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临床和热学评估后下第三提取和不同的光生物调节方案的应用:双盲随机临床试验
Laiz Moreira de Paula1, Alessah Carolyna de Andrade Fernandes1, Beatriz Castro Evangelista1
1Department of Periodontology, School of Dentistry, Federal University of Goias, Av. Universitaria, s/n, Setor Leste Universitário, Goiania, Goiás, 74605-020, Brazil.
Clinical oral investigations
|March 7, 2024
概括
结合光生物调制 (PBM) 的波长为660nm和808nm,与单独使用808nm相比,在第三骨提取后没有改善疼痛,胀或组织愈合. 综合方法在提取后回收方面没有显示任何额外的好处.
科学领域:
- 牙科 牙科 牙科 牙科
- 生物医学工程 生物医学工程
- 照相医疗 (photomedicine) 是一种医学.
背景情况:
- 光生物调制 (PBM) 正在探索手术后的愈合.
- 为了获得最佳的治疗效果,研究了不同的波长和组合.
- 这项研究比较了第三骨提取后的两个PBM协议.
研究的目的:
- 为了比较疼痛,,温度和软组织的关闭后第三提取使用两个PBM协议.
- 为了评估808nm和660nmPBM协议的有效性,与808nmPBM单独相比.
- 为了确定增加的能量或组合的波长是否增强提取后恢复.
主要方法:
- 31名参与者接受了第三牙提取.
- 一个插座在808nm (808组) 接收了PBM.
- 另一个插座在808nm和660nm (808+660组) 同时接收PBM.
- 在提取后立即使用PBM,并在第3天和第7天使用.
- 评估了疼痛 (VAS),面部 (pogonion-tragus测量) 和温度.
- 测量了牙插座尺寸,以测量软组织的闭合.
主要成果:
- 两组之间没有观察到,温度或软组织关闭的显著差异.
- 疼痛水平 (VAS) 在第三天是相似的.
- 在第7天,与808组相比,808+660组的疼痛显著增加 (p=0.031).
- 综合波长协议没有证明优越的疼痛减轻.
结论:
- 结合660nm和808nm的PBM,或增加能量,并没有为减轻疼痛,胀或在第三骨提取后软组织愈合提供额外的好处.
- 在使用的协议中,没有证明需要将这些特定的激光波长结合起来,以改善提取后的结果.
- 这些发现表明,单波长808nm的PBM可能足以管理提取后的参数.
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