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2017, vol. 33, br. 76, str. 1763-1771
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Laser analgezija u toku ortodontske terapije
Laser analgesic during orthodontic therapy
Peševska Snežanaa, Kesić Ljiljanab  , Ivanovski Kiroa, Pandilova Majaa, Georgieva Silvanaa, Mindova Sonjaa, Ristoska Stevicaa, Stefanovska Emilijaa, Curcieva-Cuckova Gabrielac, Apostolova Gordanad, Maneva Marijac, Koneski Filipe
aUniverzitet u Skoplju, Stomatološki fakultet Sv. Ćirilo i Metodije, Odeljenje za parodontologiju i oralnu patologiju, Skoplje, Makedonija bUniverzitet u Nišu, Medicinski fakultet, Katedra Stomatološka protetika, Srbija cUniverzitet u Skoplju, Stomatološki fakultet Sv. Ćirilo i Metodije, Odeljenje za ortodonciju, Skoplje, Makedonija dUniverzitet u Skoplju, Stomatološki fakultet Sv. Ćirilo i Metodije, Odeljenje za oralnu hirurgiju, Skoplje, Makedonija eUniverzitet u Skoplju, Stomatološki fakultet Sv. Ćirilo i Metodije, Skoplje, Makedonija
e-adresa: pesevska@gmail.com
Sažetak
Uvod: Posebno je važno smanjiti bol nakon prvog postavljanja luka. Većina pacijenata oseća bol četiri sata nakon što se luk postavi , postiže najviši nivo nakon 24 sata i smanjuje se u narednih nekoliko dana. Podaci iz literature pokazuju da je strah od bola veoma važan razlog za obeshrabrivanje pacijenata da prihvate ovakav ortodontski tretman. Cilj ove studije bio je da se proceni efikasnost biostimulativnog laserskog tretmana u smanjenju bolova kod pacijenata sa fiksnim ortodontskim aparatima. Materijal i metode:Petnaest pacijenata je tretirano biostimulativnim diodnim laserom, tokom dva minuta po kvadrantu, odmah nakon postavljanja fiksnih ortodontskih aparata i u naredna četiri dana. Kontrolna grupa od 15 pacijenata dobila je analgetsku terapiju u trajanju, od pet dana. Bol je subjektivno ocenjen kao jak, srednji ili bez bolova. Bol je nestao kod 20% ispitanika u ispitivanoj grupi nakon prvog dana, dok je kod 60% i 26,6% ispitanika srednja i izolovana bol bila prisutna drugog i trećeg dana. Bol je nestao kod svih pacijenata tretiranih laserom petog dana. Jak bol bio je prisutan kod svih ispitanika u kontrolnoj grupi prvog dana,dok je drugog dana smanjen na 60%, a 20% ispitanika sa srednjim intenzitetom bola. Nakon tri dana, kontrolna grupa je pokazala srednji lokalizovan bol u 40% slučajeva, koji se smanjio kod 26,6% nakon četvrtog dana, što ukazuje na kasnije smanjenje bola u odnosu na grupu koja se tretira laserom. Rezultati ukazuju na to da se primena lasera sa niskom energijom može uspešno koristiti za smanjenje bolova tokom početnog nelagodnog perioda nakon postavljanja fiksnih ortodontskih aparata. Zaključak: Niskoenergetski laseri mogu uspešno da smanje bol u početnom periodu posle postavljanja fiksnog ortodontskog aparata.
Abstract
Introduction: Most of the patients feel pain 4 hours after the arch applying, gaining the highest level after 24 hours and its lowering in the next few days. Literature reports show that the fear of pain is a very important reason for discouraging the patient to agree for this kind of orthodontic treatment The aim of this study was to evaluate the effectiveness of the biostimulative laser treatment in pain reduction in patients with fixed orthodontic appliances. Materials and methods. Fifteen patients were treated with low energy level biostimulative diode laser, used 2 minutes per quadrant immediately after placement of fixed orthodontic appliances and in the following four days. The control group of 15 patients received analgesic therapy for period of five days. The pain was assessed subjectively as strong, medium or no pain. The pain disappeared in 20% of the subjects in the examined group after the first day, while in 60% and 26.6% of the subjects medium and isolated pain was still present at day 2 and 3, respectively. Results. The pain disappeared in all the patients treated with laser at day 5. In the control group, strong pain was present in all the subjects the first day, decreasing to 60% of strong pain and 20% medium pain the second day. After day three, the control group demonstrated medium localized pain in 40% of the cases, which dropped to 26.6% after the fourth day, suggesting delayed pain reduction, compared to the laser treated group. Conclusion. Our results suggest that the low energy laser treatment can successfully be used for pain reduction during the initial discomfort period after placing fixed orthodontic appliances.
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