Efeito analgésico da fotobiomodulação após colocação de separadores elastoméricos: ensaio clínico controlado randomizado

Autores

DOI:

https://doi.org/10.33448/rsd-v11i2.25979

Palavras-chave:

Dor; Fotobiomodulação; Ortodontia; Separadores elastoméricos.

Resumo

Objetivo: A dor decorrente do posicionamento dos separadores elastoméricos é um forte motivo para o abandono do tratamento ortodôntico. Portanto, esse estudo pretende verificar os efeitos analgésicos da fotobiomodulação (PBM) em participantes submetidos à ortodontia com separadores elastoméricos. Metodologia: Os participantes foram indivíduos que receberam separadores nas superfícies mesial e distal dos primeiros molares. Eles foram separados aleatoriamente em dois grupos: um grupo experimental que recebeu fotobiomodulação (PBM) (n=22) e um grupo placebo (n=22). Após o posicionamento dos separadores, o grupo PBM recebeu uma aplicação de PBM (2 J de energia aplicada em 20 segundos por ponto, somando 12 J por molar (6 J na superfície vestibular e 6 J na superfície lingual) sobre a porção cervical e o terço apical do dente. A dor foi mensurada uma hora após a colocação, com auxílio de uma escala visual analógica (EVA). A análise estatística envolveu os testes Mann-Whitney, Exato de Fisher e Qui-quadrado. Resultados: Relatos de dor intensa ocorreu apenas no grupo placebo. No entanto, uma porcentagem maior dos indivíduos do grupo PBM relatou sentir dor moderada em comparação com essa mesma intensidade no grupo placebo. Não foram encontradas diferenças significativas entre os grupos em relação ao relato de dor leve e sem dor. Foi encontrada associação entre dor e sexo feminino em ambos os grupos. Conclusão: Foi encontrada diferença significativa na sensibilidade à dor intensa quando a PBM foi aplicada após o posicionamento dos separadores elastoméricos, favorecendo os participantes irradiados. Assim, a PBM pode ser uma ferramenta útil no tratamento ortodôntico. Número de Referência do Ensaio no Clinical Trials (www.ClinicalTrials.gov), NCT03939988.

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Publicado

04/02/2022

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ORTEGA, S. M.; GONÇALVES, M. L. L.; SCHALCH, T. O. .; SILVA, T.; GALLO, J. M. A. S. .; ALTAVISTA, O. M.; DEANA, A. M.; MOTTA, L. J. .; FERNANDES, K. P. S. .; MESQUITA-FERRARI, R. A.; BRUGNERA JÚNIOR, A. .; HORLIANA, A. C. R. T.; BUSSADORI, S. K. Efeito analgésico da fotobiomodulação após colocação de separadores elastoméricos: ensaio clínico controlado randomizado. Research, Society and Development, [S. l.], v. 11, n. 2, p. e50911225979, 2022. DOI: 10.33448/rsd-v11i2.25979. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/25979. Acesso em: 22 dez. 2024.

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