Low-level laser therapy for management of large periapical lesions associated with open apex cases.

Autor: Yadav, Sudha, Nawal, Ruchika R., Talwar, Sangeeta, Verma, Mahesh
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Zdroj: Indian Journal of Dental Research; Mar/Apr2020, Vol. 31 Issue 2, p334-336, 3p
Abstrakt: Context: Low-level laser therapy (LLLT) is an established method to accelerate wound healing through the phenomenon of biostimulation.Aims: This case study presents a novel approach for management of open apex cases associated with large peripapical lesions using 980-nm diode laser for biostimulation.Settings and Design: Case report.Materials and Methods: Two patients presenting with open apex associated with periapical lesion were selected. After access opening, canal disinfection was carried out with sodium hypochlorite and 980-nm diode laser. Calcium hydroxide was given as intracanal medicament for 1 week. When patient was asymptomatic, apical plug of 4-5 mm MTA was placed. In addition, seven sessions of LLLT were administered transcutaneously around the apices of involved teeth every alternate day for 15 days.Results: One year follow-up radiograph revealed remarkable healing of the lesion.Conclusion: The combination of increased cellular proliferation with laser biostimulation and meticulous canal disinfection with lasers has the potential of accelerating healing of the periapical lesions. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index