Therapy of Neurophysiological Changes after Oral and Maxillofacial Surgery—A Systematic Review

Introduction: The purpose of this systematic review was to critically analyze the recent literature to present a guideline for management of neurophysiological changes after implant placement and oral and maxillofacial surgical procedures. Materials and methods: Three electronic databases and manual...

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Published inApplied sciences Vol. 12; no. 3; p. 1507
Main Authors Hartmann, Amely, Schmohl, Jörg, Cascant Ortolano, Lorena, Bayer, Oliver, Schweizer, Stefanus, Welte-Jzyk, Claudia, Al-Nawas, Bilal, Daubländer, Monika
Format Journal Article
LanguageEnglish
Published Basel MDPI AG 01.02.2022
Subjects
altered sensation
Anesthesia
Bias
Dental materials
Dentistry
Fibers
Heterogeneity
Irritation
Lasers
low-level laser
Maxillofacial
Maxillofacial surgery
neuropathic pain
neurophysiological disturbances
Pain
Patients
Population
small fibers
Stellate ganglion
Surgery
Surgical equipment
Transplants & implants
New York
United States > US
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Summary:Introduction: The purpose of this systematic review was to critically analyze the recent literature to present a guideline for management of neurophysiological changes after implant placement and oral and maxillofacial surgical procedures. Materials and methods: Three electronic databases and manual search approaches were used to identify relevant articles on neurophysiological changes. Only studies with a randomized controlled study design were included. Primary outcome was defined as the status of recovery and relief of pain states under various therapies. Two independent reviewers evaluated the data. Results: A total of eight studies from 2891 records identified met the inclusion criteria. Therapy options for patients with neurophysiological changes after implant placement and oral and maxillofacial surgery were low-level laser (LLL), stellate ganglion block (SGB), medication, and surgical removal of implants. Six studies dealt with LLL, providing a significant improvement in mechanical sensation. Only one study revealed the whole neurosensory profile including neuropathic pain states. All the included RCT studies presented at least one bias, and a considerable heterogeneity of the included studies was revealed. Conclusions: Reduced thermal sensation may be due to irritation of small fibers. LLL might help to improve nerve recovery.
ISSN:2076-3417
2076-3417
DOI:10.3390/app12031507