PHOTOBIOMODULATION PROTOCOLS IN THE TREATMENT OF NEUROSENSORY CHANGES RESULTING FROM ORTHOGNATIC SURGERY: literature review
DOI:
https://doi.org/10.36557/2674-8169.2023v5n5p2185-2198Keywords:
fotobiomodulação; cirurgia ortognática; alterações neurossensoriais; nervo alveolar inferior.Abstract
Anomalies in the craniomaxillofacial complex, resulting from changes in the development of the neurocranium or viscerocranium, may arise from the intrauterine period or due to etiological factors throughout life. Orthognathic surgery, aiming to correct such irregularities, often involves techniques such as mandibular ramus sagittal osteotomy (BSSO) to adjust malocclusions. However, neurosensory deficits after BSSO are common, with 1-2% of cases persisting for long periods, affecting quality of life. The inferior alveolar nerve (IAN) is often damaged during BSSO, causing atypical sensations or numbness. Although sensorineural recovery often occurs spontaneously, there is a search for methods that accelerate this process. Photobiomodulation (FBM) emerges as a promising non-invasive approach. This work aims to carry out a narrative review of the literature on protocols for using photobiomodulation (FBM) as an auxiliary tool in the treatment of sensorineural disorders resulting from orthognathic surgery. FBM is effective in neurosensory recovery after orthognathic surgery involving the IAN. The technique, minimally invasive, is recommended for use in the postoperative period, with intraoral and extraoral application. However, the lack of a standard protocol for FBM highlights the need for more research to clarify its effects and effectiveness in treating postoperative neurosensory disorders.
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Copyright (c) 2023 Amanda Chiulo Girotto, Giordano Bruno de Oliveira Marson
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