Mandible; Deformity, Nerve Injury, Orthognathic Surgery, Surgical Healing
Conditions
Keywords
orthognathic, lllt
Brief summary
Low-level laser therapy (LLLT) is a well-studied technique that has been shown to improve recovery time and reduce pain and swelling in patients undergoing surgery, including orthognathic surgery, and has no known negative effects. This study will use two groups with patients randomly assigned to either the study group, receiving LLLT, or one receiving a placebo treatment, after they have lower jaw surgery. Measurements will be taken at 24 hours, 1 week, 2 week, 3 week, 4 week, 5 week, and 6 week post-op exams to check pain, swelling and nerve function, and the two groups will be compared to see if the LLLT group has any difference
Detailed description
Low-level laser therapy (LLLT) is a well-studied technique to induce biomodulation of pain and wound healing. The technique has been shown to improve recovery time and reduce pain and swelling in patients undergoing surgery, including orthognathic surgery, and has no known negative effects. Previous studies have used split-mouth designs, short follow-up periods or, often, both. This study aims to have two groups, one receiving LLLT and one receiving a dummy treatment, at 24 hours, 1 week, 2 week, 3 week, 4 week, 5 week, and 6 week post-op exams. At each visit, pain (via VAS), swelling (measured from the midpoint of the chin to the base of the ear, bilaterally), and nerve function (using a soft and hard sensory test, in 8 regions of the mandible and lower lip) will be performed, with additional measurements at 8 weeks and 20 weeks. The measurements will be analyzed for statistical differences between the LLLT intervention group and non-intervention group.
Interventions
The proposed LLLT protocol will use the Biolase Epic X, an InGaAsP diode laser (940nm) using the pain relief handpiece, a device which has received FDA approval (GUDID 00647529002537) for the treatment of pain, muscle relaxation and healing via increased local circulation. The LLLT will be administered to the experimental group at 30 j/cm2. The laser will be applied extraorally, on the skin overlying the mandible. Application will be for 40 seconds per side, with 10 seconds administered in four places along the jawline, 1 cm apart starting from the gonial angle.
The Biolase Epic X with pain relief handpiece will be applied with no power extraorally, on the skin overlying the mandible. Application will be for 40 seconds per side, with 10 seconds administered in four places along the jawline, 1 cm apart starting from the gonial angle.
Sponsors
Study design
Masking description
Patients and outcomes assessor will be blinded to which group participants belong to.
Intervention model description
intervention vs placebo
Eligibility
Inclusion criteria
* Patients undergoing mandibular surgery with bilateral sagittal split osteotomies
Exclusion criteria
* patients must be free from pre-operative inferior alveolar neurosensory deficiencies * intra-operative accidental fracture or rupture of the inferior alveolar nerve
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Inferior Alveolar Nerve Function for Soft Stimuli | 24 hours post-surgery | IAN function for soft stimuli was assessed by brushing a cotton swab along a 2cm path of the skin of the mandible and lower lip in 8 regions along the lower jaw. Regions right and left 1, 2 and 3 are on the skin of lower face, 1 cm apart, starting on the midline, and right and left region 4 is the lower lip, separated at the midline. Right and left regions were identified as R1, R2, R3, R4 and L1, L2, L3, and L4, respectively. Patients responded as to whether they were able to feel the cotton swab using a binary Yes (+) or No (-) response. The number of patients who responded Yes is summarized by study arm. |
| Inferior Alveolar Nerve Function for Hard Stimuli | 24 hours post-surgery | IAN function for hard stimuli was assessed by pressing a toothpick into the skin of the mandible and lower lip in 8 regions along the lower jaw. Regions right and left 1, 2, and 3 are on the skin of the lower face, 1 cm apart, starting on the midline, and right and left region 4 is the lower lip, separated at the midline. Right and left regions were abbreviated as R1, R2, R3, R4 and L1, L2, L3, and L4, respectively. Patients responded as to whether they were able to feel the toothpick using a binary Yes (+) or No (-) response. The number of patients who responded Yes (+) is summarized by study arm. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Post-operative Pain | 24 hours post-surgery | Post-operative pain was assessed and reported during each study visit using a single-item Visual Analog Scale (VAS) question. Patients rated the intensity of pain on each side of the mandible (right and left) on an 11-point Likert scale. Possible VAS scores ranged from 0 (complete absence of pain) to 10 (maximum amount of pain imaginable). Results were summarized by study arm using basic descriptive statistics. |
| Post-operative Mandibular Swelling | 24 hours post-surgery | Post-operative mandibular swelling was measured using soft measuring tape. The extent of post-operative swelling was measured from the tip of the chin to the base of the earlobe bilaterally (right and left). Measurements were recorded in millimeters (mm) and results summarized by study arm using basic descriptive statistics. |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Low-level Therapy Intervention Patients will receive low-level laser therapy on the skin overlying the mandible for 40 seconds per side. All other post-operative care will be as per clinic routine.
Low-level laser therapy (LLLT): The proposed LLLT protocol will use the Biolase Epic X, an InGaAsP diode laser (940nm) using the pain relief handpiece, a device which has received FDA approval (GUDID 00647529002537) for the treatment of pain, muscle relaxation and healing via increased local circulation. The LLLT will be administered to the experimental group at 30 j/cm2. The laser will be applied extraorally, on the skin overlying the mandible. Application will be for 40 seconds per side, with 10 seconds administered in four places along the jawline, 1 cm apart starting from the gonial angle. | 12 |
| Sham Intervention Patients will receive no dose of laser, but the handpiece will be used against their skin top mimic the LLLT. All other post-operative care will be as per clinic routine.
