Diode Laser - Mediated Photocoagulation in an Alveolar Socket after Tooth Extraction: A Preliminary Study

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Angkana Klangthong
Sajee Sattayut
Nutthapong Kantrong
Varisanan Prasongvaranon
Lapapat Thanudape

Abstract

Diode laser has been addressed for its potential use in soft tissue surgery for decades and successful outcomes have been reported. This study therefore aimed at investigating the adjunctive effect of diode laser on the socket coagulation after tooth extraction. Twelve healthy individuals who required an extraction of premolar for an orthodontic purpose were subjected to randomization. Control group (N=6) was subjected to local gauze pressure technique to stop socket bleeding after the operation, while the experimental group (N=6) was irradiated with diode laser (808 nm, 0.5 watt, 5-second interval) 1 cm above the alveolar socket until bleeding stopped. Bleeding time and VAS scores between two groups were compared by using Mann Whitney U-test. Our data indicated that bleeding time was 2.74-fold faster when diode laser irradiation was incorporated in the treatment. Photocoagulation induced by diode laser significantly accelerated the clotting. In this study, we showed the efficacy of diode laser application in promoting a blood coagulation at the extraction wound, in adjunct with a conventional tooth extraction procedure.

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Klangthong A, Sattayut S, Kantrong N, Prasongvaranon V, Thanudape L. Diode Laser - Mediated Photocoagulation in an Alveolar Socket after Tooth Extraction: A Preliminary Study. Khon Kaen Dent J [Internet]. 2022 Nov. 7 [cited 2024 Dec. 22];25(3):91-100. Available from: https://he01.tci-thaijo.org/index.php/KDJ/article/view/244713
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References

Kumbargere Nagraj S, Prashanti E, Aggarwal H, Lingappa A, Muthu MS, Kiran Kumar Krishanappa S, et al. Interventions for treating post-extraction bleeding. Cochrane Database Syst Rev 2018;3:CD011930.

Abdullah WA, Khalil H. Dental extraction in patients on warfarin treatment. Clin Cosmet Investig Dent 2014;6:65–9.

Bacci C, Maglione M, Favero L, Perini A, di Lenarda R, Berengo M, et al. Management of dental extraction in patients undergoing anticoagulant treatment. Results from a large, multicentre, prospective, case-control study. Thromb Haemost 2010;104(5):972–5.

Corcos L, Dini S, de Anna D, Marangoni O, Ferlaino E, Procacci T, et al. The immediate effects of endovenous diode 808-nm laser in the greater saphenous vein: morphologic study and clinical implications. J Vasc Surg 2005;41(6):1018–24; discussion 1025.

Lee EA. Laser-assisted gingival tissue procedures in esthetic dentistry. Pract Proced Aesthet Dent 2006;18(9):suppl 2-6.

To TN, Rabie AB, Wong RW, McGrath CP. The adjunct effectiveness of diode laser gingivectomy in maintaining periodontal health during orthodontic treatment. Angle Orthod 2013;83(1): 43–7.

Borzabadi-Farahani A. The Adjunctive Soft-Tissue Diode Laser in Orthodontics. Compend Contin Educ Dent 2017;38(eBook 5):e18–31.

Koparal M, Kucuk AO, Alan H, Asutay F, Avci M. Effects of low-level laser therapy following surgical extraction of the lower third molar with objective measurement of swelling using a three-dimensional system. Exp Ther Med 2018;15(4): 3820–6.

Sanz-Moliner JD, Nart J, Cohen RE, Ciancio SG. The effect of an 810-nm diode laser on postoperative pain and tissue response after modified Widman flap surgery: a pilot study in humans. J Periodontol 2013;84(2):152–8.

Ureturk SE, Sarac M, Firatli S, Can SB, Guven Y, Firatli E. The effect of low-level laser therapy on tooth movement during canine distalization. Lasers Med Sci 2017;32(4):757–64.

Doshi-Mehta G, Bhad-Patil WA. Efficacy of low-intensity laser therapy in reducing treatment time and orthodontic pain: a clinical investigation. Am J Orthod Dentofacial Orthop 2012;141(3):289–97.

Son JH, An JH, Kim BK, Hwang IN, Park YJ, Song HJ. Effect of laser irradiation on crystalline structure of enamel surface during whitening treatment with hydrogen peroxide. J Dent 2012;40(11):941–8.

