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Oral proliferative verrucous leukoplakia with oral submucous fibrosis treated with CO2laser co2激光治疗口腔增生性疣状白斑伴口腔黏膜下纤维化
Pub Date : 2015-07-01 DOI: 10.4103/0976-2868.158462
Reenesh Mechery, M. Kumar, P. Arora, T. Rajkamal, N. Dinakar
Oral leukoplakia is one of the most common physiologic as well as pathologic white lesion in the oral cavity. Of the many variants, oral proliferative verrucous leukoplakia (OPVL) is a rare clinicopathological entity of unknown etiology. OPLV initially develops as a white hyperkeratotic plaque that eventually becomes a multifocal disease with confluent, exophytic and proliferative features. Published case series with long-term follow-up describes OPVL as a disease with aggressive biological behavior due to its high probability of recurrence and a high rate of malignant transformation. This article describes a rare case report of OPVL associated with oral submucous fibrosis in the light of current information with clinical and histological aspect in a young patient, which was successfully treated with CO2Laser.
口腔白斑是口腔内最常见的生理性和病理性白色病变之一。在许多变异中,口腔增殖性疣状白斑(OPVL)是一种罕见的病因不明的临床病理实体。OPLV最初发展为白色角化过度斑块,最终发展为具有融合性、外生性和增生性特征的多灶性疾病。已发表的长期随访病例系列将OPVL描述为一种具有侵袭性生物学行为的疾病,因为它具有高复发概率和高恶性转化率。本文描述了一例罕见的OPVL合并口腔黏膜下纤维化的病例报告,根据目前的临床和组织学信息,这名年轻患者成功地接受了co2激光治疗。
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引用次数: 0
A randomized controlled clinical trial on efficacy of photodynamic therapy as an adjunct to nonsurgical treatment of chronic periodontitis 光动力疗法辅助非手术治疗慢性牙周炎疗效的随机对照临床试验
Pub Date : 2015-07-01 DOI: 10.4103/0976-2868.170562
Suryakanth Malgikar, S. Reddy, P. Babu, S. Sagar, P. Kumar, G. Reddy
Background and Objectives: In recent years, there has been a growing interest in the use of dental lasers for treatment of periodontal diseases. Recent preclinical and clinical data have suggested a potential benefit of photodynamic therapy (PDT) in the treatment of periodontitis. Aim: The aim of this study was to evaluate the clinical efficacy of PDT as an adjunct to nonsurgical mechanical therapy (SRP) in the treatment of chronic periodontitis. Materials and Methods: In a single-centered randomized and controlled clinical trial, 24 patients with untreated chronic periodontitis were assigned in a split-mouth design into two treatment groups which included: Group I: SRP only (control group), Group II: SRP and PDT (1% methylene blue solution) (test group). Clinical parameters such as plaque index (PI), gingival index (GI), modified sulcular bleeding index (mSBI), probing depth (PD), and clinical attachment level (CAL) were measured at baseline, 1, 3 and 6 months after therapy. Results: Inter-group and intra-group statistical analyses were performed. The improvement in clinical parameters was significantly greater in Group II as compared to Group I. The mean PD (mm) reduction from baseline to 6 months in Group I was 2.50 ± 0.54, Group II was 2.57 ± 0.53. The mean CAL (mm) gain from baseline to 6 month in Group I was 2.63 ± 0.47, Group II was 2.55 ± 0.44. A statistically significant decrease in PI, GI, mSBI scores was seen in Group II at the end of 6 month (P < 0.001). Conclusion: The present study suggests that an additional application of single episode of PDT could be beneficial adjunct to nonsurgical treatment of chronic periodontitis in terms of clinical parameters as compared to scaling and root planing. Direct subgingival delivery of methylene blue in different concentrations should be performed to further investigate the potential antimicrobial effect of soft lasers in the human periodontal disease.
