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LLLT Effects on Inferior Alveolar Nerve (IAN) Recovery Post-orthognathic Surgery

LLLT Effects on Inferior Alveolar Nerve (IAN) Recovery Post-orthognathic Surgery

Status
Terminated
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04910074
Enrollment
25
Registered
2021-06-02
Start date
2022-07-01
Completion date
2024-01-23
Last updated
2025-06-24

For informational purposes only โ€” not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Mandible; Deformity, Nerve Injury, Orthognathic Surgery, Surgical Healing

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

DEVICELow-level laser therapy

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.

DEVICEDummy 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.

Sponsors

Albert Einstein College of Medicine
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)

Masking description

Patients and outcomes assessor will be blinded to which group participants belong to.

Intervention model description

intervention vs placebo

Eligibility

Sex/Gender
ALL
Age
15 Years to No maximum
Healthy volunteers
Yes

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

MeasureTime frameDescription
Inferior Alveolar Nerve Function for Soft Stimuli24 hours post-surgeryIAN 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 Stimuli24 hours post-surgeryIAN 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

MeasureTime frameDescription
Post-operative Pain24 hours post-surgeryPost-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 Swelling24 hours post-surgeryPost-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

ArmCount
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
Total25

Baseline characteristics

CharacteristicLow-level Therapy InterventionSham InterventionTotal
Age, Categorical
<=18 years
3 Participants3 Participants6 Participants
Age, Categorical
>=65 years
0 Participants0 Participants0 Participants
Age, Categorical
Between 18 and 65 years
9 Participants10 Participants19 Participants
Inferior Alveolar Nerve (IAN) Function for Hard Stimuli
L1
12 Participants10 Participants22 Participants
Inferior Alveolar Nerve (IAN) Function for Hard Stimuli
L2
12 Participants10 Participants22 Participants
Inferior Alveolar Nerve (IAN) Function for Hard Stimuli
L3
12 Participants10 Participants22 Participants
Inferior Alveolar Nerve (IAN) Function for Hard Stimuli
L4
11 Participants10 Participants21 Participants
Inferior Alveolar Nerve (IAN) Function for Hard Stimuli
R1
12 Participants10 Participants22 Participants
Inferior Alveolar Nerve (IAN) Function for Hard Stimuli
R2
12 Participants10 Participants22 Participants
Inferior Alveolar Nerve (IAN) Function for Hard Stimuli
R3
12 Participants10 Participants22 Participants
Inferior Alveolar Nerve (IAN) Function for Hard Stimuli
R4
12 Participants10 Participants22 Participants
Inferior Alveolar Nerve (IAN) Function for Soft Stimuli
L1
12 Participants10 Participants22 Participants
Inferior Alveolar Nerve (IAN) Function for Soft Stimuli
L2
12 Participants9 Participants21 Participants
Inferior Alveolar Nerve (IAN) Function for Soft Stimuli
L3
12 Participants9 Participants21 Participants
Inferior Alveolar Nerve (IAN) Function for Soft Stimuli
L4
12 Participants10 Participants22 Participants
Inferior Alveolar Nerve (IAN) Function for Soft Stimuli
R1
12 Participants10 Participants22 Participants
Inferior Alveolar Nerve (IAN) Function for Soft Stimuli
R2
12 Participants10 Participants22 Participants
Inferior Alveolar Nerve (IAN) Function for Soft Stimuli
R3
12 Participants10 Participants22 Participants
Inferior Alveolar Nerve (IAN) Function for Soft Stimuli
R4
12 Participants10 Participants22 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 Collectedโ€”โ€”0 Participants
Region of Enrollment
United States
12 participants13 participants25 participants
Sex: Female, Male
Female
6 Participants9 Participants15 Participants
Sex: Female, Male
Male
6 Participants4 Participants10 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 120 / 13
other
Total, other adverse events
0 / 120 / 13
serious
Total, serious adverse events
0 / 120 / 13

Outcome results

Primary

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.

Primary

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.

