ACTA FAC. MED. NAISS. 2006; 23(2):75-78

  Review article

Snezana Pesevska¹, Marija Nakova¹, Ana Pejcic², Kiro Ivanovski¹, Nikola Angelov³, Sonja Mindova¹

¹ Clinic for Oral Pathology and Periodontology, Faculty of Dentistry, University "Sv. Kiril i Metodij", Skopje
² Department for Oral Medicine and Periodontology, Faculty of Medicine, Nis
³ Department of Periodontics, Loma Linda University School of Dentistry, USA

SUMMARY

Laser therapy is a standard therapeutic procedure, with unambiguous indications and contraindications. Among the reasons for this are: positive clinical experiences, scientifically verified objective changes in tissue equilibrium caused by laser, and above all, better understanding of the mechanisms of laser effects. Clinical and experimental experience shows that laser therapy has its greatest effects on cells/tissue/organs affected by a generally deteriorated condition with the ph value lower than normal. Biostimulation has been demonstrated with doses of laser emission from as low as 0,001 J/cm to 10 J/cm , with cytostatic effect above 240 J/cm . There were no macroscopic and microscopic damages to the tissue when recommended doses were used, which confirmed the safety of laser therapy. There are many indications for the laser use in oral pathology and periodontology, such as cheilitis exfoliativa sicca, gingivitis, gingivitis desquamativa, and periodontitis. Taking into consideration the effects of the laser treatment, such as activation of microcirculation, production of new capillaries and thickening of the capillary net, anti-inflammatory, analgesic effect, stimulated growth and regeneration of cells, and accelerated bone consolidation, following the need for incorporating non-invasive methods for minimizing the pain and discomfort either during or after dental treatment, we consider that the use of biostimulation laser therapy is an excellent treatment option.

Key words: laser therapy, oral disorders, periodontitis