Fotobiomodulação no tratamento de distúrbios neurossensoriais em âmbito odontológico
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Publicado
Nov 16, 2024
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Resumo
Objetivo: Revisar o uso da laserterapia de baixa potência em distúrbios neurossensoriais em Odontologia. Métodos: Foi feita uma revisão integrativa na base de dados PubMed, resultando em 83 estudos, dos quais 65 foram excluídos, resultando em 18 estudos. Resultados: A maioria dos artigos foi produzida em 2020, com predominância de publicações da Ásia e Europa. Comprimentos de onda variaram de 632,5 nm a 1064 nm, destacando-se o uso do infravermelho. Os resultados foram avaliados pela escala visual analógica e monofilamentos de Semmes-Weinstein. O protocolo mais eficaz para o tratamento dos nervos alveolar inferior e lingual foi o uso de luz infravermelha a 830 nm; para o nervo facial, luz a 810 nm, com dose total de 324 J/cm² em 21 sessões. Na terapia para distúrbios do nervo trigêmeo, a combinação de luz vermelha a 618 nm com ozonoterapia a 75% promoveu melhor cicatrização e aumento das células de Schwann. Considerações finais: A laserterapia de baixa intensidade é uma ferramenta eficaz na recuperação funcional de nervos lesionados, contribuindo para a regeneração e melhora dos sintomas dos pacientes.
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Como Citar
HorizonteR. M. de O., PortoA. de M., SousaT. M. do C., GomesM. B., MascarenhasK. A. de C., BrancoL. T. de C., SobrinhoM. L. S., Furtado JúniorJ. H. de C., Pinho FilhoJ. E. T., & AguiarA. S. W. de. (2024). Fotobiomodulação no tratamento de distúrbios neurossensoriais em âmbito odontológico. Revista Eletrônica Acervo Saúde, 24(11), e17922. https://doi.org/10.25248/reas.e17922.2024
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Revisão Bibliográfica
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Referências
1. ALAYAT MS, et al. Effectiveness of multiwave locked system laser on the treatment of patients with idiopathic Bell's palsy: a randomized double-blind placebo controlled trial. Lasers Med Sci. 2022; 37(9): 3495-3502.
2. ALAYAT MS, et al. Efficacy of high and low level laser therapy in the treatment of Bell's palsy: a randomized double blind placebo-controlled trial. Lasers Med Sci. 2014; 29(1): 335-42.
3. AL-AZAB IM, et al. Effect of electromagnetic therapy versus low-level laser therapy on diabetic patients with trigeminal neuralgia: a randomized control trial. Eur J Phys Rehabil Med. 2023; 59(2): 183-191.
4. AN PG ZHAO JZ. Advance in Functional Restoration of Injured Nerve with Low Level Laser and its Utilization in the Dental and Maxillofacial Region. Chin Med Sci J. 2020; 35(3): 272-277.
5. BASHIRI S, et al. The effect of delayed photobiomodulation on neurosensory disturbance recovery after zygomatic trauma: A parallel controlled clinical trial. J Photochem Photobiol B. 2021; 217: 112153.
6. BUCHAIM DV, et al. The new heterologous fibrin sealant in combination with low-level laser therapy (LLLT) in the repair of the buccal branch of the facial nerve. Lasers Med Sci. 2016; 31(5): 965-72.
7. FEE LM. Success of surgical interventions for direct dental implant-related injuries to the mandibular nerve: a review. Br J Oral Maxillofac Surg. 2020; 58(7): 795-800.
8. FONTANA CR e BAGNATO VS. Low-level laser therapy in pediatric Bell's palsy: case report in a three-year-old child. J Altern Complement Med. 2013; 19(4): 376-82.
9. HAKIMIHA N, et al. 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.
10. LEE JH, et al. Photobiomodulation at a wavelength of 633 nm leads to faster functional recovery than 804 nm after facial nerve injury. J Biophotonics. 2021; 14(10): 202100159.
11. MARTINS DO, et al. Neurochemical effects of photobiostimulation in the trigeminal ganglion after inferior alveolar nerve injury. J Biol Regul Homeost Agents. 2017; 31(1): 147-152.
12. MARTINS DO, et al. Photobiomodulation and B vitamins administration produces antinociception in an orofacial pain model through the modulation of glial cells and cytokines expression. Brain Behav Immun Health. 2020; 2: 100040.