Primary

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.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Low-level Therapy InterventionInferior Alveolar Nerve Function for Hard StimuliR110 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Hard StimuliR211 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Hard StimuliR311 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Hard StimuliR47 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Hard StimuliL18 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Hard StimuliL211 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Hard StimuliL311 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Hard StimuliL48 Participants
Sham InterventionInferior Alveolar Nerve Function for Hard StimuliL44 Participants
Sham InterventionInferior Alveolar Nerve Function for Hard StimuliR12 Participants
Sham InterventionInferior Alveolar Nerve Function for Hard StimuliL10 Participants
Sham InterventionInferior Alveolar Nerve Function for Hard StimuliR28 Participants
Sham InterventionInferior Alveolar Nerve Function for Hard StimuliL38 Participants
Sham InterventionInferior Alveolar Nerve Function for Hard StimuliR38 Participants
Sham InterventionInferior Alveolar Nerve Function for Hard StimuliL26 Participants
Sham InterventionInferior Alveolar Nerve Function for Hard StimuliR42 Participants
Primary

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.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Low-level Therapy InterventionInferior Alveolar Nerve Function for Hard StimuliL16 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Hard StimuliR16 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Hard StimuliR210 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Hard StimuliR310 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Hard StimuliR47 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Hard StimuliL210 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Hard StimuliL310 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Hard StimuliL45 Participants
Sham InterventionInferior Alveolar Nerve Function for Hard StimuliL45 Participants
Sham InterventionInferior Alveolar Nerve Function for Hard StimuliL15 Participants
Sham InterventionInferior Alveolar Nerve Function for Hard StimuliR45 Participants
Sham InterventionInferior Alveolar Nerve Function for Hard StimuliR15 Participants
Sham InterventionInferior Alveolar Nerve Function for Hard StimuliL39 Participants
Sham InterventionInferior Alveolar Nerve Function for Hard StimuliR29 Participants
Sham InterventionInferior Alveolar Nerve Function for Hard StimuliL28 Participants
Sham InterventionInferior Alveolar Nerve Function for Hard StimuliR39 Participants
Primary

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.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Low-level Therapy InterventionInferior Alveolar Nerve Function for Hard StimuliR49 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Hard StimuliR210 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Hard StimuliL210 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Hard StimuliR19 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Hard StimuliL310 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Hard StimuliR310 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Hard StimuliL48 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Hard StimuliL19 Participants
Sham InterventionInferior Alveolar Nerve Function for Hard StimuliL45 Participants
Sham InterventionInferior Alveolar Nerve Function for Hard StimuliR16 Participants
Sham InterventionInferior Alveolar Nerve Function for Hard StimuliR28 Participants
Sham InterventionInferior Alveolar Nerve Function for Hard StimuliR38 Participants
Sham InterventionInferior Alveolar Nerve Function for Hard StimuliL14 Participants
Sham InterventionInferior Alveolar Nerve Function for Hard StimuliL28 Participants
Sham InterventionInferior Alveolar Nerve Function for Hard StimuliL38 Participants
Sham InterventionInferior Alveolar Nerve Function for Hard StimuliR46 Participants
Primary

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.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Low-level Therapy InterventionInferior Alveolar Nerve Function for Hard StimuliR15 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Hard StimuliR28 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Hard StimuliR38 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Hard StimuliR47 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Hard StimuliL14 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Hard StimuliL28 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Hard StimuliL38 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Hard StimuliL45 Participants
Sham InterventionInferior Alveolar Nerve Function for Hard StimuliL45 Participants
Sham InterventionInferior Alveolar Nerve Function for Hard StimuliR17 Participants
Sham InterventionInferior Alveolar Nerve Function for Hard StimuliL16 Participants
Sham InterventionInferior Alveolar Nerve Function for Hard StimuliR29 Participants
Sham InterventionInferior Alveolar Nerve Function for Hard StimuliL39 Participants
Sham InterventionInferior Alveolar Nerve Function for Hard StimuliR39 Participants
Sham InterventionInferior Alveolar Nerve Function for Hard StimuliL29 Participants
Sham InterventionInferior Alveolar Nerve Function for Hard StimuliR48 Participants
Primary

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.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Low-level Therapy InterventionInferior Alveolar Nerve Function for Hard StimuliR16 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Hard StimuliL13 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Hard StimuliR36 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Hard StimuliL26 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Hard StimuliR26 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Hard StimuliL36 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Hard StimuliR45 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Hard StimuliL43 Participants
Sham InterventionInferior Alveolar Nerve Function for Hard StimuliR43 Participants
Sham InterventionInferior Alveolar Nerve Function for Hard StimuliR13 Participants
Sham InterventionInferior Alveolar Nerve Function for Hard StimuliR26 Participants
Sham InterventionInferior Alveolar Nerve Function for Hard StimuliR36 Participants
Sham InterventionInferior Alveolar Nerve Function for Hard StimuliL43 Participants
Sham InterventionInferior Alveolar Nerve Function for Hard StimuliL14 Participants
Sham InterventionInferior Alveolar Nerve Function for Hard StimuliL26 Participants
Sham InterventionInferior Alveolar Nerve Function for Hard StimuliL36 Participants
Primary

