Effect of Low-level Light Therapy on Post-operative Healing of Secondary Chronic Osteomyelitis of the Jaws - A Prospective Study

Author:

Kekovic Vladan1,Schicho Kurt2,Perisanidis Christos3,Mikovic Nikola1,Stanimirovic Dragan4,Soldatovic Ivan5,Sinobad Vladimir1

Affiliation:

1. Department of Maxillofacial Surgery, Faculty of Dentistry, University of Belgrade, Belgrade, Serbia

2. Department of Cranio-Maxillofacial Surgery, AKH University Hospital, Vienna, Austria

3. Department of Oral and Maxillofacial Surgery, School of Dentistry, Athens, Greece

4. Department of Periodontics and Oral Medicine, University of Belgrade, Belgrade, Serbia

5. Department of Biomedical Statistics, University of Belgrade, Belgrade, Serbia

Abstract

Abstract Introduction: Osteomyelitis of the jaws is a common disease of the maxillofacial region. The goal of treatment is to alleviate pain, reduce infection, inhibit the progression of the disease and induce bone and mucosal healing. In addition to surgical management and antibiotic and oxygen hyperbaric therapy, new therapeutic strategies for the treatment of osteomyelitis are developed. One of the novel approaches is photobiomodulation therapy or low-level light therapy (LLLT). Materials and Methods: After surgical treatment, experimental group patients (n = 4) were treated with LLLT for five sessions with an extraoral pulsed 635-nm LED lamp (Repuls7, Repuls Lichtmedizintechnik GmbH, Austria), maximum output power: 140 mW/cm2, frequency: 2.5 Hz, duty cycle: 50%. Clinical achievement and patient pain perception (through Visual Analogue Scale score) were evaluated at 1-, 3- and 6-month follow-up appointments and compared with control group (n = 4) patients, treated with standard therapy. Results: At three and six months, clinical achievement was better in patients treated with LLLT. Pain and discomfort resolution was significantly greater in the experimental group. Discussion: Taking into consideration the results of this study, it can be concluded that LLLT shows potential for improving clinical outcome of surgical and medical treatment of secondary chronic osteomyelitis of the jaws. Furthermore, pain and discomfort were significantly reduced in patients treated with LLLT. Further research with a larger sample size is needed to obtain a more accurate insight into this promising field.

Publisher

Medknow

Subject

Oral Surgery,Surgery

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