全部 标题 作者
关键词 摘要

OALib Journal期刊
ISSN: 2333-9721
费用:99美元

查看量下载量

Photobiomodulation in Managing Post-Surgical Injuries of Branches of the Trigeminal Nerve: Insights from Four Clinical Cases

DOI: 10.4236/oalib.1113618, PP. 1-11

Subject Areas: Dentistry

Keywords: Laser-Therapy, Laser Therapy, Low-Level Light Therapy, Photobiomodulation, Neuralgia, Trigeminal Nerve Injury

Full-Text   Cite this paper   Add to My Lib

Abstract

Trigeminal nerve injuries, particularly to the inferior alveolar and lingual nerves, are recognized complications of dentoalveolar surgery, often leading to sensory disturbances such as paresthesia, dysesthesia, and taste alterations. This study explores the therapeutic potential of photobiomodulation (PBM) in four clinical cases involving post-surgical nerve injuries. A 980 nm diode laser was used in extra- and intra-oral applications over 8 to 15 sessions. Patients reported progressive sensory recovery, with complete resolution of symptoms in all cases. PBM therapy, a non-invasive technique, appears to enhance nerve regeneration by promoting blood flow, stimulating Schwann cell activity, and reducing fibrosis. These findings align with existing literature supporting PBM’s efficacy in peripheral nerve recovery. While conservative approaches and surgical options exist, PBM offers a safe and effective alternative. Further large-scale studies are needed to standardize parameters and validate their use in clinical practice for managing trigeminal nerve injuries.

Cite this paper

Benhaioun, H. , Fahim, O. , Haitami, S. , Bouzoubaa, S. and Yahya, I. B. (2025). Photobiomodulation in Managing Post-Surgical Injuries of Branches of the Trigeminal Nerve: Insights from Four Clinical Cases. Open Access Library Journal, 12, e3618. doi: http://dx.doi.org/10.4236/oalib.1113618.

