Photobiomodulation Therapy for Neurosensory Disturbances in Orthognathic Surgery Patients: A Systematic Review

Background: Sensory disturbances and acquired paresthesia constitute a significant proportion of complications following orthognathic surgery. This systematic review examines the application of photobiomodulation (PBM) in managing these complications and its efficacy in promoting sensory recovery. M...

Full description

Saved in:
Bibliographic Details
Main Authors: Aneta Olszewska, Mateusz Wolny, Julia Kensy, Agnieszka Kotela, Agata Czajka-Jakubowska, Jacek Matys
Format: Article
Language:English
Published: MDPI AG 2025-01-01
Series:Life
Subjects:
Online Access:https://www.mdpi.com/2075-1729/15/1/111
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832588139148869632
author Aneta Olszewska
Mateusz Wolny
Julia Kensy
Agnieszka Kotela
Agata Czajka-Jakubowska
Jacek Matys
author_facet Aneta Olszewska
Mateusz Wolny
Julia Kensy
Agnieszka Kotela
Agata Czajka-Jakubowska
Jacek Matys
author_sort Aneta Olszewska
collection DOAJ
description Background: Sensory disturbances and acquired paresthesia constitute a significant proportion of complications following orthognathic surgery. This systematic review examines the application of photobiomodulation (PBM) in managing these complications and its efficacy in promoting sensory recovery. Methods: In November 2024, a comprehensive digital search was performed across reputable databases, including PubMed, Web of Science, and Scopus, using carefully selected search terms: “orthognathic surgery” AND (physiotherapy OR physical therapy OR laser OR LLLT OR PBM OR light OR LED OR acupuncture) AND (nerve OR neurosensory OR paresthesia). The search adhered to the PRISMA guidelines. Of the 424 articles initially identified, 14 met the inclusion criteria and were included in the review. Results: The review focused on diode laser therapy for treating inferior alveolar nerve injuries, with most studies targeting this nerve and exploring diverse wavelengths, protocols, and surgical contexts, including orthognathic surgeries. Significant improvements were observed in tactile sensitivity, pain perception, and mechanical responsiveness. Factors such as earlier initiation of therapy, younger patient age, and higher treatment frequency were associated with improved outcomes. Conclusions: Low-level laser therapy emerges as a safe and effective intervention for enhancing neurosensory recovery following orthognathic surgery. However, the development of standardized treatment protocols and the conduct of larger-scale clinical trials are essential to optimize their clinical application.
format Article
id doaj-art-770c745f880a410580ea42478f929ba8
institution Kabale University
issn 2075-1729
language English
publishDate 2025-01-01
publisher MDPI AG
record_format Article
series Life
spelling doaj-art-770c745f880a410580ea42478f929ba82025-01-24T13:38:50ZengMDPI AGLife2075-17292025-01-0115111110.3390/life15010111Photobiomodulation Therapy for Neurosensory Disturbances in Orthognathic Surgery Patients: A Systematic ReviewAneta Olszewska0Mateusz Wolny1Julia Kensy2Agnieszka Kotela3Agata Czajka-Jakubowska4Jacek Matys5Department of Orthodontics and Temporomandibular Disorders, Poznan University of Medical Sciences, 61-701 Poznan, PolandDepartment of Orthodontics and Temporomandibular Disorders, Poznan University of Medical Sciences, 61-701 Poznan, PolandFaculty of Dentistry, Wroclaw Medical University, 50-425 Wroclaw, PolandMedical Center of Innovation, Wroclaw Medical University, Krakowska 26, 50-425 Wroclaw, PolandDepartment of Orthodontics and Temporomandibular Disorders, Poznan University of Medical Sciences, 61-701 Poznan, PolandDepartment of Dental Surgery, Wroclaw Medical University, 50-425 Wroclaw, PolandBackground: Sensory disturbances and acquired paresthesia constitute a significant proportion of complications following orthognathic surgery. This systematic review examines the application of photobiomodulation (PBM) in managing these complications and its efficacy in promoting sensory recovery. Methods: In November 2024, a comprehensive digital search was performed across reputable databases, including PubMed, Web of Science, and Scopus, using carefully selected search terms: “orthognathic surgery” AND (physiotherapy OR physical therapy OR laser OR LLLT OR PBM OR light OR LED OR acupuncture) AND (nerve OR neurosensory OR paresthesia). The search adhered to the PRISMA guidelines. Of the 424 articles initially identified, 14 met the inclusion criteria and were included in the review. Results: The review focused on diode laser therapy for treating inferior alveolar nerve injuries, with most studies targeting this nerve and exploring diverse wavelengths, protocols, and surgical contexts, including orthognathic surgeries. Significant improvements were observed in tactile sensitivity, pain perception, and mechanical responsiveness. Factors such as earlier initiation of therapy, younger patient age, and higher treatment frequency were associated with improved outcomes. Conclusions: Low-level laser therapy emerges as a safe and effective intervention for enhancing neurosensory recovery following orthognathic surgery. However, the development of standardized treatment protocols and the conduct of larger-scale clinical trials are essential to optimize their clinical application.https://www.mdpi.com/2075-1729/15/1/111LLLTorthognathic surgeryparesthesiaPBMphysiotherapy
spellingShingle Aneta Olszewska
Mateusz Wolny
Julia Kensy
Agnieszka Kotela
Agata Czajka-Jakubowska
Jacek Matys
Photobiomodulation Therapy for Neurosensory Disturbances in Orthognathic Surgery Patients: A Systematic Review
Life
LLLT
orthognathic surgery
paresthesia
PBM
physiotherapy
title Photobiomodulation Therapy for Neurosensory Disturbances in Orthognathic Surgery Patients: A Systematic Review
title_full Photobiomodulation Therapy for Neurosensory Disturbances in Orthognathic Surgery Patients: A Systematic Review
title_fullStr Photobiomodulation Therapy for Neurosensory Disturbances in Orthognathic Surgery Patients: A Systematic Review
title_full_unstemmed Photobiomodulation Therapy for Neurosensory Disturbances in Orthognathic Surgery Patients: A Systematic Review
title_short Photobiomodulation Therapy for Neurosensory Disturbances in Orthognathic Surgery Patients: A Systematic Review
title_sort photobiomodulation therapy for neurosensory disturbances in orthognathic surgery patients a systematic review
topic LLLT
orthognathic surgery
paresthesia
PBM
physiotherapy
url https://www.mdpi.com/2075-1729/15/1/111
work_keys_str_mv AT anetaolszewska photobiomodulationtherapyforneurosensorydisturbancesinorthognathicsurgerypatientsasystematicreview
AT mateuszwolny photobiomodulationtherapyforneurosensorydisturbancesinorthognathicsurgerypatientsasystematicreview
AT juliakensy photobiomodulationtherapyforneurosensorydisturbancesinorthognathicsurgerypatientsasystematicreview
AT agnieszkakotela photobiomodulationtherapyforneurosensorydisturbancesinorthognathicsurgerypatientsasystematicreview
AT agataczajkajakubowska photobiomodulationtherapyforneurosensorydisturbancesinorthognathicsurgerypatientsasystematicreview
AT jacekmatys photobiomodulationtherapyforneurosensorydisturbancesinorthognathicsurgerypatientsasystematicreview