Gömülü 20 Yaş Dişi Cerrahisinden Sonra Uygulanan Düşük Doz Lazer ve Konsantre Büyüme Faktörünün Ağrı, Ödem, Trismus ve Yara İyileşmesi Üzerine Etkinliğinin Retrospektif Olarak Değerlendirilmesi

Year 2024, Volume: 15 Issue: 2, 185 - 197, 28.08.2024

Burak Mengütaş , Müge Çına

https://doi.org/10.22312/sdusbed.1477893

Abstract

Gömülü 20 yaş dişi cerrahisinden sonra postoperatif olarak hastaların hayat kalitesini düşüren ağrı, ödem, trismus gibi komplikasyonlar görülmektedir. Yapılan çalışmalarla çekim soketine uygulanan kan konsantrasyonlarının ve düşük doz lazer (DDL) uygulamalarının olumlu etkileri gösterilmiştir. Bu çalışmanın amacı gömülü 20 yaş dişlerinin çekiminden sonra uygulanan DDL ve konsantre büyüme faktörü (KBF) uygulamalarının ağrı, ödem, trismus ve yara iyileşmesi üzerine olan etkinliğinin karşılaştırılmasıdır.

Çalışmamızda; Süleyman Demirel Üniversitesi Diş Hekimliği Fakültesi Ağız, Diş ve Çene Cerrahisi Anabilim Dalı’na 2022 Ocak- 2023 Ocak tarihleri arasında başvuran, gömülü 20 yaş dişleri çekiminden sonra DDL ve KBF uygulanan, sağlıklı 34 hastanın kayıtları incelenmiştir. Ağrının değerlendirilmesi için postoperatif 2. ve 7. günlerde VAS ölçeği kullanılmıştır. Ödemin değerlendirilmesi amacıyla preoperatif ve postoperatif 2. ve postoperatif 7. günlerde tüm hastalarda; tragus-ağız köşesi, tragus-pogonion ve lateral göz köşesi-angulus mandibula arası mesafelerin ölçümü esnek bir cetvel yardımı ile yapılmıştır. Trismus ölçümü için preoperatif ve postoperatif 2. ve postoperatif 7. gün ölçülen santral dişler arasındaki maksimum açıklığa bakılmıştır. Yara iyileşmesinin değerlendirilmesi postoperatif 2. ve 7. günde Landry yara iyileşmesi indeksi ile yapılmıştır. Sonuçlar istatistiksel olarak değerlendirilmiştir.

Çalışmamızda DDL ve KBF uygulamalarının ağrı, ödem ve yara iyileşmesi üzerine olan etkinlikleri istatistiksel olarak değerlendirildiğinde anlamlı bir fark bulunamamıştır. Trismus üzerine etkinliğine bakıldığında sadece 7. günde KBF’ nin trismus üzerindeki etkisi, DDL uygulamasına göre anlamlı düzeyde yüksek bulunmuştur.
DDL ve KBF uygulamasının ucuz, kolay uygulanabilir yöntemler olması nedeniyle klinik kullanımda önerilebileceği düşünülmüştür.

Keywords

konsantre büyüme faktörü, düşük doz lazer, ağrı, ödem, yara iyileşmesi, trismus

Ethical Statement

Bu çalışmada, “Yükseköğretim Kurumları Bilimsel Araştırma ve Yayın Etiği Yönergesi” kapsamında uyulması gerekli tüm kurallara uyulduğunu, bahsi geçen yönergenin “Bilimsel Araştırma ve Yayın Etiğine Aykırı Eylemler” başlığı altında belirtilen eylemlerden hiçbirinin gerçekleştirilmediğini taahhüt ederiz.

Retrospective Evaluation of the Effectiveness of Low Level Laser and Concentrated Growth Factor on Pain, Edema, Trismus and Wound Healing After Impacted Wisdom Tooth Surgery

Abstract

Postoperative complications such as pain, edema and trismus are seen after impacted wisdom tooth surgery, which reduce the quality of life of patients. Studies have shown the positive effects of blood concentrations and low level laser applications applied to the extraction socket. The aim of this study was to investigate the effectiveness of low level laser and concentrated growth factor applications on pain, edema, trismus and wound healing after extraction of impacted wisdom teeth.

In our study, the records of 34 healthy patients who were admitted to the Department of Oral Maxillofacial Surgery, Faculty of Dentistry, Suleyman Demirel University, between January 2022 and January 2023 and who underwent low level laser and CGF after extraction of impacted wisdom teeth were analyzed. The VAS scale was used to evaluate pain on postoperative days 2 and 7. for the evaluation of edema, the distances between the tragus and corner of the mouth, tragus and pogonion, and lateral eye corner and mandible were measured with a flexible ruler on preoperative, postoperative days 2 and 7, for trismus measurement, the maximum distance between the central teeth was measured preoperatively and on the 2nd and 7th postoperative days. Wound healing was evaluated with the Landry wound healing index on postoperative day 2 and 7. The results were evaluated statistically.

In our study, no significant difference was found when the effectiveness of low level laser and CGF applications on pain, edema and wound healing were evaluated statistically. Regarding the efficacy on trismus, only on the 7th day, the effect of CGF on trismus was found to be significantly better than low level laser application.
It is thought that DDL and KBF application can be recommended for clinical use because they are cheap and easily applicable methods.

Keywords

concentrated growth factör, pain, edema, trismus, wound healing, low level laser

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