Efficacy of photobiomodulation therapy for management of alveolar osteitis

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Created On: 06/10/2022

A randomized controlled trial was conducted to evaluate the efficacy of Alveogyl with and without photobiomodulation therapy (PBMT) to manage self-reported post-operative pain (SPP) in alveolar osteitis (AO) people.

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Key take away

Contrasted to mechanical curettage with or without Alveogyl dressing, photobiomodulation after mechanical curettage and Alveogyl dressing exhibits superior efficacy to minimize self-rated post-operative pain in alveolar osteitis patients.

Background

Method

Non-smoker, AO diagnosed adults, were incorporated and randomly segregated into 4 groups. Patients in Group 1 (n = 14) received mechanical curettage (MC) with irrigations of normal saline. Patients in Group 2 (n = 13) had MC + Alveogyl dressings applied to their extraction sites, which were adjusted every 48 hours until the patients' pain subsided.

A 660-nm indium-gallium-aluminum-phosphide diode laser was used following MC + Alveogyl on the patients in Group 3 (n = 14). Patients in Group 4 (n = 14) received only PBMT therapy. Utilizing visual analogue scale (VAS), analysis of SPP was done for up to 3 days at T0 (6- hour) and T1 (12-hour) intervals. With the utilization of Bonferroni post hoc tests and analysis of variance, statistical evaluation was done. Utilizing logistic regression models, the association between SPP scores and age, gender, and eruption status of teeth was evaluated.

Result

Mandibular third molars were extracted from all the subjects. SPP in all groups remained the same at baseline and on the first day. Compared to Group 3, the mean VAS scores of Group 2 at the T1 and T2 intervals were substantially greater on the second and third days. Contrasted to Group 3, the mean VAS scores on the second and third days at T1 and T2 intervals were profoundly greater in Group 4. At the T0 and T1 intervals on the third day, no difference was witnessed in SPP between groups 3 and 4.

Conclusion

Treatment of AO (dry socket) with MC+ Alveogyl dressing followed by PBMT is more effective at lowering SPP contrasted to MC with or without Alveogyl dressings.