International Journal of Clinical Pediatric Dentistry

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VOLUME 7 , ISSUE 2 ( May-August, 2014 ) > List of Articles

CASE REPORT

Alternative Approach to the Management of Postoperative Pain after Pediatric Surgical Procedures

Marco Paschoal, Juliana Souza, Lourdes Santos-Pinto, Cyneu Pansani

Keywords : Low-level laser therapy, Pediatric dentistry, Post-operative pain

Citation Information : Paschoal M, Souza J, Santos-Pinto L, Pansani C. Alternative Approach to the Management of Postoperative Pain after Pediatric Surgical Procedures. Int J Clin Pediatr Dent 2014; 7 (2):125-129.

DOI: 10.5005/jp-journals-10005-1249

License: CC BY-NC 4.0

Published Online: 01-08-2014

Copyright Statement:  Copyright © 2014; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim: This paper reports two clinical cases in which the application of low-level laser therapy (LLLT) enhanced the postoperative symptoms after pediatric surgical procedures. Background: The uses of novel technologies allow more comfort to the patients and ensure a rapid procedure, and LLLT application has shown a positive effect in the prevention of discomfort after invasive procedures. Case description: Low-level laser therapy protocol was applied after surgical removal of supernumerary tooth and frenectomy resulting in less swallow and pain with no need of medication intake. Conclusion: The laser application was well accepted by both children and parents and showed a clinical efficiency in the follow-up examinations beyond the satisfactory quality of wound healing. Clinical significance: The LLLT approach is an excellent adjuvant therapy resource for delivery an optimal postoperative after surgical procedures in children.


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  1. Aitken JC, Wilson S, Coury D, Moursi A. The effect of music distraction on pain, anxiety and behavior in pediatric dental patients. Pediatr Dent 2002;24(2):114-118.
  2. Abrahamsson KH, Hakeberg M, Stenman J, Ohrn K. Dental beliefs: evaluation of the Swedish version of the revised dental beliefs survey in different patient groups and in a nonclinical student sample. Eur J Oral Sci 2006;114(3):209-215.
  3. Tate AR, Acs G. Dental postoperative pain management in children. Dent Clin North Am 2002;46(4):707-717.
  4. Fisher SE, Frame JW, Rout PGJ, McEntegart BJ. Factors affecting the onset and severity of pain following the surgical removal of unilateral impacted mandibular third molar teeth. Br Dent J 1988;164(11):351-354.
  5. Walsh LJ. The current status of low level laser therapy in dentistry. Part 1. Soft tissue applications. Aust Dent J 1997;42(4):247-254.
  6. Sun G, Tuner J. Low-level laser therapy in dentistry. Dent Clin North Am 2004;48(4):1061-1076.
  7. Conlan MJ, Rapley JW, Cobb CM. Bioestimulation of wound healing by low-energy laser irradiation: a review. J Clin Periodontol 1996;26(5):492-496.
  8. Basford JR. Low intensity laser therapy: still not a established clinical tool. Lasers Surg Med 1995;16(4):331-342.
  9. Byrnes KR, Tsuchyia K, Rochkind S. Cellular invasion following spinal cord lesion and low power laser irradiation. Lasers Surg Med 2002;S14:11.
  10. Rochkind S, Shahar A, Nevo Z. An innovative approach to induce regeneration and the repair of spinal cord injury. Laser Therapy 1997;9(4):151.
  11. Kreisler MB, Al Haj H, Noroozi N, Willershausen B, d ‘ Hoedt B. Efficacy of low level laser therapy in reducing postoperative pain after endodontic surgery: a randomized double-blind clinical study. Int J Oral Maxillofac Surg 2004;33(1):38-41.
  12. Roynesdal AK, Bjornland T, Barkvoll P, Haanaes HR. The effect of soft laser application on postoperative pain and swelling: a double-blind cross-over study. Int J Oral Maxillofac Surg 1993;22(4):242-245.
  13. Youssef M, Ashkar S, Hamade E, Gutknecht N, Lampert F, Mir M. The effect of low-level laser therapy during orthodontic movement: a preliminary study. Lasers Med Sci 2008;23(1):27-33.
  14. Parker S. Low-level laser use in dentistry. Br Dent J 2007;202(3): 131-138.
  15. Gontyia G, Bhatnagar S, Mohandas U, Galgali SR. Laser-assisted gingivectomy in pediatric patients: a novel alternative treatment. J Ind Soc Ped Prev Dent 2001;29(3):264-269.
  16. Ngan P, Kess B, Wilson S. Perception of discomfort by patients undergoing orthodontic treatment. Am J Orthod 1999;96(1):47-53.
  17. Gal P, Mokry M, Vidinsky. Effect of equal daily doses achieved by different power densities of low level laser therapy at 635 nm on open skin wound healing in normal and corticosteroid-treated rats. Lasers Med Sci 2009;24(4):539-547.
  18. Gal P, Vidinsky B, Toporcer T. Histological assessment of the effect of laser irradiation on skin wound healing in rats. Photomed Laser Surg 2006;24(4):480-448.
  19. Ozcelik O, Cenk Haytac M, Kunin A, Seydaoglu G. Improved wound healing by low-level laser irradiation after gingivectomy operations: a controlled clinical pilot study. J Clin Periodontol 2008;35(3):250-254.
  20. Abramoff MM, Lopes NN, Lopes LA, Dib LL, Guilherme A, Caran EM, Barreto AD, Lee ML, Petrilli AS. Low-level laser therapy in the prevention and treatment of chemotherapyinduced oral mucositis in young patients. Photomed Laser Surg 2008;26(4):393-400.
  21. Gorur I, Orhan K, Can-Karabulut DC, Orhan Al, Ozturk A. Low level laser therapy effects in traumatized permanent teeth with extrusive luxation in a orthodontic patient. Angle Orthod 2010;80(5):968-974.
  22. Olivi G, Caprioglio C, Genovese MD. Lasers in dental traumatology. Eur J Pediatr Dent 2010;11(2):71-76.
  23. Romanos GE, Nentwig GH. Present and future of lasers in oral soft tissue surgery: clinical application. J Clin Laser Med Surg 1996;14(4):179-84.
  24. Machado MAMM, Sakai VT, Silva TC, Tessaroli V, Carvalho FP, Moretti ABS, Santos CF, Oliveira TM. Therapeutic laser in surgical procedures of pediatric dentistry: case reports. J Oral Laser Appl 2010;10(5):175-180.
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