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.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Low-level Therapy InterventionInferior Alveolar Nerve Function for Hard StimuliR18 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Hard StimuliR29 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Hard StimuliR39 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Hard StimuliR49 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Hard StimuliL16 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Hard StimuliL29 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Hard StimuliL39 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Hard StimuliL45 Participants
Sham InterventionInferior Alveolar Nerve Function for Hard StimuliL47 Participants
Sham InterventionInferior Alveolar Nerve Function for Hard StimuliR16 Participants
Sham InterventionInferior Alveolar Nerve Function for Hard StimuliL16 Participants
Sham InterventionInferior Alveolar Nerve Function for Hard StimuliR28 Participants
Sham InterventionInferior Alveolar Nerve Function for Hard StimuliL38 Participants
Sham InterventionInferior Alveolar Nerve Function for Hard StimuliR38 Participants
Sham InterventionInferior Alveolar Nerve Function for Hard StimuliL28 Participants
Sham InterventionInferior Alveolar Nerve Function for Hard StimuliR46 Participants
Primary

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.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Low-level Therapy InterventionInferior Alveolar Nerve Function for Hard StimuliR12 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Hard StimuliR24 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Hard StimuliR34 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Hard StimuliR42 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Hard StimuliL13 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Hard StimuliL24 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Hard StimuliL34 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Hard StimuliL42 Participants
Sham InterventionInferior Alveolar Nerve Function for Hard StimuliL44 Participants
Sham InterventionInferior Alveolar Nerve Function for Hard StimuliR14 Participants
Sham InterventionInferior Alveolar Nerve Function for Hard StimuliL14 Participants
Sham InterventionInferior Alveolar Nerve Function for Hard StimuliR25 Participants
Sham InterventionInferior Alveolar Nerve Function for Hard StimuliL35 Participants
Sham InterventionInferior Alveolar Nerve Function for Hard StimuliR35 Participants
Sham InterventionInferior Alveolar Nerve Function for Hard StimuliL25 Participants
Sham InterventionInferior Alveolar Nerve Function for Hard StimuliR44 Participants
Primary

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.

Primary

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.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Low-level Therapy InterventionInferior Alveolar Nerve Function for Soft StimuliR110 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Soft StimuliR211 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Soft StimuliR311 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Soft StimuliR47 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Soft StimuliL18 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Soft StimuliL211 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Soft StimuliL311 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Soft StimuliL48 Participants
Sham InterventionInferior Alveolar Nerve Function for Soft StimuliL42 Participants
Sham InterventionInferior Alveolar Nerve Function for Soft StimuliR13 Participants
Sham InterventionInferior Alveolar Nerve Function for Soft StimuliL11 Participants
Sham InterventionInferior Alveolar Nerve Function for Soft StimuliR28 Participants
Sham InterventionInferior Alveolar Nerve Function for Soft StimuliL38 Participants
Sham InterventionInferior Alveolar Nerve Function for Soft StimuliR36 Participants
Sham InterventionInferior Alveolar Nerve Function for Soft StimuliL28 Participants
Sham InterventionInferior Alveolar Nerve Function for Soft StimuliR42 Participants
Primary

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.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Low-level Therapy InterventionInferior Alveolar Nerve Function for Soft StimuliR47 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Soft StimuliR18 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Soft StimuliR29 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Soft StimuliR310 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Soft StimuliL17 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Soft StimuliL210 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Soft StimuliL310 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Soft StimuliL46 Participants
Sham InterventionInferior Alveolar Nerve Function for Soft StimuliL43 Participants
Sham InterventionInferior Alveolar Nerve Function for Soft StimuliL14 Participants
Sham InterventionInferior Alveolar Nerve Function for Soft StimuliR16 Participants
Sham InterventionInferior Alveolar Nerve Function for Soft StimuliL39 Participants
Sham InterventionInferior Alveolar Nerve Function for Soft StimuliR29 Participants
Sham InterventionInferior Alveolar Nerve Function for Soft StimuliL29 Participants
Sham InterventionInferior Alveolar Nerve Function for Soft StimuliR39 Participants
Sham InterventionInferior Alveolar Nerve Function for Soft StimuliR45 Participants
Primary