13. MILORO M e CRIDDLE TR. Does Low-Level Laser Therapy Affect Recovery of Lingual and Inferior Alveolar Nerve Injuries? J Oral Maxillofac Surg. 2018; 76(12): 2669-2675.
14. MOHAJERANI SH, et al. 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. J Craniofac Surg. 2017; 28(4): 408-411.
15. NOMA D, et al. Application of oxytocin with low-level laser irradiation suppresses the facilitation of cortical excitability by partial ligation of the infraorbital nerve in rats: An optical imaging study. Brain Res. 2020; 1728: 146588.
16. ORDAHAN B e KARAHAN AY. Role of low-level laser therapy added to facial expression exercises in patients with idiopathic facial (Bell's) palsy. Lasers Med Sci. 2017; 32(4): 931-936.
17. OZEN T, et al. Efficacy of low level laser therapy on neurosensory recovery after injury to the inferior alveolar nerve. Head Face Med. 2006; 2: 3.
18. POL R, et al. Effects of Superpulsed, Low-Level Laser Therapy on Neurosensory Recovery of the Inferior Alveolar Nerve. J Craniofac Surg. 2016; 27(5): 1215-9.
19. POLONI MM, et al. Bell's palsy treated with photobiomodulation in an adolescent: Rare case report and review of the published literature. Int J Paediatr Dent. 2018; 28(6): 658-662.
20. RAVERA S, et al. Mitochondrial Bioenergetic, Photobiomodulation and Trigeminal Branches Nerve Damage, What's the Connection? A Review. Int J Mol Sci. 2021; 22(9): 4347.
21. RODRIGUEZ, Christian Giancarlo Bernal et al. Photobiomodulation Therapy to Treat Facial Paralysis of 8 Years: Case Report. Photobiomodul Photomed Laser Surg. 2020; 38(8): 477-480.
22. SASAKI RT, et al. Effect of Laser Photobiomodulation with Gradual or Constant Doses in the Regeneration of Rats' Mental Nerve After Lesion by Compression. Photomed Laser Surg. 2017; 35(8): 408-414.
23. SHARIFI R, et al. Effect of photobiomodulation on recovery from neurosensory disturbances after sagittal split ramus osteotomy: a triple-blind randomised controlled trial. Br J Oral Maxillofac Surg. 2020; 58(5): 535-541.
24. TIMKO AM. Use of 1064 nm Nd:YAG Laser Biostimulation for Immediate Reversal of a Long-Standing Paresthesia of the Superior Labial Branch of the Infraorbital Nerve Following a Root Coverage Procedure: A Case Report. Clin Adv Periodontics. 2021; 11(2): 93-97.
25. VEITZ-KEENAN A e KEENAN JR. Trials needed to identify best management of iatrogenic inferior alveolar and lingual nerve injuries. Evid Based Dent. 2015; 16(1): 29.
26. YUCA Y, et al. The efficiency of ozone therapy and low-level laser therapy in rat facial nerve injury. J Craniomaxillofac Surg. 2020; 48(3): 308-314. doi: 10.1016/j.jcms.2020.01.017.
27. YUCESOY T, et al. Comparison of Ozone and PhotoBiomodulation Therapies on Mental Nerve Injury in Rats. J Oral Maxillofac Surg. 2017; 75(11): 2323-2332.
2. ALAYAT MS, et al. Efficacy of high and low level laser therapy in the treatment of Bell's palsy: a randomized double blind placebo-controlled trial. Lasers Med Sci. 2014; 29(1): 335-42.
3. AL-AZAB IM, et al. Effect of electromagnetic therapy versus low-level laser therapy on diabetic patients with trigeminal neuralgia: a randomized control trial. Eur J Phys Rehabil Med. 2023; 59(2): 183-191.
4. AN PG ZHAO JZ. Advance in Functional Restoration of Injured Nerve with Low Level Laser and its Utilization in the Dental and Maxillofacial Region. Chin Med Sci J. 2020; 35(3): 272-277.
5. BASHIRI S, et al. The effect of delayed photobiomodulation on neurosensory disturbance recovery after zygomatic trauma: A parallel controlled clinical trial. J Photochem Photobiol B. 2021; 217: 112153.
6. BUCHAIM DV, et al. The new heterologous fibrin sealant in combination with low-level laser therapy (LLLT) in the repair of the buccal branch of the facial nerve. Lasers Med Sci. 2016; 31(5): 965-72.