Sham LLLT: The Biolase Epic X with pain relief handpiece will be applied with no power extraorally, on the skin overlying the mandible. Application will be for 40 seconds per side, with 10 seconds administered in four places along the jawline, 1 cm apart starting from the gonial angle. | 13 |
| Total | 25 |
Baseline characteristics
| Characteristic | Low-level Therapy Intervention | Sham Intervention | Total |
|---|---|---|---|
| Age, Categorical <=18 years | 3 Participants | 3 Participants | 6 Participants |
| Age, Categorical >=65 years | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical Between 18 and 65 years | 9 Participants | 10 Participants | 19 Participants |
| Inferior Alveolar Nerve (IAN) Function for Hard Stimuli L1 | 12 Participants | 10 Participants | 22 Participants |
| Inferior Alveolar Nerve (IAN) Function for Hard Stimuli L2 | 12 Participants | 10 Participants | 22 Participants |
| Inferior Alveolar Nerve (IAN) Function for Hard Stimuli L3 | 12 Participants | 10 Participants | 22 Participants |
| Inferior Alveolar Nerve (IAN) Function for Hard Stimuli L4 | 11 Participants | 10 Participants | 21 Participants |
| Inferior Alveolar Nerve (IAN) Function for Hard Stimuli R1 | 12 Participants | 10 Participants | 22 Participants |
| Inferior Alveolar Nerve (IAN) Function for Hard Stimuli R2 | 12 Participants | 10 Participants | 22 Participants |
| Inferior Alveolar Nerve (IAN) Function for Hard Stimuli R3 | 12 Participants | 10 Participants | 22 Participants |
| Inferior Alveolar Nerve (IAN) Function for Hard Stimuli R4 | 12 Participants | 10 Participants | 22 Participants |
| Inferior Alveolar Nerve (IAN) Function for Soft Stimuli L1 | 12 Participants | 10 Participants | 22 Participants |
| Inferior Alveolar Nerve (IAN) Function for Soft Stimuli L2 | 12 Participants | 9 Participants | 21 Participants |
| Inferior Alveolar Nerve (IAN) Function for Soft Stimuli L3 | 12 Participants | 9 Participants | 21 Participants |
| Inferior Alveolar Nerve (IAN) Function for Soft Stimuli L4 | 12 Participants | 10 Participants | 22 Participants |
| Inferior Alveolar Nerve (IAN) Function for Soft Stimuli R1 | 12 Participants | 10 Participants | 22 Participants |
| Inferior Alveolar Nerve (IAN) Function for Soft Stimuli R2 | 12 Participants | 10 Participants | 22 Participants |
| Inferior Alveolar Nerve (IAN) Function for Soft Stimuli R3 | 12 Participants | 10 Participants | 22 Participants |
| Inferior Alveolar Nerve (IAN) Function for Soft Stimuli R4 | 12 Participants | 10 Participants | 22 Participants |
| Pre-Operative Mandibular Swelling Left Side | 151 millimeters STANDARD_DEVIATION 9.13 | 160 millimeters STANDARD_DEVIATION 15.6 | 155 millimeters STANDARD_DEVIATION 12.6 |
| Pre-Operative Mandibular Swelling Right Side | 149 millimeters STANDARD_DEVIATION 9.91 | 158 millimeters STANDARD_DEVIATION 14.2 | 153 millimeters STANDARD_DEVIATION 12.3 |
| Pre-Operative Pain Left Side | 0.4 score on a scale STANDARD_DEVIATION 0.5 | 0.1 score on a scale STANDARD_DEVIATION 0.3 | 0.2 score on a scale STANDARD_DEVIATION 0.4 |
| Pre-Operative Pain Right Side | 0.4 score on a scale STANDARD_DEVIATION 0.5 | 0.1 score on a scale STANDARD_DEVIATION 0.3 | 0.2 score on a scale STANDARD_DEVIATION 0.4 |
| Race and Ethnicity Not Collected | โ | โ | 0 Participants |
| Region of Enrollment United States | 12 participants | 13 participants | 25 participants |
| Sex: Female, Male Female | 6 Participants | 9 Participants | 15 Participants |
| Sex: Female, Male Male | 6 Participants | 4 Participants | 10 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 0 / 12 | 0 / 13 |
| other Total, other adverse events | 0 / 12 | 0 / 13 |
| serious Total, serious adverse events | 0 / 12 | 0 / 13 |
Outcome results
Inferior Alveolar Nerve Function for Hard Stimuli
IAN function for hard stimuli was assessed by pressing a toothpick into the skin of the mandible and lower lip in 8 regions along the lower jaw. Regions right and left 1, 2, and 3 are on the skin of the lower face, 1 cm apart, starting on the midline, and right and left region 4 is the lower lip, separated at the midline. Right and left regions were abbreviated as R1, R2, R3, R4 and L1, L2, L3, and L4, respectively. Patients responded as to whether they were able to feel the toothpick using a binary Yes (+) or No (-) response. The number of patients who responded Yes (+) is summarized by study arm.
Time frame: 20 weeks post-surgery
Population: Study was terminated in advance of the 20-week timepoint and toothpick samples were not collected from any of the participants at 20 weeks post-surgery. Accordingly, there are no IAN function for hard stimuli results to report.
Inferior Alveolar Nerve Function for Hard Stimuli
IAN function for hard stimuli was assessed by pressing a toothpick into the skin of the mandible and lower lip in 8 regions along the lower jaw. Regions right and left 1, 2, and 3 are on the skin of the lower face, 1 cm apart, starting on the midline, and right and left region 4 is the lower lip, separated at the midline. Right and left regions were abbreviated as R1, R2, R3, R4 and L1, L2, L3, and L4, respectively. Patients responded as to whether they were able to feel the toothpick using a binary Yes (+) or No (-) response. The number of patients who responded Yes (+) is summarized by study arm.
Time frame: 24 hours post-surgery
Population: 24-hour post-surgical follow-up visits were not conducted during this study. Many patients were still admitted at 24 hours post-procedure and were unable to be brought into the dental clinic. In addition, the instruments and equipment required to conduct this assessment were not available in the hospital in-patient rooms. As a result, toothpick samples were not obtained from any of the patients at 24 hours post-surgery and there is no IAN function for hard stimuli results data to report.
Inferior Alveolar Nerve Function for Hard Stimuli
IAN function for hard stimuli was assessed by pressing a toothpick into the skin of the mandible and lower lip in 8 regions along the lower jaw. Regions right and left 1, 2, and 3 are on the skin of the lower face, 1 cm apart, starting on the midline, and right and left region 4 is the lower lip, separated at the midline. Right and left regions were abbreviated as R1, R2, R3, R4 and L1, L2, L3, and L4, respectively. Patients responded as to whether they were able to feel the toothpick using a binary Yes (+) or No (-) response. The number of patients who responded Yes (+) is summarized by study arm.
