Type of Article : Original Research
Year: 2016 | Volume 4 | Issue 4 | Page No. 1578-1582
Date of Publication: 11-08-2016
DOI: 10.16965/ijpr.2016.121
EFFECT OF LOW LEVEL LASER THERAPY AND LOW INTENSITY PULSED ULTRASOUND ON PAIN FOLLOWING TOOTH EXTRACTION: A SINGLE BLINDED STUDY
Anil R. Muragod 1, Kartik Vijay Swami *2, Reshma Vijay Thachiladi 3.
1 Assistant Professor, HOD of Geriatrics Physiotherapy, KLEU Institute of Physiotherapy, Belagavi, Karnataka, India.
*2 Physiotherapist, KLEU Institute of Physiotherapy, Belagavi, Karnataka, India.
3 Physiotherapist, KLEU Institute of Physiotherapy, Belagavi, Karnataka, India.
E-Mail: kartikvswami@gmail.com
Background: Tooth extraction can affect the quality of life of patients during the initial postoperative days. After tooth extraction, traditionally analgesics like NSAIDs are given which has certain degree of side effects for which an alternative therapy was needed to minimize them. Thus the study was intended to know the effectiveness of LLLT and LIPUS when compared with traditional analgesic therapy following tooth extraction.
Materials and Methods: 40 subjects were included in the study according to the fulfillment of the inclusion and exclusion criteria. Subjects were randomly allocated into one of the four groups using envelope method. Group A received medications along with intra-oral infra-red laser with wavelength of 655 nm. Group B received medications along placebo laser therapy, Group C received medications along low intensity pulsed ultrasound of ratio 1:4 and frequency 1MHz. Group D received medications along placebo ultrasound. Therapy was given for three consecutive days. Pain level was measured before the first session of treatment (24hr after extraction) and then after third session of treatment (72hr after extraction) using Visual analogue scale(VAS).
Results: All the groups show significant reduction in pain with p-value 0.0050, 0.0050, 0.0050, 0.0052 for group A, B, C, D respectively. Although there was slight better effect in group C (p-0.0050) as compared to group D (p-0.0052)
Conclusion: The present study concluded that Low intensity pulsed ultrasound was found to be more effective as compared to the placebo- Low intensity pulsed ultrasound, Low level laser therapy and placebo- Low level laser therapy. There was significant difference in pain scores in all four groups. Low intensity pulsed ultrasound and Low level laser therapy can be used as an adjunct therapy in the routine treatment after tooth extraction.
Key Words: Low Intensity Pulsed Ultrasound (LIPUS), Low Level Laser Therapy (LLTT), Premolar Tooth Extraction, Visual Analogue Scale (VAS), Non-Steroidal Anti-Inflammatory Drugs (NSAID).
References
- Nelson S. Wheeler's Anatomy, Physiology and Occlusion. 9thedn. Saunders; 2010:1-5.
- Scheid R, Woelfel J. Woelfel's. Dental anatomy.8th edition: Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins Health; 2012:1-25.
- Howe G. The extraction of teeth. 2nd ed. Pennsylvania State University: J. Wright; 1974:1-20.
- Val Robertson, Alexward, John low & Ann Reed. Electrotherapy explained- Principles and practice. Elsevier. 4th Edition. Chapter 9 &.16: 2012: 251-305:477-494.
- Bolton, P, Young< S, Dyson, M. The direct effect of 860nm light on cell proliferation and on succinic dehydrogenase activity of human fibroblast in vitro. Laser therapy 1995;7:55-60
- Castro, DJ, Abergel, P, Meeker ,C et al. Effect of Nd-yangon DNA synthesis and collagen production in human skin fibroblast culture. Annals of plastic surgery 1983;11:214-222.
- Bosatra ,M, Jucci, A, Olliano , P et al. In vitro fibroblast and dermis fibroblast activation by laser irradiation at low energy. Dermatologica 1994;168:157-62.
- Tim Watson. Electrotherapy-evidence based practice. Churchill Livingstone. 12th Edition, Chapter 11-12.2008:161-200.
- Val Robertson, Alexward, John low & Ann Reed. Electrotherapy explained- Principles and practice. Elsevier. 4th Edition. Chapter 9 &.16: 2012: 251-305:477-494.
- Colorado-Bonnin M, Valmaseda-Castellón E, Berini-Aytés L, Gay-Escoda C. Quality of life following lower third molar removal. International journal of oral and maxillofacial surgery. 2006 Apr 30;35(4):343-7.
- Fekrazad R, Chiniforush N, Bouraima SA, Valipour M, Aslani M, Zare M, Ashtiani Safari O. Low Level Laser Therapy in Management of Complications after Intra Oral Surgeries. J Lasers Med Sci 2012; 3(4):135-40.
- Shiraishi R, Masaki C, Toshinaga A, Okinaga T, Nishihara T, Yamanaka N, Nakamoto T, Hosokawa R. The effects of low-intensity pulsed ultrasound exposure on gingival cells. Journal of periodontology. 2011 Oct;82(10):1498-503.
- Kaur S, Narain A, Kapoor V, Singh J. Comparative Effect of Ultrasound Therapy and Laser Therapy for Relief of Pain, Swelling and Trismus Following Third Molar Surgeries. IOSRJDMS. 2014;13(4):63-72.
Anil R. Muragod, Kartik Vijay Swami, Reshma Vijay Thachiladi. EFFECT OF LOW LEVEL LASER THERAPY AND LOW INTENSITY PULSED ULTRASOUND ON PAIN FOLLOWING TOOTH EXTRACTION: A SINGLE BLINDED STUDY. Int J Physiother Res 2016;4(4):1578-1582. DOI: 10.16965/ijpr.2016.121