7. FEE LM. Success of surgical interventions for direct dental implant-related injuries to the mandibular nerve: a review. Br J Oral Maxillofac Surg. 2020; 58(7): 795-800.
8. FONTANA CR e BAGNATO VS. Low-level laser therapy in pediatric Bell's palsy: case report in a three-year-old child. J Altern Complement Med. 2013; 19(4): 376-82.
9. HAKIMIHA N, et al. 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.
10. LEE JH, et al. Photobiomodulation at a wavelength of 633 nm leads to faster functional recovery than 804 nm after facial nerve injury. J Biophotonics. 2021; 14(10): 202100159.
11. MARTINS DO, et al. Neurochemical effects of photobiostimulation in the trigeminal ganglion after inferior alveolar nerve injury. J Biol Regul Homeost Agents. 2017; 31(1): 147-152.
12. MARTINS DO, et al. Photobiomodulation and B vitamins administration produces antinociception in an orofacial pain model through the modulation of glial cells and cytokines expression. Brain Behav Immun Health. 2020; 2: 100040.
13. MILORO M e CRIDDLE TR. Does Low-Level Laser Therapy Affect Recovery of Lingual and Inferior Alveolar Nerve Injuries? J Oral Maxillofac Surg. 2018; 76(12): 2669-2675.
14. MOHAJERANI SH, et al. 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. J Craniofac Surg. 2017; 28(4): 408-411.
15. NOMA D, et al. Application of oxytocin with low-level laser irradiation suppresses the facilitation of cortical excitability by partial ligation of the infraorbital nerve in rats: An optical imaging study. Brain Res. 2020; 1728: 146588.
16. ORDAHAN B e KARAHAN AY. Role of low-level laser therapy added to facial expression exercises in patients with idiopathic facial (Bell's) palsy. Lasers Med Sci. 2017; 32(4): 931-936.
17. OZEN T, et al. Efficacy of low level laser therapy on neurosensory recovery after injury to the inferior alveolar nerve. Head Face Med. 2006; 2: 3.
18. POL R, et al. Effects of Superpulsed, Low-Level Laser Therapy on Neurosensory Recovery of the Inferior Alveolar Nerve. J Craniofac Surg. 2016; 27(5): 1215-9.
19. POLONI MM, et al. Bell's palsy treated with photobiomodulation in an adolescent: Rare case report and review of the published literature. Int J Paediatr Dent. 2018; 28(6): 658-662.
20. RAVERA S, et al. Mitochondrial Bioenergetic, Photobiomodulation and Trigeminal Branches Nerve Damage, What's the Connection? A Review. Int J Mol Sci. 2021; 22(9): 4347.
21. RODRIGUEZ, Christian Giancarlo Bernal et al. Photobiomodulation Therapy to Treat Facial Paralysis of 8 Years: Case Report. Photobiomodul Photomed Laser Surg. 2020; 38(8): 477-480.
22. SASAKI RT, et al. Effect of Laser Photobiomodulation with Gradual or Constant Doses in the Regeneration of Rats' Mental Nerve After Lesion by Compression. Photomed Laser Surg. 2017; 35(8): 408-414.
23. SHARIFI R, et al. Effect of photobiomodulation on recovery from neurosensory disturbances after sagittal split ramus osteotomy: a triple-blind randomised controlled trial. Br J Oral Maxillofac Surg. 2020; 58(5): 535-541.
24. TIMKO AM. Use of 1064 nm Nd:YAG Laser Biostimulation for Immediate Reversal of a Long-Standing Paresthesia of the Superior Labial Branch of the Infraorbital Nerve Following a Root Coverage Procedure: A Case Report. Clin Adv Periodontics. 2021; 11(2): 93-97.
25. VEITZ-KEENAN A e KEENAN JR. Trials needed to identify best management of iatrogenic inferior alveolar and lingual nerve injuries. Evid Based Dent. 2015; 16(1): 29.
26. YUCA Y, et al. The efficiency of ozone therapy and low-level laser therapy in rat facial nerve injury. J Craniomaxillofac Surg. 2020; 48(3): 308-314. doi: 10.1016/j.jcms.2020.01.017.
27. YUCESOY T, et al. Comparison of Ozone and PhotoBiomodulation Therapies on Mental Nerve Injury in Rats. J Oral Maxillofac Surg. 2017; 75(11): 2323-2332.