Evaluation of temperature rises during the application of different power levels of potassium titanyl phosphate and neodymium-doped:yttrium aluminum garnet lasers to external primary root canals

KTP laser alone or combined with bleomycin for pharyngolaryngeal hemangioma: a lesion grade-based determination of prognosis

BACKGROUND

No standard potassium titanyl phosphate (KTP) laser treatment strategy is available yet for pharyngolaryngeal hemangioma.

OBJECTIVES

To explore the therapeutic effect of KTP laser, alone or combined with bleomycin injection, for pharyngolaryngeal hemangioma.

MATERIAL AND METHODS

This observational study included patients with pharyngolaryngeal hemangioma treated between May 2016 and November 2021: KTP laser under local anesthesia, KTP laser under general anesthesia, or KTP laser combined with bleomycin injection under general anesthesia.

RESULTS

A total of 60 patients were recruited, including 17, 19, and 24 patients with grade 1, 2, and 3 hemangiomas, respectively. A total of 21 patients underwent KTP laser under local anesthesia, 31 underwent KTP laser under general anesthesia, and 8 underwent KTP laser under general anesthesia combined with bleomycin. The cure rates were 100%, 89.5%, and 20.8% for grade 1, 2, and 3 lesions, respectively. The prognosis was significantly different among the grades of hemangioma (p < .001).

CONCLUSION

KTP laser treatment might be an effective treatment for adult patients with pharyngolaryngeal hemangioma. The size of the hemangioma might be the major factor influencing the prognosis. The method of anesthesia and whether it was combined with bleomycin injection might not affect the prognosis.

Influence of an 810-nm Diode Laser on the Temperature Changes of the External Root Surface: An In Vitro Study

Background and Aims:

Rising effects of temperature due to laser use during root canal disinfection may harm periodontium and alveolar bone. Therefore, the aim of this study was to estimate the surface root temperature of lower incisors throughout the application of different power levels and times of an 810-nm diode laser.

Materials and Methods:

Sixty single-rooted extracted human lower incisor teeth were selected and chemomechanical preparation was performed. Specimens were irradiated using 810-nm diode laser at 1.05, 1.5, and 1.95 W power settings and two periods of time 20 and 60s, in a continuous wave (CW) mode, without water spray. Specimens were divided into three main groups (n = 20). Each group was subdivided into two subgroups (n = 10). Then, the peak temperatures at the middle and apical regions of the root surface were registered using a thermocouple.

Results:

Temperature rise of root surface at all the selected output powers was below 7°C. The highest temperature value was obtained in the apical region at 60s when the root canal irradiated at 1.95 W output power.

Conclusion:

Diode laser is safe for use as a root canal disinfectant. Time of exposure to laser irradiation has an effect on the temperature difference at different output powers.