Treatment of Recurrent Minor Aphthous Stomatitis Using Diode Laser (940nm)

Main Article Content

Hussien GH. Ghali
Balsam Saadi Abdulhamed

Keywords

Recurrent Minor Aphthous Stomatitis ; Diode Laser (940nm)

Abstract

Background –The exact etiology of recurrent aphthous ulcers (RAS) is unknown. The management ofrecurrent aphthous ulcers is not always straightforward.Ulcers in the mouth (recurrent aphthous stomatitis) are very common and may vary in size from very small to very large.


ObjectiveTo evaluate reduction in pain intensity and duration of pain relief, reduction in size of ulcer, duration for healing of ulcer (healing time) in patients with recurrent aphthous stomatitis after application of Low Level Light Amplification by Stimulated Emission of Radiation therapy (LLLT) comparing with topicalAnginovag  spray medication and control group.


Materials & Methods- A total number of 21 individuals diagnosed as RAS were divided into three equal groups as follows: Group 1: Minor aphthous ulcer was treated by giving LLLT using Diode LASER; Group 2: Minor aphthous ulcer was treated bytopical Anginovag  spray medication.; Group 3: Minor aphthous ulcer was treatedbyconservatively with motivation and re assuranment and fellow up.


Results- In this randomized controlled clinically study LLLT using Diode LASER causes reduction in pain intensity caused byrecurrent aphthous ulcers hence reducing the morbidity, there is also improvement in reduction in the  diameter and healing time of the ulcer as compared to Anginovag  spray medication and control group.


Conclusion-Although various treatment modalities have been used and LLLT is not commonly used to treat aphthous ulcers but this study is suggestive that using LLLT would be a safe and effective treatment modality for recurrent aphthous ulcers patients.

Abstract 235 | PDF Downloads 178 XML Downloads 124 HTML Downloads 94

References

1. ShariqNajeeb et al. Management of recurrent aphthous ulcers using low-level lasers: A systematic review .medicina 52 (2016) 263 – 268.
2. Patrícia M. de Freitas Lasers in Dentistry Guide for Clinical Practice, edition first, John Wiley & Sons, published 2015 pp 285-290.
3.Hamid: The effect of LLLT on post-extraction pain.Annals of Maxillofacial Surgery¦ Volume 7 ¦ Issue 2 ¦ July-December 2017.
4. Pavlić V, et al. Treatment of recurrent aphthous stomatitis by laser therapy: A systematic review of the literature Vojnosanit Pregl 2015; 72(8): 722–728
5. ButchiBabu,et al Versatility of diode lasers in low-level laser therapy for the management of recurrent aphthous stomatitis Journal of Orofacial Sciences 49 Vol. 7• Issue 1• January 2015.
6. Hadeel Salman, et al, Differences between low level laser therapy and triamcinolone acetonidekenalog on healing of recurrent aphthousulcerationVol. 34 No 1, 2008.
7. Vijayabala et al. Single application of topical doxycycline hyclate in the Management of recurrent aphthous stomatitis Vol. 116 No. 4 October 2013.
8. Pavlić V, et al. Treatment of recurrent aphthous stomatitis by laser therapy: A systematic review of the literature Vojnosanit Pregl 2015; 72(8): 722–728
9. Anand, et al Low level laser therapy in the treatment of aphthous ulcer Indian Journal of Dental Research, 24(2), 2013 268).
10. AsmaaFawzy El- Sayed Attalla et al, Evaluation of Low Level Laser Therapy with Different Types on Recurrent Aphthous Stomatitis: A Randomized Control Study .International Journal of ChemTech Research, 2017, 10(5): 435-442.436
11. De Souza TO, Martins MA, Bussadori SK, FernandesKP,Tanji EY, Mesquita-Ferrari RA, et al. Clinical evaluationof low-level laser treatment for recurring aphthousstomatitis. Photomed Laser Surg 2010; 28(2):S85-8.
12. Basirat M.et al,. The Effects of the Low Power Lasers in the Healing of the Oral Ulcers: J Lasers Med Sci 2012; 3(2):79-83
13. Saquib, et al,. nternational Journal of Contemporary Dental and Medical Reviews (2014), Article ID 111214, 3 Pages
14. Khademi H, Shirani A, Nikegbal F. Evaluation of low level laser therapy in recurrent aphthous stomatitis. Shiraz Univ Dent J 2009;10(2):160-162.
15. Sana Mirzaa et al 2014 .Clinical evaluation of the efficiency of lowlevel
laser therapy for oral lichen planus: a prospective case series.Lasers MedSci. 2014 Jan; 29(1):185-90. doi: 10.1007/s10103-013-1313-6.
16. Zand N, Fateh M, Ataie-Fashtami L, Djavid GE, Fatemi S, Shirkavand A. Promoting wound healing in minor recurrent aphthous stomatitis by non-thermal, non-ablative CO2 laser therapy: A pilot study. Photomed Laser Surg 2012; 30(12): 719−23.
17. Prasad SR, Pai A. Assessment of immediate pain relief with la-ser treatment in recurrent aphthous stomatitis. Oral Surg Oral Med Oral Pathol Oral Radiol 2013; 116(2): 189−93.
18. Zand N, Ataie-Fashtami L, Djavid GE, Fateh M, Alinaghizadeh M, Fatemi S, et al. Relieving pain in minor aphthous stomatitis by a single session of non-thermal carbon dioxide laser irradiation. Lasers Med Sci 2009; 24(4): 515−20.
19. Muhamed et al, Treatment of Recurrent Aphthous Stomatitis with 940nm Diode Laser Tikrit Journal for Dental Sciences 1(2013)77-82.
20. Fernando et al, Low-Level Laser Therapy in the Treatment of Recurrent
Aphthous Ulcers: A Systematic Review Scientific World Journal Volume 2015, Article ID 150412, 7 pages.
21. Kanupriya et al, efficacy of low level laser therapy using diode laser in the treatment of recurrent aphthous stomatitis .european journal of pharmaceutical and medical research .ejpmr, 2016,3(12), 277-283.
22. Maziar Mir et al .Evaluation of a Newly Developed Laser Pen as a Home Care Device for Pain Reduction of Recurrent Aphthous Stomatitis (Preliminary Study).
23. Simone Suppelt ,2015 clinical article laser international magazine of laser dentistry.