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Published on: May 9, 2022
Low-level laser therapy for management of large periapical lesions associated with open apex cases
Sudha Yadav1, Ruchika R Nawal1, Sangeeta Talwar1
1Department of Conservative Dentistry and Endodontics, Maulana Azad Institute of Dental Sciences, New Delhi, Delhi, India.
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.
