PERFIL DOS ESTUDOS SOBRE A ANALGESIA COM O LASER DE BAIXA INTENSIDADE NA CLÍNICA ODONTOLÓGICA: REVISÃO SISTEMATIZADA DA LITERATURA
Palavras-chave:
Cirurgia bucal. Dentística operatória. Medicina bucal. Odontopediatria. Síndrome da disfunção temporomandibular.Ortodontia.Resumo
O objetivo deste trabalho foi traçar o perfil dos estudos entre as diversas especialidades clínicas
odontológicas, quantificando a produção científica acerca do tema nas especialidades, bem como mostrando as principais indicações clínicas do laser terapêutico para o Cirurgião-Dentista.Foi realizada uma revisão
sistematizada de artigos científicos publicados sobre o estudo da terapia a laser de baixa intensidade com
finalidade analgésica na clínica odontológica.A busca envolveu as seguintes bases de dados: BIREME,
Cochrane Library, LILACS, PubMed/Medline e SciELO. O período de busca compreendeu os anos entre
1992 e 2012. Houve prevalência para investigações clínicas (84,1%), seguido por revisões simples (10,8%)
e revisões sistemáticas (5,1%). As especialidades com maior expressão de publicações foram a Estomatologia (36,3%) e a especialidade da Disfunção Temporomandibular(24,8%).Com base na busca realizada,
ficou evidente que houve um significante avanço no uso da laserterapia na clínica odontológica. Os estudos
publicados na área indicam que o laser de baixa intensidade pode apresentar efeitos clínicos favoráveis aos
pacientes, fundamentando a sua utilização por partedo Cirurgião-Dentista.
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Referências
1. VALE, N.B. Adjuvantandalternative analgesia. RevBrasAnestesiol,v.56, n.5, p.530-555, 2006.
2. CAVALCANTI,T.M.; CATÃO, M.H.C.V.;
LINS, R.D.A.U.et al. Knowledge of the physical
properties and interaction of laser with biological tissue in dentistry. AnBrasDermatol, v.86, n.5,
p.955-960, 2011.
3. HENRIQUES,A.C.G.; MAIA, A.M.A.;
CIMÕES, R.et al. The lasertherapy in Dentistry:
properties, indications and current aspects. OdontologiaClín-Científ, v.7, n.3, p.197-200, 2008.
4. B R I G N A R D E L L O - P E T E R S E N , R . ;
CARRASCO-LABRA, A.; YANINE, N.et al. Is adjuvant laser therapy effective for preventing pain,
swelling, and trismus after surgical removal of impacted mandibular third molars? A systematic review and meta-analysis.J Oral MaxillofacSurg,v.70,
n.8, p.1789-1801, 2012.
5. CARRASCO, T.G.; MAZZETTO, M.O.;
MAZZETTO, R.G.et al. Low intensity laser therapy in temporomandibular disorder: a phase II double-blind study. Cranio,v.26, n.4, p.274-281, 2008.
2008;26(4):274-81.
6. OTON-LEITE,A.F.; CORRÊA DE CASTRO, A.C. MORAIS, M.O.et al. Effect of intraoral
low-level laser therapy on quality of life of patients
with head and neck cancer undergoing radiotherapy. Head Neck. v.34, n.3, p.398-404, 2012.
7. PASCHOAL, M.A.; SANTOS-PINTO, L.
Therapeutic effects of low-level laser therapy after premolar extraction in adolescents: a randomized double-blind clinical trial. Photomed Laser
Surg,v.30, n.9, p.559-564, 2012.
8. SHINTOME, L.K.; UMETSUBO, L.S.;
NAGAYASSU, M.P.et al. Clinical evaluation of
lasertherapy on dentin hypersensitivity treatment.
CiencOdontol Bras,v.10, n.1, p.26-33, 2007.
9. TURHANI, D.;SCHERIAU, M.;KAPRAL,
D.et al. Pain relief by single low-level laser irradiation in orthodontic patients undergoing fixed appliance therapy. Am J OrthodDentofacialOrthop,v.130,
n.3, p.371-377.
