Influência da laserterapia no alívio da dor, redução do edema e trismo pós exodontia do terceiro molar inferior: uma revisão sistemática
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Tipo de documento: | Tese |
Idioma: | por |
Título da fonte: | Biblioteca Digital de Teses e Dissertações da USC |
Texto Completo: | http://tede2.usc.br:8080/jspui/handle/tede/371 |
Resumo: | This study aimed to perform a systematic review of the literature in order to prove the potential influence of laser therapy on the levels of pain, trismus, and edema after lower third molar extractions. PubMed (including MedLine), Scopus, Web of Science, SciELO, and Latin American and Caribbean Health Sciences (LILACS) databases were used as primary sources of studies. GoogleScholar and OpenGrey were used to search the "grey literature". The methodology of the studies selected was assessed by the MAStARI quality tool - instrument that evaluates the quality of randomized and quasi-randomized clinical trials. Quantitative results of the measuring of parameters after lower third molar extraction, such as pain, edema, and trismus, were considered main outcomes. The search performed in the electronic databases resulted in a set of 676 studies, from which 14 were selected for assessment according to eligibility criteria. Seven studies were excluded for not providing accurate quantitative measurements regarding the three clinical parameters analyzed, and one article was excluded for using a type of luminous source different from low level laser. Thus, six studies were selected for qualitative review. There was a certain degree of heterogeneity among the studies included, which showed differences regarding the following methodology requirements: study design, postoperative medication, laser therapy protocol (type of laser, power, energy, region, and frequency of irradiation), and clinical parameters analyzed (pain, mouth opening, and edema). LASER therapy was effective for reducing pain, trismus, and edema in half of the studies included, therefore, there is no sufficient conclusive evidence that low lever laser therapy is effective for that treatment. The performance of further studies with an individualized methodology pattern focusing on total randomized clinical trials is required |
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Rivera, Luciana Monti Limahttp://lattes.cnpq.br/2266664215187987M.4-803.209665.176.136-68http://lattes.cnpq.br/2524494703508069Souza, José Maria Ferreira de2017-11-28T18:50:40Z2017-01-24SOUZA, José Maria Ferreira de. Influência da laserterapia no alívio da dor, redução do edema e trismo pós exodontia do terceiro molar inferior: uma revisão sistemática. 2017. 62 f. Tese (Doutorado em Biologia Oral) - Universidade do Sagrado Coração, Bauru, 2017.http://tede2.usc.br:8080/jspui/handle/tede/371This study aimed to perform a systematic review of the literature in order to prove the potential influence of laser therapy on the levels of pain, trismus, and edema after lower third molar extractions. PubMed (including MedLine), Scopus, Web of Science, SciELO, and Latin American and Caribbean Health Sciences (LILACS) databases were used as primary sources of studies. GoogleScholar and OpenGrey were used to search the "grey literature". The methodology of the studies selected was assessed by the MAStARI quality tool - instrument that evaluates the quality of randomized and quasi-randomized clinical trials. Quantitative results of the measuring of parameters after lower third molar extraction, such as pain, edema, and trismus, were considered main outcomes. The search performed in the electronic databases resulted in a set of 676 studies, from which 14 were selected for assessment according to eligibility criteria. Seven studies were excluded for not providing accurate quantitative measurements regarding the three clinical parameters analyzed, and one article was excluded for using a type of luminous source different from low level laser. Thus, six studies were selected for qualitative review. There was a certain degree of heterogeneity among the studies included, which showed differences regarding the following methodology requirements: study design, postoperative medication, laser therapy protocol (type of laser, power, energy, region, and frequency of irradiation), and clinical parameters analyzed (pain, mouth opening, and edema). LASER therapy was effective for reducing pain, trismus, and edema in half of the studies included, therefore, there is no sufficient conclusive evidence that low lever laser therapy is effective for that treatment. The performance of further studies with an individualized methodology pattern focusing on total randomized clinical trials is requiredO objetivo do presente estudo foi realizar uma revisão sistemática da literatura a fim de evidenciar a possível influência da laserterapia nos níveis de dor, trismo e edema após a exodontia dos terceiros molares.Foram utilizadas como fontes de estudos primárias as bases de dados PubMed (incluindo MedLine), Scopus, Web of