Photobiomodulation with 808nm laser associated with vitamin B12 as a strategy in the treatment of paresthesia of the inferior alveolar and lingual nerve arising from lower third molar extraction: a case report

Autores/as

  • Raysa Nyara da Silva Amorim Departament of Dental Clinic, Federal University of Juiz de Fora https://orcid.org/0000-0002-1761-6288
  • Gianluca Tenore Department of Oral and Maxillofacial Surgery, Sapienza University of Rome
  • Umberto Romeo Department of Oral and Maxillofacial Surgery, Sapienza University of Rome
  • Giulia Ferrari Department of Oral and Maxillofacial Surgery, Sapienza University of Rome
  • Marcos Vinicius Queiroz de Paula Departament of Dental Clinic, Federal University of Juiz de Fora

DOI:

https://doi.org/10.34019/1982-8047.2021.v47.34083

Palabras clave:

Nervo Mandibular, Nervo Lingual, Parestesia, Terapia com Luz de Baixa Intensidade, Vitamina B 12

Resumen

Introduction: Paresthesia is a neurosensitive disorder caused by an injury of the neural tissue. The advised treatment approaches for paresthesia are microsurgery, drug treatment, acupuncture, nerve decompression and  photobiomodulation (PBM). Studies have shown the influence of PBM on cellular metabolism, in order to exert a positive action at molecular levels, relieving pain, reducing nerve damage and accelerating neural tissue repair processes. Objective: To report a clinical case of a patient diagnosed with paresthesia submitted to PBM treatment and medication consisting of vitamin B12. Case Report: The patient reported sensory loss of the tongue, lips, lower alveolar ridge on the right side and hypogeusia in the immediate post operative care period. The patient was diagnosed with paresthesia of the inferior alveolar and lingual nerves and submitted to PBM treatment during a period of 6 months. Conclusion: PBM in the innervation pathway affected by paresthesia demonstrates effectiveness for sensory improvement. This work  illustrates treatment options that can be used in similar clinical manifestations.

Descargas

Los datos de descargas todavía no están disponibles.

Citas

Castro ALF, Miranda FP, Pedras RBN et al. Treatment the paresthesia of the inferior alveolar nerve and lingual after third molar inferior extraction: a literature review. Rev CROMG. 2015; 16(2):34-42.

Nakajima EK. Evaluation of low efficiency of laser: intensity of 808nm in the treatment of neurosensory deficiency after oral surgery. IPEN. 2009.

Almeida JLG, Medeiros GF, Flores FW et al. Application of laser therapy in paresthesia of the inferior alveolar nerve. Int Rev Cie FACOL. 2015; 1(3):115-27.

Miranda ECLS, Cavalcante EP, Brito JALS, et al. Management of mentual nerve paresthesia with lllt and nucleotides. Rev Cir Traumatol Buco-Maxilo-Fac. 2017; 17(4):18-25.

Ozen T, Orhan K, Gorur I. Efficacy of low level laser therapy on neurosensory recovery after injury to the inferior alveolar nerve. Head Face Med. 2006; 2(3):1-9.

Khullar MS, Brodin P. Preliminary study of low level laser for treatment of long-standing sensory aberrations in the inferior alveolar nerve. J Oral Maxillofac Surg. 1996; 54:2-7.

Buysse TAV, Piva FH, Omaña JO, et al. Laser therapy for neurosensory recovery after saggital split ramus osteotomy. Rev Esp Cir Oral y Maxilofac. 2017; 39:191-8.

Khadra M. The effect of low level laser irradiation on implant-tissue interaction. In vivo and in vitro studies. Swed Dent J. 2005; (172):1-63.

Rosa FM, Escobar CAB, Brusco LC. Paresthesia of the inferior and lingual alveolar nerves after third molar surgery. RGO. 2007; 55(3):291-5.

Oliveira PC, Sarmento VA, Provedel LF. Laser therapy for nerve injury regeneration: literature review. J Odonto. 2006; 14(27):111-6.

Fernandes-Neto JA, Simões TM, Batista AL, Lacerda-Santos JT, Palmeira PS, Catão MV. Laser therapy as treatment for oral paresthesia arising from mandibular third molar extraction. J Clin Exp Dent. 2007; 12(6):e603-e606.

Bittencourt MAV, Paranhos LR, Martins-Filho PRS. Low-level laser therapy for treatment of neurosensory disorders after orthognathic surgery: a systematic review of randomized clinical trials. Med Oral Patol Oral Cir Bucal.2017; 22:780-7.

Nguyen E, Grubor D, Chandu A. Risk factors for permanent injury of inferior alveolar and lingual nerves during third molar surgery. J Oral Maxillofac Surg. 2014; 72:2394-401.

Doh RM, Shin S, You TM. Delayed paresthesia of inferior alveolar nerve after dental surgery: case report and related pathophysiology. J Dent Anesth Pain Med. 2018; 18:177-82.

Publicado

2022-01-04

Cómo citar

1.
da Silva Amorim RN, Tenore G, Romeo U, Ferrari G, Queiroz de Paula MV. Photobiomodulation with 808nm laser associated with vitamin B12 as a strategy in the treatment of paresthesia of the inferior alveolar and lingual nerve arising from lower third molar extraction: a case report. HU Rev [Internet]. 4 de enero de 2022 [citado 18 de julio de 2024];47:1-8. Disponible en: https://periodicos.ufjf.br/index.php/hurevista/article/view/34083

Número

Sección

Relato de Caso

Artículos más leídos del mismo autor/a