EVALUATION OF ARTERIAL PRESSURE CHANGES IN PATIENTS UNDERGOING EXTRACTION OF IMPACTED THIRD MOLARS AND INTRAVASCULAR LASER BLOOD IRRADIATION
Palavras-chave:
Laser Therapy, Low-Intensity Light Therapy, Third Molar, Blood PressureResumo
The aim of this study was to evaluate and compare the blood pressure of patients who underwent extraction of impacted lower third molars and underwent modified intravascular laser blood irradiation (ILIB) or placebo. Eighteen individuals were allocated into two groups, the Placebo group (n=8) and the ILIB group (n=10). In the Placebo group, low-power laser equipment (InGaAlP) was used, coupled with a bracelet (LaserDuo, MMOptics Equipamentos, São Carlos, Brazil), worn on the wrist of one of the research participants, over the radial artery, but without irradiation. In the ILIB group, the laser was positioned in the same way, but in this case, the laser was irradiated. Both groups underwent a 30-minute treatment. Systolic and diastolic blood pressure were assessed at two time points: before the ILIB session and 4 minutes after local anesthesia. The placebo group showed a positive variation in systolic and diastolic blood pressure, while in the ILIB group a reduction was observed; however, this difference was not statistically significant. The findings suggest that ILIB may help reduce and better control blood pressure in patients undergoing third molar extraction; however, studies with a larger number of patients are needed.
Referências
CUNHA, S. R. et al. Herbal medicines as anxiolytics prior to third molar surgical extraction. A randomized controlled clinical trial. Clin Oral Investig, v. 25, p. 1579-86, 2021.
FU, C. M. J. et al. The Adjuvant Therapy of Intravenous Laser Irradiation of Blood (ILIB) on Pain and Sleep Disturbance of Musculoskeletal Disorders. J Pers Med, v. 12, n. 8, p. 1333, 2022.
HOSGOR, H., COSKUNSES, M. F., TOKUC, B. Correlation between preoperative pressure pain assessments and anxiety and postoperative pain in impacted lower third molar surgery. J Korean Assoc Oral Maxillofac Surg v. 47, n. 1, p. 15-19, 2021.
RANGEL, G. R. C, PINHEIRO, L. S. Laser acupuncture and intravascular laser irradiation of blood for management of pediatric dental anxiety. J Oral Sci, v. 63, n. 4, p. 355-7, 2021.
TOMÉ, F. F. R. et al. ILIB (intravascular laser irradiation of blood) as an adjuvant therapy in the treatment of patients with chronic systemic diseases—an integrative literature review. Lasers Med Sci, v. 35, n. 9, p. 1899-907, 2020.
YILDIRIM, O.; TURKMENOGLU, K., MOLLAOGLU, N. Assessment of Relationship between Hemodynamic Changes and Anxiety in Patients During Lower Third Molar Surgery. J Coll Physicians Surg Pak. v. 32, n. 12, p. 1524-8, 2022.
