Advertisement

The effect of low-level laser radiation on improving inferior alveolar nerve damage after sagittal split osteotomy: a systematic review

  • Alireza Mirzaei
  • Amir Saberi-Demneh
  • Norbert Gutknecht
  • Gholamhosein RamezaniEmail author
Review Article
  • 16 Downloads

Abstract

Inferior alveolar nerve (IAN) damage is a common complication occurring after sagittal split osteotomy (SSO) and results in sensory disorders of the jaw region. In recent years, published experimental and clinical evidence suggests that low-level laser (LLL) radiation is effective in nerve recovery. Therefore, the aim of the present study was to review clinical trial studies investigating the effect of LLL radiation on improving the sensory defects of IAN after SSO. The keywords associated with SSO and LLL were searched in PubMed, Medline (via Ovid), Web of Science (WOS), Scopus, and Cochrane Library databases. Then, controlled clinical trial studies published before November 2017 regarding LLL radiation conducted on patients with IAN neuropathy due to SSO were investigated. The articles fulfilling the study criteria were further scrutinized and the necessary information was extracted from them. A total of seven papers were included in the study. The diode laser used had a wavelength range of 760–930 nm, radiation power of 20–200 mw, and radiation energy of 10.2–95 J (per point of radiation). In the mentioned studies, the patients underwent 3–20 sessions of laser irradiation and were monitored for an additional 0–23 months after completion of the laser intervention. The tests performed in the mentioned studies dealt with examining the perceptions of superficial touch and pressure, two-point discrimination, stimulus movement on skin, temperature, and pain. Furthermore, the patients’ general awareness regarding sensory perception in the mandibular region was gauged. In six studies, laser irradiation caused relative improvement in the IAN sensory disorder for a subjective test as well as for one or more objective tests. In the reviewed clinical trial studies, LLL was generally found to be effective in improving the IAN sensory disturbance resulting from SSO, though there was no placebo effect.

Keywords

Low-level laser Inferior alveolar nerve Sagittal split osteotomy 

Notes

Compliance with ethical standards

Sources of support in the form of grants

This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.

Conflict of interest

The authors declare that they have no conflict of interest.

