Efficacy of low-level laser therapy in the treatment of temporomandibular disorder (original) (raw)
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Low-Level Laser Therapy in the Treatment of Recurrent Aphthous Ulcers: A Systematic Review
The Scientific World Journal, 2015
Recurrent aphthous ulcers (RAUs) are the most common lesion found in the oral cavity. There is no definitive cure for RAUs and current treatments are aimed at minimizing symptoms. Since low-level laser therapy (LLLT) modulates inflammatory responses, and promotes pain reduction and cellular biostimulation, LLLT can be suggested as an alternative treatment for RAUs. The literature concerning the potential of LLLT in the treatment of RAUs was evaluated. A systematic literature review identified 22 publications, of which only 2 studies were adopted. The eligibility criteria consisted of randomized controlled trials (RCTs). Both RCTs achieved significant results concerning LLLT and pain-level reductions and reduced healing times. Despite the variance in irradiation conditions applied in both studies, very similar wavelengths were adopted. There is accordingly strong evidence that wavelength plays an important role in RAU treatment. Taking into account the different parameters applied by...
Journal of clinical and diagnostic research : JCDR, 2014
Apthous ulcers, commonly referred to as canker sores, are the most common ulcerative lesions of the oral mucosa. These are usually painful and are associated with redness, and occasional bleeding from the affected area(s). The aims of treatment are to reduce pain and healing time. To assess clinically the efficacy of Low-level laser therapy (LLLT) on recurrent aphthous ulcers for reduction of pain, lesion size, and healing time and to compare the results with those of a sham control group. A total of 30 patients who presented with two separate aphthous ulcers were included in the study. Each lesion was randomly allotted to either the active treatment group or the sham control group. Lesions which were included in the active group were treated with LLLT in a single sitting, which was divided into four sessions. Lesions in the sham control group were subjected to similar treatment without activating the LASER unit. Each patient was evaluated for pain, lesion size, and complete healing...
Low level laser therapy in the treatment of aphthous ulcer
Recurrent aphthous stomatitis (RAS) is one of the most common and painful ulcerative lesions of the oral cavity, but until now no cure has been recognized for it. Two patients diagnosed with minor RAS were treated in a single sitting with low level laser therapy using 940-nm diode laser. The lesions healed completely within 3-4 days and a follow-up for 1 showed no recurrence in these patients. According to the results of this study, low level laser therapy can decrease the healing time, pain intensity, size, and recurrence of the lesion in patients with minor RAS, and hence can be considered the most appropriate treatment modality for minor RAS, with greatest clinical effectiveness.
2021
Low-Level Laser therapy (LLLT) was employed for the treatment of three patients diagnosed with recurrent aphthous ulcers (RAU’s). The patients presented with recurrent aphthous ulcers in the region of floor of the mouth and buccal mucosa. The three patients with RAU’s were provided with a wavelength of946nm starting the use at 320µm fibre optic at a distance of 1-3 mm, peak power of 2W, frequency 10 Hz with no tissue contact in circular motion from outside to inside for 2 cycles with 100% duty for 30s for 3 consecutive days. The LLLT made possible an effective improvement in the reduction of pain and size associated with ulcers. It proved to be a safe and cost effective therapy in the management of recurrent aphthous ulcers.
The Pan African Medical Journal, 2018
Apthous ulcers, commonly referred to as canker sores, are the most common ulcerative lesions of the oral mucosa. These are usually painful and are associated with redness and occasional bleeding from the affected area(s). Low Level Laser Therapy (LLLT) has shown excellent results in relieving the pain and complete remission of the oral ulcers. Through a clinical case, we report two locations of oral ulcers treated successfully with diode laser.
