Use of laser therapy in the postoperative period of bilateral sagittal split of the mandibular ramus: literature review
Keywords:Laser therapy; Osteotomy sagittal split ramus; Orthognathic Surgery.
Introduction: The most common complication resulting from bilateral sagittal split osteotomy in orthognathic surgery to reposition the mandible in relation to the skull base is the possible damage to the lower alveolar nerve, causing paresthesia in the region of the lower lip and tip of the chin. The incidence of paresthesia after performing this technique is 85-87% of cases. Throughout history, many treatments aimed at restoring sensorineural function in this area have been reported. One of the fields that is currently growing is low power laser therapy. Objective: The aim of this study was to review the literature on the use of laser therapy in the postoperative period of bilateral sagittal osteotomies of the mandibular branch. Methodology: The articles were selected using the PubMed database. For inclusion criteria of the article it should be published in English and whose adopted methodology would allow obtaining significant evidence. Results: The main results found were that low-level laser therapy is effective in helping to control postoperative pain as well as speeding up the repair and regeneration process of tissues, especially nerves, thus reducing postoperative paresthesia. Conclusion: It is concluded that low-power laser therapy is beneficial in accelerating tissue repairs, bringing greater comfort to the patient. However, further studies and follow-up are needed in this area in order to establish a complete application protocol.
Bittencourt, M. A. V., Paranhos, L. R., & Martins-Filho, P. R. S. (2017) Low-level laser therapy for treatment of neurosensory disorders after orthognathic surgery: A systematic review of randomized clinical trials. Med Oral Patol Oral Cir Bucal. 22 (6), e780-7.
Enwemeka, C. S., Parker, J. C., Dowdy, D. S., Harkness, E. E., Sanford, L. E, &Woodruff, L.D. (2004) The efficacy of low-power lasers in tissue repair and pain control: a meta-analysis study. Photomed Laser Surg. 22, e323-9.
Epelbaum, E. Tratamento de deficiência neurosensorial por laser em baixa intensidade sua associação a acupuntura a laser. (2007) Dissertação (Mestrado) – Instituto de Pesquisa Energética e Nuclear; Faculdade de Odontologia, Universidade de São Paulo, São Paulo. Retrieved from: https://www.ipen.br/biblioteca/mplo/12697.pdf
Eshghpour, M., Shaban, B., Ahrari, F., Erfanian, M., & Shadkam, E. (2017) Is Low-Level Laser Therapy Effective for Treatment of Neurosensory Deficits Arising From Sagittal Split Ramus Osteotomy? Journal of Oral and Maxillofacial Surgery. 75(10), e2085-2090.
Faria, P. E. P., Temprano, A., Piva, F., Sant’ana, E., & Pimenta, D. (2020) Low-level laser therapy for neurosensory recovery after sagital ramus osteotomy. Minerva Stomatol. 69 (3), e141-147.
Führer-Valdivia, A., Noguera-Pantoja, A., Ramírez-Lobos, V., & Solé-Ventura, P. (2014) Low-level laser effect in patients with neurosensory impairment of mandibular nerve after sagital split ramus osteotomy. Randomized clinical trial, controlled by placebo. Med Oral Patol Oral Cir Bucal.19 (4), e327-34.
Gasperini, G., De Siqueira, I. C., & Costa, L. R. (2014) Lower-level laser therapy
improves neurosensory disorders resulting from bilateral mandibular sagittal split osteotomy: A randomized crossover clinical trial. J Craniomaxillofac Surg. 42, e130-3.
Gasperini, G., Siqueira, I. C., & Costa, L. R. (2014) Does low-level laser therapy decrease swelling and pain resulting from orthognathic surgery? Int J Oral Maxillofac Surg. 43, e868-73.
Guarini, D., Gracia, B., Ramírez-Lobos, V., Noguera-Pantoja, A., & Solé-Ventura, P. (2018) Laser Biophotomodulation in Patients with Neurosensory Disturbance of the Inferior Alveolar Nerve after Sagittal Split Ramus Osteotomy: A 2-Year Follow-Up Study. Photomedicine and Laser Surgery. 36(1), e3-9.
Khullar, S. M., Brodin, P., Barkvoll, P., & Haanaes, H. R. (1996) Preliminary study of low-level laser for treatment of long-standing sensory aberrations in the inferior alveolar nerve. Journal of Oral and Maxillofacial Surgery. 54(1): 2-7.
Khullar, S. M., Emami, B., Westermark, A., & Haanaes, H. R. (1996) Effect of
low-level laser treatment on neurosensory deficits subsequent to sagittal split ramus osteotomy. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 82, e132-8.
