LLLT and tooth avulsion: implications of LLLT in endodontic and periodontic procedures
DOI:
https://doi.org/10.21270/archi.v10i6.5058Keywords:
Terapia com Luz de Baixa Intensidade, Avulsão Dentária, Reimplante Dentário, Endodontia, PeriodontiaAbstract
Introduction: One of the major dental trauma that affects the population which leads to important consequences is tooth avulsion, characterized by complete exarticulation of the tooth out of its socket. As consequence of this trauma, periodontal ligament fibers, cementum and pulp are attacked and root resorption can occur. Due to the effectiveness of using low level laser therapy (LLLT) in periodontal and endodontic treatments, its use seems promising in cases of dental avulsion, which may increase success rates. Objective: Comprehensively review the literature to understand the LLLT's action on endodontic and periodontic treatments; present current and scientific knowledge about the effectiveness of LLLT in dental avulsion; and observe research failures on the topic. Literature review: LLLT reduces postoperative pain in primary and retreatment of the root canal, with a significantly greater decrease compared to anti-inflammatory drugs. In periodontics there is a reduction in bacteria and stones, neutralization of endotoxin and a decrease in the depth of bags. Few studies have evaluated its application in treatments for dental replantation. However, current literature demonstrated an improvement in healing, an increase in the thickness of the reactive dentin layer and a decrease in inflammation. Final considerations: LLLT irradiation promotes biochemical reactions, resulting in the stimulation of tissue repair, regeneration and reduction of inflammatory processes, which can be a promising treatment for cases of avulsion and dental replantation. Further researchers should be performed.
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Diangelis AJ, Andreasen JO, Ebeleseder KA, Kenny DJ, Trope M, Sigurdsson A et al. International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 1. Fractures and luxations of permanent teeth. Dent Traumatol. 2012;28(1):2-12.
Cantaloube D, Daupleix C, Chikhani L, Caucanas D. Sequelae of Dental Trauma: Forensic Medical Aspects. Rev Stomatol Chir Maxillofac. 2006;107(4):294-302.
Zaleckiene V, Peciuliene V, Brukiene V, Drukteinis S. Traumatic Dental Injuries: Etiology, Prevalence and Possible Outcomes. Stomatologija. 2014;16(1):7-14.
Lam R, Abbott P, Lloyd C, Lloyd C, Kruger E, Tennant M. Dental Trauma in an Australian Rural Centre Dent Traumatol. 2008;24(6):663-70.
Díaz JA, Bustos L, Brandt AC, Fernández BE. Dental injuries among children and adolescents aged 1-15 years attending to public hospital in Temuco, Chile. Dent Traumatol. 2010;26(3): 254-61.
Eyuboglu O, Yilmaz Y, Zehir C, Sahin H. A 6-year investigation into types of dental trauma treated in a paediatric dentistry clinic in eastern Anatolia region, Turkey. Dent Traumatol. 2009;25(1):110-14.
Andersson L , Andreasen JO, Day P, Heithersay G, Trope M, DiAngelis AJ et al. Guidelines for the Management of Traumatic Dental Injuries: 2. Avulsion of Permanent Teeth. Pediatr Dent. 2017;39(6):412-19.
Longo DL, Fumes AC, Küchler EC, Paula-Silva FWG, Nelson-Filho P, Silva LAB. Efficiency of different storage media for avulsed teeth in animal models: a systematic review. Dent Traumatol. 2018;34(1):12-19.
Chauhan R, Rasaratnam L, Alani A, Djemal S. Adult dental trauma: what should the dental practitioner know? Prim Dent J. 2016;5(3):70-81.
Moran I, James M, Cook W, Perry M. Tooth avulsion. BMJ. 2016;353:i1394.
Amaral MF, Almeida MM, Faria LP, Brandini DA, Poi WR, Okamoto R. Treatment of extrusive luxation in permanent teeth: literature review with systematic criteria. J Contemp Dent Pract. 2017;18(3):241-45.
Trope M. Protocol for treating the avulsed tooth. W V Dent J. 1996;70(2):19-23.
Hammarsröm L, Pierce A, Blomlöf L, Feiglin B, Lindskog S. Tooth avulsion and replantation--a review. Endod Dent Traumatol. 1986;2(1):1-8.
Christophersen P, Freund M, Harild L. Avulsion of primary teeth and sequelae on the permanent successors. Dent Traumatol. 2005; 21(6):320-23.
Giannetti L, Murri A, Vecci F, Gatto R. Dental Avulsion: Therapeutic protocols and oral health-related quality of life. Eur J Paediatr Dent. 2007;8(2):69-75.
