Use of low power laser in the treatment of oral injuries in patients with neurological diseases: Case report
DOI:
https://doi.org/10.33448/rsd-v10i6.16083Keywords:
Lasers; Oral ulcers; Autophagy.Abstract
The therapy of Photobiomodulation with Low Power Laser has been used in the prevention and handling of oral injuries. Objective: to report a case on the treatment of traumatic oral injury with photobiomodulation therapy. Methodology: Based on the permission through the Free and Informed Consent Term (ICF) to share the images for due purpose, the present study deals with a case report of a descriptive analytical nature. Case report: A 43-year-old male patient from a hospital in São Luís was diagnosticated with a new ischemic stroke. Over the hospitalization after dependence on mechanical ventilation, the patient developed from an orotracheal tube to a tracheostomy, exponent autophagy of the lower lip as a consequence foul of muscular coordination and potentialized movements during manipulation. On physical odontological exam, the teeth 11 and 12 were, with huge injury on lower lip; using the Guedel cannula and where Triamcinolone Acetonide was prescribe as therapy. After the dental appreciation, the treatment plan consisted in removing instantly the cannula, optimization of analgesia, fabrication of occlusal plaque, wear of incisal faces of teeth 11 and 12, hanging of Triamcinolone,clean the area and application of low-power laser with the wavelength 660 nm, 100 mW of power, time of 20 seconds, 2J of energy, in 3 sessions. Result: Was observed in 24 hours after the laser application the injury regression. were maintained the use of plaque and follow-up after discharge from the ICU. Conclusion: The use of the photobiomodulation therapy proved to be an effective tool in the healing of traumatic oral injuries.
References
Cipriano, P. (2018). Cuidados Paliativos em Doentes com Acidente Vascular Cerebral: Um Estudo Retrospetivo de 5 Anos de uma Equipa Intra-Hospitalar de Suporte em Cuidados Paliativos. Medicina Interna, 25(3), 186–192. https://doi.org/10.24950/rspmi/original/288/3/2018
Gomes, S. I. F. (2019). A efetividade da intervenção do enfermeiro especialista em enfermagem de reabilitação na deglutição comprometida em doentes pós acidente vascular cerebral. (Dissertação de mestrado) Instituto Politécnico de Viseu; Viseu, Portugal.
Hendler, K. G., Canever, J. B., de Souza, L. G., das Neves, L. M. S., de Cássia Registro Fonseca, M., Kuriki, H. U., da Silva Aguiar Junior, A., Barbosa, R. I., & Marcolino, A. M. (2021). Comparison of photobiomodulation in the treatment of skin injury with an open wound in mice. Lasers in Medical Science.
Khaleel Ahmed, M., Jafer, M., Nayeem, M., Hussain Moafa, I., Quadri, M. F. A., Gopalaiah, H., & Quadri, M. F. A. (2020). Low-level laser therapy and topical medications for treating aphthous ulcers: A systematic review. Journal of Multidisciplinary Healthcare, 13, 1595–1605.
Lago, A. D. N. (2021). Laser na odontologia [recurso eletrônico]: conceitos e aplicações clínicas. In EDUFMA (Vol. 1). https://doi.org/10.1128/AAC.03728-14
Lins, R. D. A. U., Dantas, E. M., Lucena, K. C. R., Catão, M. H. C. V., Granville-Garcia, A. F., & Neto, L. G. C. (2010). Efeitos bioestimulantes do laser de baixa potência no processo de reparo. An Bras Dermatol, 85(6), 849–855.
Luke, A. M., Mathew, S., Altawash, M. M., & Madan, B. M. (2019). Lasers: A review with their applications in oral medicine. Journal of Lasers in Medical Sciences, 10(4), 324–329.
Macedo, M. M., Abreu-Pereira, C. A., Corrêa, N. de C., Pinho, J. R. O., & Casanovas, R. C. (2020). PERFIL BUCAL DE PACIENTES INTERNADOS EM UTI ADULTO. Rev. Rede Cuid. Saúde, 14(2), 29–42.
Mansouri, V., Arjmand, B., Tavirani, M. R., Razzaghi, M., Rostami-Nejad, M., & Hamdieh, M. (2020). Evaluation of Efficacy of Low-Level Laser Therapy. Journal of Lasers in Medical Sciences, 11(4), 369–380.
Oliveira, C. S. de, Montenegro, C. P. D., & Lima, A. M. da C. (2019). Odontologia e cuidados paliativos: estudo de caso. Rev. Longeviver, 4.
Oliveira, F. A. M. de, Martins, M. T., Ribeiro, M. A., Mota, P. H. A. da, & Paula, M. V. Q. de. (2018). Indicações e tratamentos da laserterapia de baixa intensidade na odontologia: uma revisão sistemática da literatura TT - HU Rev, 44(1), 85–96.
Pereira, A. S., Shitsuka, D. M., Parreira, F. J., & Shitsuka, R. (2018). Metodologia da pesquisa científica. Santa Maria, RS: UFSM, NTE.
Reolon, L. Z.,Rigo, L., Conto, F. de, & Cé, L. C. (2017). Impacto da laserterapia na qualidade de vida de pacientes oncológicos portadores de mucosite oral. Rev Odontol UNESP, 46(1), 19–27.
Ribeiro, T. E., & Marangoni, A. F. (2020). Avaliação do efeito da fotobiomodulação em úlcera traumática em crianças: relato de caso clínico. Revista Científica UMC, 5(1), 1–12.
Rodrigues, A. C. A., Parreira, M. G. de O., Santos, P. C. M., Magalhães, S. R., Melgaço, C. A., & Jorge, K. O. (2019). Odontologia hospitalar: atuação do cirurgião-dentista na unidade de terapia intensiva. Revista de Ensino Pesquisa e Extensão, 20(1), 282–297.
Santos, L.B dos, Waters, C. (2020). Perfil epidemiológico dos pacientes acometidos por acidente vascular cerebral: revisão integrativa. Brazilian Journal of Development. 6(1): 2749-2775.
Santos, T. K. G. L. dos, Alcoforado, L. G. de C., Leitão, A. de S., Vanderlei, A. C. de Q. V., Carvalho, A. K. F. A., & Vieira, A. P. de S. B. (2018). Uso da laserterapia de baixa potência no tratamento de lesões orais. R e v i s t a C a m p o d o S a b e R, 4, 240–257.
Sousa, J. P. D. L., Sousa, F. S. de, Souza, L. D., Corrêa, N. de C., Rodrigues, V. P., & Casanovas, R. C. (2019). Levantamento das ações de cuidados bucais em unidades de terapia intensiva adulto no contexto multiprofissional. Rev Pesq Saúde, 20(2), 62–66.
Valle, L. A., Karam, P. S. B. H., Rezende, M. L. R. de, Zangrando, M. S. R., & Damante, C. A. (2017). Laser de baixa intensidade no tratamento de úlceras traumáticas e queilite angular: relatos de casos. REV ASSOC PAUL CIR DENT, 71(1), 30–34.
Wagner, V. P., Meurer, L., Martins, M. A. T., Danilevicz, C. K., Magnusson, A. S., Marques, M. M., Filho, M. S., Squarize, C. H., & Martins, M. D. (2013). Influence of different energy densities of laser phototherapy on oral wound healing. Journal of Biomedical Optics, 18(12), 128002.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Brenna Fernanda Melo Barros; Cayara Mattos Costa ; Graça Maria Lopes Mattos; Natalia de Castro Corrêa; Rosana Costa Casanovas
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.
