Avalia????o do uso do laser em baixa intensidade em pacientes com fraturas mandibulares ??? ensaio cl??nico controlado

Detalhes bibliográficos
Ano de defesa: 2015
Autor(a) principal: Lauriti, Leandro
Orientador(a): Bussadori, Sandra Kalil
Banca de defesa: Bussadori, Sandra Kalil, Ferrari, Raquel Agnelli Mesquita, Politti, Fabiano, Luz, Jo??o Gualberto de Cerqueira, Yamamoto, Marcos Kazuo
Tipo de documento: Tese
Tipo de acesso: Acesso aberto
Idioma: por
Instituição de defesa: Universidade Nove de Julho
Programa de Pós-Graduação: Programa de P??s-Gradua????o em Ci??ncias da Reabilita????o
Departamento: Sa??de
País: Brasil
Palavras-chave em Português:
Palavras-chave em Inglês:
Área do conhecimento CNPq:
Link de acesso: http://bibliotecatede.uninove.br/handle/tede/1827
Resumo: The aim of the present study was to perform an evaluation of the effect of low-level laser therapy (LLLT) on bite force, facial swelling, mandibular movements and pain in patients having undergone surgical treatment for mandibular fracture. The patients were divided into two groups: Group 1 ??? active LLLT; and Group 2 ??? sham LLLT. Both groups took anti-inflammatory agents postoperatively. Group 2 underwent the surgical reduction and rigid internal fixation, the use of postoperative an anti-inflammatory agent and sham LLLT with the equipment switched off. Fifteen sessions were performed using the point application methods and wavelength: 660 nm; power; 108 mW; radiant energy: 21.6 J; fluence: 21.6 J/cm2; radiance: 38197 mW/cm2; exposure time: 200 seconds per point. The active laser group received LLLT in the region of the incision and over the masseter (3 points: superior, medial and inferior) and temporal (anterior region) muscles, with five application points on each side, totaling 10 points bilaterally. The Shapiro-Wilk test was used for the analysis of the results and normal distribution was demonstrated. Thus, the Student???s t-test was used to determine inter-group differences and repeated-measures ANOVA was used to determine whether significant differences occurred at different times. The level of significance was set to 5% (??? = 0.05). The findings we can see considerable improvement in the group submitted to active LLLT with regard to mandibular dynamics, a reduction in postoperative facial swelling, a reduction in pain and an increase in bite force in comparison to the sham group, which only used postoperative corticosteroids.