Steinstraesser L, Wehner M, Trust G, Sorkin M, Bao D, Hirsch T, et al. Laser-mediated fixation of collagen-based scaffolds to dermal wounds. Lasers Surg Med 2010;42(2):141–9.

Ishikawa I, Okamoto T, Morita S, Shiramizu F, Fuma Y, Ichinose S, et al. Blue-violet light emitting diode (LED) irradiation immediately controls socket bleeding following tooth extraction: clinical and electron microscopic observations. Photomed Laser Surg 2011;29(5):333–8.

Aykol G, Baser U, Maden I, Kazak Z, Onan U, Tanrikulu-Kucuk S, et al. The effect of low-level laser therapy as an adjunct to non-surgical periodontal treatment. J Periodontol 2011;82(3): 481–8.

Qadri T, Javed F, Johannsen G, Gustafsson A. Role of diode lasers (800-980 nm) as adjuncts to scaling and root planing in the treatment of chronic periodontitis: a systematic review. Photomed Laser Surg 2015;33(11):568–75.

Gerbi ME, Pinheiro AL, Marzola C, Limeira Junior Fde A, Ramalho LM, Ponzi EA, et al. Assessment of bone repair associated with the use of organic bovine bone and membrane irradiated at 830 nm. Photomed Laser Surg 2005;23(4):382–8.

Gerbi M, Miranda JM, Arruda JAA, Moreno LMM, Carneiro VSM, Brasilino NC, et al. Photobiomodulation Therapy in Bone Repair Associated with Bone Morphogenetic Proteins and Guided Bone Regeneration: A Histomorphometric Study. Photomed Laser Surg 2018;36(11):581–8.

Balles MW, Puliafito CA, D’Amico DJ, Jacobson JJ, Birngruber R. Semiconductor diode laser photocoagulation in retinal vascular disease. Ophthalmology 1990;97(11):1553–61.

Vujosevic S, Bottega E, Casciano M, Pilotto E, Convento E, Midena E. Microperimetry and fundus autofluorescence in diabetic macular edema: subthreshold micropulse diode laser versus modified early treatment diabetic retinopathy study laser photocoagulation. Retina 2010;30(6):908–16.

Oh CK, Jung DS, Jang HS, Kwon KS. Endovenous laser surgery of the incompetent greater saphenous vein with a 980-nm diode laser. Dermatol Surg 2003;29(11):1135–40.

Romanos G, Nentwig GH. Diode laser (980 nm) in oral and maxillofacial surgical procedures: clinical observations based on clinical applications. J Clin Laser Med Surg 1999;17(5):193–7.

Proebstle TM, Lehr HA, Kargl A, Espinola-Klein C, Rother W, Bethge S, et al. Endovenous treatment of the greater saphenous vein with a 940-nm diode laser: thrombotic occlusion after endoluminal thermal damage by laser-generated steam bubbles. J Vasc Surg 2002;35(4):729–36.

Bui CH, Seldin EB, Dodson TB. Types, frequencies, and risk factors for complications after third molar extraction. J Oral Maxillofac Surg 2003;61(12): 1379–89.

Rakhshan V. Common risk factors for postoperative pain following the extraction of wisdom teeth. J Korean Assoc Oral Maxillofac Surg 2015;41(2): 59–65.

Yildiz MS, Gunpinar S. Free gingival graft adjunct with low-level laser therapy: a randomized placebo-controlled parallel group study. Clin Oral Investig 2019;23(4):1845–54.

Aras MH, Gungormus M. Placebo-controlled randomized clinical trial of the effect two different low-level laser therapies (LLLT)--intraoral and extraoral--on trismus and facial swelling following surgical extraction of the lower third molar. Lasers Med Sci 2010;25(5):641–5.

Femiano F, Femiano R, Femiano L, Aresu G, Festa VM, Rullo R, et al. Effectiveness of low-level diode laser therapy on pain during cavity preparation on permanent teeth. Am J Dent 2018;31(5):267–71.

Chandra S, Shashikuar P. Diode laser – a novel therapeutic approach in the treatment of chronic periodontitis in type 2 diabetes mellitus patients: a prospective randomized controlled clinical trial. J Lasers Med Sci 2019;10(1):56-63.