Análise do custo-efetividade da fotobiomodulação após exodontia de terceiros molares para controle da dor

Abstract

One of the most performed procedures in dentistry is the extraction of third molars. To reduce postoperative toxic effects, anti-inflammatory drugs are prescribed, which can generate unwanted effects. Photobiomodulation is a technique to modulate inflammation, accelerate tissue repair and also reduce discomfort in different clinical situations. Thus, the present study aims to evaluate the cost-effectiveness of photobiomodulation applied after third molar extraction, based on a systematic review and meta-analysis. For a systematic review and meta-analysis, studies were selected and published between 2005 and 2020. The searches were published through the international databases PubMed, Web of Science MEDLINE. Initial search included only randomized controlled trial with two groups: laser-treated and placebo-treated with drugs to pain control. After selection, 15 studies were included in the systematic review and 8 studies were included in the meta-analysis. The results of the overall analysis show a significance of the second day after surgery for the experimental group compared to the control (MD, -1.15; 95% CI, -1.73 , -0.57). Regarding the cost-effectiveness assessment, the control group has a lower cost and lower effectiveness, while laser treatment has a higher cost and higher effectiveness, and the decision of which treatment to choose must consider the value of the therapeutic alternative. compensates for the clinical gain caused by the treatment.