SOMATOSENSORY TRIGEMINAL EVOKED POTENTIAL AMPLITUDES FOLLOWING LOW LEVEL LASER AND SHAM IRRADIATION OVER TIME

抄録

The effect on somatosensory trigeminal evoked potentials (STEP) and latencies by intraoral low level laser irradiation of the maxillary nerve was evaluated. After electrical input at the left infraorbital foramen on 24 experimentally blinded pain-free subjects, He-Ne laser irradiation (1.7mW, 632.5nm, 50Hz) was performed for two minutes on 12 of these subjects, and sham irradiation on the other 12, at the left maxillary third molar apical area. Far-field STEP latencies and amplitudes were recorded: at base-line, immediately after intervention, and ten and twenty minutes after intervention. In the irradiated group, an immediate (average) STEP amplitude decrease from base-line of 60 per cent occurred, with further reduction to 65 and 72 per cent, at the ten and twenty minute intervals (p > .0001). No significant change occurred in the sham irradiation group (p > .05), and no change in latencies occurred in either group (p > .997). Low level laser treatment is commonly used in musculoskeletal and neurologic conditions, with mixed results. This experiment demonstrates that intraoral laser application to the maxillary nerve, where covered only by mucous membrane, results in significantly reduced STEP amplitudes. This findings suggests that intraoral laser therapy may be an effective pain control treatment.