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Evaluation of surgical outcomes of impacted mandibular third molar extraction combined with low-level diode laser therapy
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Abstract
Objective: Evaluation of overall results after surgical removal of impacted lower wisdom teeth combined with low-level laser therapy (LLLT).
Materials and Methods: This is a controlled, descriptive clinical intervention study conducted on 90 patients, divided equally into two groups: 45 patients received postoperative LLLT (laser group) and 45 patients were not treated with laser (control group). Data collected included surgical technique, intensity and duration of pain, intraoperative and postoperative complications, and overall surgical outcomes assessed at one week postoperatively.
Results: The mean pain intensity in the laser group was significantly lower (p < 0.001) than in the control group at all evaluated time points (2 hours, 4 hours, 6 hours, Day 1, Day 2, and Day 7). Complete pain resolution was observed in the laser group by Day 2. Pain classification analysis also demonstrated a marked improvement in the laser group (p < 0.001), with 66.7% of patients reporting no pain on Day 1, compared to 0% in the control group. At one week postoperatively, 100% of patients in the laser group achieved good surgical outcomes, significantly higher than the control group (68.9% good outcomes, p < 0.001).
Conclusion: The use of LLLT following surgical extraction of impacted mandibular third molars significantly enhances postoperative pain control and improves overall surgical outcomes.
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Keywords
Mandibular third molar, Low-level laser therapy (LLLT), Postoperative pain
References
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