Efficacy of 1064 Q switched Nd:YAG laser in the treatment of oral lichen planus

Khater, Mohamed Hamed; Khattab, Fathia M

doi:10.1080/09546634.2019.1638881

Cited by 12 publications

(9 citation statements)

References 16 publications

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“…In general, PBM worked perfectly by helping to reduce the signs and symptoms, such as pain, that are typical of atrophic–erosive LPO. Studies such as Mutafchieva et al [ 30 ] concluded with a clinical improvement in 59.3% of the lesions, as did Khater et al [ 32 ], with even a complete remission in 37.3% of the cases. Some authors such as Taresenko et al [ 33 ] proposed using this therapy in combination with other treatments.…”

Section: Resultsmentioning

confidence: 86%

“…All results were summarized and are synthesized in Table 3 and Table 4 . The chosen articles were Gambino et al (2018) [ 28 ], Mirza et al 143 (2018) [ 29 ], Mutafchieva et al (2018) [ 30 ], Lavaee et al (2019) [ 31 ], Khater et al (2020) [ 32 ], Nammour et al (2021) [ 26 ] and Tarasenko et al (2021) [ 33 ] as they met all the inclusion criteria proposed in this systematic review.…”

Section: Resultsmentioning

confidence: 99%

“…When analyzing the type of source used in PBM, as well as the parameters established in each study, we observed that in four cases the diode laser was used (Gambino et al [ 28 ], Mirza et al [ 29 ], Mutafchieva et al [ 30 ] and Lavaee et al [ 31 ]), while Khater et al [ 32 ] and Tarasenko et al [ 33 ] used the Nd–YAG laser at the same wavelength of 1064 nm, and Nammour et al [ 26 ] used the He–Ne laser. The power used ranged between 25 mW in Lavaee et al [ 31 ] and 3 W in Tarasenko et al [ 33 ], while the minimum wavelength used was 630 nm, and the maximum one was 1064 nm.…”

Section: Resultsmentioning

confidence: 99%

“…The studies included in this systematic review showed that the biological effects of PBM treatment are beneficial compared to those of other conventional therapies such as corticosteroids [ 26 , 30 , 32 ] as shown by the reduction of symptoms such as pain and signs associated with LPO lesions, highlighted by de Carvalho et al [ 24 ]. Other authors clarified that, in addition to PBM, there is another type of therapy, i.e., high-power laser (HLLT) [ 33 ] which, they claim, allow achieving significantly better results than PBM in the aforementioned parameters.…”

Section: Discussionmentioning

confidence: 99%

“…In addition, it should always be kept in mind that PBM therapy is not applied to cure lesions but rather to improve the aforementioned clinical aspects, as reported in the studies by Mutafchieva et al [ 30 ] and Khater et al [ 32 ], who described that most of their patients obtained a moderate recovery, and some a complete one. These poor results are due to the lack of a long-term follow-up after therapy administration, as pointed out by Hanna et al [ 21 ] and Carvalho et al [ 24 ], which also makes it difficult to assess the possible side effects that PBM can produce in the long term, although we already know that it is much less invasive than other conventional treatments such as corticosteroids.…”

Section: Discussionmentioning

confidence: 99%

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Effect of Photobiomodulation on Atrophic–Erosive Clinical Forms of Oral Lichen Planus: A Systematic Review