Time frame: 1 week post-surgery
Population: Toothpick samples were able to be collected from regions R1, R4, L1, and L4 in all 12 patients and from regions R2, R3, L2, and L3 in 11 of 12 patients in the Low-level therapy intervention arm who attended their Week 1 visit. Toothpick samples were able to be collected from regions R2, R3, L2, and L3 in all 8 patients and from regions R1, R4, L1, and L4 in 7 of 8 patients in the Sham intervention arm who attended their Week 1 visit.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | R1 | 10 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | R2 | 11 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | R3 | 11 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | R4 | 7 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | L1 | 8 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | L2 | 11 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | L3 | 11 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | L4 | 8 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | L4 | 4 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | R1 | 2 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | L1 | 0 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | R2 | 8 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | L3 | 8 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | R3 | 8 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | L2 | 6 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | R4 | 2 Participants |
Inferior Alveolar Nerve Function for Hard Stimuli
IAN function for hard stimuli was assessed by pressing a toothpick into the skin of the mandible and lower lip in 8 regions along the lower jaw. Regions right and left 1, 2, and 3 are on the skin of the lower face, 1 cm apart, starting on the midline, and right and left region 4 is the lower lip, separated at the midline. Right and left regions were abbreviated as R1, R2, R3, R4 and L1, L2, L3, and L4, respectively. Patients responded as to whether they were able to feel the toothpick using a binary Yes (+) or No (-) response. The number of patients who responded Yes (+) is summarized by study arm.
Time frame: 2 weeks post-surgery
Population: Toothpick samples were able to be collected from all regions in all 10 patients in the Low-level therapy intervention arm who attended their Week 2 visit. Toothpick samples were able to be collected from all regions in all 9 patients in the Sham intervention arm with the exception of region L1 in which toothpick samples were able to be collected from 8 of 9 patients who attended their Week 2 visit.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | L1 | 6 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | R1 | 6 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | R2 | 10 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | R3 | 10 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | R4 | 7 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | L2 | 10 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | L3 | 10 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | L4 | 5 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | L4 | 5 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | L1 | 5 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | R4 | 5 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | R1 | 5 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | L3 | 9 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | R2 | 9 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | L2 | 8 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | R3 | 9 Participants |
Inferior Alveolar Nerve Function for Hard Stimuli
IAN function for hard stimuli was assessed by pressing a toothpick into the skin of the mandible and lower lip in 8 regions along the lower jaw. Regions right and left 1, 2, and 3 are on the skin of the lower face, 1 cm apart, starting on the midline, and right and left region 4 is the lower lip, separated at the midline. Right and left regions were abbreviated as R1, R2, R3, R4 and L1, L2, L3, and L4, respectively. Patients responded as to whether they were able to feel the toothpick using a binary Yes (+) or No (-) response. The number of patients who responded Yes (+) is summarized by study arm.
Time frame: 3 weeks post-surgery
Population: Toothpick samples were able to be collected from all regions in all 10 patients in the Low-level therapy intervention arm and from all regions in all 8 patients in the Sham intervention arm who attended their Week 3 visit.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | R4 | 9 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | R2 | 10 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | L2 | 10 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | R1 | 9 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | L3 | 10 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | R3 | 10 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | L4 | 8 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | L1 | 9 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | L4 | 5 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | R1 | 6 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | R2 | 8 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | R3 | 8 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | L1 | 4 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | L2 | 8 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | L3 | 8 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | R4 | 6 Participants |
Inferior Alveolar Nerve Function for Hard Stimuli
IAN function for hard stimuli was assessed by pressing a toothpick into the skin of the mandible and lower lip in 8 regions along the lower jaw. Regions right and left 1, 2, and 3 are on the skin of the lower face, 1 cm apart, starting on the midline, and right and left region 4 is the lower lip, separated at the midline. Right and left regions were abbreviated as R1, R2, R3, R4 and L1, L2, L3, and L4, respectively. Patients responded as to whether they were able to feel the toothpick using a binary Yes (+) or No (-) response. The number of patients who responded Yes (+) is summarized by study arm.
Time frame: 4 weeks post-surgery
Population: Toothpick samples were able to be collected from all regions in all 8 patients in the Low-level therapy intervention arm and from all regions in all 9 patients in the Sham intervention arm who attended their Week 4 visit.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | R1 | 5 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | R2 | 8 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | R3 | 8 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | R4 | 7 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | L1 | 4 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | L2 | 8 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | L3 | 8 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | L4 | 5 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | L4 | 5 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | R1 | 7 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | L1 | 6 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | R2 | 9 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | L3 | 9 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | R3 | 9 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | L2 | 9 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | R4 | 8 Participants |
Inferior Alveolar Nerve Function for Hard Stimuli
IAN function for hard stimuli was assessed by pressing a toothpick into the skin of the mandible and lower lip in 8 regions along the lower jaw. Regions right and left 1, 2, and 3 are on the skin of the lower face, 1 cm apart, starting on the midline, and right and left region 4 is the lower lip, separated at the midline. Right and left regions were abbreviated as R1, R2, R3, R4 and L1, L2, L3, and L4, respectively. Patients responded as to whether they were able to feel the toothpick using a binary Yes (+) or No (-) response. The number of patients who responded Yes (+) is summarized by study arm.
Time frame: 5 weeks post-surgery
Population: Toothpick samples were able to be collected from regions L1 and L4 in all 7 patients and from regions R1, R2, R3, R4, L2, and L3 in 6 of 7 patients in the Low-level therapy intervention arm who attended their Week 5 visit. Toothpick samples were able to be collected from all regions in all 6 patients in the Sham intervention arm who attended their Week 5 visit.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | R1 | 6 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | L1 | 3 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | R3 | 6 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | L2 | 6 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | R2 | 6 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | L3 | 6 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | R4 | 5 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | L4 | 3 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | R4 | 3 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | R1 | 3 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | R2 | 6 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | R3 | 6 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | L4 | 3 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | L1 | 4 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | L2 | 6 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | L3 | 6 Participants |
Inferior Alveolar Nerve Function for Hard Stimuli
IAN function for hard stimuli was assessed by pressing a toothpick into the skin of the mandible and lower lip in 8 regions along the lower jaw. Regions right and left 1, 2, and 3 are on the skin of the lower face, 1 cm apart, starting on the midline, and right and left region 4 is the lower lip, separated at the midline. Right and left regions were abbreviated as R1, R2, R3, R4 and L1, L2, L3, and L4, respectively. Patients responded as to whether they were able to feel the toothpick using a binary Yes (+) or No (-) response. The number of patients who responded Yes (+) is summarized by study arm.