Poi WR. Effect of low-level laser therapy on the healing process after tooth replantation: a histomorphometrical and immunohistochemical analysis. Dent Traumatol. 2011;27(1):30-9.
Andersson L, Andreasen JO, Day P, Heithersay G, Trope M, Diangelis AJ et al. International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 2. Avulsion of permanent teeth. Dent Traumatol. 2012;28(2):88-96.
Mortman RE. Technologic advances in endodontics. Dent Clin North Am. 2011;55(3): 461-80.
Carroll JD, Milward MR, Cooper PR, Hadis M, Palin WM. Developments in low level light therapy (LLLT) for dentistry. Dent Mater.2014; 30(5):465-75.
de Carvalho FB, Andrade AS, Barbosa AF, Aguiar MC, Cangussu MC, Pinheiro AL et al. Evaluation of laser phototherapy (λ 780 nm) after dental replantation in rats. Dent Traumatol. 2016;32(6):488-94.
de Santana DA, Fonseca GF, Ramalho LMP, Rodriguez TT, Aguiar MC. Effect of low-level laser therapy (λ780 nm) on the mechanically damaged dentin-pulp complex in a model of extrusive luxation in rat incisors. Lasers Med Sci. 201732(9):1995-2004.
Sathorn C, Parashos P, Messer H. The prevalence of postoperative pain and flare-up in single- and multiple-visit endodontic treatment: a systematic review. Int Endod J. 2008;41(2):91-9.
Chen Y, Chen XL, Zou XL, Chen SZ, Zou J, Wang Y. Efficacy of low-level laser therapy in pain management after root canal treatment or retreatment: a systematic review. Lasers Med Sci. 2019;34(7):1305-1316.
Nabi S, Amin K, Masoodi A, Farooq R, Purra AR, Ahangar FA. Effect of preoperative ibuprofen in controlling postendodontic pain with and without low-level laser therapy in single visit endodontics: A randomized clinical study. Indian J Dent Res. 2018;29(1):46-50.
Asnaashari M, Ashraf H, Daghayeghi AH, Mojahedi SM, Azari-Marhabi S. Management of post endodontic retreatment pain with low level laser therapy. J Lasers Med Sci. 2017;8(3):128-31.
Saito CT, Gulinelli JL, Panzarini SR, Garcia VG, Okamoto R, Okamoto T et al. Effect of low-level laser therapy on the healing process after tooth replantation: a histomorphometrical and immunohistochemical analysis. Dent Traumatol. 2011;27(1):30-9.
Metin R, Tatli U, Evlice B. Effects of low-level laser therapy on soft and hard tissue healing after endodontic surgery. Lasers Med Sci. 2018;33(8):1699-706.
Payer M, Jakse N, Pertl C, Truschnegg A, Lechner E, Eskici A. The clinical effect of LLLT in endodontic surgery: a prospective study on 72 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005;100(3):375-79.
Ansari G, Safi Aghdam H, Taheri P, Ghazizadeh Ahsaie M. Laser pulpotomy-an effective alternative to conventional techniques-a systematic review of literature and meta-analysis. Lasers Med Sci. 2018;33(8):1621-629.
Ansari G, Morovati SP, Asgary S. Evaluation of Four Pulpotomy Techniques in Primary Molars: A Randomized Controlled Trial. Iran Endod J. 2018;13(1):7-12.
Marques NC, Neto NL, Rodini Cde O, Fernandes AP, Sakai VT, Machado MA et al. Low-level laser therapy as an alternative for pulpotomy in human primary teeth. Lasers Med Sci. 2015;30(7):1815-22.
Bartold PM. Lifestyle and periodontitis: The emergence of personalized periodontics. Periodontol 2000. 2018;78(1):7-11.
Ren C, McGrath C, Jin L, Zhang C, Yang Y. The effectiveness of low-level laser therapy as an adjunct to non-surgical periodontal treatment: a meta-analysis. J Periodontal Res. 2017;52(1):8-20.
Gündoğar H, Şenyurt SZ, Erciyas K, Yalım M, Üstün K. The effect of low-level laser therapy on non-surgical periodontal treatment: a randomized controlled, single-blind, split-mouth clinical trial. Lasers Med Sci. 2016;31(9):1767-73.
Petrović MS, Kannosh IY, Milašin JM, Mihailović DS, Obradović RR, Bubanj SR et al. Clinical, microbiological and cytomorphometric evaluation of low-level laser therapy as an adjunct to periodontal therapy in patients with chronic periodontitis. Int J Dent Hyg. 2018;16(2):e120-27.
Low SB, Mott A. Laser technology to manage periodontal disease: a valid concept? J Evid Based Dent Pract. 2014;14(Suppl):154-59.