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[Analgesic laser therapy in dentistry].

The authors, after an analysis of the laser structure and its main utilization, present some clinical reports in which the pain is resolved by soft-laser applications.

Dental Caries↗

True and nonspecific alveolitis sicca dolorosa related to operative removal of mandibular third molars.

Alveolitis sicca dolorosa (ASD) following removal of 145 mandibular third molars from 109 healthy university students was studied. The operations were all performed under local anaesthesia by the same oral surgeon under similar conditions, using similar postoperative procedures. True ASD was considered to have occurred if a patient returned to the surgeon seeking relief of the typical symptoms of ASD before the scheduled check-up date. Non-specific ASD was considered to have occurred in a patient who recorded an increase in pain intensity on a Visual Analogue Scale (VAS) from the third or fourth postoperative day onwards but did not return to the surgeon. True ASD was diagnosed in 5% of cases and non-specific ASD in 15% of cases.

Adult↗

[Comparative clinical and histological studies on extraction wounds with and without local application of a salicylic acid preparation (Apernyl)].

Selected patients with extraction wounds served to experiment with Apernyl-styli of Bayer. Contralateral alveoli were used as controls. 10 days following operation biopsies were taken from treated and untreated alveoli. Histologically, a morphometric study was made, and clinically healing was judged by the frequency of complications and the initial physiologic pain. The results show that Apernyl does not influence histological healing, positively or negatively. Thus, the results obtained by Nordenram and Band (1970) and Satoh et al. (1973) could be confirmed. Clinically, there were significanlty less p.o. complications in patients with Apernyl prophylaxis; 2 of 51 treated alveoli compared to 8 of 45 untreated ones. Pain was significantly reduced: 17 of the 19 patients complained of pain in the untreated half of the jaw, while only 4 suffered pain on the treated side. This confirms the findings of Neuner and Panzera and Neuner and Schegg (1972 and 1969 resp.).

Alveolar Process↗

The relationship of smoking to localized osteitis.

The relationship between smoking and localized osteitis was studied in 200 patients who had 400 mandibular third molars removed. Information on how much patients smoked each day and whether cigaretts, cigars, or a pipe was smoked, as well as the postoperative smoking habits of each patient, was recorded. Results indicated that there is a signficant difference in the incidence of postoperative localized osteitis at extraction sites of mandibular third molars between smokers and nonsmokers; smoking after extraction caused a definite increase in the incidence of localized osteitis.

Adolescent↗