Time frame: 6 weeks post-surgery
Population: Toothpick samples were able to be collected from all regions in all 9 patients in the Low-level therapy intervention arm and from all regions in all 8 patients in the Sham intervention arm who attended their Week 6 visit.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | R1 | 8 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | R2 | 9 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | R3 | 9 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | R4 | 9 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | L1 | 6 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | L2 | 9 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | L3 | 9 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | L4 | 5 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | L4 | 7 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | R1 | 6 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | L1 | 6 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | R2 | 8 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | L3 | 8 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | R3 | 8 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | L2 | 8 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | R4 | 6 Participants |
Inferior Alveolar Nerve Function for Hard Stimuli
IAN function for hard stimuli was assessed by pressing a toothpick into the skin of the mandible and lower lip in 8 regions along the lower jaw. Regions right and left 1, 2, and 3 are on the skin of the lower face, 1 cm apart, starting on the midline, and right and left region 4 is the lower lip, separated at the midline. Right and left regions were abbreviated as R1, R2, R3, R4 and L1, L2, L3, and L4, respectively. Patients responded as to whether they were able to feel the toothpick using a binary Yes (+) or No (-) response. The number of patients who responded Yes (+) is summarized by study arm.
Time frame: 8 weeks post-surgery
Population: Toothpick samples were able to be collected from all regions in all 4 patients in the Low-level therapy intervention arm and from all regions in all 5 patients in the Sham intervention arm who attended their Week 8 visit. Due to a deviation one patient in the Sham group had toothpick samples collected at 7 weeks instead of the intended 8-week collection timepoint.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | R1 | 2 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | R2 | 4 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | R3 | 4 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | R4 | 2 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | L1 | 3 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | L2 | 4 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | L3 | 4 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | L4 | 2 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | L4 | 4 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | R1 | 4 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | L1 | 4 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | R2 | 5 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | L3 | 5 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | R3 | 5 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | L2 | 5 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Hard Stimuli | R4 | 4 Participants |
Inferior Alveolar Nerve Function for Soft Stimuli
IAN function for soft stimuli was assessed by brushing a cotton swab along a 2cm path of the skin of the mandible and lower lip in 8 regions along the lower jaw. Regions right and left 1, 2 and 3 are on the skin of lower face, 1 cm apart, starting on the midline, and right and left region 4 is the lower lip, separated at the midline. Right and left regions were identified as R1, R2, R3, R4 and L1, L2, L3, and L4, respectively. Patients responded as to whether they were able to feel the cotton swab using a binary Yes (+) or No (-) response. The number of patients who responded Yes is summarized by study arm.
Time frame: 24 hours post-surgery
Population: 24-hour post-surgical follow-up visits were not conducted during this study. Many patients were still admitted at 24 hours post-procedure and were unable to be brought into the dental clinic. In addition, the instruments and equipment required to conduct this assessment were not available in the hospital in-patient rooms. As a result, cotton swab samples were not obtained from any of the patients at 24 hours post-surgery and there is no IAN function for soft stimuli results data to report.
Inferior Alveolar Nerve Function for Soft Stimuli
IAN function for soft stimuli was assessed by brushing a cotton swab along a 2cm path of the skin of the mandible and lower lip in 8 regions along the lower jaw. Regions right and left 1, 2 and 3 are on the skin of lower face, 1 cm apart, starting on the midline, and right and left region 4 is the lower lip, separated at the midline. Right and left regions were identified as R1, R2, R3, R4 and L1, L2, L3, and L4, respectively. Patients responded as to whether they were able to feel the cotton swab using a binary Yes (+) or No (-) response. The number of patients who responded Yes is summarized by study arm.
Time frame: 1 week post-surgery
Population: Swab samples were able to be collected from regions R1, R4, L1, and L4 in all 12 patients and from regions R2, R3, L2, and L3 in 11 of 12 patients in the Low-level therapy intervention arm who attended their Week 1 visit. Swab samples were able to be collected from regions R2, R3, L2, and L3 in all 8 patients and from regions R1, R4, L1, and L4 in 7 of 8 patients in the Sham intervention arm who attended their Week 1 visit.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | R1 | 10 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | R2 | 11 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | R3 | 11 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | R4 | 7 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | L1 | 8 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | L2 | 11 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | L3 | 11 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | L4 | 8 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | L4 | 2 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | R1 | 3 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | L1 | 1 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | R2 | 8 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | L3 | 8 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | R3 | 6 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | L2 | 8 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | R4 | 2 Participants |
Inferior Alveolar Nerve Function for Soft Stimuli
IAN function for soft stimuli was assessed by brushing a cotton swab along a 2cm path of the skin of the mandible and lower lip in 8 regions along the lower jaw. Regions right and left 1, 2 and 3 are on the skin of lower face, 1 cm apart, starting on the midline, and right and left region 4 is the lower lip, separated at the midline. Right and left regions were identified as R1, R2, R3, R4 and L1, L2, L3, and L4, respectively. Patients responded as to whether they were able to feel the cotton swab using a binary Yes (+) or No (-) response. The number of patients who responded Yes is summarized by study arm.
Time frame: 2 weeks post-surgery
Population: Swab samples were able to be collected from all regions in all 10 patients in the Low-level therapy intervention arm who attended their Week 2 visit. Swab samples were able to be collected from all regions in all 9 patients in the Sham intervention arm with the exception of regions R4 and L4 in which swab samples were able to be collected from 8 of 9 patients who attended their Week 2 visit.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | R4 | 7 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | R1 | 8 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | R2 | 9 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | R3 | 10 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | L1 | 7 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | L2 | 10 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | L3 | 10 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | L4 | 6 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | L4 | 3 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | L1 | 4 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | R1 | 6 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | L3 | 9 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | R2 | 9 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | L2 | 9 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | R3 | 9 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | R4 | 5 Participants |
Inferior Alveolar Nerve Function for Soft Stimuli
IAN function for soft stimuli was assessed by brushing a cotton swab along a 2cm path of the skin of the mandible and lower lip in 8 regions along the lower jaw. Regions right and left 1, 2 and 3 are on the skin of lower face, 1 cm apart, starting on the midline, and right and left region 4 is the lower lip, separated at the midline. Right and left regions were identified as R1, R2, R3, R4 and L1, L2, L3, and L4, respectively. Patients responded as to whether they were able to feel the cotton swab using a binary Yes (+) or No (-) response. The number of patients who responded Yes is summarized by study arm.
