Management of Oral Lichen Planus by 980 nm Diode Laser

Derikvand, Nahid; Ghasemi, Seyedeh Sara; Moharami, Mohammad; Shafiei, Ehsan; Chiniforush, Nasim

doi:10.15171/jlms.2017.27

Cited by 17 publications

(14 citation statements)

References 30 publications

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“…A 980 nm diode laser can penetrate 2-3 mm depth through epithelial and subepithelial tissues and could be absorbed by soft tissue rather than hard tissue, which makes it suitable for disinfecting properties. 38 To our knowledge, there is no report of using aPDT in the teeth with periodontic-endodontic or endodonticperiodontic lesions or with grade III mobility, furcation involvement and a hopeless prognosis in the literature. This makes our case report unique in that using aPDT for preserving a hopeless tooth.…”

Section: Discussionmentioning

confidence: 95%

The Use of Antimicrobial Photodynamic Therapy to Maintain a Hopeless Tooth With a PeriodonticEndodontic Lesion: A Case Report

et al. 2020

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Background: In spite of some advances in periodontal generative methods, it is impossible to stop progressive Loss of supporting alveolar bone in some end-stage periodontitis. The aim of this study is to report a kind of treatment modality which was seemed to be successes full in maintaining teeth. In this case-report, a hopeless tooth was saved by combined non-surgical periodontalendodontal treatment and antimicrobial photodynamic therapy (aPDT). Case Report: A 58-year-old male presented with a chief complaint of pain and mobility of tooth number 38. Clinical examinations revealed a periodontic-endodontic lesion with clinical attachment loss exceeding 10 mm and grade III mobility. To preserve the tooth, we operated nonsurgical periodontal treatment including scaling and root planning (SRP) plus root canal therapy (RCT) combined with intra-root canal non-aPDT laser decontamination. Then we applied laser pocket therapy with and without aPDT. Following 6 months of the aPDT treatment, the mobility and pocket depth of the tooth improved from grade III to I and from 10 to 3 millimeters respectively. Conclusion: aPDT is a novel adjunctive therapy that can be used for various conditions with microbial etiology. This case report demonstrated that aPDT might be effective in the treatment of periodontic-endodontic lesions in a hopeless tooth.

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Section: Discussionmentioning

confidence: 95%

The Use of Antimicrobial Photodynamic Therapy to Maintain a Hopeless Tooth With a PeriodonticEndodontic Lesion: A Case Report

et al. 2020

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“…Therefore, a total of 47 articles were selected for thorough full-text reading. After full-text screening, 17 of the 47 studies were included in the current review [9,14,[35][36][37][38][39][40][41][42][43][44][45][46][47] and 30 were excluded. The reasons for excluding these articles can be seen in the study identification flowchart according to PRISMA (Fig.…”

Section: Study Selectionmentioning

confidence: 99%

“…Seventeen published articles were included in the qualitative evaluation [9,14,30,[35][36][37][38][39][40][41][42][43][44][45][46][47][48], for a total of 239 patients with oral lesions resulting from autoimmune diseases. Type of study, number, mean age and sex of the subjects, diagnosis, as well as the diagnostic method used, follow-up period, evaluation methods, and main outcomes can be seen in Tables 1 and 2.…”

Section: Qualitative Evaluationmentioning

confidence: 99%

Photobiomodulation of gingival lesions resulting from autoimmune diseases: systematic review and meta-analysis

et al. 2022

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Objectives To evaluate the effects of photobiomodulation (PBM) in gingival lesions resulting from autoimmune diseases; to compare PBM and topical corticosteroid (CS) treatment; and to assess PBM outcome over time of follow-up. Materials and methods A comprehensive electronic search was performed in four electronic databases. Treatment effects were measured through visual analog scale of pain (VAS) and clinical evolution of lesion (Thongprasom scale for oral lichen planus (OLP)). Meta-analysis was performed to compare PBM with topical corticosteroid treatment and to evaluate PBM effect over time of follow-up. Results Seventeen studies were included in this review, of which six were used for the meta-analysis. Meta-analysis results showed no significant differences between PBM and topical CS in pain reduction at baseline (MD = 0.20, 95% CI = − 0.92, 1.32, p = 0.72) and 60-day follow-up (MD = 0.63, 95% CI = − 3.93, 5.19, p = 0.79); however, VAS showed significant pain reduction when compared before and after PBM at 30-day (MD = − 3.52, 95% CI = − 5.40, − 1.64, p = 0.0002) and 60-day (MD = − 5.04, 95% CI = − 5.86, − 4.22, p < 0.00001) follow-up. Thongprasom clinical scale for OLP also showed significant improvement at 30-day follow-up (MD = − 2.50, 95% CI = − 2.92, − 2.08, p < 0.00001) after PBM. Conclusion PBM led to significant reduction of pain and clinical scores of the lesions, not having shown significant differences when compared to topical CS. Clinical relevance PBM has been used in the treatment of autoimmune gingival lesions, but so far there is little strong evidence to support its use.

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“…Pharmacological therapy consists of the use of corticosteroids and other immunosuppressant or immunomodulatory drugs [14]. Non-pharmacological therapy includes PUVA [15], photodynamic [16] and laser therapy [17]. Although corticosteroids represent the main treatment for OLP, they are responsible for side effects like candidiasis, adrenal insufficiency, and discomfort during the application, especially if administered systemically and for a long time [18].…”

Section: Introductionmentioning

confidence: 99%

Extended Erosive Oral Lichen Planus Treated with a very Low-Level Laser Therapy: A Case Report

Mameli¹,

Murgia²,

Orrù³

et al. 2020

TODENTJ

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Background: Oral lichen planus is a chronic idiopathic inflammatory disease that affects the skin and mucous membrane and involves about 1-2% of the population. The management of this pathology aims to control symptoms. Clinically, it can appear as a plaque, in reticular form, or an erythematous/atrophic form. The treatment options include different classes of drugs and non-drug therapies such as a laser. In addition, most drug treatments include numerous side effects. Objective: The aim of this work is to evaluate the clinical effectiveness of a particular type of very Low-Level-Laser Therapy for the management of an erosive oral lichen planus case. Methods: An extensive form of erosive Oral Lichen Planus was treated using a Low-Level Laser Therapy with a 660 nm diode laser. The treatment was performed once per week for two sessions of five minutes each. Different outcome variables were examined: the size of lesions, evolution of pain symptoms, and presence of side effects and stability of the therapeutic results in the follow-up period. Results: After a week, the lesion appeared more homogenous, and the erythematous areas underwent a reduction with a simultaneous decrease in symptoms. After two weeks, the lesion seemed completely healed with the disappearance of pain. The follow-up continued for the other four months, and no relapse was reported. No adverse effects were observed during the study. Conclusion: This study suggests that Low-Level Laser Therapy with very low power parameters could be a safe and successful treatment for extended oral erosive lichen planus lesions.

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Management of Oral Lichen Planus by 980 nm Diode Laser

Cited by 17 publications

References 30 publications

The Use of Antimicrobial Photodynamic Therapy to Maintain a Hopeless Tooth With a PeriodonticEndodontic Lesion: A Case Report

The Use of Antimicrobial Photodynamic Therapy to Maintain a Hopeless Tooth With a PeriodonticEndodontic Lesion: A Case Report

Photobiomodulation of gingival lesions resulting from autoimmune diseases: systematic review and meta-analysis

Extended Erosive Oral Lichen Planus Treated with a very Low-Level Laser Therapy: A Case Report

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