背景和目的:近年来,人们对使用牙科激光治疗牙周病越来越感兴趣。最近的临床前和临床数据表明,光动力疗法(PDT)在治疗牙周炎方面具有潜在的益处。目的:本研究的目的是评估PDT作为非手术机械治疗(SRP)辅助治疗慢性牙周炎的临床疗效。材料与方法:在一项单中心随机对照临床试验中,24例未经治疗的慢性牙周炎患者采用裂口设计分为两个治疗组:I组:仅SRP(对照组),II组:SRP和PDT(1%亚甲基蓝溶液)(试验组)。在治疗后的基线、1、3、6个月测量临床参数,如斑块指数(PI)、牙龈指数(GI)、改良的龈出血指数(mSBI)、探诊深度(PD)和临床附着水平(CAL)。结果:进行组间、组内统计分析。与ⅰ组相比,ⅱ组临床参数的改善明显更大。从基线到6个月,ⅰ组的平均PD (mm)减少为2.50±0.54,ⅱ组为2.57±0.53。从基线到6个月的平均CAL (mm)增加I组为2.63±0.47,II组为2.55±0.44。在6个月结束时,II组PI、GI、mSBI评分有统计学意义的下降(P < 0.001)。结论:目前的研究表明,在临床参数方面,单次PDT的额外应用可能是慢性牙周炎非手术治疗的有益辅助,与刮治和牙根刨形相比。为了进一步研究软激光对人类牙周病的潜在抗菌作用,需要进行不同浓度的亚甲基蓝直接龈下递送。
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引用次数: 3
Diode laser for treatment of peripheral giant cell granuloma 二极管激光治疗外周巨细胞肉芽肿
Pub Date : 2015-07-01 DOI: 10.4103/0976-2868.158464
Jafri Zeba, Nafis Ahmad, D. Shukla
Peripheral giant cell granuloma (PGCG) is not a true neoplasm but an exophytic benign growth of gingival tissues which has an origin either from periodontal ligament or mucoperiosteum. Clinically, it appears as a solitary nodule which may be sessile or pedunculated, color may vary from pale pink to deep red or purplish blue. The lesion varies widely in size, but usually is between 0.5 to 2 cm in diameter. The treatment is complete surgical excision which can be done either by a scalpel, electrocautery or lasers. This case report presents use of a diode laser aluminum gallium arsenide (denlase 810 nm) in contact mode for the treatment of PGCG. Use of lasers has shown various advantages over the conventional method and is a good treatment option.
外周巨细胞肉芽肿(PGCG)不是一种真正的肿瘤,而是牙龈组织的外生性良性生长,起源于牙周韧带或粘骨膜。临床表现为单发结节,无梗或有梗,颜色从淡粉色到深红色或紫蓝色不等。病变大小差异很大,但通常在0.5至2cm直径之间。治疗是完全的手术切除,可以通过手术刀、电灼或激光来完成。本病例报告介绍了在接触模式下使用砷化铝镓二极管激光(密度810 nm)治疗PGCG。使用激光已经显示出各种优势比传统的方法,是一个很好的治疗选择。
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引用次数: 1
Diode laser treatment of an oral squamous papilloma of soft palate 二极管激光治疗口腔软腭鳞状乳头状瘤
Pub Date : 2015-07-01 DOI: 10.4103/0976-2868.170564
P. Rakhewar, Harshal Patil, Manojkumar S Thorat
Oral squamous papilloma is one of the most common benign epithelial neoplasm, frequently seen on the tongue, palate, uvula, and gingiva; and found to be associated with human papillomavirus (HPV) 6 and 11. Treatment laser-assisted surgery is common because of several advantages such as successful hemostasis, devoid of sutures, wound sterilization, and minimal postoperative pain and edema. The aim of this report is to present the case of oral squamous papilloma of the soft palate in a 57-year-old male patient and its management with a diode laser.
