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Management of dry socket with low-level laser therapy

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Abstract

Objective

The aim of this study is to investigate the efficacy of delivering low-level laser therapy (LLLT) in the management of dry socket at University Dental Hospital Sharjah.

Materials and method

Forty-five patients with dry socket were divided into two treatment groups. Group I dry socket patients (n = 30) received conventional treatment while group II patients (n = 15) were irradiated with LLLT at a setting of 200-mW, 6-J, continuous-wave mode using an R02 tipless handpiece (Fotona Er:YAG, Europe), on the buccal, lingual, and middle surfaces of the socket for 30 s from a delivery distance of 1 cm. Pain score and quantification of granulation tissue in the socket were recorded at 0, 4, and 7 days post-dry socket treatment.

Results

Results showed that the LLLT-irradiated group II sockets showed a much lower VAS pain score of 1–2 as early as day 4, and a richer amount of granulation tissue compared to the conventional treated group I socket. The amount and rate of granulation tissue formation in the dry socket are inversely proportional to the pain score showing significant clinical effectiveness of LLLT on promoting the healing of the dry socket, with improvement in symptoms (P = .001). Conventionally treated dry sockets take at least 7 days to match the effective healing of an LLLT-irradiated dry socket.

Conclusion

LLLT irradiation influences biomodulation of dry socket healing by dampening inflammation, promoting vascularization, stimulating granulation, and controlling pain symptoms.

Clinical relevance

LLLT may be an additional effective tool for managing dry sockets in general dental practice.

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Authors and Affiliations

  1. College of Dental Medicine, University of Sharjah, Sharjah, United Arab Emirates

    Aqsa Kamal, Basheer Salman & A. R. Samsudin

  2. School of Dental Sciences, Universiti Sains Malaysia, George Town, Malaysia

    Aqsa Kamal & Noor Hayatie AR

Authors
  1. Aqsa Kamal
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  2. Basheer Salman
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  3. Noor Hayatie AR
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  4. A. R. Samsudin
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Corresponding author

Correspondence to A. R. Samsudin.

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The authors declare that they have no conflict of interest.

Ethics

Ethics approval has been obtained from Research Ethics Committee University of Sharjah REC-17-02-14-01-S dated October 24, 2017.

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In this case report, the patient is sufficiently anonymized according to ICMJE guidelines.

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Kamal, A., Salman, B., AR, N.H. et al. Management of dry socket with low-level laser therapy. Clin Oral Invest 25, 1029–1033 (2021). https://doi.org/10.1007/s00784-020-03393-3

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  • DOI: https://doi.org/10.1007/s00784-020-03393-3

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