Science, SciELO, and Latin American and Caribbean Health Sciences (LILACS). O Google Scholar e o OpenGrey foram utilizados para buscar a “literatura cinzenta”. A metodologia dos estudos selecionados foi avaliada por meio da ferramenta de qualidade MAStARI - instrumento para avaliar a qualidade dos ensaios clínicos radomizados e quase-randomizados. Resultados quantitativos da mensuração dos parâmetros pós-exodontia do terceiro molar inferior como dor, edema e trismo, foram considerados os principais desfechos.A busca realizada nas bases de dados eletrônicas resultou em um conjunto de 676 estudos, sendo selecionados 14 estudos para avaliação de acordo com os critérios de elegibilidade. Sete estudos foram excluídos por não fornecerem mensurações quantitativas precisas com relação aos três parâmetros clínicos analisados, e um artigo foi excluído por ter comprimento de onda no infravermelho. Dessa forma, seis estudos foram selecionados para revisão qualitativa. Houve certo grau de heterogeneidade entre os estudos inclusos, os quais mostraram diferenças quanto aos seguintes quesitos metodológicos: desenho experimentados estudos, medicação pós-operatória, protocolo da laserterapia (tipo de LASER, potência, energia, região e periodicidade de irradiação) e parâmetros clínicos analisados (dor, abertura bucal e edema). A laserterapia foi eficaz na redução da dor, trismo e edema em metade dos estudos inclusos, portanto, não há evidência conclusiva suficiente de que a laserterapia de baixa intensidade seja eficaz para tal finalidade.Faz-se necessário a realização de mais estudos com um padrão metodológico individualizado focando em ensaios clínicos totalmente randomizadosSubmitted by Laudeceia Machado (laudeceia.machado@usc.br) on 2017-11-28T18:50:40Z No. of bitstreams: 1 Influencia da laserterapia no alivio da dor, reducao do edema e trismo pos exodontia do terceiro molar inferior - uma revisao sistematica (211942).pdf: 931657 bytes, checksum: 219961e736cd8a1ecefad96c847f0bb0 (MD5)Made available in DSpace on 2017-11-28T18:50:40Z (GMT). No. of bitstreams: 1 Influencia da laserterapia no alivio da dor, reducao do edema e trismo pos exodontia do terceiro molar inferior - uma revisao sistematica (211942).pdf: 931657 bytes, checksum: 219961e736cd8a1ecefad96c847f0bb0 (MD5) Previous issue date: 2017-01-24application/pdfporUniversidade do Sagrado CoraçãoBiologia OralUSCBrasilCiências da Saúde e BiológicasLaserCirurgia bucalTerceiro molarLaserOral SurgeryThird MolarCIENCIAS DA SAUDE::ODONTOLOGIAInfluência da laserterapia no alívio da dor, redução do edema e trismo pós exodontia do terceiro molar inferior: uma revisão sistemáticaInfluence of laser therapy on pain relief, edema reduction and trismus post-discharge of the lower third molar: a systematic reviewinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/doctoralThesis8043334104093724546600600600-753428887677182963-2070498469879244349info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da USCinstname:Universidade do Sagrado Coração (USC)instacron:USCORIGINALInfluencia da laserterapia no alivio da dor, reducao do edema e trismo pos exodontia do terceiro molar inferior - uma revisao sistematica (211942).pdfInfluencia da laserterapia no alivio da dor, reducao do edema e trismo pos exodontia do terceiro molar inferior - uma revisao sistematica (211942).pdfapplication/pdf931657http://localhost:8080/tede/bitstream/tede/371/2/Influencia+da+laserterapia+no+alivio+da+dor%2C+reducao+do+edema+e+trismo+pos+exodontia+do+terceiro+molar+inferior+-+uma+revisao+sistematica+%28211942%29.pdf219961e736cd8a1ecefad96c847f0bb0MD52LICENSElicense.txtlicense.txttext/plain; charset=utf-82165http://localhost:8080/tede/bitstream/tede/371/1/license.txtbd3efa91386c1718a7f26a329fdcb468MD51tede/3712017-11-28 16:50:40.07oai:localhost: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Biblioteca Digital de Teses e Dissertaçõeshttps://tede2.usc.br:8443/http://tede2.usc.br:8080/oai/requestbiblicorjesu@unisagrado.edu.br||normalizacao@usc.bropendoar:2017-11-28T18:50:40Biblioteca Digital de Teses e Dissertações da USC - Universidade do Sagrado Coração (USC)false |
dc.title.eng.fl_str_mv |
Influência da laserterapia no alívio da dor, redução do edema e trismo pós exodontia do terceiro molar inferior: uma revisão sistemática |
dc.title.alternative.eng.fl_str_mv |
Influence of laser therapy on pain relief, edema reduction and trismus post-discharge of the lower third molar: a systematic review |
title |
Influência da laserterapia no alívio da dor, redução do edema e trismo pós exodontia do terceiro molar inferior: uma revisão sistemática |
spellingShingle |
Influência da laserterapia no alívio da dor, redução do edema e trismo pós exodontia do terceiro molar inferior: uma revisão sistemática Souza, José Maria Ferreira de Laser Cirurgia bucal Terceiro molar Laser Oral Surgery Third Molar CIENCIAS DA SAUDE::ODONTOLOGIA |
title_short |
Influência da laserterapia no alívio da dor, redução do edema e trismo pós exodontia do terceiro molar inferior: uma revisão sistemática |
title_full |