10. LINS,R.D.A.U.; LUCENA, K.C.R.;
GRANVILLE-GARCIA, A.F.et al. Biostimulation
effects of low-power laser in the repair process. An
Bras Dermatol, v.85, n.6, p.849-855, 2010.
11. El Dib, R.P. How to practice evidence-based
medicine.JVascBras, v.6, n.1, p.1-4, 2007.
12. ARORA,H.; PAI, K.M.; MAIYA, A.et al.
Efficacy of He-Ne Laser in the prevention and treatment of radiotherapy-induced oral mucositis in oral
cancer patients. Oral Surg Oral Med Oral Pathol
Oral Radio Endod,v.105, n.2, p.180-186, 2008.
13. G E N O T - K L A S T E R S K Y ,
M.T.;KLASTERSKY, J.;AWADA, F.et al. The use
of low-energy laser (LEL) for the prevention of
chemotherapy- and/or radiotherapy-induced oral
mucositis in cancer patients: results from two prospective studies. Support Care Cancer, v.16, n.12,
p.1381-1387, 2008.
14. SCHUBERT, M.M.;EDUARDO,
F.P.;GUTHRIE, K.A.et al. A phase III randomized
double-blind placebo-controlled clinical trial to determine the efficacy of low level laser therapy for
the prevention of oral mucositis in patients undergoing hematopoietic cell transplantation. Support
Care Cancer,v.15, n.10, p.1145-1154, 2007.
15. CAFARO, A.;ALBANESE, G.;ARDUINO,
P.G.et al. Effect of low-level laser irradiation on
unresponsive oral lichen planus: early preliminary
results in 13 patients. Photomed Laser Surg,v.28,
suppl 2, p.99-103, 2010.
16. JAJARM, H.H.;FALAKI, F.;MAHDAVI,
O. A comparative pilot study of low intensity laser versus topical corticosteroids in the treatment
of erosive-atrophic oral lichen planus.Photomed
Laser Surg,v.29, n.6, p.421-425, 2011.
17. MINICUCCI, E.M.;MIOT,
H.A.;BARRAVIERA, S.R.et al. Low-level laser
therapy on the treatment of oral and cutaneous
pemphigus vulgaris: case report. Lasers Med Sci,
v.27, n.5, p.1103-1106, 2012.
18. SANTOS, L.F.;CARVALHO, A.A.;LEÃO,
J.C.et al. Effect of low-level laser therapy in the
treatment of burning mouth syndrome: a case series. Photomed Laser Surg, v.29, n.12, p.793-796,
2011.
19. YANG, H.W.; HUANG, Y.F. Treatment of
burning mouth syndrome with a low-level energy
diode laser. Photomed Laser Surg,v.29, n.2, p.123-
125, 2011.
20. MAIA, M.L.;BONJARDIM,
L.R.;QUINTANS, J. DE. S.et al. Effect of lowlevel laser therapy on pain levels in patients with
temporomandibular disorders: a systematic review.
J Appl Oral Sci,v.20, n.6, p.594-602, 2012.
21. SILVA, M.A.;BOTELHO, A.L.;TURIM,
C.V.et al. Low level laser therapy as an adjunctive
technique in the management of temporomandibular disorders. Cranio, v.30, n.4, p.264-271, 2012.
22. PETRUCCI, A.;SGOLASTRA, F.;GATTO,
R.et al. Effectiveness of low-level laser therapy in
temporomandibular disorders: a systematic review
and meta-analysis. J Orofac Pain,v.25, n.4, p.298-
307, 2011.
23. BJORDAL, J.M.;COUPPÉ, C.CHOW,
R.T.et al. A systematic review of low level laser
therapy with location-specific doses for pain from
chronic joint disorders.Aust J Physiother,v.49, n.2,
p.107-116, 2003.
24. ÖZ, S.;GÖKÇEN-RÖHLIG,
B.;SARUHANOGLU, A.et al. Management of
myofascial pain: low-level laser therapy versus occlusal splints.J CraniofacSurg, v.21, n.6, p.1722-
1728, 2010.
25. TENGRUNGSUN, T.;MITRIATTANAKUL,
S.;BURANAPRASERTSUK, P.;et al. Is low level
laser effective for the treatment of orofacial pain?:
A systematic review. Cranio, v.30, n.4, p.280-285,
2012.