Cold laser for oral ulcers: A pilot study
Journal of Advanced Clinical and Research Insights, 2014
Introduction: Most common form of oral ulcers is recurrent aphthous stomatitis (RAS). It occurs in three forms minor, major and herpetiform ulcers. They are extremely painful ulcer, and there are no established causes or treatment for it. Various causes such as vitamin defi ciencies, stress, micro-trauma, has been hypothesized for the etiology of RAS. Treatment with cold lasers is commonly known as low-level laser therapy (LLLT). They are used as adjuvant treatment in the various disorders such as arthritis, tennis elbow, chronic wounds, burns, peripheral nerve regeneration. In this study, we are using cold lasers for the treatment of the oral ulcers. Materials and Methods: A total of 12 subjects with RAS in the age group of 16-50 years of both genders were included in the study. After taking informed consent, they were treated with LLLT (0.63 nm, 10 mW, continuous wave). Area of the ulcer was determined, and the duration of the laser treatment was calculated. On an average, the treatment duration was 10-18 s/day. Subjects were treated daily until the ulcers healed. Effi cacy of the treatment was based on assessment pain scores (measured using visual pain analog scale) measured every day after therapy. Results: Total of 12 subjects underwent treatment. The average size of the ulcer was 8 mm 2 with a range of 8-35 mm 2. The average pain score (visual analog scale) on the 1 st , 2 nd , 3 rd day, and 5 th were 6.9, 6.4, 4.9, and 2.3 respectively. Conclusion: LLLT is known to cause vasodilatation by releasing nitric oxide at base of the ulcers. This increase in blood supply drains out of the metabolic substances, which cause tissue destruction and pain. It also favors the production of growth factors which causes healing of the ulcer and tissue repair. The observation that pain in the ulcers is same on the 2 nd day could suggest that LLLT augments the natural process of healing. Further comparative and follow-up studies are required to prove further effi cacy of LLLT on RAS.
Low-Level Laser Therapy and Topical Medications for Treating Aphthous Ulcers: A Systematic Review
Journal of Multidisciplinary Healthcare
The study compares low-level laser therapy with topical medications for treating aphthous ulcers. Methods: A search of articles in this systematic review was completed in six databases. Treatment and comparative groups comprised of patients subjected to laser therapy and topical medications, respectively. Two different treatment outcomes were considered; pain and size of the lesion. Risk of bias was assessed using the Revised Cochrane risk-of-bias tool for randomized trials. Results: From 109 articles, five randomized control trials fulfilled the selection criteria. The overall sample comprised of 98 males and 232 females, with a mean age of 32.4 years. The laser therapies in each included study had different active media and varying wavelengths. Topical medication used in the comparative group were triamcinolone acetonide, amlexanox, granofurin, and solcoseryl. Findings showed that patients who reported lower pain and decreased aphthous ulcer lesions were more in the laser therapy group than in the topical medication group. Conclusion: Low-level laser therapy was better in treating aphthous ulcer lesions in comparison to topical medications, and all laser wavelengths in the included reports were seen to be effective. However, the results should be interpreted with caution, because no study demonstrated low-risk of bias in all the assessed domains.
Management of recurrent aphthous ulcers using low-level lasers: A systematic review
Medicina, 2016
Background and objective: The exact etiology of recurrent aphthous ulcers (RAS) is unknown. The management of RAS is not always straightforward. The aim of this review is to critically analyze and summarize the clinical literature focusing on the management of aphthous ulcers using low-level lasers. Materials and methods: The Medline (PubMed), Web of Knowledge (ISI), Cochrane Central Register of Controlled Trials (CENTRAL) and Embase databases were searched electronically for studies published in last 20 years (1995-2015) using the keywords ''recurrent aphthous stomatitis,'' ''aphthous ulcers,'' and ''laser.'' Results: A total of 85 articles were found during the initial search; 76 studies were excluded for not fulfilling the criteria whereas nine studies were deemed suitable for this review. Among the included studies, two articles were case reports and seven were randomized clinical trials. Study design, sample size, type of intervention and control of each study were critically analyzed and summarized according to the CONSORT protocol. In majority of the patients, immediate pain relief and accelerated ulcer healing was observed following irradiation with lasers. Conclusions: Although various types of lasers have succeeded in providing immediate pain relief to patients, carbon dioxide (CO 2) lasers have the unique advantage of requiring a short Peer review under the responsibility of the
Laser biostimulation of oral ulcers in children
Oral ulcers in children are a frequent complaint of patients reporting to a dental professional. These can be very painful and may cause difficulty during eating, speaking and brushing. Several modalities have been proposed for management of oral ulcers, such as topical anesthetics, antiseptic mouthwashes, etc. However, these have not been proven very efficacious. Low level laser therapy (LLLT) has been suggested as a means of accelerating healing of oral ulcers. This case report presents a case of two painful aphthous ulcers in a 13-year-old child treated with LLLT using soft tissue diode laser. Immediately after the laser therapy, the pain reduced significantly and the healing occured substantially in 72 hours.
Managing Aphthous Ulcers: Laser Treatment Applied
Journal of the American Dental Association, 1991
The recurrent aphthous ulcer is a common oral ulcerative condition. Therapies are pharmaceutical in nature, remain palliative and do not alleviate pain. Carbon dioxide laser therapy was used to treat a minor form o f the ulcer (canker sore); the laser therapy reduced or eliminated the pain and inflammation with normal wound healing.