1,721,087 research outputs found

    Comment on “efficacy of low-level laser therapy in management of recurrent herpes labialis: a systematic review”

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    Congratulations on the publication of your review paper BEfficacy of low-level laser therapy in management of recurrent herpes labialis: a systematic review^. Al-Maweri, S.A., Kalakonda, B., AlAizari, N.A. et al. Lasers Med Sci (2018). https://doi.org/10.1007/s10103-018-2542-5. The findings emerging from your very accurate review suggest that diode lasers with wavelength ranging between 632.5 and 870 nm are potentially a safe and effective alternative treatment for the management of recurrent herpes labialis. Though in the last decade, diode lasers with wavelength over 870 nm (e.g., 940, 970, 980 nm) have had a wide diffusion among laser users, you report no data on these lasers’ wavelengths as missing in the international literature. Nevertheless, many clinicians, including myself, daily used 940, 970, and 980 nm lasers, and also many reports are presented and discussed during several congresses of scientific societies. For such reason, as you suggest in your review, B... due to high variability in study designs and inconsistency in laser parameters among the included studies, more well-designed randomized clinical trials with standardized laser parameters are highly warranted,^ I would like to underline the necessity to include in further future researches also diode lasers with wavelength over 870 nm, inviting expert clinicians to share their data and experience by publications on authoritative journals like Laser Med Sci, in order to provide more and more complete clinical data to the scientific community on which to work, to pose a milestone on a laser topic almost 40 years old. The oldest publication available in PubMed is dated 1979 and listed below. Thank you again for publishing your review paper [1]

    Comment on “Efficacy of photodynamic therapy as adjunct treatment of chronic periodontitis: a systematic review and meta-analysis”

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    Congratulations on the publication of your article BEfficacy of photodynamic therapy as adjunct treatment of chronic periodontitis: a systematic review and meta-analysis.^ Azaripour A, Dittrich S, Van Noorden CJF, Willershausen B. Lasers Med Sci. 2018 Feb;33(2):407–423. https://doi.org/10.1007/ s10103-017-2383-7. As a laser user, I would like to take advantage of the strong data you reported on this widely debated and discussed topic, that is the photodynamic therapy in chronic periodontitis, in order to arouse interest among researchers and clinicians in performing and publishing similar studies on the subject, and also to make clear the need of special issues on authoritative journals like Lasers Med Sci to pose a milestone on this old subject over 30 years. The two oldest publications available in PubMed are both dated 1983 and are listed below [1, 2]. Thank you again for publishing this extremely interesting paper

    Laser-Assisted Gingivectomy to Treat Gummy Smile

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    : Excessive gingival display (EGD) is the extensive exposure of the gingiva during a smile. It is a common concern among patients, which may compromise the esthetic outcome of the dental treatment. Dental lasers demonstrate several advantages for soft tissue dental surgery compared with conventional surgical methods related to their technical characteristics. Owing to the excellent coagulation, especially of the surgical lasers, reduced to no need of anesthesia or suturing and faster healing, they demonstrate optimal clinical results. Nevertheless, good knowledge of laser-tissue interaction is required to obtain the best predictable results without gingival recession or bone tissue damage

    Oral and maxillo‐facial manifestations of systemic diseases: An overview

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    Many systemic (infective, genetic, autoimmune, neoplastic) diseases may involve the oral cavity and, more generally, the soft and hard tissues of the head and neck as primary or secondary localization. Primary onset in the oral cavity of both pediatric and adult diseases usually represents a true challenge for clinicians; their precocious detection is often difficult and requires a wide knowledge but surely results in the early diagnosis and therapy onset with an overall better prognosis and clinical outcomes. In the current paper, as for the topic of the current Special Issue, the authors present an overview on the most frequent clinical manifestations at the oral and maxillo-facial district of systemic disease

    Granular cell tumour of the tongue treated by radiofrequency ablation

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    Il tumore a cellule granulari è una neoplasia piuttosto rare del cavo orale. Solitamente si presenta come lesione nodulare, sessile, asintomatica, a lenta crescita, rivestita da mucosa normocolorata a meno che non intervengano fenomeni di ulcerazione dovuta esclusivamente a trauma masticatorio, e con un caratteristico colorito giallastro che guida alla diagnosi differenziale pre-chirurgica. L’escissione deve essere eseguita in toto per ridurre il rischio di recidive dovuta ad incompleta enucleazione, anche mediante sistemi elettromedicali, come per esempio la radiofrequenza chirurgica utilizzata nel caso descritto, che rendono l’atto chirurgico più semplice per riduzione del sanguinamento intra-operatorio non alterando la precisione di escissione ed il campione chirurgico al fine del susseguente esame istologico, che è obbligatorio per la diagnosi finale.AIM: To report on a case of granular cell tumour occurring in the tongue surgically removed by surgical radiofrequency, with histological examination. MATERIAL OF STUDY: Discussion on the clinico-pathological characteristics of the granular cell tumour and the surgical treatment by surgical radiofrequency: the differential diagnosis is also discussed. RESULTS: Histological examination is mandatory for the final diagnosis. Surgical radiofrequency is an useful medical device to achieve good quality surgery with minimal post-operative course. DISCUSSION CONCLUSIONS: Although rare, granular cell tumour should be always considered in the differential diagnosis of nodular lesions of the oral mucosa above all when the tongue is involved and a yellow appearance is detectable. The surgery will be guided by the clinical diagnosis and accurately performed to prevent recurrence. A medical device promoting reduction of the intra-operative bleeding is suggestable for such surgical treatments. KEY WORDS: Granular cell tumour, surgical radiofrequency, neurogenic tumour

    Ulcerated nodules of the tongue

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    A 59-year-old white woman was referred to our observation for ulcers of the tongue of two months duration. Her medical history included previous Merkel cells carcinoma of the zygomatic region with lympho-nodal involvement five years earlier, which had been treated with surgery, radiotherapy and chemotherapy, and a diagnosis of systemic sarcoidosis two years later, with sub-chin nodes and pulmonary involvement, the latter left untreated as functionality tests were normal. Intraoral examination showed two ulcerated nodules of the dorsal tongue (figure 1); the lesions were painless, grew slowly, and showed positivity to toluidine-blue vital test. A PET-scan revealed two distinct solid masses of the tongue with increased signal intensity, and some little lymph nodes located at the right mandibular angle. Serum sIL-2R test was not performed. An excisional biopsy of the lesions with histological examination was performed (figure 2). No adjunctive treatment was suggested for the ulcerations

    Fine-needle aspiration in head and neck diagnosis.

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    Fine‐needle aspiration cytology (FNAC) is a simple and inexpensive widely used diagnostic technique for the presurgical pathologic diagnosis of head and neck proliferating lesions.1, 2 This Video S1 shows as examples two of the most common indications (a soft texture latero‐cervical/salivary swelling and a hard texture palatal swelling) (Figure 1) to the preoperative diagnosis by FNAC, the necessary equipment, and the technique. Although FNAC is a well‐established method advised by many physicians since is a safe procedure with minimal possible complications and can be also performed in an outpatient setting, an adequate training period is mandatory to achieve good results in terms of diagnostic accuracy
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