Effect of diode laser removal on traumatic ulcers during orthodontic treatments: a randomized controlled clinical trial

Background Diode lasers in oral surgery have been increasingly used among clinicians due to its multiple advantages, such as the absence of intraoperative bleeding and reduction of postoperative edema and pain, with rapid mucosal restoration by the second intention wound healing. Objective This stud...

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Bibliographic Details
Published in:Lasers in dental science 2021-12, Vol.5 (4), p.229-237
Main Authors: Domínguez, Angela, Velásquez, Sergio Andrés, Santamaría, Juan Sebastian, Isaza, Gustavo Adolfo
Format: Article
Language:English
Subjects:
Clinical trials
Dentistry
Edema
Injuries
Lasers
Medicine
Optical Devices
Optics
Original Article
Orthodontics
Pain
Patients
Photonics
Surgery
Surgical outcomes
Topical medication
Ulcers
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Summary:Background Diode lasers in oral surgery have been increasingly used among clinicians due to its multiple advantages, such as the absence of intraoperative bleeding and reduction of postoperative edema and pain, with rapid mucosal restoration by the second intention wound healing. Objective This study aims to evaluate the healing and pain perception of traumatic ulcers treated with diode laser removal and topical medicine during orthodontic treatment. Materials and methods This is a randomized clinical trial on 45 active patients (22 women and 23 men) at a postgraduate orthodontic clinic. G1: 15 patients treated with the elimination of the traumatic factor that caused the lesion. G2: 15 patients treated with topical medicine (K-cit® (Farpag, Bogota, Colombia), three (3) times a day for as long as they need. G3: 15 patients treated with 940 nm (Laser Epic 10, Biolase, Irvine, CA, USA) in 0.7 W, continuous mode, tip e4, diameter 400 µm, for laser surgical removal of the traumatic lesion. The measurement of the largest traumatic ulcer diameter was made from day one (1) appearance of the lesion with a digital calibrator. In addition, the pain was recorded using a visual analog scale and recording healing the day the lesion completely disappeared. Results Starting on the 3rd day, G2 improves in diameter reduction and total healing in a statistically significant way. All three groups on the eighth day get a decrease in the entire diameter of the injury. G3 was the only group to file complete pain resolution before eight (8) days. These reported changes in the three groups over time were statistically significant ( p  
ISSN:2367-2587
2367-2587
DOI:10.1007/s41547-021-00143-w