PMID: 10630935Jan 12, 2000Paper

Low-level laser effect on neurosensory recovery after sagittal ramus osteotomy

Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics
Michael Miloro, M Repasky


This study examined the potential benefit of perioperative and short-term postoperative low-level laser (LLL) therapy on objective and subjective neurosensory recovery after bilateral sagittal split osteotomy surgery. Six consecutive patients undergoing bilateral sagittal split osteotomy procedures were enrolled in this prospective study. A complete preoperative clinical neurosensory test, consisting of brush stroke directional discrimination, 2-point discrimination, contact detection, pin prick nociception, and thermal discrimination, was performed on each patient; and a subjective assessment of neurosensory function was made by using a visual analog scale (VAS). The protocol for LLL treatments consisted of real LLL (4 x 6 J per treatment) along the distribution of the inferior alveolar nerve at 4 sites, for a total of 7 treatments, delivered immediately before surgery; at 6 and 24 hours after surgery; and on postoperative days 2, 3, 4, and 7. The clinical neurosensory test and VAS were completed just before each of the treatment sessions and on days 14 and 28, by one examiner. When the results of the patients treated with LLL were compared with published values for neurosensory recovery after orthognathic surgery, there was a...Continue Reading


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