Low Intensity Laser Therapy Treating Inferior Alveolar Nerve Dysesthesia after Surgical Removal of Lower Third Molar: A Case Report
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Abstract
Dysesthesia of the structures innervated by the inferior alveolar nerve after surgical removal of the lower wisdom tooth was reported in 1.3 to 7.8 percent. This caused by the nerve injury resulting temporary alteration of sensation. However, some patients experienced permanent dysesthesia which disturbed their quality of life in long term. Currently, there have been a number of treatments of dysesthesia of structures innervated by inferior alveolar nerve such as medications, psychological treatment, surgical repair and low intensity laser therapy. This article presents a case report of the patient with dysesthesia of the left side of the lower lip, oral mucosa of buccal cheek adjacent to the lower left incisors to the premolars (31 to 35) and the skin of left side of the chin. This had occurred for 2 years since surgical removal of the lower left third molar impaction. The treatments include using of 635 nm low intensity laser for intraoral region and 980 nm low intensity laser therapy for extraoral region for 4 episodes. In the 4 episodes of treatments, the clinical outcomes showed improvements of light touch sensation, pin prick sensation and two-point discrimination besides the patient’s satisfaction.
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บทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ที่ได้รับการลงตีพิมพ์ในวิทยาสารทันตแพทยศาสตร์ มหาวิทยาลัยขอนแก่นถือเป็นลิขสิทธิ์เฉพาะของคณะทันตแพทยศาสตร์ มหาวิทยาลัยขอนแก่น หากบุคคลหรือหน่วยงานใดต้องการนำทั้งหมดหรือส่วนหนึ่งส่วนใดไปเผยแพร่ต่อหรือเพื่อกระทำการใด ๆ จะต้องได้รับอนุญาตเป็นลายลักษณ์อักษร จากคณะทันตแพทยศาสตร์ มหาวิทยาลัยขอนแก่นก่อนเท่านั้น
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