The use of low power laser in healing and postoperative analgesia in minor oral surgeries: an integrative review
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Abstract
Introduction: Low power laser therapy has been classified as a promising alternative with the aim of improving the inflammatory response, postoperative discomfort and accelerating the physiological response for better healing after oral surgeries. The aim of this study was to understand the proper use of low-power laser in healing and postoperative analgesia in minor oral surgeries. Methodology: This is a literature review, following the standards of an integrative review. Thus, the research was carried out in the databases: Latin American and Caribbean Literature in Health Sciences (LILACS), Scientific Electronic Library Online (Scielo) and Medical Literature Analysis and Retrieval System Online (MEDLINE), using the descriptors: “Biostimulation”, “laser”, “laser therapy” and “Low Level Laser Therapy”. The intersection of these descriptors in the cited bases occurred through the Boolean operators “AND” and “OUR”. The inclusion criteria were: original articles of primary studies, in the languages: Portuguese, Spanish and English, published in scientific journals from 2017 to 2022. The analysis reconciled 12 selected studies and after a thorough verification, only 06 were designated within the Inclusion criteria. Results: The adequate use of low power laser brings benefits in the postoperative period of oral surgeries, as a support in the biological reestablishment of the tissue, accelerating healing, promoting analgesia as an improvement in postoperative discomfort and also in the use of therapy in the prevention of oral mucositis in patients with osteosarcoma.Conclusion: Low power laser is an effective mechanism, when used with the correct frequency, dose and time of application, to accelerate healing and reduce pain in the postoperative period of minor surgeries oral doses, however, very low or very high potencies may result in adverse effects.
Keywords: Biostimulation, Laser, Laser Therapy, Low Level Laser Therapy.
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References
AMBRÓSIO, Marcos Flávio Spínola; DE JESUS, Eduarda Barboza Layber; DE BARROS, Liliana Aparecida Pimenta. Percepção dos docentes de um curso de Odontologia sobre a terapia a laser de baixa intensidade. Revista da ABENO, v. 22, n. 2, p. 1885-1885, 2022.
ANDRADE, F.S.S.D, CLARK, R.M.O e FERREIRA, M.L. Effects of low-level laser therapy on wound healing. Revista do Colégio Brasileiro de Cirurgiões, v. 41, n. 02, p. 129-133, 2014.
ATIHE, M.M. Redução de Processo inflamatório com aplicação de laser de arseneto de gálio alumínio em pós-operatório de exodontias de terceiros molares inferiores inclusos ou semi-inclusos. Dissertação (Mestrado em laser em Odontologia) - IPEN, Universidade de São Paulo, 2002.
ATUÁ, R. H. Et al., Emprego do Laser de baixa intensidade no pós-operatório de exodontia de terceiros molares. Archives of health investigation, v. 10, n. 3, mar. 2021.
BITTENCOURT, M. A., PARANHOS, L. R., e MARTINS-FILHO, P. R. Low-level laser therapy for treatment of neurosensory disorders after orthognathic surgery: A systematic review of randomized clinical trials. Medicina oral, patologia oral y cirugia bucal, v. 22, n. 6, p. 780–787, 2017.
CHAMBRONE L, WANG HL, ROMANOS G.E., Antimicrobial photodynamic therapy for the treatment of periodontitis and peri-implantitis: An American Academy of Periodontology best evidence review. Journal of Periodontology, v. 89, n. 7, p. 783-803, jul 2018.
CONVISSAR, R.A et al., Principles and practice of laser dentristy. 2. ed. New York: Elsevier, 2016.
CUNHA, J.L.S. et al. Effects of Different Protocols of Low-Level Laser Therapy on Collagen Deposition in Wound Healing. Brazilian Dental Journal [online], v. 30, n. 4, p. 317-324, 2019.
DE FREITAS, C.E. et al. High Final Energy of Low-Level Gallium Arsenide Laser Therapy Enhances Skeletal Muscle Recovery without a Positive Effect on Collagen Remodeling. Journal of Photochemistry Photobiology, v.91, n. 4, p. 957-965, jul - ago 2015.
DE FREITAS, L. F., e HAMBLIN, M. R. Proposed Mechanisms of Photobiomodulation or Low-Level Light Therapy. IEEE journal of selected topics in quantum electronics, v. 22, n. 3, p. 1-37, mai - jun 2016.
DE JESUS NEVES, Lilian et al. Avaliação do Efeito do Laser Preventivo na Mucosite Oral Quimioinduzida em Pacientes Submetidos a Altas Doses de Metotrexato. Revista Brasileira de Cancerologia, v. 67, n. 1, 2021.
GARCEZ, A.S. et al. Aplicação clínica do laser na odontologia. 1. ed. Barueri-SP: Manole, 2021.
IQBAL, A et al., Management of Chronic Non-heal Wounds by Hirudotherapy. World Journal of plastic surgery, v. 6, n. 1, p. 9-17, 2017.
LESLIE H. Redação de uma revisão integrativa. Revista AORN , v. 67, n. 4, pág. 877-881, 1998
MAIYA A.G., KUMAR P., NAYAK S., Photo-stimulatory effect of low energy helium-neon laser irradiation on excisional diabetic wound healing dynamics in wistar rats. Indian Journal of Dermatology, v. 54, n. 4, p. 323-9, 2009.
MARTIGNAGO, C.C. et al., Effect of low-level laser therapy on the gene expression of collagen and vascular endothelial growth factor in a culture of fibroblast cells in mice. Journal of Lasers in Medical Sciences, v. 30, n. 1, p. 203-208, 2015.
MILETO, T.N.; AZAMBUJA, F.G. Low-intensity laser efficacy in postoperative extraction of third molars. Revista Gaúcha de Odontologia, v. 65, n. 1, p. 13-19, mar 2017.
PINHEIRO, A. L. B; BRUGNERA A. J.; ZANIN, F. A. A. Aplicação do laser na odontologia. 1. ed. São Paulo: Santos Editora, 2010.
ZANOTTI, G.B., et al. Efeitos do laser de baixa potência sobre a regeneração da cartilagem na osteoartrose. Revista FisioBrasil, v. 12, n. 2, p. 139-46, 2011.