Time frame: 3 weeks post-surgery
Population: Swab samples were able to be collected from all regions in all 10 patients in the Low-level therapy intervention arm and from all regions in all 8 patients in the Sham intervention arm who attended their Week 3 visit.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | R1 | 7 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | R2 | 10 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | R3 | 10 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | R4 | 8 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | L1 | 7 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | L2 | 10 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | L3 | 10 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | L4 | 7 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | L4 | 4 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | R1 | 5 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | L1 | 3 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | R2 | 8 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | L3 | 7 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | R3 | 8 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | L2 | 7 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | R4 | 6 Participants |
Inferior Alveolar Nerve Function for Soft Stimuli
IAN function for soft stimuli was assessed by brushing a cotton swab along a 2cm path of the skin of the mandible and lower lip in 8 regions along the lower jaw. Regions right and left 1, 2 and 3 are on the skin of lower face, 1 cm apart, starting on the midline, and right and left region 4 is the lower lip, separated at the midline. Right and left regions were identified as R1, R2, R3, R4 and L1, L2, L3, and L4, respectively. Patients responded as to whether they were able to feel the cotton swab using a binary Yes (+) or No (-) response. The number of patients who responded Yes is summarized by study arm.
Time frame: 4 weeks post-surgery
Population: Swab samples were able to be collected from all regions in all 8 patients in the Low-level therapy intervention arm and from all regions in all 9 patients in the Sham intervention arm who attended their Week 4 visit.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | R1 | 5 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | R2 | 8 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | R3 | 8 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | R4 | 7 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | L1 | 4 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | L2 | 8 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | L3 | 8 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | L4 | 5 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | L4 | 5 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | R1 | 6 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | L1 | 6 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | R2 | 9 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | L3 | 9 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | R3 | 9 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | L2 | 9 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | R4 | 7 Participants |
Inferior Alveolar Nerve Function for Soft Stimuli
IAN function for soft stimuli was assessed by brushing a cotton swab along a 2cm path of the skin of the mandible and lower lip in 8 regions along the lower jaw. Regions right and left 1, 2 and 3 are on the skin of lower face, 1 cm apart, starting on the midline, and right and left region 4 is the lower lip, separated at the midline. Right and left regions were identified as R1, R2, R3, R4 and L1, L2, L3, and L4, respectively. Patients responded as to whether they were able to feel the cotton swab using a binary Yes (+) or No (-) response. The number of patients who responded Yes is summarized by study arm.
Time frame: 5 weeks post-surgery
Population: Swab samples were able to be collected from regions L1 and L4 in all 7 patients and from regions R1, R2, R3, R4, L2, and L3 in 6 of 7 patients in the Low-level therapy intervention arm who attended their Week 5 visit. Swab samples were able to be collected from all regions in all 6 patients in the Sham intervention arm who attended their Week 5 visit.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | R1 | 6 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | R2 | 6 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | R3 | 6 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | R4 | 6 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | L1 | 3 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | L2 | 6 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | L3 | 6 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | L4 | 3 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | L4 | 4 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | R1 | 3 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | L1 | 4 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | R2 | 6 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | L3 | 6 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | R3 | 6 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | L2 | 6 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | R4 | 4 Participants |
Inferior Alveolar Nerve Function for Soft Stimuli
IAN function for soft stimuli was assessed by brushing a cotton swab along a 2cm path of the skin of the mandible and lower lip in 8 regions along the lower jaw. Regions right and left 1, 2 and 3 are on the skin of lower face, 1 cm apart, starting on the midline, and right and left region 4 is the lower lip, separated at the midline. Right and left regions were identified as R1, R2, R3, R4 and L1, L2, L3, and L4, respectively. Patients responded as to whether they were able to feel the cotton swab using a binary Yes (+) or No (-) response. The number of patients who responded Yes is summarized by study arm.
Time frame: 6 weeks post-surgery
Population: Swab samples were able to be collected from all regions in all 9 patients in the Low-level therapy intervention arm and from all regions in all 8 patients in the Sham intervention arm who attended their Week 6 visit.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | L1 | 5 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | R3 | 9 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | R4 | 8 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | L2 | 9 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | L3 | 9 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | L4 | 5 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | R1 | 8 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | R2 | 9 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | R2 | 8 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | L1 | 6 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | L3 | 7 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | R3 | 8 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | R1 | 6 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | R4 | 6 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | L4 | 6 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | L2 | 8 Participants |
Inferior Alveolar Nerve Function for Soft Stimuli
IAN function for soft stimuli was assessed by brushing a cotton swab along a 2cm path of the skin of the mandible and lower lip in 8 regions along the lower jaw. Regions right and left 1, 2 and 3 are on the skin of lower face, 1 cm apart, starting on the midline, and right and left region 4 is the lower lip, separated at the midline. Right and left regions were identified as R1, R2, R3, R4 and L1, L2, L3, and L4, respectively. Patients responded as to whether they were able to feel the cotton swab using a binary Yes (+) or No (-) response. The number of patients who responded Yes is summarized by study arm.
Time frame: 8 weeks post-surgery
Population: Swab samples were able to be collected from all regions in all 4 patients in the Low-level therapy intervention arm and from all regions in all 5 patients in the Sham intervention arm who attended their Week 8 visit. Due to a deviation one patient in the Sham group had swab samples collected at Week 7 instead of the intended 8-week timepoint.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | R2 | 4 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | R4 | 2 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | L2 | 4 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | R1 | 2 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | L3 | 4 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | L1 | 3 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | L4 | 2 Participants |
| Low-level Therapy Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | R3 | 4 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | L4 | 4 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | R1 | 4 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | L1 | 3 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | R2 | 5 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | R3 | 5 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | L2 | 5 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | L3 | 5 Participants |
| Sham Intervention | Inferior Alveolar Nerve Function for Soft Stimuli | R4 | 4 Participants |
Inferior Alveolar Nerve Function for Soft Stimuli
IAN function for soft stimuli was assessed by brushing a cotton swab along a 2cm path of the skin of the mandible and lower lip in 8 regions along the lower jaw. Regions right and left 1, 2 and 3 are on the skin of lower face, 1 cm apart, starting on the midline, and right and left region 4 is the lower lip, separated at the midline. Right and left regions were identified as R1, R2, R3, R4 and L1, L2, L3, and L4, respectively. Patients responded as to whether they were able to feel the cotton swab using a binary Yes (+) or No (-) response. The number of patients who responded Yes is summarized by study arm.
