Naslov
Evaluation of using digitally controlled handpiece of er:yag laser for surgical treatment of leukoplakia

Autori
Gabrić Pandurić, Dragana ; Ivek, Aleksandra ; Krpan, Karla ; Brailo, Vlaho ; Batinjan, Goran ; Vučičević Boras, Vanja ; Baraba, Anja ; Gjorgijevska, Elizabeta

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, neobjavljeni rad, znanstveni

Skup
World Federation for Laser Dentistry Congress Paris 2014.

Mjesto i datum
Pariz, Francuska, 02.07.2014. - 05.07.2014

Vrsta sudjelovanja
Poster

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
oral surgery ; laser ; oral medicine ; treatment ; precancerous lesion ; leukoplakia

Sažetak
In recent years, lasers are considered to be highly effective instrument in surgery of precancerous lesions due to the properties of coagulation during surgery and post-operative swelling and pain reduction. The aim of this study was to evaluate the effectiveness of digitally controlled handpiece of Er:YAG laser for the treatment of leukoplakia, the frequency of recurrence after laser therapy and to assess the impact of laser removal of the lesion on the quality of patient's life. The study consisted of 28 lesions with histologically confirmed diagnosis of oral leukoplakia. Er:YAG laser with non-contact digitally controlled handpiece X-Runner in QSP mode was used. The laser settings were as follows: pulse energy 120mJ, pulse mode QSP, frequency 20 Hz. The handpiece was held at the distance of 15 mm with water spray level of 10ml/min. At the follow-ups during 2 months lesions were re- measured for each patient and re-treatment for patients with relapse was scheduled. VAS and OHIP- 14 questionnaire were used for patient's subjective evaluation of postoperaive pain and discomfort, and the impact of the laser removal of the lesion on the quality of their life (QLP). Statistically significant differences between men and women according to location of the lesion, number of the ablations and VAS. Significant differences correlation between recurrence and locations of the lesion, as well as degree of hyperkeratosis were also found. There were no statistically significant correlation between VAS and size and location of lesion or between VAS and number of treatment. Laser-assisted removal of the precancerous lesion with the non-contact, digitally controlled handpiece is very safe and pleasant for the patient and very effective and comfortable for the operator.

Izvorni jezik
Engleski

Znanstvena područja
Dentalna medicina

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