Terapia a laser de baixa potência no tratamento de lesões periféricas do nervo trigêmio em Odontologia: revisão de literatura
DOI:
https://doi.org/10.21270/archi.v10i7.5267Palavras-chave:
Terapia com Luz de Baixa Intensidade, Parestesia, FotobiomodulaçãoResumo
A parestesia é um distúrbio neurossensorial decorrente de lesão nervosa que ocorre após uma intervenção odontológica e leva à perda de sensibilidade prolongada de uma região específica da face, além de outros sintomas, podendo ser resolvida espontaneamente após alguns dias ou meses, mas dependendo da extensão e tipo de lesão nervosa, este dano pode ser permanente. Com o avanço da tecnologia, os lasers vêm se popularizando na Odontologia, juntamente com os avanços em pesquisas. A terapia de fotobiomodulação com laser de baixa potência tem se mostrado como uma opção favorável ao tratamento de distúrbios neurossensoriais e aceleração do processo de reparo tecidual. Foi realizada uma revisão da literatura, a partir de buscas nas bases de dados do PubMed/MEDLINE, Biblioteca Virtual em Saúde (BVS), The Cochrane Library e Scielo, entre os anos de 2010 a 2020. O presente estudo tem como objetivo analisar a eficácia, a utilização terapêutica, e os mecanismos de ação da terapia a laser de baixa potência (LLLT), como também causas e fatores de risco relacionados aos procedimentos mais comuns de injúria nervosa. As recentes pesquisas envolvendo o uso da terapia de fotobiomodulação evidenciam a capacidade do laser em promover aceleração do processo de reparo tecidual, com fenômenos analgésicos, anti-inflamatórios, cicatrizantes e regenerativos. Embora tenha havido grandes descobertas nos últimos anos, a literatura ainda carece de protocolos e ensaios clínicos sobre o uso do laser, verificando e comprovando seus efeitos sobre lesões nervosas, devendo este ser o foco de pesquisas futuras.
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Referências
Andrade ED. Terapeutica Medicamentosa em Odontologia. 2014; 3ªedição:107-109.
Kim YK, Kim SG, Kim JH. Altered sensation after orthognathic surgery. J Oral Maxillofac Surg. 2011;69(3):893-98.
de Oliveira RF, de Andrade Salgado DM, Trevelin LT, Lopes RM, da Cunha SR, Aranha AC, de Paula Eduardo C, de Freitas PM. Benefits of laser phototherapy on nerve repair. Lasers Med Sci. 2015;30(4):1395-406.
Coulthard P, Kushnerev E, Yates JM, Walsh T, Patel N, Bailey E, Renton TF. Interventions for iatrogenic inferior alveolar and lingual nerve injury. Cochrane Database Syst Rev. 2014;6(4):CD00529
Al-Sabbagh M, Okeson JP, Bertoli E, Medynski DC, Khalaf MW. Persistent pain and neurosensory disturbance after dental implant surgery: prevention and treatment. Dent Clin North Am. 2015;59(1):143-56.
Anders JJ, Lanzafame RJ, Arany PR. Low-level light/laser therapy versus photobiomodulation therapy. Photomed Laser Surg. 2015;33(4):183-4.
Alves FRF, Dias MCC, Mansa MGCB, Machado MD. Permanent Labiomandibular Paresthesia after Bioceramic Sealer Extrusion: A Case Report. J Endod. 2020;46(2):301-6.
Akerzoul N, Chbicheb S. Low laser therapy as an effective treatment of recurrent aphtous ulcers: a clinical case reporting two locations. Pan Afr Med J. 2018;30:205.
Kalhori KAM, Vahdatinia F, Jamalpour MR, Vescovi P, Fornaini C, Merigo E, Fekrazad R. Photobiomodulation in Oral Medicine. Photobiomodul Photomed Laser Surg. 2019;37(12):837-61.
Hamblin MR. Mechanisms and applications of the anti-inflammatory effects of photobiomodulation. AIMS Biophys. 2017;4(3):337-61.
Piccinni C, Gissi DB, Gabusi A, Montebugnoli L, Poluzzi E. Paraesthesia after local anaesthetics: an analysis of reports to the FDA Adverse Event Reporting System. Basic Clin Pharmacol Toxicol. 2015;117(1):52-6.
Eshghpour M, Ahrari F, Takallu M. Is Low-Level Laser Therapy Effective in the Management of Pain and Swelling After Mandibular Third Molar Surgery? J Oral Maxillofac Surg. 2016; 74(7):1322.e1-8.
Khojastepour L, Khaghaninejad MS, Hasanshahi R, Forghani M, Ahrari F. Does the Winter or Pell and Gregory Classification System Indicate the Apical Position of Impacted Mandibular Third Molars? J Oral Maxillofac Surg. 2019;77(11):2222.e1-2222.e9
Zaroni FM, Cavalcante RC, João da Costa D, Kluppel LE, Scariot R, Rebellato NLB. Complications associated with orthognathic surgery: A retrospective study of 485 cases. J Craniomaxillofac Surg. 2019;47(12):1855-1860.