口腔鳞状乳头状瘤是最常见的良性上皮性肿瘤之一,常见于舌、腭、小舌和牙龈;并被发现与人类乳头瘤病毒(HPV) 6和11有关。治疗激光辅助手术是常见的,因为有几个优点,如成功止血,无缝合线,伤口消毒,术后疼痛和水肿最小。本报告的目的是提出一个病例的口腔鳞状乳头状瘤软腭在一个57岁的男性患者和其管理与二极管激光。
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引用次数: 6
Design and implementation of noninvasive laser imaging system for human teeth carious detection and removal 无创激光成像系统的设计与实现,用于人类牙齿龋齿的检测与清除
Pub Date : 2015-07-01 DOI: 10.4103/0976-2868.170563
Y. El-Sharkawy
Background: Knowledge of heat transfer in biological bodies has many diagnostic and therapeutic applications involving either raising or lowering of temperature, and often requires precise monitoring of the spatial distribution of thermal histories that are produced during a treatment protocol. Aim: This paper, therefore, aims to design and implementation a laser therapeutic and imaging system used for carious tracking and drilling by developing a mathematical algorithm using Hilbert transform for edge detection of photothermal imaging. Photothermal imaging has the ability to penetrate and yield information about an opaque medium well beyond the range of conventional optical imaging. Method: Owing to this ability, Q-switching neodymium-doped yttrium aluminium garnet laser at wavelength 1064 nm has been extensively used in human teeth to study the subsurface deposition of laser radiation. Results: The high absorption coefficient of the carious as compared to the normal region contributes to a greater increase in temperature generating infrared thermal radiation captured by the high resolution thermal camera. Changing the pulse repetition frequency of the laser pulses affects the penetration depth of the laser, which can provide three-dimensional images in arbitrary planes and allow imaging deep within a solid tissue. Conclusions: Photothermal imaging with 2-D Hilbert transform algorithm is a powerful tool for human carious detection
背景:生物体内的热传递知识有许多诊断和治疗应用,包括升高或降低温度,并且通常需要精确监测在治疗方案中产生的热历史的空间分布。因此,本文旨在通过开发利用希尔伯特变换进行光热成像边缘检测的数学算法,设计和实现用于龋齿跟踪和钻孔的激光治疗和成像系统。光热成像具有穿透和产生关于不透明介质的信息的能力,远远超出了传统光学成像的范围。方法:基于这种能力,波长1064 nm的调q掺钕钇铝石榴石激光器已被广泛应用于人类牙齿中,用于研究激光辐射的亚表面沉积。结果:与正常区域相比,龋齿的吸收系数高,导致高分辨率热像仪捕获的红外热辐射温度升高较大。改变激光脉冲的脉冲重复频率会影响激光的穿透深度,这可以在任意平面上提供三维图像,并允许在实体组织内部进行深入成像。结论:基于二维希尔伯特变换算法的光热成像是检测人类龋齿的有力工具
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引用次数: 9
Comparative study of diode laser 940 nm in performing frenectomy in both: Continuous and pulsed modes: An in vivo study 940 nm二极管激光在连续和脉冲两种模式下行系带切除术的比较研究:一项体内研究
Pub Date : 2015-07-01 DOI: 10.4103/0976-2868.158461
A. Al-Khatib, Asmaa S Al-Azzawi
The Objectives of this Study: The objective of the study was to evaluate the efficiency of diode laser 940 nm in both, continuous and pulsed modes. Then compare the outcomes of frenectomy procedure, and find the best mode that satisfies the patient's and the surgeon's criteria. Materials and Methods: This study was carried out on 14 patients of which 7 were males and 7 were females with age range from 7 to 46 years. Patients underwent diode laser-assisted frenectomy in continuous wave (CW) mode with power ranging from 1.5–3 W and pulsed mode, which was subdivided into comfort pulse 0 (CP0) with 6–10 W peak power; 1.2–2 W average power and CP2with 2–10 W peak power; 1–5 W average power. Anesthesia method and need, the duration of surgery and intraoperative bleeding events were recorded in all cases. In addition, patient preoperative fear, perception and comments were reported. Ratings of the postoperative pain and the functional complications for each patient in a questionnaire survey were reported using the Wong-Baker FACES Pain Rating Scale at operation day throughout the 1st week postoperatively. All patients were examined at 2, 7, and 21 days after the operation in order to assess the surgical wound healing. Results: In the clinical study, seven patients were operated on without infiltration anesthesia (only spray anesthesia) in the pulsed mode while in CW-mode only one patient operated on with spray anesthesia in low power. Intraoperative bleeding events were bloodless to oozing. There was no preoperative fear; patients' perceptions were comfortable with satisfactory comments except in CW cases and some of the CP0 cases. Severe postoperative complications were absent in all subjects. The reported survey results indicated that the patients treated with the laser had normal day activity on operation day, less postoperative pain and fewer functional complications were noticed in the CP2mode. The surgical wound healing was within normal limits in 7–14 days. Carbonization was the main feature of cases treated with CW-mode while it was mostly absent in the pulsed mode. Conclusion: The use of CW-mode of diode laser can be considered no more suitable for performing oral soft tissues surgery. The pulsed mode was found more practical, effective and easy to carry out incisions, cuttings with less intra and postoperative complications considering its advantages in the clinical cases. The CP2pulsed mode laser treatment offers a safe, effective, acceptable, with impressive outcomes particularly for young patients.