References

[1]  Auyong, T.G. and Le, A. (2011) Dentoalveolar Nerve Injury. Oral and Maxillofacial Surgery Clinics of North America, 23, 395-400. https://doi.org/10.1016/j.coms.2011.05.001
[2]  Scribante, A., Pellegrini, M., Pulicari, F., Porrini, M., Bosotti, M. and Spadari, F. (2023) Nerve Injury and Photobiomodulation, a Promising Opportunity: A Scoping Review on Laser As-sisted Protocols for Lesions in the Oral Region. Applied Sciences, 13, Article No. 9258. https://doi.org/10.3390/app13169258
[3]  Garcia-Blanco, M., Gualtieri, A.F., Lovaglio-Rivas, A.C., Ruffini, J.M. and Puia, S.A. (2021) Trigeminal Nerve Injuries. Four Years’ Experience at a Single Argentine Referral Center and a Literature Re-view. Acta Odontologica Latinoamericana: AOL, 34, 263-270. https://dx.doi.org/10.54589/aol.34/3/263
[4]  Kämmerer, P.W., Heimes, D., Hartmann, A., Kesting, M., Khoury, F. and Schiegnitz, E. (2024) Clinical Insights into Traumatic Injury of the Inferior Alveolar and Lingual Nerves: A Comprehensive Approach from Diagnosis to Therapeutic Interventions. Clinical Oral Investigations, 28, 1-14. https://dx.doi.org/10.1007/s00784-024-05615-4
[5]  Coulthard, P., Kushnerev, E., Yates, J.M., Walsh, T., Patel, N., Bailey, E., et al. (2014) Interventions for Iatrogenic Inferior Alveolar and Lingual Nerve Injury. Cochrane Database of Systematic Reviews, 2014, CD005293. https://doi.org/10.1002/14651858.cd005293.pub2
[6]  Joachim, M., Tabib, R., Laviv, A., Pikovsky, A., Zadik, Y. and Zeltser, R. (2019) Trigeminal Neuropathy after Mandibular Fractures: Epidemiology and Neurophysiologic Diagnosis. Jour-nal of Craniofacial Surgery, 30, 1113-1117. https://doi.org/10.1097/scs.0000000000005215
[7]  Kaleem, A., Amailuk, P., Hatoum, H. and Tursun, R. (2020) The Trigeminal Nerve Injury. Oral and Maxillofacial Surgery Clinics of North America, 32, 675-687. https://dx.doi.org/10.1016/j.coms.2020.07.005
[8]  Libersa, P., Savignat, M. and Tonnel, A. (2007) Neu-rosensory Disturbances of the Inferior Alveolar Nerve: A Retrospective Study of Complaints in a 10-Year Period. Journal of Oral and Maxillofacial Surgery, 65, 1486-1489. https://doi.org/10.1016/j.joms.2007.03.023
[9]  Greenstein, G., Carpen-tieri, J.R. and Cavallaro, J. (2015) Nerve Damage Related to Implant Dentistry: Incidence, Diagnosis, and Management. Compendium of Continuing Education in Dentistry, 36, 652-660.
[10]  Renton, T. (2013) Oral Surgery: Part 4. Minimising and Managing Nerve Injuries and Other Complications. British Dental Journal, 215, 393-399. https://dx.doi.org/10.1038/sj.bdj.2013.993
[11]  Gabriel, A.F., Breda, S.J., Borges, K.L., et al. (2024) Treatment of Lingual Nerve Paresthesia through Photobiomodulation Therapy: A Case Report Employing an Approach Integrating Extraoral and Intraoral Modalities. Journal of Research in Dentistry, 12, 29-34. https://dx.doi.org/10.59306/jrd.v12e1202429-34
[12]  El Mobadder, M., Nammour, S., Ortega, M. and Grzech-Leśniak, K. (2021) Photobiomodulation Therapy Applied after 6 Months for the Management of a Severe Inferior Alveolar Nerve Inju-ry. Life, 11, Article No. 1420. https://doi.org/10.3390/life11121420
[13]  Midamba, E.D. and Haanaes, H.R. (1993) Effect of Low Level Laser Therapy (LLLT) on Inferior Alveolar, Mental and Lingual Nerves after Traumatic Injury in 15 Patients. A Pilot Study. Laser Therapy, 5, 89-94. https://doi.org/10.5978/islsm.93-or-10
[14]  Rosso, M.P.d.O., Buchaim, D.V., Ka-wano, N., Furlanette, G., Pomini, K.T. and Buchaim, R.L. (2018) Photobiomodulation Therapy (PBMT) in Peripheral Nerve Regeneration: A Systematic Review. Bioengineering, 5, Article No. 44. https://doi.org/10.3390/bioengineering5020044
[15]  Hakimiha, N., Rokn, A.R., Younespour, S. and Moslemi, N. (2020) Photobiomodulation Therapy for the Management of Patients with Inferior Alveolar Neurosensory Disturbance Associated with Oral Surgical Procedures: An Interventional Case Series Study. Journal of Lasers in Medical Sciences, 11, S113-S118. https://doi.org/10.34172/jlms.2020.s18
[16]  Abdelkarim Elafifi, H., Acevedo Carrero, M., Parada Avendaño, I., Espa-ña-Tost, A. and Arnabat-Domínguez, J. (2021) Effect of Photobiomodulation (Diode 810 nm) on Long-Standing Neurosen-sory Alterations of the Inferior Alveolar Nerve: A Case Series Study. Photobiomodulation, Photomedicine, and Laser Sur-gery, 39, 4-9. https://doi.org/10.1089/photob.2019.4780
[17]  Amanat, D., Ebrahimi, H., Lavaee, F. and Alipour, A. (2013) The Adjunct Therapeutic Effect of Lasers with Medication in the Management of Orofacial Pain: Double Blind Ran-domized Controlled Trial. Photomedicine and Laser Surgery, 31, 474-479. https://doi.org/10.1089/pho.2013.3555
[18]  Andreo, L., Soldera, C.B., Ribeiro, B.G., de Matos, P.R.V., Bussadori, S.K., Fernandes, K.P.S., et al. (2017) Effects of Photobiomodulation on Experimental Models of Peripheral Nerve Injury. Lasers in Medical Science, 32, 2155-2165. https://doi.org/10.1007/s10103-017-2359-7
[19]  MacKay, B.J., Cox, C.T., Valerio, I.L., Greenberg, J.A., Buncke, G.M., Evans, P.J., et al. (2021) Evidence-Based Approach to Timing of Nerve Surgery: A Review. Annals of Plastic Surgery, 87, e1-e21. https://doi.org/10.1097/sap.0000000000002767

Full-Text


Contact Us

service@oalib.com

QQ:3279437679

WhatsApp +8615387084133