References

bioph

Biomedical Photonics

2413-9432

Non-profit partnership for development of domestic photodynamic therapy and photodiagnosis

10.24931/2413-9432-2026-15-1-11-18

bioph-772

Research Article

ОРИГИНАЛЬНЫЕ СТАТЬИ

ORIGINAL ARTICLES

Фотобиомодуляция острого болевого синдрома после сложного удаления зуба

Photobiomodulation of acute pain syndrome after complex tooth extraction

Юдин

Д. К.

Yudin

D. K.

Москва

Moscow

Кастыро

И. В.

Kastyro

I. V.

Москва

Moscow

ykastyro@gmail.com

Романко

Ю. С.

Romanko

Yu. S.

Москва

Moscow

Али

Р. Б.

Ali

R. B.

Москва

Moscow

Попадюк

В. И.

Popadyuk

V. I.

Москва

Moscow

Заборова

В. А.

Zaborova

V. A.

Москва

Moscow

Драгунова

С. Г.

Dragunova

S. G.

Москва

Moscow

Гусев

К. С.

Gusev

K. S.

Москва

Moscow

ФГАОУ ВО Российский Университет дружбы народов имени Патриса ЛумумбыРоссияPeoples' Friendship University of Russia (RUDN University)Russian Federation

Первый Московский государственный медицинский университет им. И.М. СеченоваРоссияSechenov First Moscow State Medical University (Sechenov University)Russian Federation

2026

18042026

1511118

2026

Юдин Д.К., Кастыро И.В., Романко Ю.С., Али Р.Б., Попадюк В.И., Заборова В.А., Драгунова С.Г., Гусев К.С.

Yudin D.K., Kastyro I.V., Romanko Y.S., Ali R.B., Popadyuk V.I., Zaborova V.A., Dragunova S.G., Gusev K.S.

This work is licensed under a Creative Commons Attribution 4.0 License.

https://www.pdt-journal.com/jour/article/view/772

В исследовании были оценены различные виды воздействия низкоинтенсивной фотобиомодулирующей терапии (ФБМТ) на снижение острого болевого синдрома после сложного удаления зуба. Сложное удаление моляров и премоляров верхней челюсти (не более двух зубов и с одной стороны) было проведено у 119 пациентов (возраст 18-44 года). В 1-й группе (n = 28) не проводили ФБМТ. Во 2-й группе (n = 32) применяли импульсное инфракрасное лазерное излучение в сочетании с магнитной зеркальной насадкой. В 3-й группе (n = 30) применяли стоматологические насадки с импульсной инфракрасной лазерной излучающей головкой в области, сформированной после удаления зуба лунки. В 4-й группе (n = 29) использовали лазерную головку с непрерывным красным спектром. Время экспозиции насадок и головок во всех группах составляло 3 мин в проекции удаленного зуба. Всем пациентам ФБМТ проводили через 1, 24 и 48 ч после хирургического вмешательства и в эти же сроки оценивали острый болевой синдром при помощи визуально-аналоговой шкалы (ВАШ) и цифровой рейтинговой шкалы (ЦРШ) в мм. Острый болевой синдром был самым низким уже в первые постоперационные сутки в группе импульсного инфракрасного лазерного излучения с зеркальной магнитной головкой. Среди группс ФБМТ худший результат по уровню боли был показан при применении непрерывного красного лазера. В группе без ФБМТ боль, требующая медикаментозной коррекции, сохранялась до 48-72 ч после удаления зуба.

The study evaluated various types of low-intensity photobiomodulatory therapy (PBMT) in reducing acute pain after complex tooth extraction. Complex extraction of maxillary molars and premolars (no more than two teeth, on one side) was performed in 119 patients (aged 18-44 years). In Group 1 (n = 28), PBMT was not performed. In Group 2 (n = 32), pulsed infrared laser radiation in combination with a magnetic mirror tip was used. In Group 3 (n = 30), dental tips with a pulsed infrared laser emitting head were used in the area of the socket formed after tooth extraction. In Group 4 (n = 29), a laser head with a continuous red spectrum was used. The exposure time of the tips and heads in all groups was 3 minutes in the projection of the extracted tooth. All patients underwent PBMT at 1, 24, and 48 hours after surgery. At these same times, acute pain was assessed using a visual analog scale (VAS) and a numerical rating scale (NRS) in millimeters. Acute pain was lowest already on the first postoperative day in the pulsed infrared laser group with a mirror magnetic head. Among the PBMT groups, the continuous red laser demonstrated the worst pain results. In the group without PBMT, pain requiring medical management persisted for up to 48-72 hours after tooth extraction.

фотобиомодулирующая терапияудаление зубаболевой синдромвизуально-аналоговая шкалацифровая рейтинговая шкала

photobiomodulating therapytooth extractionpain syndromevisual analogue scaledigital rating scale

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The authors declare that there are no conflicts of interest present.