Low Level Laser Therapy Versus Dexamethasone Phonophoresis after Third Molar Surgery, MOHAMMED M.A. KHALAF, ASHRAF H.M. SOLIMAN, AMIRA A. ZAIED and MARWA S. IBRAHIM
Abstract
Background and Purpose: The aim of this study was to evaluate the comparitive effectiveness of Low Level Laser Therapy (LLLT) and dexamethasone phonophoresis in patients with trismus following third molar surgeries. low level laser therapy and dexamethasone have been effective in reducing pain, trismus and edema; thus improving the quality of patiets life.
Patients and Methods: The study was carried out on thirty patients aged from 25 to 45 years and suffered from swelling and trismus following third molar surgery. They were divided into two equal groups; Group A and Group B. Group A received low level laser therapy immediately after third molar extraction surgery for (6min/session over the masseter muscle daily for 7 days). Group B received phonophoresis of dexam-ethasone ampoule (in each session with half of 8mg vial and 35gm ultrasound gel immediately after third molar extraction (7 minutes/session over the masseter muscle area for 7 days). Assesment was carried out for vertical mouth opening were evaluated on pre-operative, 2nd day and 7th day postoperative.
Results: The results showed that both low level laser therapy and dexamethasone phonophoresis were significantly effective in decreasing trismus following third molar surgery as manifested by the highly increased Vertical Mouth Opening (VMO) with no significant difference.
Conclusion: This study demonstrates that there is no significant difference between LLLT and dexamethasone phonophoresis for reduction of trismus.