IADR Abstract Archives
USE OF LOW LEVEL LASER THERAPY FOR NUG: A CASE REPORT
Objectives: Necrotizing ulcerative gingivitis (NUG) is a microbial disease of the gingiva in the context of an impaired host response. This form of gingivitis is relatively rare. NUG is an infection characterized by gingival necrosis presenting as ‘’punched-out’’ papillae, spontaneous bleeding, pain, oral malador and pseudomembrane formation. Primary predisposing factor is bacterial plaque and inadequate diet, smoking, psychologically stress may also effect disease. NUG is associated with a characteristic bacterial flora, includes fusiform bacteria, spirochetes and Prevotella intermedia. Conventional treatment includes control of both the bacterial plaque and the secondary factors and topical or systemic antimicrobial therapy.
Methods: A 34-year-old, systemically healthy, smoker, male patient was referred to our department with severe pain. After cinical and radiographic examination there was clinical attachment loss and poor oral hygiene. A clinical diagnosis of NUG was made. We use LLLT as an adjunt to conventional NUG treatment. Laser was set 0.4W cw and energy density was 9 j/cm².
Results: After treatment; patient’s quality of life was affected in a positive direction faster compared with conventional treatment. These results suggest that LLLT is an effective treatment for reduction pain level and healing times. Patient is still under follow up.
Conclusions: LLLT leads to vasodilation and increas local blood flow, whereby cause more oxygen transport in the region and more immune cells migration into the tissue. This treatment produce a biostimulatitive effect on wound healing, pain control, and inflammatory processes. Accelerated tissue healing occurs through this effect mechanisms. LLLT can promote the pain relief and healing of NUG. As a result, Our case report show that LLTT has an positive effect to relieve the symptoms of NUG.
Methods: A 34-year-old, systemically healthy, smoker, male patient was referred to our department with severe pain. After cinical and radiographic examination there was clinical attachment loss and poor oral hygiene. A clinical diagnosis of NUG was made. We use LLLT as an adjunt to conventional NUG treatment. Laser was set 0.4W cw and energy density was 9 j/cm².
Results: After treatment; patient’s quality of life was affected in a positive direction faster compared with conventional treatment. These results suggest that LLLT is an effective treatment for reduction pain level and healing times. Patient is still under follow up.
Conclusions: LLLT leads to vasodilation and increas local blood flow, whereby cause more oxygen transport in the region and more immune cells migration into the tissue. This treatment produce a biostimulatitive effect on wound healing, pain control, and inflammatory processes. Accelerated tissue healing occurs through this effect mechanisms. LLLT can promote the pain relief and healing of NUG. As a result, Our case report show that LLTT has an positive effect to relieve the symptoms of NUG.