Time frame: 20 weeks post-surgery
Population: Study was terminated in advance of the 20-week timepoint and swab samples were not collected from any of the participants at 20 weeks post-surgery. Accordingly, there are no IAN function for soft stimuli results to report.
Post-operative Mandibular Swelling
Post-operative mandibular swelling was measured using soft measuring tape. The extent of post-operative swelling was measured from the tip of the chin to the base of the earlobe bilaterally (right and left). Measurements were recorded in millimeters (mm) and results summarized by study arm using basic descriptive statistics.
Time frame: 20 weeks post-surgery
Population: Study was terminated in advance of the 20-week timepoint and post-operative mandibular swelling measurements were not collected from any of the participants at 20 weeks post-surgery. Accordingly, there are no post-operative mandibular swelling results to report.
Post-operative Mandibular Swelling
Post-operative mandibular swelling was measured using soft measuring tape. The extent of post-operative swelling was measured from the tip of the chin to the base of the earlobe bilaterally (right and left). Measurements were recorded in millimeters (mm) and results summarized by study arm using basic descriptive statistics.
Time frame: 24 hours post-surgery
Population: 24-hour post-surgical follow-up visits were not conducted during this study. Many patients were still admitted at 24 hours post-procedure and were unable to be brought into the dental clinic. In addition, the instruments and equipment required to conduct this assessment were not available in the hospital in-patient rooms. As a result, mandibular swelling measurements were not obtained from any of the patients at 24 hours post-surgery and there is no mandibular swelling results data to report.
Post-operative Mandibular Swelling
Post-operative mandibular swelling was measured using soft measuring tape. The extent of post-operative swelling was measured from the tip of the chin to the base of the earlobe bilaterally (right and left). Measurements were recorded in millimeters (mm) and results summarized by study arm using basic descriptive statistics.
Time frame: 1 week post-surgery
Population: 1-week post-operative mandibular swelling data was able to be collected from all 12 patients in the Low-level therapy intervention arm and from all 8 patients in the Sham intervention arm who attended their Week 1 visit.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Low-level Therapy Intervention | Post-operative Mandibular Swelling | Right Side | 153 millimeters | Standard Deviation 12.3 |
| Low-level Therapy Intervention | Post-operative Mandibular Swelling | Left Side | 156 millimeters | Standard Deviation 16.4 |
| Sham Intervention | Post-operative Mandibular Swelling | Right Side | 138 millimeters | Standard Deviation 23.7 |
| Sham Intervention | Post-operative Mandibular Swelling | Left Side | 133 millimeters | Standard Deviation 25.7 |
Post-operative Mandibular Swelling
Post-operative mandibular swelling was measured using soft measuring tape. The extent of post-operative swelling was measured from the tip of the chin to the base of the earlobe bilaterally (right and left). Measurements were recorded in millimeters (mm) and results summarized by study arm using basic descriptive statistics.
Time frame: 2 weeks post-surgery
Population: 2-week post-operative mandibular swelling data was able to be collected from all 10 patients in the Low-level therapy intervention arm and from all 9 patients in the Sham intervention arm who attended their Week 2 visit.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Low-level Therapy Intervention | Post-operative Mandibular Swelling | Right Side | 154 millimeters | Standard Deviation 18 |
| Low-level Therapy Intervention | Post-operative Mandibular Swelling | Left Side | 152 millimeters | Standard Deviation 23 |
| Sham Intervention | Post-operative Mandibular Swelling | Right Side | 140 millimeters | Standard Deviation 18.8 |
| Sham Intervention | Post-operative Mandibular Swelling | Left Side | 132 millimeters | Standard Deviation 27.3 |
Post-operative Mandibular Swelling
Post-operative mandibular swelling was measured using soft measuring tape. The extent of post-operative swelling was measured from the tip of the chin to the base of the earlobe bilaterally (right and left). Measurements were recorded in millimeters (mm) and results summarized by study arm using basic descriptive statistics.
Time frame: 3 weeks post-surgery
Population: 3-week post-operative mandibular swelling data was able to be collected from all 10 patients in the Low-level therapy intervention arm and from 7 of 8 patients in the Sham intervention arm who attended their 3-week visit.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Low-level Therapy Intervention | Post-operative Mandibular Swelling | Right Side | 145 millimeters | Standard Deviation 12.7 |
| Low-level Therapy Intervention | Post-operative Mandibular Swelling | Left Side | 142 millimeters | Standard Deviation 13.8 |
| Sham Intervention | Post-operative Mandibular Swelling | Right Side | 134 millimeters | Standard Deviation 21.3 |
| Sham Intervention | Post-operative Mandibular Swelling | Left Side | 135 millimeters | Standard Deviation 21.8 |
Post-operative Mandibular Swelling
Post-operative mandibular swelling was measured using soft measuring tape. The extent of post-operative swelling was measured from the tip of the chin to the base of the earlobe bilaterally (right and left). Measurements were recorded in millimeters (mm) and results summarized by study arm using basic descriptive statistics.
Time frame: 4 weeks post-surgery
Population: 4-week post-operative mandibular swelling data was able to be collected from all 8 patients in the Low-level therapy intervention arm and from all 9 patients in the Sham intervention arm who attended their Week 4 visit.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Low-level Therapy Intervention | Post-operative Mandibular Swelling | Right Side | 147 millimeters | Standard Deviation 7.41 |
| Low-level Therapy Intervention | Post-operative Mandibular Swelling | Left Side | 149 millimeters | Standard Deviation 10.5 |
| Sham Intervention | Post-operative Mandibular Swelling | Right Side | 146 millimeters | Standard Deviation 12.2 |
| Sham Intervention | Post-operative Mandibular Swelling | Left Side | 142 millimeters | Standard Deviation 16.9 |
Post-operative Mandibular Swelling
Post-operative mandibular swelling was measured using soft measuring tape. The extent of post-operative swelling was measured from the tip of the chin to the base of the earlobe bilaterally (right and left). Measurements were recorded in millimeters (mm) and results summarized by study arm using basic descriptive statistics.