本研究的目的是评估940nm二极管激光器在连续和脉冲两种模式下的效率。然后比较两种系带切除术的效果,找出满足患者和外科医生标准的最佳模式。材料与方法:本研究共纳入14例患者,其中男性7例,女性7例,年龄7 ~ 46岁。采用功率为1.5 ~ 3w的连续波(CW)模式和峰值功率为6 ~ 10w的舒适脉冲(CP0)模式,对患者行二极管激光辅助系带切除术;平均功率1.2-2 W, cp2峰值功率2-10 W;平均功率1 ~ 5w。记录所有病例的麻醉方式、麻醉需要、手术时间及术中出血情况。此外,报告了患者术前的恐惧、感知和评论。术后1周内采用Wong-Baker FACES疼痛评定量表对每位患者的术后疼痛和功能并发症进行问卷调查。所有患者于术后2、7、21天进行检查,以评估手术伤口愈合情况。结果:在临床研究中,7例患者在脉冲模式下进行了无浸润麻醉(仅喷雾麻醉)的手术,而在cw模式下,只有1例患者进行了低功率喷雾麻醉。术中出血从无血到渗血。术前无恐惧;除了CW病例和部分CP0病例外,患者的感觉是满意的。所有受试者均无严重的术后并发症。报告的调查结果表明,激光治疗的患者在手术当天的日常活动正常,术后疼痛较少,cp2模式下功能并发症较少。术后7 ~ 14天伤口愈合正常。碳化是cw模式下的主要特征,而脉冲模式下几乎没有碳化。结论:使用cw模式的二极管激光进行口腔软组织手术是不合适的。考虑到脉冲模式在临床病例中的优势,发现脉冲模式更实用、有效、易于进行切口,切口内及术后并发症少。cp2脉冲模式激光治疗提供了一个安全,有效,可接受的,令人印象深刻的结果,特别是对年轻患者。
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引用次数: 5
Effectiveness of 904 nm gallium arsenide diode laser in treatment of oral lichen planus: Report of two cases 904 nm砷化镓二极管激光治疗口腔扁平苔藓2例疗效分析
Pub Date : 2015-07-01 DOI: 10.4103/0976-2868.170561
K. Patil, P. Bhattacharya, M. Guledgud
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引用次数: 1
Diode laser: An alternative treatment modality for ankyloglossia 二极管激光:一种治疗强直性咬合的替代方法
Pub Date : 2015-07-01 DOI: 10.4103/0976-2868.158463
V. Jain, G. Jaiswal
Ankyloglossia or tongue-tie refers to an abnormally short lingual frenulum. Ankyloglossia is a recognized but poorly defined condition and has been reported to cause feeding difficulties, dysarthria, dyspnea, and social or mechanical problems in childhood and adolescence. This article reports a simple, safe, and effective way for management of ankyloglossia associated with restricted movement of the tongue. The treatment involved a diode laser for removal of the lingual frenum, which healed uneventfully. A marked improvement in the movement of the tongue was observed at follow-up visits in the treated case.
