Laser Therapy in the Treatment of Patients with Oral Paresthesia: a review of clinical trials

Resumo

Abstract

The aim of this article was to review the parameters and results of clinical trials about the use of laser therapy in the treatment of oral paresthesia. The search for the studies was performed using specific descriptors in February 2019 in the PubMed database, including articles published until February 2019, without restriction of language and country of study. The studies were selected from pre-established inclusion criteria and underwent a screening based on exclusion of duplicate studies, reading of the titles, abstracts and complete article. A total of 52 articles were found in the database, but only 7 randomized controlled trials were included according to the inclusion criteria. A variety of laser therapy protocols and assessment methods were used, however all studies reported improvement of sensorineural disorders to varying degrees and periods with the use of low intensity laser therapy. Despite the wide range of parameters found in the studies, the scientific literature has demonstrated that low intensity laser therapy is a useful therapy in the treatment of oral paresthesia. However, it is important to note that more research is still needed.

Keywords: Lasers. Paresthesia. Oral Surgery. Phototherapy. Low-Level Light Therapy.

Resumo

O objetivo desse artigo foi realizar uma revisão dos parâmetros e resultados encontrados de ensaios clínicos sobre o uso da laserterapia no tratamento da parestesia oral. A busca dos estudos foi realizada utilizando descritores específicos em fevereiro de 2019 na base de dados PubMed, incluindo artigos publicados até fevereiro de 2019, sem restrição de idioma e país de estudo. Os estudos foram selecionados a partir de critérios de inclusão preestabelecidos e passaram por uma triagem baseada em exclusão de estudos duplicados, leitura dos títulos, resumos e artigo completo. Um total de 52 artigos foi encontrado na base de dados, porém apenas 7 ensaios clínicos randomizados foram incluídos no presente estudo, por atenderem aos critérios de inclusão. Uma variedade de protocolos de laserterapia e métodos de avaliação foram utilizados, no entanto todos os estudos relataram melhora dos distúrbios neurossensoriais em diversos graus e períodos com o uso da laserterapia de baixa intensidade.  Apesar da grande variedade de parâmetros encontrados nos estudos, a literatura científica tem demonstrado que a laserterapia de baixa intensidade é uma terapia útil no tratamento da parestesia oral. Porém, é importante pontuar que mais pesquisas ainda são necessárias.

 Palavras-chave: Lasers. Parestesia. Cirurgia Bucal. Fototerapia. Terapia a Laser de Baixa Intensidade.

Biografia do Autor

José de Alencar Fernandes Neto, Universidade Estadual da Paraíba
Doutorando em Odontologia do Programa de Pós-Graduação em Odontologia da Universidade Estadual da Paraíba.
Maria Helena Chaves de Vasconcelos Catão, Universidade Estadual da Paraíba
Professora Doutora do Programa de Pós-Graduação em Odontologia da Universidade Estadual da Paraíba.

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Publicado
2020-05-28
Seção
Artigos