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.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Low-level Therapy InterventionInferior Alveolar Nerve Function for Soft StimuliR17 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Soft StimuliR210 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Soft StimuliR310 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Soft StimuliR48 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Soft StimuliL17 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Soft StimuliL210 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Soft StimuliL310 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Soft StimuliL47 Participants
Sham InterventionInferior Alveolar Nerve Function for Soft StimuliL44 Participants
Sham InterventionInferior Alveolar Nerve Function for Soft StimuliR15 Participants
Sham InterventionInferior Alveolar Nerve Function for Soft StimuliL13 Participants
Sham InterventionInferior Alveolar Nerve Function for Soft StimuliR28 Participants
Sham InterventionInferior Alveolar Nerve Function for Soft StimuliL37 Participants
Sham InterventionInferior Alveolar Nerve Function for Soft StimuliR38 Participants
Sham InterventionInferior Alveolar Nerve Function for Soft StimuliL27 Participants
Sham InterventionInferior Alveolar Nerve Function for Soft StimuliR46 Participants
Primary

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.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Low-level Therapy InterventionInferior Alveolar Nerve Function for Soft StimuliR15 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Soft StimuliR28 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Soft StimuliR38 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Soft StimuliR47 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Soft StimuliL14 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Soft StimuliL28 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Soft StimuliL38 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Soft StimuliL45 Participants
Sham InterventionInferior Alveolar Nerve Function for Soft StimuliL45 Participants
Sham InterventionInferior Alveolar Nerve Function for Soft StimuliR16 Participants
Sham InterventionInferior Alveolar Nerve Function for Soft StimuliL16 Participants
Sham InterventionInferior Alveolar Nerve Function for Soft StimuliR29 Participants
Sham InterventionInferior Alveolar Nerve Function for Soft StimuliL39 Participants
Sham InterventionInferior Alveolar Nerve Function for Soft StimuliR39 Participants
Sham InterventionInferior Alveolar Nerve Function for Soft StimuliL29 Participants
Sham InterventionInferior Alveolar Nerve Function for Soft StimuliR47 Participants
Primary

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.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Low-level Therapy InterventionInferior Alveolar Nerve Function for Soft StimuliR16 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Soft StimuliR26 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Soft StimuliR36 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Soft StimuliR46 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Soft StimuliL13 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Soft StimuliL26 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Soft StimuliL36 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Soft StimuliL43 Participants
Sham InterventionInferior Alveolar Nerve Function for Soft StimuliL44 Participants
Sham InterventionInferior Alveolar Nerve Function for Soft StimuliR13 Participants
Sham InterventionInferior Alveolar Nerve Function for Soft StimuliL14 Participants
Sham InterventionInferior Alveolar Nerve Function for Soft StimuliR26 Participants
Sham InterventionInferior Alveolar Nerve Function for Soft StimuliL36 Participants
Sham InterventionInferior Alveolar Nerve Function for Soft StimuliR36 Participants
Sham InterventionInferior Alveolar Nerve Function for Soft StimuliL26 Participants
Sham InterventionInferior Alveolar Nerve Function for Soft StimuliR44 Participants
Primary

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.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Low-level Therapy InterventionInferior Alveolar Nerve Function for Soft StimuliL15 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Soft StimuliR39 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Soft StimuliR48 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Soft StimuliL29 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Soft StimuliL39 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Soft StimuliL45 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Soft StimuliR18 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Soft StimuliR29 Participants
Sham InterventionInferior Alveolar Nerve Function for Soft StimuliR28 Participants
Sham InterventionInferior Alveolar Nerve Function for Soft StimuliL16 Participants
Sham InterventionInferior Alveolar Nerve Function for Soft StimuliL37 Participants
Sham InterventionInferior Alveolar Nerve Function for Soft StimuliR38 Participants
Sham InterventionInferior Alveolar Nerve Function for Soft StimuliR16 Participants
Sham InterventionInferior Alveolar Nerve Function for Soft StimuliR46 Participants
Sham InterventionInferior Alveolar Nerve Function for Soft StimuliL46 Participants
Sham InterventionInferior Alveolar Nerve Function for Soft StimuliL28 Participants
Primary

