Low-level laser therapy effects in traumatized permanent teeth with extrusive luxation in an orthodontic patient

Abstract

The aim of this case report was to present and evaluate the effect of low-level laser therapy on traumatized permanent teeth with extrusive luxation in an orthodontic patient. The treatment and follow-up evaluation of two orally luxated maxillary permanent central incisors in a 19-year-old man is described. Detailed anamnesis was taken, and extraoral, intraoral, radiographic examinations and electrical and thermal pulpal tests were performed to determine the type of the luxation and the further treatment protocol. Teeth were splinted with composite resin, and antibiotic therapy was prescribed. Low-level laser therapy was applied for 25 sessions. No root canal treatment was applied to the teeth. Continuation of the orthodontic treatment was restarted after 6 months. No sign of clinical or radiographic pathology was detected after 2 years from the end of the treatment. Teeth were identified healthy and sound without any root canal intervention. Treatments with low-level laser applications may be evaluated as noninvasive alternative treatment options in comparison with endodontic treatment for teeth with extrusive luxation more than 2 mm, especially for those who have orthodontic treatment needs. (Angle Orthod. 2010;80:968-974.)

Alternative Approach to the Management of Postoperative Pain after Pediatric Surgical Procedures

“…In this way, a surgical wound healing that is free-infection and with reduced presence of inflammation and pain is extremely necessary. 6 21 22 Furthermore, the presence of laser device reduces the perception of fear in the patients, thus, encourage a positive attitude toward the dental treatment. 15 The results exhibited in this study is in agreement of a previous approach that suggested the laser treatment results in minimum or nether postoperative swelling nor pain with less discomfort.…”

Orthodontic management of traumatized teeth: a literature review

“…[28][29][30] For extrusive laxative traumatic dental injuries of permanent teeth that exceed two millimeters, laser management has been previously introduced as an efficacious modality that can effectively replace the endodontic management modalities. 31 Delayed or ignored early repositioning of the affected teeth might lead to the development of serious complications leading to reduced crown to root ratio and decreased support of the surrounding bony structures. Moreover, this will even make it harder for orthodontists to draw the appropriate management modality of this trauma.…”

Orthodontic Considerations for Traumatized Teeth: An Overview

“…If there is any tooth mobility then the examination for the concerned tooth has to be done in both a horizontalas well as vertical direction. 15 4. During the clinical examination palpation over the tooth apex for tenderness should be checked.…”