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CC BY-NC-ND 4.0 · Eur J Dent 2018; 12(01): 077-088
DOI: 10.4103/ejd.ejd_296_17
Original Article
Dental Investigation Society

Impact of electro-neuro-feedback on postoperative outcome of impacted lower third molar surgery

Giacomo Oteri
1   Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Policlinic “Gaetano Martino”, Messina, Italy
,
Antonia Marcianò
1   Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Policlinic “Gaetano Martino”, Messina, Italy
,
Gabriele Cervino
1   Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Policlinic “Gaetano Martino”, Messina, Italy
,
Matteo Peditto
1   Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Policlinic “Gaetano Martino”, Messina, Italy
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Publikationsdatum:
13. September 2019 (online)

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ABSTRACT

Objective: The purpose of this study was to evaluate the impact of a treatment with electro-neuro-feedback (ENF), a portable transcutaneous electrical nerve stimulation (TENS) device, on the clinical outcome and inflammatory biochemical parameters related to the impacted lower third molar surgery. Materials and Methods: A randomized, split-mouth, and single-blind study was conducted on 32 patients requiring lower third molars extractions and referred to the Oral Surgery Unit of the School of Dentistry of the University of Messina. Every patient underwent surgical removal of both lower third molars. The first extraction included a placebo (electrodes placement with turned-off device) treatment following the surgery, while the second had the ENF used next to the avulsion and the following days. Clinical parameters were collected 4 days before, immediately after, 2, 4, and 7 days after the surgical procedure. Biochemical parameters were obtained 1 day before the surgical removal and 7 days after. Data were processed using Wilcoxon–Mann–Whitney test, with significance being set at P < 0.05. Results: Clinical outcome parameters showed a significant improvement after the ENF treatment, while considered inflammatory markers expressed different patterns. Conclusions: ENF, a reliable portable TENS device, has demonstrated to be a useful tool in the managing of the postsurgical phases, reducing edema, pain, and consequent pain-killers consumption.

Key words:

Edema - electro-neuro-feedback - pain - third molar surgery - transcutaneous nerve stimulation
 

