and LLLT techniques have been in widespread use in all over the world [4,5]. When applied to oral tissues, it has potential to wound healing, bone healing, restoring neural function after damage and regulation of hormonal functions [6-8]. LLLT has a non-thermal and biomodulatory effect on membranes of mitochondria and increases ATP production in cells [9]. This explains why LLLT have been shown to benefit soft tissue healing.
Nd: Yag激光生物刺激治疗种植术后下牙槽神经损伤的疗效观察
下牙槽神经(IAN)是三叉神经的一个分支,该神经为同侧下唇、牙齿和下颌颊龈提供感觉。IAN的解剖位置增加了该神经的损伤风险。在口腔手术过程中,神经组织可能受损,因此可能出现感觉异常,其特征是感觉神经丧失[1,2]。外周神经支配的神经感觉损伤至今仍是一个不易治疗的问题。这种情况的解决方案可能包括全身给药、局部电刺激、物理治疗、神经修复手术或LLLT bb0。LLLT在牙科领域已有应用,LLLT技术在世界范围内得到广泛应用[4,5]。应用于口腔组织,具有伤口愈合、骨愈合、损伤后神经功能恢复和调节激素功能等方面的潜力[6-8]。LLLT对线粒体膜具有非热和生物调节作用,并增加细胞[9]中ATP的产生。这就解释了为什么LLLT已被证明有利于软组织愈合。
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