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.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Low-level Therapy InterventionInferior Alveolar Nerve Function for Soft StimuliR24 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Soft StimuliR42 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Soft StimuliL24 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Soft StimuliR12 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Soft StimuliL34 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Soft StimuliL13 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Soft StimuliL42 Participants
Low-level Therapy InterventionInferior Alveolar Nerve Function for Soft StimuliR34 Participants
Sham InterventionInferior Alveolar Nerve Function for Soft StimuliL44 Participants
Sham InterventionInferior Alveolar Nerve Function for Soft StimuliR14 Participants
Sham InterventionInferior Alveolar Nerve Function for Soft StimuliL13 Participants
Sham InterventionInferior Alveolar Nerve Function for Soft StimuliR25 Participants
Sham InterventionInferior Alveolar Nerve Function for Soft StimuliR35 Participants
Sham InterventionInferior Alveolar Nerve Function for Soft StimuliL25 Participants
Sham InterventionInferior Alveolar Nerve Function for Soft StimuliL35 Participants
Sham InterventionInferior Alveolar Nerve Function for Soft StimuliR44 Participants
Primary

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.

Secondary

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.

Secondary

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.

Secondary

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.

ArmMeasureGroupValue (MEAN)Dispersion
Low-level Therapy InterventionPost-operative Mandibular SwellingRight Side153 millimetersStandard Deviation 12.3
Low-level Therapy InterventionPost-operative Mandibular SwellingLeft Side156 millimetersStandard Deviation 16.4
Sham InterventionPost-operative Mandibular SwellingRight Side138 millimetersStandard Deviation 23.7
Sham InterventionPost-operative Mandibular SwellingLeft Side133 millimetersStandard Deviation 25.7
Secondary

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.

ArmMeasureGroupValue (MEAN)Dispersion
Low-level Therapy InterventionPost-operative Mandibular SwellingRight Side154 millimetersStandard Deviation 18
Low-level Therapy InterventionPost-operative Mandibular SwellingLeft Side152 millimetersStandard Deviation 23
Sham InterventionPost-operative Mandibular SwellingRight Side140 millimetersStandard Deviation 18.8
Sham InterventionPost-operative Mandibular SwellingLeft Side132 millimetersStandard Deviation 27.3
Secondary

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.

ArmMeasureGroupValue (MEAN)Dispersion
Low-level Therapy InterventionPost-operative Mandibular SwellingRight Side145 millimetersStandard Deviation 12.7
Low-level Therapy InterventionPost-operative Mandibular SwellingLeft Side142 millimetersStandard Deviation 13.8
Sham InterventionPost-operative Mandibular SwellingRight Side134 millimetersStandard Deviation 21.3
Sham InterventionPost-operative Mandibular SwellingLeft Side135 millimetersStandard Deviation 21.8
Secondary

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.

ArmMeasureGroupValue (MEAN)Dispersion
Low-level Therapy InterventionPost-operative Mandibular SwellingRight Side147 millimetersStandard Deviation 7.41
Low-level Therapy InterventionPost-operative Mandibular SwellingLeft Side149 millimetersStandard Deviation 10.5
Sham InterventionPost-operative Mandibular SwellingRight Side146 millimetersStandard Deviation 12.2
Sham InterventionPost-operative Mandibular SwellingLeft Side142 millimetersStandard Deviation 16.9
Secondary

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.

ArmMeasureGroupValue (MEAN)Dispersion
Low-level Therapy InterventionPost-operative Mandibular SwellingRight Side152 millimetersStandard Deviation 13.1
Low-level Therapy InterventionPost-operative Mandibular SwellingLeft Side151 millimetersStandard Deviation 16
Sham InterventionPost-operative Mandibular SwellingRight Side134 millimetersStandard Deviation 32
Sham InterventionPost-operative Mandibular SwellingLeft Side134 millimetersStandard Deviation 31.1
Secondary

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.

ArmMeasureGroupValue (MEAN)Dispersion
Low-level Therapy InterventionPost-operative Mandibular SwellingRight Side145 millimetersStandard Deviation 15.2
Low-level Therapy InterventionPost-operative Mandibular SwellingLeft Side141 millimetersStandard Deviation 15.8
Sham InterventionPost-operative Mandibular SwellingRight Side141 millimetersStandard Deviation 15
Sham InterventionPost-operative Mandibular SwellingLeft Side139 millimetersStandard Deviation 16.7
Secondary

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.