Time frame: 5 weeks post-surgery
Population: 5-week post-operative mandibular swelling data was able to be collected from all 7 patients in the Low-level therapy intervention arm and from all 6 patients in the Sham intervention arm who attended their Week 5 visit.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Low-level Therapy Intervention | Post-operative Mandibular Swelling | Right Side | 152 millimeters | Standard Deviation 13.1 |
| Low-level Therapy Intervention | Post-operative Mandibular Swelling | Left Side | 151 millimeters | Standard Deviation 16 |
| Sham Intervention | Post-operative Mandibular Swelling | Right Side | 134 millimeters | Standard Deviation 32 |
| Sham Intervention | Post-operative Mandibular Swelling | Left Side | 134 millimeters | Standard Deviation 31.1 |
Post-operative Mandibular Swelling
Post-operative mandibular swelling was measured using soft measuring tape. The extent of post-operative swelling was measured from the tip of the chin to the base of the earlobe bilaterally (right and left). Measurements were recorded in millimeters (mm) and results summarized by study arm using basic descriptive statistics.
Time frame: 6 weeks post-surgery
Population: 6-week post-operative mandibular swelling data was able to be collected from all 9 patients in the Low-level therapy intervention arm and from all 8 patients in the Sham intervention arm who attended their Week 6 visit.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Low-level Therapy Intervention | Post-operative Mandibular Swelling | Right Side | 145 millimeters | Standard Deviation 15.2 |
| Low-level Therapy Intervention | Post-operative Mandibular Swelling | Left Side | 141 millimeters | Standard Deviation 15.8 |
| Sham Intervention | Post-operative Mandibular Swelling | Right Side | 141 millimeters | Standard Deviation 15 |
| Sham Intervention | Post-operative Mandibular Swelling | Left Side | 139 millimeters | Standard Deviation 16.7 |
Post-operative Mandibular Swelling
Post-operative mandibular swelling was measured using soft measuring tape. The extent of post-operative swelling was measured from the tip of the chin to the base of the earlobe bilaterally (right and left). Measurements were recorded in millimeters (mm) and results summarized by study arm using basic descriptive statistics.
Time frame: 8 weeks post-surgery
Population: 8-week post-operative mandibular swelling data was able to be collected from all 4 patients in the Low-level therapy intervention arm and from all 5 patients in the Sham intervention arm who attended their Week 8 visit. Due to a deviation one patient in the Sham group had Post-operative mandibular swelling data collected at 7 weeks instead of the intended 8-week collection timepoint.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Low-level Therapy Intervention | Post-operative Mandibular Swelling | Right Side | 139 millimeters | Standard Deviation 10.8 |
| Low-level Therapy Intervention | Post-operative Mandibular Swelling | Left Side | 134 millimeters | Standard Deviation 14.8 |
| Sham Intervention | Post-operative Mandibular Swelling | Right Side | 136 millimeters | Standard Deviation 19.2 |
| Sham Intervention | Post-operative Mandibular Swelling | Left Side | 135 millimeters | Standard Deviation 21.3 |
Post-operative Pain
Post-operative pain was assessed and reported during each study visit using a single-item Visual Analog Scale (VAS) question. Patients rated the intensity of pain on each side of the mandible (right and left) on an 11-point Likert scale. Possible VAS scores ranged from 0 (complete absence of pain) to 10 (maximum amount of pain imaginable). Results were summarized by study arm using basic descriptive statistics.
Time frame: 24 hours post-surgery
Population: 24-hour post-surgical follow-up visits were not conducted during this study. Many patients were still admitted at 24 hours post-procedure and were unable to be brought into the dental clinic. In addition, the instruments and equipment required to conduct this assessment were not available in the hospital in-patient rooms. As a result, VAS scores were not obtained from any of the patients at 24 hours post-surgery and there are no post-operative pain results data to report.
Post-operative Pain
Post-operative pain was assessed and reported during each study visit using a single-item Visual Analog Scale (VAS) question. Patients rated the intensity of pain on each side of the mandible (right and left) on an 11-point Likert scale. Possible VAS scores ranged from 0 (complete absence of pain) to 10 (maximum amount of pain imaginable). Results were summarized by study arm using basic descriptive statistics.
Time frame: 1 week post-surgery
Population: 1-week post-operative pain (VAS) data was able to be collected from all 12 patients in the Low-level therapy intervention arm and from all 8 patients in the Sham intervention arm who attended their Week 1 visit.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Low-level Therapy Intervention | Post-operative Pain | Left Side | 1.9 score on a scale | Standard Deviation 1.9 |
| Low-level Therapy Intervention | Post-operative Pain | Right Side | 2.6 score on a scale | Standard Deviation 2.2 |
| Sham Intervention | Post-operative Pain | Right Side | 2.3 score on a scale | Standard Deviation 3.1 |
| Sham Intervention | Post-operative Pain | Left Side | 1.0 score on a scale | Standard Deviation 1.7 |
Post-operative Pain
Post-operative pain was assessed and reported during each study visit using a single-item Visual Analog Scale (VAS) question. Patients rated the intensity of pain on each side of the mandible (right and left) on an 11-point Likert scale. Possible VAS scores ranged from 0 (complete absence of pain) to 10 (maximum amount of pain imaginable). Results were summarized by study arm using basic descriptive statistics.
Time frame: 2 weeks post-surgery
Population: 2-week post-operative pain (VAS) data was able to be collected from 9 of 10 patients in the Low-level therapy intervention arm and from all 9 patients in the Sham intervention arm who attended their Week 2 visit.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Low-level Therapy Intervention | Post-operative Pain | Right Side | 1.1 score on a scale | Standard Deviation 1.3 |
| Low-level Therapy Intervention | Post-operative Pain | Left Side | 1.4 score on a scale | Standard Deviation 2.2 |
| Sham Intervention | Post-operative Pain | Right Side | 1.4 score on a scale | Standard Deviation 2.2 |
| Sham Intervention | Post-operative Pain | Left Side | 0.8 score on a scale | Standard Deviation 1.1 |
Post-operative Pain
Post-operative pain was assessed and reported during each study visit using a single-item Visual Analog Scale (VAS) question. Patients rated the intensity of pain on each side of the mandible (right and left) on an 11-point Likert scale. Possible VAS scores ranged from 0 (complete absence of pain) to 10 (maximum amount of pain imaginable). Results were summarized by study arm using basic descriptive statistics.