26. SHIRANI, A.M.;GUTKNECHT,
N.;TAGHIZADEH, M.et al. Low-level laser therapy and myofacial pain dysfunction syndrome: a
randomized controlled clinical trial. Lasers Med
Sci,v.24, n.5, p.715-720, 2009.
27. BICAKCI, A.A.;KOCOGLU-ALTAN,
B.;TOKER, H.et al. Efficiency of low-level laser
therapy in reducing pain induced by orthodontic
forces. Photomed Laser Surg, v.30, n.8. p.460-465,
2012.
28. DOSHI-MEHTA, G., BHAD-PATIL, W.A.
Efficacy of low-intensity laser therapy in reducing
treatment time and orthodontic pain: A clinical investigation. Am J OrthodDentofacial Orthop.v.141,
n.3, p.289-297, 2012.
29. ESPER, M.A.;NICOLAU, R.A.;ARISAWA,
E.A. The effect of two phototherapy protocols on
pain control in orthodontic procedure - a preliminary clinical study.Lasers Med Sci,v.26, n.5, p.657-
663, 2011.
30. FUJIYAMA, K.; DEGUCHI, T.; MURAKAMI, T.et al. Clinical effect of CO2 laser in reducing pain in Orthodontics.Angle Orthod, v.8, n.2,
p.299-303, 2008.
31. LIM, H.M.;LEW, K.K.;TAY, D.K. A clinical
investigation of the efficacy of low level laser therapy in reducing orthodontic postadjustment pain.
Am J OrthodDentofacial Orthop,v.108, n.6, p.614-
622, 1995.
32. TORTAMANO, A.;LENZI,
D.C.;HADDAD, A.C.et al. Low-level laser therapy for pain caused by placement of the first orthodontic archwire: a randomized clinical trial. Am
J OrthodDentofacialOrthop,v.135, n.5, p.662-667,
2009.
33. YOUSSEF, M.;ASHKAR, S.;HAMADE,
E.et al. The effect of low-level laser therapy during
orthodontic movement: a preliminary study. Lasers
Med Sci,v.23, n.1, p.27-33, 2008.
34. BARBOSA,K.G.N.; SAMPAIO, T.P.D.;
REBOUÇAS, P.R.M.et al. Analgesia during orthodontic treatment with low intensity laser: systematic review. Rev Dor,v.14, n.2, p.137-141, 2013.
35. MARKOVIĆ, A.B.;TODOROVIĆ, L. Postoperative analgesia after lower third molar surgery:
contribution of the use of long-acting local anesthetics, low-power laser, and diclofenac. Oral Surg
Oral Med Oral Pathol Oral Radio Endod,v.102,
n.5, p.e4-8, 2006.
36. FERRANTE, M.;PETRINI, M.;TRENTINI,
P.et al.Effect of low-level laser therapy after extraction of impacted lower third molars. Lasers Med
Sci, v.28, n.3, p.845-849, 2013.
37. A M A R I L L A S - E S C O B A R ,
E.D . ; T O R A N Z O - F E R N Á N D E Z ,
J.M.;MARTÍNEZ-RIDER, R.et al. Use of therapeutic laser after surgical removal of impacted lower third molars. J Oral MaxillofacSurg,v.68, n.2,
p.319-324, 2010.
38. LÓPEZ-RAMÍREZ, M.;VÍLCHEZ-PÉREZ, M.A.;GARGALLO-ALBIOL, J.et al. Efficacy of low-level laser therapy in the management
of pain, facial swelling, and postoperative trismus
after a lower third molar extraction. A preliminary
study.Laser Med Sci,v.27, n.3, p.559-566.
39. NOYA,M.S.; BEZERRA, R.B.; LOPES,
J.L.;et al. Clinical evaluation of the immediate
effectiveness of GaAlAs laser on the therapy of
dentin hypersensitivity. J Appl Oral Sci,v.12, n.4,
p.363-366, 2004.
