Journal of Dental Anesthesia and Pain Medicine

  • 제23권4호
  • /
  • Pages.229-236
  • /
  • 2023
  • /
  • 2383-9309(pISSN)
  • /
  • 2383-9317(eISSN)
대한치과마취과학회 (The Korean Dental Society of Anesthsiology)
권호 표지
DOI QR코드

DOI QR Code

Comparative evaluation of photobiomodulation therapy at 660 and 810 nm wavelengths on the soft tissue local anesthesia reversal in pediatric dentistry: an in-vivo study

  • Ankita Annu (Department of Pediatric & Preventive Dentistry, Bharati Vidyapeeth Dental College & Hospital, Bharati Vidyapeeth (Deemed to be) University) ;
  • Sujatha Paranna (Department of Pediatric & Preventive Dentistry, Bharati Vidyapeeth Dental College & Hospital, Bharati Vidyapeeth (Deemed to be) University) ;
  • Anil T. Patil (Department of Pediatric & Preventive Dentistry, Bharati Vidyapeeth Dental College & Hospital, Bharati Vidyapeeth (Deemed to be) University) ;
  • Sandhyarani B. (Department of Pediatric & Preventive Dentistry, Bharati Vidyapeeth Dental College & Hospital, Bharati Vidyapeeth (Deemed to be) University) ;
  • Adhithi Prakash (Department of Pediatric & Preventive Dentistry, Bharati Vidyapeeth Dental College & Hospital, Bharati Vidyapeeth (Deemed to be) University) ;
  • Renuka Rajesh Bhurke (Department of Pediatric & Preventive Dentistry, Bharati Vidyapeeth Dental College & Hospital, Bharati Vidyapeeth (Deemed to be) University)
  • 투고 : 2023.05.02
  • 심사 : 2023.06.13
  • 발행 : 2023.08.01
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Background: Local anesthesia has been reliably used to control pain during dental procedures and is important in pediatric dentistry. However, children occasionally complain of prolonged numbness after dental treatment, leading to several problems. Studies conducted to reverse the effect of local anesthesia using phentolamine mesylate and photobiomodulation therapy (PBM) are encouraging but limited. PBM is a type of light therapy that utilizes visible and near-infrared non-ionizing electromagnetic spectral light sources. Hence, this study used this modality to compare the reversal of local anesthesia at two different wavelengths. This study compared the effect of PBM at 660 and 810 nm wavelengths on the reversal of soft tissue local anesthesia using a diode LASER in pediatric dentistry. Method: Informed consent and assent were obtained, and the participants were then divided randomly into three groups of 20 children each: control group-without LASER irradiation, LASER irradiation at 660 nm, and LASER irradiation at 810 nm. Sixty children aged 4-8 years with deciduous mandibular molars indicated for pulp therapy were administered an inferior alveolar nerve block. After 45 min of injection, a duration that was similar to the approximate duration of treatment, they were exposed to 660- and 810-nm LASER irradiation according to their groups until reversal of local anesthesia was achieved. The control group did not undergo LASER irradiation. The reversal of the soft tissue local anesthetic effect was evaluated using palpation and pin prick tests every 15 min, and the LASER irradiation cycle continued until reversal of the soft tissue local anesthesia was achieved. Results: A significant reduction of 55.5 min (27.6%) in the mean soft tissue local anesthesia reversal time was observed after the application of 810 nm wavelength PBM and 69 min (34.7%) after 660 nm wavelength LASER irradiation. Conclusion: PBM with a 660 nm wavelength was more effective in reducing the mean soft tissue local anesthesia reversal duration, and thus can be used as a reversal agent for soft tissue local anesthesia in pediatric dentistry.