References

  1. 1.
    Sato FRL, Mannarino FS, Asprino L, de Moraes M (2014) Prevalence and treatment of dentofacial deformities on a multiethnic population: a retrospective study. Oral Maxillofac Surg 18:173–179.  https://doi.org/10.1007/s10006-013-0396-3 Google Scholar
  2. 2.
    Khechoyan DY (2013) Orthognathic surgery: general considerations. Semin Plast Surg 27:133–136.  https://doi.org/10.1055/s-0033-1357109 CrossRefGoogle Scholar
  3. 3.
    Beukes J, Reyneke JP, Damstra J (2016) Unilateral sagittal split mandibular ramus osteotomy: indications and geometry. Br J Oral Maxillofac Surg 54:219–223.  https://doi.org/10.1016/j.bjoms.2015.10.029 CrossRefGoogle Scholar
  4. 4.
    Phillips C, Essick G (2011) Inferior alveolar nerve injury following orthognathic surgery: a review of assessment issues. J Oral Rehabil 38:547–554.  https://doi.org/10.1111/j.1365-2842.2010.02176.x CrossRefGoogle Scholar
  5. 5.
    Agbaje J (2015) Neuropathic pain after bilateral sagittal split osteotomy: management and prevention. Plastic Aesthet Res 15:171–175.  https://doi.org/10.4103/2347-9264.160880 Google Scholar
  6. 6.
    Teerijoki-Oksa T, Jääskeläinen SK, Soukka T, Virtanen A, Forssell H (2011) Subjective sensory symptoms associated with axonal and demyelinating nerve injuries after mandibular sagittal split osteotomy. J Oral Maxillofac Surg 69:e208–e213.  https://doi.org/10.1016/j.joms.2011.01.024
  7. 7.
    Patel N, Ali S, Yates JM (2018) Quality of life following injury to the inferior dental or lingual nerve – a cross-sectional mixed-methods study. Oral Surg 11:9–16.  https://doi.org/10.1111/ors.12259 CrossRefGoogle Scholar
  8. 8.
    Fallah A, Mirzaei A, Gutknecht N, Demneh AS (2017) Clinical effectiveness of low-level laser treatment on peripheral somatosensory neuropathy. Lasers Med Sci 32:721–728.  https://doi.org/10.1007/s10103-016-2137-y
  9. 9.
    Teerijoki-Oksa T, Jääskeläinen SK, Forssell K, Forssell H (2004) Recovery of nerve injury after mandibular sagittal split osteotomy. Diagnostic value of clinical and electrophysiologic tests in the follow-up. Int J Oral Maxillofac Surg 33:134–140.  https://doi.org/10.1054/ijom.2003.0463 CrossRefGoogle Scholar
  10. 10.
    Takhtfooladi MA, Jahanbakhsh F, Takhtfooladi HA et al (2015) Effect of low-level laser therapy (685 nm, 3 J/cm2) on functional recovery of the sciatic nerve in rats following crushing lesion. Lasers Med Sci 30:1047–1052.  https://doi.org/10.1007/s10103-015-1709-6 CrossRefGoogle Scholar
  11. 11.
    Wang C-Z, Chen Y-J, Wang Y-H et al (2014) Low-level laser irradiation improves functional recovery and nerve regeneration in sciatic nerve crush rat injury model. PLoS One 9:e103348.  https://doi.org/10.1371/journal.pone.0103348 CrossRefGoogle Scholar
  12. 12.
    Shen CC, Yang YC, Bin HT et al (2013) Neural regeneration in a novel nerve conduit across a large gap of the transected sciatic nerve in rats with low-level laser phototherapy. J Biomed Mater Res A 101:2763–2777.  https://doi.org/10.1002/jbm.a.34581 CrossRefGoogle Scholar
  13. 13.
    Barez MM, Tajziehchi M, Heidari MH et al (2017) Stimulation effect of low level laser therapy on sciatic nerve regeneration in rat. J Lasers Med Sci 8:S32–S37.  https://doi.org/10.15171/jlms.2017.s7 CrossRefGoogle Scholar
  14. 14.
    Gigo-Benato D, Geuna S, Rochkind S (2005) Phototherapy for enhancing peripheral nerve repair: a review of the literature. Muscle Nerve 31:694–701.  https://doi.org/10.1002/mus.20305 CrossRefGoogle Scholar
  15. 15.
    Moher D, Liberati A, Tetzlaff J et al (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. BMJ 339:b2535.  https://doi.org/10.1136/bmj.b2535 CrossRefGoogle Scholar
  16. 16.
    Schulz KF, Altman DG, Moher D, Group C (2010) CONSORT 2010 statement CONSORT 2010 statement : updated guidelines for reporting parallel group randomised trials. Development 1:1–6.  https://doi.org/10.1016/S0140-6736(10)60456-4 Google Scholar
  17. 17.
    Co-investigator N (2013) The Cochrane Collaboration’s “risk of bias” tool. J Chem Inf Model 53:1689–1699.  https://doi.org/10.1017/CBO9781107415324.004 CrossRefGoogle Scholar
  18. 18.
    Mohajerani SH, Tabeie F, Bemanali M, Tabrizi R (2017) Effect of low-level laser and light-emitting diode on inferior alveolar nerve recovery after sagittal Split osteotomy of the mandible. J Craniofac Surg 28:e408–e411.  https://doi.org/10.1097/SCS.0000000000002929 CrossRefGoogle Scholar
  19. 19.
    Eshghpour M, Shaban B, Ahrari F et al (2017) Is low-level laser therapy effective for treatment of neurosensory deficits arising from sagittal Split ramus osteotomy? J Oral Maxillofac Surg 75:2085–2090.  https://doi.org/10.1016/j.joms.2017.04.004 CrossRefGoogle Scholar
  20. 20.
    Guarini D, Gracia B, Ramírez-Lobos V et al (2017) Laser Biophotomodulation in patients with neurosensory disturbance of the inferior alveolar nerve after sagittal Split ramus osteotomy: a 2-year follow-up study. Photomed Laser Surg 2017:4312.  https://doi.org/10.1089/pho.2017.4312 Google Scholar
