Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski, Gospodin Iliev
ISSN: 1312 773X (Online)
Issue: 2013, vol. 19, book 4
Subject Collection: Oral and Dental Medicine
Pages: 380-382
DOI: 10.5272/jimab.2013194.380
Published online: 01 October 2013

J of IMAB 2013; 19(4):380-382
Hristina Lalabonova1 Corresponding Autor,Georgi R Todorov2, Hristo Daskalov3
1) Department of Maxillofacial Surgery, 2) Department of Prosthetic Dentistry, 3) Department of Oral Surgery, Faculty of Dental Medicine, Medical University, Plovdiv, Bulgaria.

Decubitus ulcers in the oral mucosa tend to be very painful causing discomforting sensation in patients in speaking and eating. Low energy lasers can provide an alternative method for the treatment of these ulcers.
The aim of the present paper was to assess clinically the healing effect of low level laser irradiation on oral mucosa decubitus ulcers.
Material and methods: A total of 90 patients with decubitus ulcers were treated in the present study; they were randomly assigned to three groups: group I included 30 patients treated with low level laser (LLL) irradiation (wavelength of irradiation 658 nm); group II - 30 patients treated with laser irradiation of 904 nm; and group III (controls) - 30 patients who received a standard conventional treatment with "granofurin" and "solcoseryl".
The treatment sessions in all three groups were administered once daily. The patients in groups I and II were irradiated with focused irradiation at an angle from a distance using a conically shaped light probe 3 mm in diameter. The irradiated area was 0.5 cm2. The light was focused on the oral mucosa ulcer and the surrounding inflamed mucosa at a distance of 0.5 to 1 cm. Diode lasers were used in the study. The dosage of irradiation was 1.2 J/cm2.
Results and discussion: The treatment effect was evaluated by changes in the studied parameters: pain intensity, erythema, and epithelialization. They were assessed at baseline, and at days 1, 3 and 5. Conclusions: LLLT administered with the proposed methodology manages pain rapidly and accelerates the process of epithelialization of decubitus ulcers in the soft tissues of the mouth.

Key words: oral mucosa; LLLT; treatment; decubital ulcers; oral surgery;

- Download FULL TEXT /PDF 501 KB/
Please cite this article as:
Lalabonova H, Todorov GR, Daskalov H. CLINICAL ASSESSMENT OF THE EFFECT OF LOW LEVEL LASER TREATMENT OF ORAL MUCOSA DECUBITUS ULCERS. J of IMAB. 2013; 19(4):380-382. doi: 10.5272/jimab.2013194.380.

Correspondence to: Assoc. prof. Hristina Lalabonova, Department of Maxillofacial Surgery, Faculty of Dental Medicine, 11, Opalchenska Str., 4000 Plovdiv, Bulgaria;;

1. Balyan S, Gerdzhikov I. Adjustment of total dentures and instructions to patients. In: Filchev A. editor. Methodological manual in prosthetic dental medicine. Sofia, 2010:128-142; ISBN-978-954-92666-1-0. [in Bulgarian].
2. Broughton G 2nd, Janis JE, Attinger CE. Wound healing: an overview. Plast Reconstr Surg. 2006 Jun;117(7 Suppl):1e-S-32e-S. [PubMed] [CrossRef]
3. Research, Science and Therapy Committee of the American Academy of Periodontology. Lasers in periodontics (Academy report). J Periodontol. 2002 Oct;73(10):1231-1239. [PubMed] [CrossRef]
4. Damyanov D. (editor). Surgery - Basics of surgery. 2nd Edition. Znanie. St. Zagora. 2007; vol. 1:428. [in Bulgarian].
5. Deppe H, Warmuth S, Heinrich A, Körner T. Laser-assisted three-dimensional surface modifications of titanium implants: preliminary data. Lasers Med Sci. 2005; 19(4):229-33. Epub 2005 Feb 22. [PubMed] [CrossRef]
6. Kim YD, Kim SS, Hwang DS, Kim SG, Kwon YH, Shin SH, et al. Effect of low-level laser treatment after installation of dental titanium implant - immunohistochemical study of RANKL, RANK, OPG: an experimental study in rats. Lasers Surg Med. 2007 Jun;39(5):441-50. [PubMed] [CrossRef]
7. Kotlow L. Lasers and soft tissue treatments for pediatric dental patients. Alfa Omegan. 2008 Sep;101(3):140-51. [PubMed]
8. Mosvin CV, Buylin BA. Foundations of laser therapy. Triada Moskow. 2006:256 (in Russian).
9. Nomura K, Yamaguchi M, AbikoY. Inhibition of interleukin-1b production and gene expression in human gingival fibroblasts by low-energy laser irradiation. Lasers Med Sci. 2001; 16(3):219-223. [PubMed]
10. Peev T, Filchev A. Basics of prosthetic dental medicine. Sofia, ECO-Print. 2008:272, ISBN 954-92284-1-0. [in Bulgarian].
11. Pinheiro AL, Cavalcanti ET, Pinheiro TI, Alves MJ, Manzi CT. Low-level laser therapy in the management of disorders of maxillofacial region. J Clin Laser Med Surg. 1997; 15(4):181-3. [PubMed]
12. Ryazkova M, Kirova I. Physical therapy - general and special part. ARSO. Sofia. 2002: 46-49. [in Bulgarian].

Received: 27 August 2013
Published online: 01 October 2013

back to Online Journal