紧张性舌系带是指舌系带异常短。强直性失听症是一种公认但定义不明确的疾病,据报道,它会导致儿童和青少年时期的进食困难、构音障碍、呼吸困难以及社交或机械问题。本文报告了一种简单、安全、有效的方法来治疗与舌头运动受限相关的强直性咬紧带。治疗包括用二极管激光切除舌系带,愈合得很顺利。在治疗病例的随访中观察到舌的运动有明显的改善。
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引用次数: 1
Application of diode laser for the management of oral verrucous carcinoma mimicking Candidiasis 二极管激光在口腔仿念珠菌病疣状癌治疗中的应用
Pub Date : 2015-07-01 DOI: 10.4103/0976-2868.170566
K. Nilesh, N. Malik, N. Vibhute, G. Suragimath
Oral verrucous carcinoma (OVC) is a variant of oral squamous cell carcinoma which shows a local invasive pattern without any distant metastases. Accurate diagnosis of OVC depends on a careful association between clinical and histological features of the lesion. This paper reports a case of OVC over mandibular alveolar mucosa, mimicking Candidiasis. Use of diode laser for the management of the lesion is also described.
口腔疣状癌(OVC)是口腔鳞状细胞癌的一种变体,表现为局部浸润,无远处转移。OVC的准确诊断取决于病变的临床和组织学特征之间的仔细联系。本文报告一例类似念珠菌病的下颌骨牙槽黏膜OVC。使用二极管激光治疗病变也被描述。
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引用次数: 1
The effect of 808 nm diode laser irradiation on shear bond strength of composite bonded to dentin before and after bonding 808 nm二极管激光辐照对复合材料粘结前后与牙本质剪切结合强度的影响
Pub Date : 2015-07-01 DOI: 10.4103/0976-2868.158465
M. Malekipour, F. Alizadeh, F. Shirani, S. Amini
Objectives: As bonding ability to tooth surface is an important factor in durability of composite restorations, the aim of this in vitro study was to evaluate the effect of 808 nm diode laser irradiation with different power outputs on the shear bond strength of composite bonded to the dentin before and after applying the bonding agent. Materials and Methods: A total of 35 healthy third molars were mounted in acrylic resin in a way that each molar had two test sites and divided into seven groups of 10 each. In the control group, the bonding agent was used without laser application. An 808 nm diode laser with different power outputs of 0.5, 1 and 1.5 W for a duration of 20 s was irradiated perpendicularly to the dentin surfaces in three of the experimental groups before and in the other three groups after applying the bonding agent. After composite cylinders had been adhered, they were examined to determine their shear bond strength. Results: According to the least significant difference test, the bond strength mean significantly higher in the control group (P < 0.001) and in all laser power outputs, the mean bond strength was significantly higher in the groups for which laser was irradiated before applying the bonding agent than the groups for which laser was irradiated after applying the adhesive (P < 0.05). Conclusion: Considering the higher bond strength in the control group, it seems that applying laser does not increase the bond strength of composite to the dentin.
目的:由于复合材料修复体与牙表面的结合能力是影响其耐久性的重要因素,本实验旨在评价不同功率输出的808 nm二极管激光照射对复合材料在使用粘结剂前后与牙本质的剪切结合强度的影响。材料与方法:将35颗健康的第三磨牙固定在丙烯酸树脂上,每颗磨牙有两个测试点,分为7组,每组10颗。对照组采用不使用激光的粘结剂。用功率分别为0.5、1、1.5 W的808 nm二极管激光器垂直照射3个实验组的牙本质表面,照射时间分别为20s。复合材料圆柱体粘接后,对其进行剪切粘接强度检测。结果:根据最小显著性差异检验,对照组的平均粘结强度显著高于对照组(P < 0.001),在所有激光功率输出中,涂胶前照射激光组的平均粘结强度显著高于涂胶后照射激光组(P < 0.05)。结论:考虑到对照组的结合强度较高,激光的应用似乎并没有增加复合材料与牙本质的结合强度。
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引用次数: 11
期刊
Journal of Dental Lasers
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