Influência da laserterapia no alívio da dor, redução do edema e trismo pós exodontia do terceiro molar inferior: uma revisão sistemática |
title_fullStr |
Influência da laserterapia no alívio da dor, redução do edema e trismo pós exodontia do terceiro molar inferior: uma revisão sistemática |
title_full_unstemmed |
Influência da laserterapia no alívio da dor, redução do edema e trismo pós exodontia do terceiro molar inferior: uma revisão sistemática |
title_sort |
Influência da laserterapia no alívio da dor, redução do edema e trismo pós exodontia do terceiro molar inferior: uma revisão sistemática |
author |
Souza, José Maria Ferreira de |
author_facet |
Souza, José Maria Ferreira de |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Rivera, Luciana Monti Lima |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/2266664215187987 |
dc.contributor.authorID.fl_str_mv |
M.4-803.209 665.176.136-68 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/2524494703508069 |
dc.contributor.author.fl_str_mv |
Souza, José Maria Ferreira de |
contributor_str_mv |
Rivera, Luciana Monti Lima |
dc.subject.por.fl_str_mv |
Laser Cirurgia bucal Terceiro molar |
topic |
Laser Cirurgia bucal Terceiro molar Laser Oral Surgery Third Molar CIENCIAS DA SAUDE::ODONTOLOGIA |
dc.subject.eng.fl_str_mv |
Laser Oral Surgery Third Molar |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE::ODONTOLOGIA |
description |
This study aimed to perform a systematic review of the literature in order to prove the potential influence of laser therapy on the levels of pain, trismus, and edema after lower third molar extractions. PubMed (including MedLine), Scopus, Web of Science, SciELO, and Latin American and Caribbean Health Sciences (LILACS) databases were used as primary sources of studies. GoogleScholar and OpenGrey were used to search the "grey literature". The methodology of the studies selected was assessed by the MAStARI quality tool - instrument that evaluates the quality of randomized and quasi-randomized clinical trials. Quantitative results of the measuring of parameters after lower third molar extraction, such as pain, edema, and trismus, were considered main outcomes. The search performed in the electronic databases resulted in a set of 676 studies, from which 14 were selected for assessment according to eligibility criteria. Seven studies were excluded for not providing accurate quantitative measurements regarding the three clinical parameters analyzed, and one article was excluded for using a type of luminous source different from low level laser. Thus, six studies were selected for qualitative review. There was a certain degree of heterogeneity among the studies included, which showed differences regarding the following methodology requirements: study design, postoperative medication, laser therapy protocol (type of laser, power, energy, region, and frequency of irradiation), and clinical parameters analyzed (pain, mouth opening, and edema). LASER therapy was effective for reducing pain, trismus, and edema in half of the studies included, therefore, there is no sufficient conclusive evidence that low lever laser therapy is effective for that treatment. The performance of further studies with an individualized methodology pattern focusing on total randomized clinical trials is required |
publishDate |
2017 |
dc.date.accessioned.fl_str_mv |
2017-11-28T18:50:40Z |
dc.date.issued.fl_str_mv |
2017-01-24 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/doctoralThesis |
format |
doctoralThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
SOUZA, José Maria Ferreira de. Influência da laserterapia no alívio da dor, redução do edema e trismo pós exodontia do terceiro molar inferior: uma revisão sistemática. 2017. 62 f. Tese (Doutorado em Biologia Oral) - Universidade do Sagrado Coração, Bauru, 2017. |
dc.identifier.uri.fl_str_mv |
http://tede2.usc.br:8080/jspui/handle/tede/371 |
identifier_str_mv |
SOUZA, José Maria Ferreira de. Influência da laserterapia no alívio da dor, redução do edema e trismo pós exodontia do terceiro molar inferior: uma revisão sistemática. 2017. 62 f. Tese (Doutorado em Biologia Oral) - Universidade do Sagrado Coração, Bauru, 2017. |
url |
http://tede2.usc.br:8080/jspui/handle/tede/371 |
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por |
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por |
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8043334104093724546 |
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600 600 600 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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Universidade do Sagrado Coração |
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Biologia Oral |
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USC |
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Brasil |
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Ciências da Saúde e Biológicas |
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Universidade do Sagrado Coração |
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