Фотобиомодуляция острого болевого синдрома после сложного удаления зуба

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.

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