Low-level laser therapy using laser diode 940 nm in the mandibular impacted third molar surgery: double-blind randomized clinical trial.

BACKGROUND: The effect of low-level laser therapy (LLLT) on pain mitigation following the third molar surgery is still controversial. The absence of a standard method for using laser among the studies is related to the types of sample selection, sample size, control, and LLLT parameters, which make pain mitigation following surgery more controversial. Therefore, this study aimed to determine the effect of LLLT on reducing pain, swelling, and trismus following the mandibular impacted third molar surgery. METHODS: This study was performed on 25 healthy subjects. After the surgery, amoxicillin 500 mg was prescribed every 8 h for a 7-day period besides oral Ibuprofen (Gelofen) 400 mg every 12 h for a 3-day period. The intraoral Laser diode 940 nm was applied immediately after suture on the tested side, while on the placebo side, a fiber tip was used with no laser radiation following surgery. Eventually, the pain score was evaluated by VAS index from the 1st to the 7th-day post-surgery and then analyzed by SPSS 24. RESULTS: The results indicate that the mean swelling and trismus before, during, 2 days after, and 7 days after the intervention did not differ significantly between the two studied groups. However, the results show that on the sixth and seventh days, the pain was significantly lower in the intervention group compared to the control group. CONCLUSIONS: The results suggest that although the pain, swelling, and trismus following surgery were lower on the radiated side, only pain was found to be significant on the radiated side (p < 0.05). The registration number of the clinical trial in a Primary Registry in the WHO Registry Network is IRCT20141209020258N110 and the date of retrospective registration is 04/05/2019. The related URL is https://www.irct.ir/trial/36321 .

Effect of direct electric current on parietal bone osteogenesis.

INTRODUCTION: It has been shown that biphasic electric stimuli may be effective in stimulation of bone growth. This study aimed to evaluate the role of direct electric current on osteogenesis of the parietal bone in a canine model. MATERIALS AND METHODS: After surgical implantation of assembly involving 3 electrodes in the parietal bones in 5 adult male dogs, 20-MA direct electric current was applied. As a control group, a neutral assembly was implanted on the contralateral side of the calvaria.After 45 days of implantation, through a second surgical procedure, the bone samples were taken off the implantation sites and subjected to histologic evaluation. The data were analyzed with SPSS 16 software package (SPSS Inc., Chicago, IL) using Chi-squared and Fisher exact tests. RESULTS: The bony tissues from all tissue sample sites were viable. Foreign body reaction that was documented by the presence of giant cells was observed in all samples. Histologic evaluation of samples revealed no statistically significant difference with respect to inflammatory reaction, bony trabecular thickness, bone arrangement, and maturation among the 3 electrode types (P > 0.05). CONCLUSIONS: Direct electric stimulation of the parietal bone in this canine model revealed no statistically significant difference with respect to inflammatory reaction, bony trabecular thickness, bone arrangement, and maturation.