  21. 21.
    Buysse Temprano AV, Piva FH, Omaña JO et al (2017) Laser therapy for neurosensory recovery after saggital split ramus oseotomy. Rev Española Cirugía Oral y Maxilofac 39:191–198.  https://doi.org/10.1016/j.maxilo.2017.06.003 CrossRefGoogle Scholar
  22. 22.
    Führer-Valdivia A, Noguera-Pantoja A, Ramírez-Lobos V, Solé-Ventura P (2014) Low-level laser effect in patients with neurosensory impairment of mandibular nerve after sagittal split ramus osteotomy. Randomized clinical trial, controlled by placebo. Med Oral Patol Oral Cir Bucal 19:e327–e334.  https://doi.org/10.4317/medoral.19626 CrossRefGoogle Scholar
  23. 23.
    Gasperini G, De Siqueira ICR, Costa LR (2014) Lower-level laser therapy improves neurosensory disorders resulting from bilateral mandibular sagittal split osteotomy: a randomized crossover clinical trial. J Cranio-Maxillofacial Surg 42:e130–e133.  https://doi.org/10.1016/j.jcms.2013.07.009 CrossRefGoogle Scholar
  24. 24.
    Khullar SM, Emami B, Westermark A, Haanaes HR (1996) Effect of low-level laser treatment on neurosensory deficits subsequent to sagittal split ramus osteotomy. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 82:132–138.  https://doi.org/10.1097/00006534-199804050-00065 CrossRefGoogle Scholar
  25. 25.
    Bagheri SC, Meyer RA, Khan HA, Steed MB (2009) Microsurgical repair of peripheral trigeminal nerve injuries from maxillofacial trauma. J Oral Maxillofac Surg 67:1791–1799.  https://doi.org/10.1016/j.joms.2009.04.115 CrossRefGoogle Scholar
  26. 26.
    Tos P, Crosio A, Pugliese P et al (2015) Painful scar neuropathy: principles of diagnosis and treatment. Plast Aesthetic Res 2:156.  https://doi.org/10.4103/2347-9264.160878 CrossRefGoogle Scholar
  27. 27.
    Menorca RMG, Fussell TS, Elfar JC (2013) Peripheral nerve trauma: mechanisms of injury and recovery. Hand Clin 29:317–330.  https://doi.org/10.1016/j.hcl.2013.04.002 CrossRefGoogle Scholar
  28. 28.
    Abdel-Wahhab KG, Daoud EM, El Gendy A et al (2018) Efficiencies of low-level laser therapy (LLLT) and gabapentin in the Management of Peripheral Neuropathy: diabetic neuropathy. Appl Biochem Biotechnol:1–13.  https://doi.org/10.1007/s12010-018-2729-z
  29. 29.
    Alcântara CC, Gigo-Benato D, Salvini TF et al (2013) Effect of low-level laser therapy (LLLT) on acute neural recovery and inflammation-related gene expression after crush injury in rat sciatic nerve. Lasers Surg Med 45:246–252.  https://doi.org/10.1002/lsm.22129 CrossRefGoogle Scholar
  30. 30.
    de Oliveira Martins D, Martinez dos Santos F, Evany de Oliveira M et al (2013) Laser therapy and pain-related behavior after injury of the inferior alveolar nerve: possible involvement of Neurotrophins. J Neurotrauma 30:480–486.  https://doi.org/10.1089/neu.2012.2603 CrossRefGoogle Scholar
  31. 31.
    Gigo-Benato D, Russo TL, Tanaka EH et al (2010) Effects of 660 and 780 nm low-level laser therapy on neuromuscular recovery after crush injury in rat sciatic nerve. Lasers Surg Med 42:673–682.  https://doi.org/10.1002/lsm.20978 CrossRefGoogle Scholar
  32. 32.
    Belchior ACG, Dos Reis FA, Nicolau RA et al (2009) Influence of laser (660 nm) on functional recovery of the sciatic nerve in rats following crushing lesion. Lasers Med Sci 24:893–899.  https://doi.org/10.1007/s10103-008-0642-3 CrossRefGoogle Scholar
  33. 33.
    Barbosa RI, Marcolino AM, De Jesus Guirro RR et al (2010) Comparative effects of wavelengths of low-power laser in regeneration of sciatic nerve in rats following crushing lesion. Lasers Med Sci 25:423–430.  https://doi.org/10.1007/s10103-009-0750-8 CrossRefGoogle Scholar
  34. 34.
    Câmara CNDS, Brito MVH, Silveira EL et al (2011) Histological analysis of low-intensity laser therapy effects in peripheral nerve regeneration in Wistar rats. Acta Cir Bras 26:12–18CrossRefGoogle Scholar
  35. 35.
    Masoumipoor M, Jameie SB, Janzadeh A et al (2014) Effects of 660- and 980-nm low-level laser therapy on neuropathic pain relief following chronic constriction injury in rat sciatic nerve. Lasers Med Sci 29:1593–1598.  https://doi.org/10.1007/s10103-014-1552-1 CrossRefGoogle Scholar
  36. 36.
    McGlone F, Reilly D (2010) The cutaneous sensory system. Neurosci Biobehav Rev 34:148–159.  https://doi.org/10.1016/j.neubiorev.2009.08.004 CrossRefGoogle Scholar
  37. 37.
    Schmid AB, Bland JDP, Bhat MA, Bennett DLH (2014) The relationship of nerve fibre pathology to sensory function in entrapment neuropathy. Brain 137:3186–3199.  https://doi.org/10.1093/brain/awu288 CrossRefGoogle Scholar

Copyright information

© Springer-Verlag London Ltd., part of Springer Nature 2019

Authors and Affiliations

  1. 1.DMDAALZAachenGermany
  2. 2.MDSemnan University of Medical SciencesSemnanIran
  3. 3.DMDAzad University of Medical SciencesTehranIran

Personalised recommendations