40. GENTILE, L.C.; GREGUI, S.L.A. Clinical
evaluation of dentin hypersensitivity treatment with
the low intensity galliumaluminum-arsenide laser –
AsGaAl.J Appl Oral Sci,v.12, n.4, p.267-272, 2004.
41. LADALARDO,T.C.C.G.P.; PINHEIRO, A.;
CAMPOS, R.A.C.et al. Laser therapy in the treatment of dentine hypersensitivity. Braz Dent J,v.15,
n.2, p.144-150, 2004.
42.CAUWELS, R.G.;MARTENS, L.C. Low level laser therapy in oral mucositis: a pilot study.
EurArchPaediatrDent,v.12, n.2, p.118-123, 2011.
2. CAVALCANTI,T.M.; CATÃO, M.H.C.V.;
LINS, R.D.A.U.et al. Knowledge of the physical
properties and interaction of laser with biological tissue in dentistry. AnBrasDermatol, v.86, n.5,
p.955-960, 2011.
3. HENRIQUES,A.C.G.; MAIA, A.M.A.;
CIMÕES, R.et al. The lasertherapy in Dentistry:
properties, indications and current aspects. OdontologiaClín-Científ, v.7, n.3, p.197-200, 2008.
4. B R I G N A R D E L L O - P E T E R S E N , R . ;
CARRASCO-LABRA, A.; YANINE, N.et al. Is adjuvant laser therapy effective for preventing pain,
swelling, and trismus after surgical removal of impacted mandibular third molars? A systematic review and meta-analysis.J Oral MaxillofacSurg,v.70,
n.8, p.1789-1801, 2012.
5. CARRASCO, T.G.; MAZZETTO, M.O.;
MAZZETTO, R.G.et al. Low intensity laser therapy in temporomandibular disorder: a phase II double-blind study. Cranio,v.26, n.4, p.274-281, 2008.
2008;26(4):274-81.
6. OTON-LEITE,A.F.; CORRÊA DE CASTRO, A.C. MORAIS, M.O.et al. Effect of intraoral
low-level laser therapy on quality of life of patients
with head and neck cancer undergoing radiotherapy. Head Neck. v.34, n.3, p.398-404, 2012.
7. PASCHOAL, M.A.; SANTOS-PINTO, L.
Therapeutic effects of low-level laser therapy after premolar extraction in adolescents: a randomized double-blind clinical trial. Photomed Laser
Surg,v.30, n.9, p.559-564, 2012.
8. SHINTOME, L.K.; UMETSUBO, L.S.;
NAGAYASSU, M.P.et al. Clinical evaluation of
lasertherapy on dentin hypersensitivity treatment.
CiencOdontol Bras,v.10, n.1, p.26-33, 2007.
9. TURHANI, D.;SCHERIAU, M.;KAPRAL,
D.et al. Pain relief by single low-level laser irradiation in orthodontic patients undergoing fixed appliance therapy. Am J OrthodDentofacialOrthop,v.130,
n.3, p.371-377.
10. LINS,R.D.A.U.; LUCENA, K.C.R.;
GRANVILLE-GARCIA, A.F.et al. Biostimulation
effects of low-power laser in the repair process. An
Bras Dermatol, v.85, n.6, p.849-855, 2010.
11. El Dib, R.P. How to practice evidence-based
medicine.JVascBras, v.6, n.1, p.1-4, 2007.
12. ARORA,H.; PAI, K.M.; MAIYA, A.et al.
Efficacy of He-Ne Laser in the prevention and treatment of radiotherapy-induced oral mucositis in oral
cancer patients. Oral Surg Oral Med Oral Pathol
Oral Radio Endod,v.105, n.2, p.180-186, 2008.
13. G E N O T - K L A S T E R S K Y ,
M.T.;KLASTERSKY, J.;AWADA, F.et al. The use
of low-energy laser (LEL) for the prevention of
chemotherapy- and/or radiotherapy-induced oral
mucositis in cancer patients: results from two prospective studies. Support Care Cancer, v.16, n.12,
p.1381-1387, 2008.
14. SCHUBERT, M.M.;EDUARDO,
F.P.;GUTHRIE, K.A.et al. A phase III randomized
double-blind placebo-controlled clinical trial to determine the efficacy of low level laser therapy for
the prevention of oral mucositis in patients undergoing hematopoietic cell transplantation. Support
Care Cancer,v.15, n.10, p.1145-1154, 2007.
