EFFECT OF EXTRAORAL LOW LEVEL LASER THERAPY IN POSTOPERATIVE PAIN, SWELLING & TRISMUS AFTER LOWER THIRD MOLAR SURGERY: A SPLIT MOUTH STUDY
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Keywords
Impacted tooth, third molar, Low Level Laser Therapy, pain, trismus, and swelling.
Abstract
Purpose: Low Level Laser Therapy (LLLT) is a novel, precise and safe adjuvant of wound healing in the domain of surgery. Our aim was to compare the anti-inflammatory outcomes of 2 doses of Extraoral LLLT post operatively following impacted Lower third molar (L3M) surgery.
Subjects and method: The study implemented a randomized, double-blind, prospective design. A split mouth study of 66 sides in 33 patients, allocated to two groups: test and control. The outcome variables evaluated were facial swelling, trismus & pain.
Results: Pain and swelling emerged to be significantly lower with the use of LLLT as compared to the control whereas no statistically significant change was seen in trismus. Reduction in pain and swelling was pronounced on Day 2 and Day 7 rather than in immediate post-operative readings.
Conclusion: Extraoral Dosing of LLLT is a minimally technique sensitive and non-invasive adjunct to third molar surgeries that minimizes inflammation leading to increased patient comfort.
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Dr. Aheli Pal
Junior Consultant, Oral & Maxillofacial Surgery, Ruby Hall Clinic Hospital, Pune
Dr. Rajanikanth Kambala
Professor, Oral & Maxillofacial Surgery, Sharad Pawar Dental College and Hospital, DMIMS, Sawangi, Wardha
Dr. Nitin Bhola
Professor, Oral & Maxillofacial Surgery, Sharad Pawar Dental College and Hospital, DMIMS, Sawangi, Wardha
Dr. Chinmay Ghavat
Clinical Researcher & consultant, Oral & Maxillofacial Surgery, Harvard University, Boston, USA