Roychoudhury S, Nagori SA, Roychoudhury A. Neurosensory disturbance after bilateral sagittal split osteotomy: A retrospective study. J Oral Biol Craniofac Res. 2015;5(2):65-8.
Perotti S, Bin P, Cecchi R. Hypochlorite accident during wndodontic therapy with nerve damage - A case report. Acta Biomed. 2018;89(1):104-108.
Alves FRF, Dias MCC, Mansa MGCB, Machado MD. Permanent Labiomandibular Paresthesia after Bioceramic Sealer Extrusion: A Case Report. J Endod. 2020;46(2):301-6.
Mahmood H, Stern M, Atkins S. Inferior alveolar nerve anaesthesia: A rare complication of orthodontic tooth movement. J Orthod. 2019;46(4):374-377.
Menorca RM, Fussell TS, Elfar JC. Nerve physiology: mechanisms of injury and recovery. Hand Clin. 2013;29(3):317-30.
Tan VL, Andrawos A, Ghabriel MN, Townsend GC. Applied anatomy of the lingual nerve: relevance to dental anaesthesia. Arch Oral Biol. 2014;59(3):324-35.
Seddon HJ. Three types of nerve injury. in BRAIN. 1943;66: 238-83.
Sunderland S. A classification of peripheral nerve injuries producing loss of function. Brain. 1951;74(4):491-516.
de Freitas LF, Hamblin MR. Proposed Mechanisms of Photobiomodulation or Low-Level Light Therapy. IEEE J Sel Top Quantum Electron. 2016;22(3):7000417.
Sánchez-Torres A, Soler-Capdevila J, Ustrell-Barral M, Gay-Escoda C. Patient, radiological, and operative factors associated with surgical difficulty in the extraction of third molars: a systematic review. Int J Oral Maxillofac Surg. 2020;49(5):655-65.
Huang CK, Lui MT, Cheng DH. Use of panoramic radiography to predict postsurgical sensory impairment following extraction of impacted mandibular third molars. J Chin Med Assoc. 2015;78(10):617-22.
Su N, van Wijk A, Berkhout E, Sanderink G, De Lange J, Wang H, van der Heijden GJMG. Predictive Value of Panoramic Radiography for Injury of Inferior Alveolar Nerve After Mandibular Third Molar Surgery. J Oral Maxillofac Surg. 2017;75(4):663-79.
Araujo GTT, Peralta-Mamani M, Silva AFMD, Rubira CMF, Honório HM, Rubira-Bullen IRF. Influence of cone beam computed tomography versus panoramic radiography on the surgical technique of third molar removal: a systematic review. Int J Oral Maxillofac Surg. 2019;48(10):1340-347.
de Toledo Telles-Araújo G, Peralta-Mamani M, Caminha RDG, de Fatima Moraes-da-Silva A, Rubira CMF, Honório HM, Rubira-Bullen IRF. CBCT does not reduce neurosensory disturbances after third molar removal compared to panoramic radiography: a systematic review and meta-analysis. Clin Oral Investig. 2020;24(3):1137-149.
Clé-Ovejero A, Sánchez-Torres A, Camps-Font O, Gay-Escoda C, Figueiredo R, Valmaseda-Castellón E. Does 3-dimensional imaging of the third molar reduce the risk of experiencing inferior alveolar nerve injury owing to extraction?: A meta-analysis. J Am Dent Assoc. 2017;148(8):575-83
Lin CS, Wu SY, Huang HY, Lai YL. Systematic Review and Meta-Analysis on Incidence of Altered Sensation of Mandibular Implant Surgery. PLoS One. 2016;11(4):e0154082.
Başa O, Dilek OC. Assessment of the risk of perforation of the mandibular canal by implant drill using density and thickness parameters. Gerodontology. 2011;28(3):213-20.
Scarano A, Sinjari B, Murmura G, Lorusso F. Neurosensory Disturbance of the Inferior Alveolar Nerve After 3025 Implant Placements. Implant Dent. 2017;26(5):735-43.
Bittencourt MA, Paranhos LR, Martins-Filho PR. 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. 2017;22(6):780-87.
McLeod NM, Bowe DC. Nerve injury associated with orthognathic surgery. Part 2: inferior alveolar nerve. Br J Oral Maxillofac Surg. 2016 May;54(4):366-71.
Demirbas AE, Yilmaz G, Topan C, Kütük N, Kilic E, Alkan A. Risk Factors Influencing Recovery of Neurosensory Disturbances Following Sagittal Split Ramus Osteotomy. J Craniofac Surg. 2020;31(1):e35-8.
Pippi R, Spota A, Santoro M. Medicolegal Considerations Involving Iatrogenic Lingual Nerve Damage. J Oral Maxillofac Surg. 2018;76(8):1651.e1-1651.e13.