et al. 2022

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Introduction. Oral lichen planus is a chronic autoimmune inflammatory disease of unknown origin, characterized by various clinical forms of which the atrophic–erosive causes patients the greatest symptomatology. For this reason, there are different treatments that improve the associated signs and symptoms. One of these therapies is photobiomodulation (PBM), which, although new, has a high level of acceptance in dentistry based on evidence. However, there are inconsistent results in its application against lichen planus. The aim of this review was to evaluate the effect of photobiomodulation and its effectiveness as a therapeutic alternative for atrophic–erosive lesions. Material and methods. The databases PubMed, Google Scholar and Cochrane Library were searched to identify studies investigating the photobiomodulation treatment in atrophic–erosive lesions of oral lichen planus. A total of 294 articles were identified, published between 2017 and 2022, and then evaluated; 7 articles that met all the inclusion criteria were included in this study. Results. The type of laser light source used in PBM was the diode laser (four cases), the Nd–YAG laser at the same wavelength of 1064 nm (two cases) and the He–Ne laser (one case). The minimum and maximum wavelengths used were 630 nm and 1064 nm, respectively. Most studies used lesions treated with topical corticosteroids as a control group. The follow-up times of the studies were highly variable. Conclusions. Photobiomodulation is a treatment that competently combats oral lichen planus lesions by improving signs and symptoms, with no known adverse reactions so far, which makes it more beneficial compared to more conventional therapies, such as corticosteroids, for which side effects have been found.

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Section: Resultsmentioning

confidence: 86%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Effect of Photobiomodulation on Atrophic–Erosive Clinical Forms of Oral Lichen Planus: A Systematic Review

et al. 2022

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Emerging potential of phototherapy in management of symptomatic oral lichen planus: A systematic review of randomised controlled clinical trials

Hanna

Dalvi²,

Tomov

et al. 2023

Journal of Biophotonics

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High-level laser therapy versus scalpel surgery in the treatment of oral lichen planus: a randomized control trial

et al. 2021

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Objective To compare the clinical effectiveness of various types of high-level laser therapy (HLLT) toward scalpel excision for the surgical treatment of erosive oral lichen planus (OLP). Materials and methods The total number of 128 individuals were enrolled in the study. The 35 did not meet the inclusion criteria due to malignancy signs and presence of diabetes mellitus. In total, 8 were lost to follow-up, and 10 were excluded from the analysis, due to analgesics intake. This way 75 patients with the erosive form of OLP were analyzed in three intervention groups (Er:YAG, n = 19; Nd:YAG, n = 15; Er:YAG + Nd:YAG combination, n = 20) and one control group with scalpel excision (n = 21). The therapy effectiveness has been assessed based on the comparison of salivary interleukin (IL)-1β, IL-6 and interferon (IFN)-γ preoperative levels to 14, 30 days, and 2 years postoperation, as well as pain level and time of epithelization. Results All HLLT groups demonstrated a significantly (p > 0.05) higher IL-1β, IL-6, IFNγ and pain level reduction and quicker epithelization toward the control group on the 30th day, except Nd:YAG in case of IFNγ level. The highest IL-1β, IFNγ and pain level reduction and quicker epithelization on the 30th day was observed in Er:YAG group, followed by Er:YAG + Nd:YAG combination, Nd:YAG respectively. However no significant difference was observed between the HLLT groups with regard to IL-6 level reduction. After a 2-year follow-up, no significant difference was observed between all study groups with regard to all variables. Conclusion HLLT yields a superior clinical outcome compared to the scalpel excision for the surgical treatment of oral lichen planus, whereby the Er:YAG has been proposed as the most effective laser type at the end of the first postoperative month. Clinical relevance For the surgical treatment of erosive OLP the Er:YAG laser may be a preferable treatment option compared to Nd:YAG and scalpel surgery. Trial registration The present trial was registered retrospectively in the German Clinical Trials Register, as a member of WHO international clinical trials registry platform, on the 18.03.2020 with the following number: DRKS00020986

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Efficacy of 1064 Q switched Nd:YAG laser in the treatment of oral lichen planus

Cited by 12 publications

References 16 publications

Effect of Photobiomodulation on Atrophic–Erosive Clinical Forms of Oral Lichen Planus: A Systematic Review

Effect of Photobiomodulation on Atrophic–Erosive Clinical Forms of Oral Lichen Planus: A Systematic Review

Emerging potential of phototherapy in management of symptomatic oral lichen planus: A systematic review of randomised controlled clinical trials

High-level laser therapy versus scalpel surgery in the treatment of oral lichen planus: a randomized control trial

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