Efficacy of Diode Laser for the Management of Potentially Malignant Disorders
Journal of Lasers in Medical Sciences,
Vol. 6 No. 3 (2015),
30 June 2015
,
Page 120-123
Abstract
Introduction: Laser dentistry is a one of the upcoming advanced treatment modality for oral mucosal lesions. Diode laser is a soft tissue laser that has found much acceptance in all branches of dentistry. Available compact size and feasibility has render diode laser an enhanced tool for today’s clinical practice. The aim of this study is to determine the efficacy and safety of diode laser for the management of white lesions such as oral leukoplakia (OL) and oral lichen planus (OLP).
Methods: The study was conducted by using diode laser 980 nm on 10 patients with white lesions (5 OL and 5 OLP) aged between 35 to 65 years.
Results: Of the 10 patients (5 OL and 5 OLP), 3 patients (30%) complained of moderate pain and 7 patients (70%) complained of mild pain, for first 3 days after laser irradiation, and pain disappeared at end of first week. There was no recurrence of the lesion during the 6-month follow up.
Conclusion: Diode lasers provide acceptable clinical improvement of potentially malignant lesions with minimal side effects. It can be considered one of the best alternative treatment modality for oral mucosal lesions.
- Diode laser
- Malignant disorders
- Laser in dentistry
How to Cite
References
Raval N, Rama Raju D, Athota A, Reddy TY. Diode laser and white lesions: a clinical study on postoperative recovery, depth control and wound healing. J Ind Acad Oral Med Radio. 2011;23(3):S308-S311. doi:10.5005/ jp-journals-10011-1156.
Abraham RJ, Lankupalli AS. Laser management of intraoral soft tissue lesions-a review of literature. IOSR J Dent Med Sci. 2014;13(1):59-64. doi:10.9790/0853- 131105964.
Akbulut N, Kursun ES, Tumer MK, Kamburoglu K, Gulsen U. Is the 810 nm diode laser the best choice in oral soft tissue therapy? Eur J Dent. 2013; 7(2):207-11.
Aras MH, Goregen M, Gungormuş M, Akgul HM. Comparison of diode laser and Er:YAG lasers in the treatment of ankyloglossia. Photomed Laser Surg. 2010;28(2):173-7. doi:10.1089/pho.2009.2498.
Goharkhay K, Moritz A, Smith PW, et al. Effects on oral soft tissue produced by a diode laser in vitro. Lasers Surg Med. 1999;25(5):401 406.
Pick RM, Colvard MD. Current status of lasers in soft tissue dental surgery. J Periodontol. 1993;64(7):589 602. doi:10.1902/jop.1993.64.7.589.
Warwick-Bown NP, Marks NJ. Turbinate surgery: how effective is it? a long-term assessment. ORL J Otorhinolaryngol Relat Spec. 1987;49(6):314-320.
Ghom AG. Text book of Oral Medicine. 2nd ed. New Delhi: Jaypee Brothers Publishers; 2011:194.
Neville BW, Damm DD, Allen CM, Bouquot J. Oral and Maxillofacial Pathology. 3rd ed. St Louis: Saunders; 2008:398-9.
Holmstrup P, Vedtofte P, Reibel J, Stoltze K. Long-term treatment outcome of oral premalignant lesions. Oral Oncol. 2006;42(5):461–474. doi:10.1016/j. oraloncology.2005.08.011.
Tatu R, Shah K, Palan S, Brahmakshatriy H, Patel R. Laser excision of labial leukoplakia with diode laser: a case report. IJRRMS. 2013;3(4):64-66.
Ribeiro AS, Salles PR, Da Silva TA, Mesquita RA. A review of the nonsurgical treatment of oral leukoplakia. Int J Dent. 2010;2010:186018. doi:10.1016/j.oraloncology.2005.08.011.
Epstein JB, Wong FL, Millner A, Le ND. Topical bleomycin treatment of oral leukoplakia: a randomized double-blind clinical trial. Head Neck. 1994;16(6):539-544. doi:10.1002/hed.2880160607.
Jajarm HH, Falaki F, Mahdavi O. A comparative pilot study of low intensity laser versus topical corticosteroids in the treatment of erosive-atrophic oral lichen planus. Photomed Laser Surg. 2011; 29(6):421-425. doi:10.1089/pho.2010.2876.
Soliman M, Ahmed EL, Saafan A. Management of oral lichen planus using diode laser (980 nm). A clinical study. Egypt Dermatol Online J. 2005;1(1):3.
Lavanya N, Jayanthi P, Umadevi KR, Ranganathan K. Oral lichen planus: An update on pathogenesis and treatment. J Oral Maxillofac Path. 2011;15(2):127- 132.
Mahdavi O, Boostani N, Jajarm H, Falaki F, Tabesh A. Use of low level laser therapy for oral lichen planus: report of two cases. J Dent (Shiraz). 2013; 14(4): 201- 204.
Passeron T, Zakaria W, Ostovari N, Mantoux F, Lacour JP, Ortonne JP. Treatment of erosive oral lichen planus by the 308 nm excimer laser. Lasers Surg Med. 2004;34(3):205. doi:10.1002/lsm.20016.
Trehan M, Taylor CR. Low-dose excimer 308-nm laser for the treatment of oral lichen planus. Arch Dermatol. 2004;140(4):415-420.
Kollner K, Wimmershoff M, Landthaler M, Leutner HU. Treatment of oral lichen planus with the 308-nm UVB excimer laser--early preliminary results in eight patients. Lasers Surg Med. 2003;33(3):158-160.
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