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16.04.2018 | Original Article

Effect of photobiomodulation therapy on postoperative pain after endodontic treatment: a randomized, controlled, clinical study

verfasst von: Luana Pontes Barros Lopes, Fernando José Herkrath, Elizângela Cristina Barbosa Vianna, Erivan Clementino Gualberto Júnior, André Augusto Franco Marques, Emílio Carlos Sponchiado Júnior

Erschienen in: Clinical Oral Investigations | Ausgabe 1/2019

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Abstract

Objective

The aim of this prospective, randomized, clinical study was to assess the effect of photobiomodulation therapy (PBM) with low-level laser irradiation (LLLI) on postoperative pain after endodontic treatment.

Materials and methods

Sixty patients, diagnosed with irreversible pulpitis in lower molar teeth, participated in the study. All treatments were performed by a single operator. Participants were randomly divided into two groups: in the experimental group (EG), endodontic treatment was performed with a reciprocating system, immediately followed by PBM with LLLI; and only endodontic treatment was performed in the control group (CG). Postoperative pain was assessed by a second examiner, who was blinded, using two scales: verbal rating scale (VRS) and numerical rating scale (NRS). Assessment was carried out at 6, 12, and 24 h after treatment. Data were analyzed using chi-squared, Fisher’s exact, Mann-Whitney tests, ordinal, and non-parametric regression analyses.

Results

For the prevalence of pain, the difference between the groups was significant for the evaluations performed after 6 h (p = 0.04) and 24 h (p = 0.02). The difference after 24 h remained significant after stratification by sex and extrusion of filling material. Increased pain intensity was associated with extrusion of root canal filling material to the periapical region in the two scales used.

Conclusion

The effect of PBM therapy after endodontic treatment showed a significant decreasein prevalence of postoperative pain.

Clinical relevance

The PBM reduces the prevalence of postoperative pain and may benefit patients who need endodontic treatment.

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Titel: Effect of photobiomodulation therapy on postoperative pain after endodontic treatment: a randomized, controlled, clinical study
verfasst von: Luana Pontes Barros Lopes
Fernando José Herkrath
Elizângela Cristina Barbosa Vianna
Erivan Clementino Gualberto Júnior
André Augusto Franco Marques
Emílio Carlos Sponchiado Júnior
Publikationsdatum: 16.04.2018
Verlag: Springer Berlin Heidelberg
Erschienen in: Clinical Oral Investigations / Ausgabe 1/2019
Print ISSN: 1432-6981
Elektronische ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-018-2435-9

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Effect of photobiomodulation therapy on postoperative pain after endodontic treatment: a randomized, controlled, clinical study

Abstract

Objective

Materials and methods

Results

Conclusion

Clinical relevance

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Abstract

Objective

Materials and methods

Results

Conclusion

Clinical relevance

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