Time frame: 3 weeks post-surgery
Population: 3-week post-operative pain (VAS) data was able to be collected from 9 of 10 patients in the Low-level therapy intervention arm and from all 8 patients in the Sham intervention arm who attended their Week 3 visit.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Low-level Therapy Intervention | Post-operative Pain | Right Side | 0.9 score on a scale | Standard Deviation 0.8 |
| Low-level Therapy Intervention | Post-operative Pain | Left Side | 1.3 score on a scale | Standard Deviation 1.7 |
| Sham Intervention | Post-operative Pain | Right Side | 1.5 score on a scale | Standard Deviation 1.8 |
| Sham Intervention | Post-operative Pain | Left Side | 1.3 score on a scale | Standard Deviation 1.7 |
Post-operative Pain
Post-operative pain was assessed and reported during each study visit using a single-item Visual Analog Scale (VAS) question. Patients rated the intensity of pain on each side of the mandible (right and left) on an 11-point Likert scale. Possible VAS scores ranged from 0 (complete absence of pain) to 10 (maximum amount of pain imaginable). Results were summarized by study arm using basic descriptive statistics.
Time frame: 8 weeks post-surgery
Population: 8-week post-operative pain (VAS) data was able to be collected from all 4 patients in the Low-level therapy intervention arm and from all 5 patients in the Sham intervention arm who attended their Week 8 visit. Due to a deviation one patient in the Sham group had VAS data collected at 7 weeks instead of the intended 8-week collection timepoint.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Low-level Therapy Intervention | Post-operative Pain | Right Side | 0.5 score on a scale | Standard Deviation 0.6 |
| Low-level Therapy Intervention | Post-operative Pain | Left Side | 0.5 score on a scale | Standard Deviation 0.6 |
| Sham Intervention | Post-operative Pain | Right Side | 0.2 score on a scale | Standard Deviation 0.4 |
| Sham Intervention | Post-operative Pain | Left Side | 0.2 score on a scale | Standard Deviation 0.4 |
Post-operative Pain
Post-operative pain was assessed and reported during each study visit using a single-item Visual Analog Scale (VAS) question. Patients rated the intensity of pain on each side of the mandible (right and left) on an 11-point Likert scale. Possible VAS scores ranged from 0 (complete absence of pain) to 10 (maximum amount of pain imaginable). Results were summarized by study arm using basic descriptive statistics.
Time frame: 4 weeks post-surgery
Population: 4-week post-operative pain (VAS) data was able to be collected from all 8 patients in the Low-level therapy intervention arm and from all 9 patients in the Sham intervention arm who attended their Week 4 visit.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Low-level Therapy Intervention | Post-operative Pain | Right Side | 1.0 score on a scale | Standard Deviation 1.3 |
| Low-level Therapy Intervention | Post-operative Pain | Left Side | 0.5 score on a scale | Standard Deviation 0.5 |
| Sham Intervention | Post-operative Pain | Right Side | 0.3 score on a scale | Standard Deviation 0.5 |
| Sham Intervention | Post-operative Pain | Left Side | 0.3 score on a scale | Standard Deviation 0.5 |
Post-operative Pain
Post-operative pain was assessed and reported during each study visit using a single-item Visual Analog Scale (VAS) question. Patients rated the intensity of pain on each side of the mandible (right and left) on an 11-point Likert scale. Possible VAS scores ranged from 0 (complete absence of pain) to 10 (maximum amount of pain imaginable). Results were summarized by study arm using basic descriptive statistics.
Time frame: 5 weeks post-surgery
Population: 5-week post-operative pain (VAS) data was able to be collected from all 7 patients in the Low-level therapy intervention arm and from all 6 patients in the Sham intervention arm who attended their Week 5 visit.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Low-level Therapy Intervention | Post-operative Pain | Right Side | 0.7 score on a scale | Standard Deviation 0.8 |
| Low-level Therapy Intervention | Post-operative Pain | Left Side | 0.6 score on a scale | Standard Deviation 0.5 |
| Sham Intervention | Post-operative Pain | Right Side | 0.8 score on a scale | Standard Deviation 1.2 |
| Sham Intervention | Post-operative Pain | Left Side | 0.8 score on a scale | Standard Deviation 1.2 |
Post-operative Pain
Post-operative pain was assessed and reported during each study visit using a single-item Visual Analog Scale (VAS) question. Patients rated the intensity of pain on each side of the mandible (right and left) on an 11-point Likert scale. Possible VAS scores ranged from 0 (complete absence of pain) to 10 (maximum amount of pain imaginable). Results were summarized by study arm using basic descriptive statistics.
Time frame: 6 weeks post-surgery
Population: 6-week post-operative pain (VAS) data was able to be collected from all 9 patients in the Low-level therapy intervention arm and from all 8 patients in the Sham intervention arm who attended their Week 6 visit.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Low-level Therapy Intervention | Post-operative Pain | Right Side | 0.3 score on a scale | Standard Deviation 0.5 |
| Low-level Therapy Intervention | Post-operative Pain | Left Side | 0.3 score on a scale | Standard Deviation 0.5 |
| Sham Intervention | Post-operative Pain | Right Side | 0.5 score on a scale | Standard Deviation 0.5 |
| Sham Intervention | Post-operative Pain | Left Side | 0.4 score on a scale | Standard Deviation 0.5 |
Post-operative Pain
Post-operative pain was assessed and reported during each study visit using a single-item Visual Analog Scale (VAS) question. Patients rated the intensity of pain on each side of the mandible (right and left) on an 11-point Likert scale. Possible VAS scores ranged from 0 (complete absence of pain) to 10 (maximum amount of pain imaginable). Results were summarized by study arm using basic descriptive statistics.
Time frame: 20 weeks post-surgery
Population: Study was terminated in advance of the 20-week timepoint and the VAS questionnaire was not administered to, nor were data collected from, any of the participants at 20 weeks post-surgery. Accordingly, there are no post-operative pain results to report.