Forums › Diode Lasers › General Diode Forum › Apthous Ulcer and Diode 980
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cadavisSpectatorI used the Sirolase 980nm diode laser on an apthous ulcer this morning. Patient apparently gets these ulcers after almost any major dental tx. We had done endo and crown earlier this week. She started having pain from area and came in for followup. Noted small ulcer on mucosa adjacent to the endo tooth. Used laser set on 0.5W CW out of contact about 2cm, hi-vac, for 90 seconds or so in swirling motion. Afterward she said she could barely tell it was there anymore.
Dang, I guess these contraptions actually work.
Glenn van AsSpectatorGood for you Chris……couple of things.
1. You got them on the right day. Make sure that you are treating these as early as possible. Ideally in the vesicular stage. Once they start to heal, using the laser will delay healing (you actually burn the healing tissue!).
2. Dont overdo the time on them. If you do too much then you will cook the tissue as well and it hurts.
3. Dont initiate the tip. You want the energy to transfer into the area and not be blocked by the initiated tip.
4. Look for desication of the area and it drying up. The diode penetrates deeper than say an erbium so you have to be careful to not go to close and too deep.
5. You can use the high volume for the plume and to cool tissue. Sometimes air or a short burst from the 3 way syringe can cool the tissue if the patient is sensitive to the diode.These are a few things that I have learned over the years and I tell you that it is amazing to see how often the lesions donot reappear in the same areas again.!!
Cya and neat stuff.
Glenn
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