Chawla Kirti, Lamba Arundeep Kaur, Tandon Shruti, Faraz Farrukh, Gaba Varun
Department of Periodontics, Maulana Azad Institute of Dental Sciences, New Delhi, India.
J Indian Soc Periodontol. 2016 Mar-Apr;20(2):184-8. doi: 10.4103/0972-124X.176393.
The aim of the present study is to evaluate and compare the effects of low-level laser therapy (LLLT) on wound healing after depigmentation procedure.
In this study, 12 patients with bilateral melanin hyperpigmentation were treated with surgical stripping using a blade. After completion of the surgical process and bleeding stasis, any of the symmetrical surgical sites was randomly assigned for LLLT (test site) using a defocused diode laser at 1 mm distance for 5 min. After every laser exposure, the surgical site was coated with plaque disclosing solution (erythrosine) on the 3(rd), 7(th), and 15(th) day. A photograph of the surgical site was taken using a Digital SLR Camera, which was placed at 30 cm distance at 55 mm zoom, 1/100 shutter speed, f 14 aperture size, and ISO 4000 with a ring flash. The area of the stained parts of the photographs was evaluated using image analysis software.
At day 3, test site showed 1.26 ± 0.23 mm(2) and control site showed 1.45 ± 0.21 mm(2) stain uptake by the tissue which was statistically significant. At day 7 and day 15, the test sites exhibited 1.24 ± 0.30 mm(2) and 1.12 ± 0.25 mm(2) stain uptake, whereas the control site showed 1.37 ± 25 mm(2) and 1.29 ± 0.28 mm(2) staining, respectively, which were not statistically significant.
Within the limitations of this study, the findings revealed that LLLT promotes wound healing after depigmentation procedure until the 3(rd) day. On the 7(th) and 15(th) day, the difference in healing was not statistically significant.
本研究旨在评估和比较低强度激光疗法(LLLT)对色素脱失术后伤口愈合的影响。
在本研究中,12例双侧黑色素沉着过度的患者接受了刀片手术剥脱治疗。手术过程完成且出血停止后,使用焦距为1mm的散焦二极管激光对任意一侧对称手术部位进行5分钟的低强度激光疗法(测试部位)。每次激光照射后,在第3、7和15天,在手术部位涂抹菌斑显示溶液(赤藓红)。使用数码单反相机在距离手术部位30cm处、55mm变焦、1/100快门速度、f14光圈大小以及ISO4000并配备环形闪光灯的条件下拍摄手术部位照片。使用图像分析软件评估照片中染色部分的面积。
在第3天,测试部位组织的染色摄取量为1.26±0.23mm²,对照部位为1.45±0.21mm²,差异具有统计学意义。在第7天和第15天,测试部位的染色摄取量分别为1.24±0.30mm²和1.12±0.25mm²,而对照部位分别为1.37±25mm²和1.29±0.28mm²,差异无统计学意义。
在本研究的局限性范围内,研究结果显示低强度激光疗法在色素脱失术后直至第3天可促进伤口愈合。在第7天和第15天,愈合差异无统计学意义。