15. CAFARO, A.;ALBANESE, G.;ARDUINO,
P.G.et al. Effect of low-level laser irradiation on
unresponsive oral lichen planus: early preliminary
results in 13 patients. Photomed Laser Surg,v.28,
suppl 2, p.99-103, 2010.
16. JAJARM, H.H.;FALAKI, F.;MAHDAVI,
O. A comparative pilot study of low intensity laser versus topical corticosteroids in the treatment
of erosive-atrophic oral lichen planus.Photomed
Laser Surg,v.29, n.6, p.421-425, 2011.
17. MINICUCCI, E.M.;MIOT,
H.A.;BARRAVIERA, S.R.et al. Low-level laser
therapy on the treatment of oral and cutaneous
pemphigus vulgaris: case report. Lasers Med Sci,
v.27, n.5, p.1103-1106, 2012.
18. SANTOS, L.F.;CARVALHO, A.A.;LEÃO,
J.C.et al. Effect of low-level laser therapy in the
treatment of burning mouth syndrome: a case series. Photomed Laser Surg, v.29, n.12, p.793-796,
2011.
19. YANG, H.W.; HUANG, Y.F. Treatment of
burning mouth syndrome with a low-level energy
diode laser. Photomed Laser Surg,v.29, n.2, p.123-
125, 2011.
20. MAIA, M.L.;BONJARDIM,
L.R.;QUINTANS, J. DE. S.et al. Effect of lowlevel laser therapy on pain levels in patients with
temporomandibular disorders: a systematic review.
J Appl Oral Sci,v.20, n.6, p.594-602, 2012.
21. SILVA, M.A.;BOTELHO, A.L.;TURIM,
C.V.et al. Low level laser therapy as an adjunctive
technique in the management of temporomandibular disorders. Cranio, v.30, n.4, p.264-271, 2012.
22. PETRUCCI, A.;SGOLASTRA, F.;GATTO,
R.et al. Effectiveness of low-level laser therapy in
temporomandibular disorders: a systematic review
and meta-analysis. J Orofac Pain,v.25, n.4, p.298-
307, 2011.
23. BJORDAL, J.M.;COUPPÉ, C.CHOW,
R.T.et al. A systematic review of low level laser
therapy with location-specific doses for pain from
chronic joint disorders.Aust J Physiother,v.49, n.2,
p.107-116, 2003.
24. ÖZ, S.;GÖKÇEN-RÖHLIG,
B.;SARUHANOGLU, A.et al. Management of
myofascial pain: low-level laser therapy versus occlusal splints.J CraniofacSurg, v.21, n.6, p.1722-
1728, 2010.
25. TENGRUNGSUN, T.;MITRIATTANAKUL,
S.;BURANAPRASERTSUK, P.;et al. Is low level
laser effective for the treatment of orofacial pain?:
A systematic review. Cranio, v.30, n.4, p.280-285,
2012.
26. SHIRANI, A.M.;GUTKNECHT,
N.;TAGHIZADEH, M.et al. Low-level laser therapy and myofacial pain dysfunction syndrome: a
randomized controlled clinical trial. Lasers Med
Sci,v.24, n.5, p.715-720, 2009.
27. BICAKCI, A.A.;KOCOGLU-ALTAN,
B.;TOKER, H.et al. Efficiency of low-level laser
therapy in reducing pain induced by orthodontic
forces. Photomed Laser Surg, v.30, n.8. p.460-465,
2012.
28. DOSHI-MEHTA, G., BHAD-PATIL, W.A.
Efficacy of low-intensity laser therapy in reducing
treatment time and orthodontic pain: A clinical investigation. Am J OrthodDentofacial Orthop.v.141,
n.3, p.289-297, 2012.
29. ESPER, M.A.;NICOLAU, R.A.;ARISAWA,
E.A. The effect of two phototherapy protocols on
pain control in orthodontic procedure - a preliminary clinical study.Lasers Med Sci,v.26, n.5, p.657-
663, 2011.