Lopez, G. C. (2007) Estudo de las aplicaciones clínicas del láser de diodo InGaAsP (980 nm) em periodoncia e implantología. Santiago de Compostela: Universidade. Servizo de Publicacións e Intercambio Científico. Retrieved from: https://minerva.usc.es/xmlui/bitstream/handle/10347/2300/9788497508476_content.pdf?sequence=1
Mensink, G., Verweij, J. P., Frank, M. D., et al. (2013) Bad split during bilateral sagittal split osteotomy of the mandible with separators: a retrospective study of 427 patients. Br J Oral Maxillofac Surg. 51, e525.
Merry, A. F., Gibbs, R. D., Edwards, J., Ting, G. S., Frampton, C., Davies, E., et al. (2010) Combined acetaminophen and ibuprofen for pain relief after oral surgery in adults: a randomized controlled trial. Br J Anaesth. 104, e80-8.
Mester, E., Ludany, G., Selyei, M., Szende, B., & Total, G. J. (1968) The stimulating effect of low power laser rays on biological systems. Laser Rev. 1, e3.
Miloro, M., Halkias, L. E., Mallery, S., et al. (2002) Low-level laser effect on neural regeneration in Gore-Tex tubes. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 93, e27. doi:10.1067/moe.2002.119518
Miloro, M., & Repasky, M. (2000) Low-level laser effect on neurosensory recovery after sagital ramus osteotomy. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 89, e12. doi: 10.1016/s1079-2104(00)80006-2
Mohajerani, S. H., Tabeie, F., Bemanali, M., & Tabrizi, R. (2017) Effect of Low-Level Laser and Light-Emitting Diode on Inferior Alveolar Nerve Recovery after Sagittal Split Osteotomy of the Mandible: A Randomized Clinical Trial Study. The Journal of Craniofacial Surgery. 28 (4), e408-411.
Ozen, T., Orhan, K., Gorur, I., & Ozturk, A. (2006) Efficacy of low level laser therapy on neurosensory recovery after injury to the inferior alveolar nerve. Head Face Med 15(2), e3. doi: 10.1186/1746-160X-2-3
Prazeres, L. D. K. T., Muniz, Y. V. S., Barros, K. M. A., Gerbi, M. E. M. M., & Laureano Filho, J. R. (2013) Effect of Infrared Laser in the Prevention and Treatment of Paresthesia in Orthognathic Surgery. The Journal of Craniofacial Surgery. 24(3), e708-711.
Rivera, S., Hatch, J., Dolce, C., Bays, R., Van Sickel, S. J., & Rugh, J. (2000) Patients’ own reasons and patient-perceived recommendations for orthognathic surgery. am. J. Orthod. Dentofacial Orthop. 118(2), e134-141.
Rochkind, S., Drory, V., Alon, M., et al. (2007) Laser phototherapy (780 nm), a new modality In treatment of long-term incomplete peripheral nerve injury: a randomized double-blind placebo-controlled study. Photomed Laser Surg. 25(5), e436-442.
Roynesdal, A. K., Bjornland, T., Barkvoll, P., & Haanaes, H. R. (1993) The effect of soft-laser appli- cation on postoperative pain and swelling: a double-blind, crossover study. Int J Oral Maxillofac Surg. 22, e242–5.
Santos, F. T., Sciescia, R., Santos, P. L., Weckwerth, V., Dela Coleta Pizzol, K. E., & Queiroz, T. P. (2019) Is Low-Level Laser Therapy Effective on Sensorineural Recovery After Bilateral Sagittal Split Osteotomy? Randomized Trial. Journal of Oral and Maxillofacial Surgery. 77(1), e164-173.
Shamir, M. H., Rochkind, S., Sandbank, J., et al. (2001) Double-blind randomized study evaluatingregeneration of the rat transected sciatic nerve after suturing and postoperative low-powerlaser treatment. J Reconstr Microsurg 17, e133-137.
Sharifi, R., Fekrazad, R., Taheri, M. M., Kasaeian, A., & Babaei, A. (2020) Effect of photobiomodulation on recovery from neurosensory distur- bances after sagittal split ramus osteotomy: a triple-blind randomised controlled trial. Br J Oral Maxillofac Surg. 58(5), e535-541. https://doi.org/10.1016/j.bjoms.2020.02.005.
How to Cite
Copyright (c) 2020 Raphael De Marco; Eduardo Sant'Ana; Eduardo Dias Ribeiro
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.