ArmMeasureGroupValue (MEAN)Dispersion
Low-level Therapy InterventionPost-operative Mandibular SwellingRight Side139 millimetersStandard Deviation 10.8
Low-level Therapy InterventionPost-operative Mandibular SwellingLeft Side134 millimetersStandard Deviation 14.8
Sham InterventionPost-operative Mandibular SwellingRight Side136 millimetersStandard Deviation 19.2
Sham InterventionPost-operative Mandibular SwellingLeft Side135 millimetersStandard Deviation 21.3
Secondary

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.

Secondary

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.

ArmMeasureGroupValue (MEAN)Dispersion
Low-level Therapy InterventionPost-operative PainLeft Side1.9 score on a scaleStandard Deviation 1.9
Low-level Therapy InterventionPost-operative PainRight Side2.6 score on a scaleStandard Deviation 2.2
Sham InterventionPost-operative PainRight Side2.3 score on a scaleStandard Deviation 3.1
Sham InterventionPost-operative PainLeft Side1.0 score on a scaleStandard Deviation 1.7
Secondary

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.

ArmMeasureGroupValue (MEAN)Dispersion
Low-level Therapy InterventionPost-operative PainRight Side1.1 score on a scaleStandard Deviation 1.3
Low-level Therapy InterventionPost-operative PainLeft Side1.4 score on a scaleStandard Deviation 2.2
Sham InterventionPost-operative PainRight Side1.4 score on a scaleStandard Deviation 2.2
Sham InterventionPost-operative PainLeft Side0.8 score on a scaleStandard Deviation 1.1
Secondary

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.

ArmMeasureGroupValue (MEAN)Dispersion
Low-level Therapy InterventionPost-operative PainRight Side0.9 score on a scaleStandard Deviation 0.8
Low-level Therapy InterventionPost-operative PainLeft Side1.3 score on a scaleStandard Deviation 1.7
Sham InterventionPost-operative PainRight Side1.5 score on a scaleStandard Deviation 1.8
Sham InterventionPost-operative PainLeft Side1.3 score on a scaleStandard Deviation 1.7
Secondary

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.

ArmMeasureGroupValue (MEAN)Dispersion
Low-level Therapy InterventionPost-operative PainRight Side0.5 score on a scaleStandard Deviation 0.6
Low-level Therapy InterventionPost-operative PainLeft Side0.5 score on a scaleStandard Deviation 0.6
Sham InterventionPost-operative PainRight Side0.2 score on a scaleStandard Deviation 0.4
Sham InterventionPost-operative PainLeft Side0.2 score on a scaleStandard Deviation 0.4
Secondary

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.

ArmMeasureGroupValue (MEAN)Dispersion
Low-level Therapy InterventionPost-operative PainRight Side1.0 score on a scaleStandard Deviation 1.3
Low-level Therapy InterventionPost-operative PainLeft Side0.5 score on a scaleStandard Deviation 0.5
Sham InterventionPost-operative PainRight Side0.3 score on a scaleStandard Deviation 0.5
Sham InterventionPost-operative PainLeft Side0.3 score on a scaleStandard Deviation 0.5
Secondary

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.

ArmMeasureGroupValue (MEAN)Dispersion
Low-level Therapy InterventionPost-operative PainRight Side0.7 score on a scaleStandard Deviation 0.8
Low-level Therapy InterventionPost-operative PainLeft Side0.6 score on a scaleStandard Deviation 0.5
Sham InterventionPost-operative PainRight Side0.8 score on a scaleStandard Deviation 1.2
Sham InterventionPost-operative PainLeft Side0.8 score on a scaleStandard Deviation 1.2
Secondary

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.

ArmMeasureGroupValue (MEAN)Dispersion
Low-level Therapy InterventionPost-operative PainRight Side0.3 score on a scaleStandard Deviation 0.5
Low-level Therapy InterventionPost-operative PainLeft Side0.3 score on a scaleStandard Deviation 0.5
Sham InterventionPost-operative PainRight Side0.5 score on a scaleStandard Deviation 0.5
Sham InterventionPost-operative PainLeft Side0.4 score on a scaleStandard Deviation 0.5
Secondary

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.

Source: ClinicalTrials.gov ยท Data processed: Feb 4, 2026