30. FUJIYAMA, K.; DEGUCHI, T.; MURAKAMI, T.et al. Clinical effect of CO2 laser in reducing pain in Orthodontics.Angle Orthod, v.8, n.2,
p.299-303, 2008.
31. LIM, H.M.;LEW, K.K.;TAY, D.K. A clinical
investigation of the efficacy of low level laser therapy in reducing orthodontic postadjustment pain.
Am J OrthodDentofacial Orthop,v.108, n.6, p.614-
622, 1995.
32. TORTAMANO, A.;LENZI,
D.C.;HADDAD, A.C.et al. Low-level laser therapy for pain caused by placement of the first orthodontic archwire: a randomized clinical trial. Am
J OrthodDentofacialOrthop,v.135, n.5, p.662-667,
2009.
33. YOUSSEF, M.;ASHKAR, S.;HAMADE,
E.et al. The effect of low-level laser therapy during
orthodontic movement: a preliminary study. Lasers
Med Sci,v.23, n.1, p.27-33, 2008.
34. BARBOSA,K.G.N.; SAMPAIO, T.P.D.;
REBOUÇAS, P.R.M.et al. Analgesia during orthodontic treatment with low intensity laser: systematic review. Rev Dor,v.14, n.2, p.137-141, 2013.
35. MARKOVIĆ, A.B.;TODOROVIĆ, L. Postoperative analgesia after lower third molar surgery:
contribution of the use of long-acting local anesthetics, low-power laser, and diclofenac. Oral Surg
Oral Med Oral Pathol Oral Radio Endod,v.102,
n.5, p.e4-8, 2006.
36. FERRANTE, M.;PETRINI, M.;TRENTINI,
P.et al.Effect of low-level laser therapy after extraction of impacted lower third molars. Lasers Med
Sci, v.28, n.3, p.845-849, 2013.
37. A M A R I L L A S - E S C O B A R ,
E.D . ; T O R A N Z O - F E R N Á N D E Z ,
J.M.;MARTÍNEZ-RIDER, R.et al. Use of therapeutic laser after surgical removal of impacted lower third molars. J Oral MaxillofacSurg,v.68, n.2,
p.319-324, 2010.
38. LÓPEZ-RAMÍREZ, M.;VÍLCHEZ-PÉREZ, M.A.;GARGALLO-ALBIOL, J.et al. Efficacy of low-level laser therapy in the management
of pain, facial swelling, and postoperative trismus
after a lower third molar extraction. A preliminary
study.Laser Med Sci,v.27, n.3, p.559-566.
39. NOYA,M.S.; BEZERRA, R.B.; LOPES,
J.L.;et al. Clinical evaluation of the immediate
effectiveness of GaAlAs laser on the therapy of
dentin hypersensitivity. J Appl Oral Sci,v.12, n.4,
p.363-366, 2004.
40. GENTILE, L.C.; GREGUI, S.L.A. Clinical
evaluation of dentin hypersensitivity treatment with
the low intensity galliumaluminum-arsenide laser –
AsGaAl.J Appl Oral Sci,v.12, n.4, p.267-272, 2004.
41. LADALARDO,T.C.C.G.P.; PINHEIRO, A.;
CAMPOS, R.A.C.et al. Laser therapy in the treatment of dentine hypersensitivity. Braz Dent J,v.15,
n.2, p.144-150, 2004.
42.CAUWELS, R.G.;MARTENS, L.C. Low level laser therapy in oral mucositis: a pilot study.
EurArchPaediatrDent,v.12, n.2, p.118-123, 2011.
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2020-04-16
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NÓBREGA BARBOSA, K. G. .; GORDÓN-NÚÑEZ, M. A. . PERFIL DOS ESTUDOS SOBRE A ANALGESIA COM O LASER DE BAIXA INTENSIDADE NA CLÍNICA ODONTOLÓGICA: REVISÃO SISTEMATIZADA DA LITERATURA. Revista Unimontes Científica, [S. l.], v. 16, n. 1, p. 92–102, 2020. Disponível em: https://www.periodicos.unimontes.br/index.php/unicientifica/article/view/2013. Acesso em: 18 abr. 2024.
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