Luke AM, Mathew S, Altawash MM, Madan BM. Lasers: A Review With Their Applications in Oral Medicine. J Lasers Med Sci. 2019;10(4):324-29.
Farivar S, Malekshahabi T, Shiari R. Biological effects of low level laser therapy. J Lasers Med Sci. 2014;5(2):58-62
Pannala VR, Camara AK, Dash RK. Modeling the detailed kinetics of mitochondrial cytochrome c oxidase: Catalytic mechanism and nitric oxide inhibition. J Appl Physiol (1985). 2016;121(5):1196-207.
Esmaeelinejad M, Bayat M, Darbandi H, Bayat M, Mosaffa N. The effects of low-level laser irradiation on cellular viability and proliferation of human skin fibroblasts cultured in high glucose mediums. Lasers Med Sci. 2014;29(1):121-29.
Effect of low level laser therapy on proliferation and differentiation of the cells contributing in bone regeneration. J Lasers Med Sci. 2014;5(4):163-70
Hakimiha N, Dehghan MM, Manaheji H, Zaringhalam J, Farzad-Mohajeri S, Fekrazad R, Moslemi N. Recovery of inferior alveolar nerve by photobiomodulation therapy using two laser wavelengths: A behavioral and immunological study in rat. J Photochem Photobiol B. 2020;204:111785.
Huang YY, Sharma SK, Carroll J, Hamblin MR. Biphasic dose response in low level light therapy - an update. Dose Response. 2011;9(4):602-18.
Garcez AS, Ribeiro MS, Núnez SC. LASER de baixa potência princípios básicos e aplicações clínicas na odontologia. Rio de Janeiro: Ed Elsevier; 2012.
Rosso MPO, Buchaim DV, Kawano N, Furlanette G, Pomini KT, Buchaim RL. Photobiomodulation Therapy (PBMT) in Peripheral Nerve Regeneration: A Systematic Review. Bioengineering (Basel). 2018;5(2):44.
Gasperini G, de Siqueira IC, Costa LR. Lower-level laser therapy improves neurosensory disorders resulting from bilateral mandibular sagittal split osteotomy: a randomized crossover clinical trial. J Craniomaxillofac Surg. 2014;42(5):e130-33.
Führer-Valdivia A, Noguera-Pantoja A, Ramírez-Lobos V, Solé-Ventura P. Low-level laser effect in patients with neurosensory impairment of mandibular nerve after sagittal split ramus osteotomy. Randomized clinical trial, controlled by placebo. Med Oral Patol Oral Cir Bucal. 2014;19(4):e327-34.
Santos FT, Sciescia R, Santos PL, Weckwerth V, Dela Coleta Pizzol KE, Queiroz TP. Is Low-Level Laser Therapy Effective on Sensorineural Recovery After Bilateral Sagittal Split Osteotomy? Randomized Trial. J Oral Maxillofac Surg. 2019;77(1):164-73.
Landucci A, Wosny AC, Uetanabaro LC, Moro A, Araujo MR. Efficacy of a single dose of low-level laser therapy in reducing pain, swelling, and trismus following third molar extraction surgery. Int J Oral Maxillofac Surg. 2016;45(3):392-98.
Hakimiha N, Dehghan MM, Manaheji H, Zaringhalam J, Farzad-Mohajeri S, Fekrazad R, Moslemi N. Recovery of inferior alveolar nerve by photobiomodulation therapy using two laser wavelengths: A behavioral and immunological study in rat. J Photochem Photobiol B. 2020;204:111785.
Ghaeminia H, Meijer GJ, Soehardi A, Borstlap WA, Mulder J, Vlijmen OJ, Bergé SJ, Maal TJ. The use of cone beam CT for the removal of wisdom teeth changes the surgical approach compared with panoramic radiography: a pilot study. Int J Oral Maxillofac Surg. 2011;40(8):834-39.
Korkmaz YT, Kayıpmaz S, Senel FC, Atasoy KT, Gumrukcu Z. Does additional cone beam computed tomography decrease the risk of inferior alveolar nerve injury in high-risk cases undergoing third molar surgery?Does CBCT decrease the risk of IAN injury? Int J Oral Maxillofac Surg. 2017;46(5):628-35.
Kang F, Sah MK, Fei G. Determining the risk relationship associated with inferior alveolar nerve injury following removal of mandibular third molar teeth: A systematic review. J Stomatol Oral Maxillofac Surg. 2020;121(1)63-69.
Iwanaga J, Cleveland MK, Wada J, Tubbs RS. How to avoid iatrogenic lingual nerve injury in the retromolar area: an anatomical study of retromolar pad and lingual nerve. Surg Radiol Anat. 2020;42(5):523-28.
Miloro M, Criddle TR. Does Low-Level Laser Therapy Affect Recovery of Lingual and Inferior Alveolar Nerve Injuries? J Oral Maxillofac Surg. 2018;76(12):2669-675.