  • REFERENCES

  • 1 Jones I, Johnson MI. Transcutaneous electrical nerve stimulation. Contin Educ Anaesth Crit Care Pain 2009; 9: 130-5
    CrossrefSuche in Google Scholar
  • 2 Sluka KA, Walsh D. Transcutaneous electrical nerve stimulation: Basic science mechanisms and clinical effectiveness. J Pain 2003; 4: 109-21
    CrossrefPubMedSuche in Google Scholar
  • 3 Walsh DM, Baxter D. Transcutaneous electrical nerve stimulation (TENS): A review of experimental studies. Eur J Phys Med Rehabil 1996; 6: 42-50
    Suche in Google Scholar
  • 4 Melzack R, Wall PD. Pain mechanism: A new theory. Science 1965; 150: 971-9
    CrossrefPubMedSuche in Google Scholar
  • 5 Nnoaham KE, Kumbang J. Transcutaneous electrical nerve stimulation (TENS) for chronic pain.. Cochrane Database Syst Rev 2008; 3: CD003222
    Suche in Google Scholar
  • 6 Katch EM. Applications of transcutaneous electrical nerve stimulation in dentistry. Anesth Prog 1986; 33: 156-60
    PubMedSuche in Google Scholar
  • 7 Sbruzzi G, Silveira SA, Silva DV, Coronel CC, Plentz RD. Transcutaneous electrical nerve stimulation after thoracic surgery: Systematic review and meta-analysis of 11 randomized trials. Rev Bras Cir Cardiovasc 2012; 27: 75-87
    CrossrefPubMedSuche in Google Scholar
  • 8 Hurlow A, Bennett MI, Robb KA, Johnson MI, Simpson KH, Oxberry SG. et al. Transcutaneous electric nerve stimulation (TENS) for cancer pain in adults. Cochrane Database Syst Rev 2012; 3: CD006276
    Suche in Google Scholar
  • 9 Walsh DM, Howe TE, Johnson MI, Sluka KA. Transcutaneous electrical nerve stimulation for acute pain. Cochrane Database Syst Rev 2009; 2: CD006142
    Suche in Google Scholar
  • 10 Khadilkar A, Odebiyi DO, Brosseau L, Wells GA. Transcutaneous electrical nerve stimulation (TENS) versus placebo for chronic low-back pain. Cochrane Database Syst Rev 2008; 4: CD003008
    Suche in Google Scholar
  • 11 Rutjes AW, Nüesch E, Sterchi R, Kalichman L, Hendriks E, Osiri M. et al. Transcutaneous electrostimulation for osteoarthritis of the knee. Cochrane Database Syst Rev 2009; 4: CD002823
    Suche in Google Scholar
  • 12 Kugelberg CF. Impacted lower third molars and periodontal health. An epidemiological, methodological, retrospective and prospective clinical, study. Swed Dent J Suppl 1990; 68: 1-52
    PubMedSuche in Google Scholar
  • 13 Chiapasco M, Crescentini M, Romanoni G. Germectomy or delayed removal of mandibular impacted third molars: The relationship between age and incidence of complications. J Oral Maxillofac Surg 1995; 53: 418-22
    CrossrefPubMedSuche in Google Scholar
  • 14 Nemcovsky CE, Libfeld H, Zubery Y. Effect of non-erupted 3rd molars on distal roots and supporting structures of approximal teeth. A radiographic survey of 202 cases. J Clin Periodontol 1996; 23: 810-5
    PubMedSuche in Google Scholar
  • 15 Menditti D, Laino L, Cicciù M, Mezzogiorno A, Perillo L, Menditti M. et al. Kissing molars: Report of three cases and new prospective on aetiopathogenetic theories. Int J Clin Exp Pathol 2015; 8: 15708-18
    PubMedSuche in Google Scholar
  • 16 Laino L, Menditti D, Lo Muzio L, Laino G, Lauritano F, Cicciù M. et al. Extraoral surgical approach of ectopic mandibular third molar to the lower border of mandible. J Craniofac Surg 2015; 26: e256-60
    CrossrefPubMedSuche in Google Scholar
  • 17 Chiapasco M, De Cicco L, Marrone G. Side effects and complications associated with third molar surgery. Oral Surg Oral Med Oral Pathol 1993; 76: 412-20
    CrossrefPubMedSuche in Google Scholar
  • 18 Pell GJ, Gregory BT. Impacted mandibular third molars: Classifications and modified techniques for removal. Dent Dig 1933; 39: 330
    Suche in Google Scholar
  • 19 Oteri G, Cicciù M, Peditto M, Catalano A, Loddo S, Pisano M. et al. Does Vitamin D3 have an impact on clinical and biochemical parameters related to third molar surgery. J Craniofac Surg 2016; 27: 469-76
    CrossrefPubMedSuche in Google Scholar
  • 20 Oztaş N, Olmez A, Yel B. Clinical evaluation of transcutaneous electronic nerve stimulation for pain control during tooth preparation. Quintessence Int 1997; 28: 603-8
    PubMedSuche in Google Scholar
  • 21 Varrese M, Guerrini G. Approach to electrical anesthesia: Nine years of experience in odontostomatological surgery. Anesth Prog 1992; 39: 185
    PubMedSuche in Google Scholar
  • 22 Yameen F, Shahbaz NN, Hasan Y, Fauz R, Abdullah M. Efficacy of transcutaneous electrical nerve stimulation and its different modes in patients with trigeminal neuralgia. J Pak Med Assoc 2011; 61: 437-9
    PubMedSuche in Google Scholar
  • 23 Steller M, Chou L, Daniels TE. Electrical stimulation of salivary flow in patients with Sjögren’s syndrome. J Dent Res 1988; 67: 1334-7
    Suche in Google Scholar
  • 24 Ghensi P, Cucchi A, Creminelli L, Tomasi C, Zavan B, Maiorana C. et al. Effect of oral administration of bromelain on postoperative discomfort after third molar surgery. J Craniofac Surg 2017; 28: e191-7
    CrossrefPubMedSuche in Google Scholar
  • 25 Lima TC, Bagordakis E, Falci SG, Dos Santos CR, Pinheiro ML. Pre-emptive effect of dexamethasone and diclofenac sodium associated with codeine on pain, swelling, and trismus after third molar surgery: A split-mouth, randomized, triple-blind, controlled clinical trial. J Oral Maxillofac Surg 2018; 76: 60-6
    CrossrefPubMedSuche in Google Scholar
  • 26 Osunde OD, Anyanechi CE, Bassey GO. Prevention of alveolar osteitis after third molar surgery: Comparative study of the effect of warm saline and chlorhexidine mouth rinses. Niger J Clin Pract 2017; 20: 470-3
    PubMedSuche in Google Scholar
  • 27 Chen Q, Chen J, Hu B, Feng G, Song J. Submucosal injection of dexamethasone reduces postoperative discomfort after third-molar extraction: A systematic review and meta-analysis. J Am Dent Assoc 2017; 148: 81-91
    CrossrefPubMedSuche in Google Scholar
  • 28 Bamgbose BO, Akinwande JA, Adeyemo WL, Ladeinde AL, Arotiba GT, Ogunlewe MO. et al. Effects of co-administered dexamethasone and diclofenac potassium on pain, swelling and trismus following third molar surgery. Head Face Med 2005; 1: 11
    CrossrefPubMedSuche in Google Scholar
  • 29 Sortino F, Messina G, Pulvirenti G. Evaluation of postoperative mucosa and skin temperature after surgery for impacted third molar. Minerva Stomatol 2003; 52: 393-9
    PubMedSuche in Google Scholar
  • 30 Markovic A, Todorovic LJ. Effectiveness of dexamethasone and low-power laser in minimizing oedema after third molar surgery: A clinical trial. Int J Oral Maxillofac Surg 2007; 36: 226-9
    CrossrefPubMedSuche in Google Scholar
  • 31 Sorenson C, Drummond M, Bhuiyan Khan B. Medical technology as a key driver of rising health expenditure: Disentangling the relationship. Clinicoecon Outcomes Res 2013; 5: 223-34
    PubMedSuche in Google Scholar