키워드

참고문헌

  1. Staman NM, Townsend JA, Hagan JL. Observational study: discomfort following dental procedures for children. Pediatr Dent 2013; 35: 52-54.
  2. Dodwad R, Raghu KN, Kaslekar M, Shetty V, Antony A, Salma U et al. Local anesthesia reversal- a review. Int J Oral Health Dent 2021; 7: 89-93. https://doi.org/10.18231/j.ijohd.2021.020
  3. College C, Feigal R, Wandera A, Strange M. Bilateral versus unilateral mandibular block anesthesia in a pediatric population. Pediatr Dent. 2000; 22: 453-7.
  4. Adewumi A, Hall M, Guelmann M, Riley J. The incidence of adverse reactions following 4% septocaine (articaine) in children. Pediatr Dent 2008; 30: 424-8.
  5. Hersh EV, Hermann DG, Lamp CJ, Johnson PD, MacAfee KA. Assessing the duration of mandibular soft tissue anesthesia. J Am Dent Assoc 1995; 126: 1531-6. https://doi.org/10.14219/jada.archive.1995.0082
  6. Seraj B, Ghadimi S, Hakimiha N, Kharazifard MJ, Hosseini Z. Assessment of photobiomodulation therapy by an 8l0-nm diode laser on the reversal of soft tissue local anesthesia in pediatric dentistry: a preliminary randomized clinical trial. Lasers Med Sci 2020; 35: 465-71. https://doi.org/10.1007/s10103-019-02850-0
  7. de Freitas LF, Hamblin MR. Proposed mechanisms of photobiomodulation or low-level light therapy. IEEE J Sel Top Quantum Electron 2016; 22: 7000417.
  8. Hamblin MR. Photobiomodulation or low-level laser therapy. J Biophotonics 2016; 9: 1122-4. https://doi.org/10.1002/jbio.201670113
  9. Pick RM, Pecaro BC. Use of the CO2 laser in soft tissue dental surgery. Lasers Surg Med 1987; 7: 207-13. https://doi.org/10.1002/lsm.1900070213
  10. Caprioglio C, Olivi G, Genovese MD. Paediatric laser dentistry. Part 1: general introduction. Eur J Paediatr Dent 2017; 18: 80-2.
  11. Genovese MD, Olivi G. Laser in paediatric dentistry: patient acceptance of hard and soft tissue therapy. Eur J Paediatr Dent 2008; 9: 13-17.
  12. Keszler A, Lindemer B, Weihrauch D, Jones D, Hogg N, Lohr NL. Red/near infrared light stimulates release of an endothelium dependent vasodilator and rescues vascular dysfunction in a diabetes model. Free Radic Biol Med 2017; 113: 157-64. https://doi.org/10.1016/j.freeradbiomed.2017.09.012
  13. Ihsan FR. Low-level laser therapy accelerates collateral circulation and enhances microcirculation. Photomed Laser Surg 2005; 23: 289-94. https://doi.org/10.1089/pho.2005.23.289
  14. Uozumi Y, Nawashiro H, Sato S, Kawauchi S, Shima K, Kikuchi M. Targeted increase in cerebral blood flow by transcranial near-infrared laser irradiation. Lasers Surg Med 2010; 42: 566-76. https://doi.org/10.1002/lsm.20938
  15. Tavares M, Goodson JM, Studen-Pavlovich D, Yagiela JA, Navalta LA, Rogy S, et al. Reversal of soft-tissue local anesthesia with phentolamine mesylate in pediatric patients. J Am Dent Assoc 2008; 139: 1095-1104. https://doi.org/10.14219/jada.archive.2008.0312
  16. Sreekumar K, Bhargava D. Comparison of onset and duration of action of soft tissue and pulpal anesthesia with three volumes of 4% articaine with 1:100,000 epinephrine in maxillary infiltration anesthesia. Oral Maxillofac Surg 2011; 15: 195-9. https://doi.org/10.1007/s10006-011-0275-8
  17. Chi D, Kanellis M, Himadi E, Asselin ME. Lip biting in a pediatric dental patient after dental local anesthesia: a case report. J Pediatr Nurs 2008; 23: 490-3. https://doi.org/10.1016/j.pedn.2008.02.035
  18. Hersh EV, Lindemeyer R, Berg JH, Casamassimo PS, Chin J, Marberger A, et al. Phase four, randomized, double-blinded, controlled trial of phentolamine mesylate in two- to five-year-old dental Patients. Pediatr Dent 2017; 39: 39-45.
  19. Gal D, Chokshi SK, Mosseri M, Clarke RH, Isner JM. Percutaneous delivery of low-level Laser energy reverses histamine-induced spasm in atherosclerotic Yucatan microswine. Circulation 1992; 85: 756-8. https://doi.org/10.1161/01.CIR.85.2.756
  20. Hamblin MR. Mechanisms and mitochondrial redox signaling in photobiomodulation. Photochem Photobiol 2018; 94: 199-212. https://doi.org/10.1111/php.12864
  21. Farivar S, Malekshahabi T, Shiari R. Biological effects of low level laser therapy. J Lasers Med Sci 2014; 5: 58-62.
  22. Maegawa Y, Itoh T, Hosokawa T, Yaegashi K, Nishi M. Effects of near-infrared low-level laser irradiation on microcirculation. Lasers Surg Med 2000; 27: 427-37. https://doi.org/10.1002/1096-9101(2000)27:5<427::AID-LSM1004>3.0.CO;2-A
  23. Kubota J. Effects of diode laser therapy on blood flow in axial pattern flaps in the rat model. Lasers Med Sci 2002; 17: 146-53. https://doi.org/10.1007/s101030200024