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ORIGINAL ARTICLE
Year : 2019  |  Volume : 14  |  Issue : 3  |  Page : 155-161

Comparative efficacy of laser and topical corticosteroid in the management of aphthous stomatitis


1 Department of Oral Medicine and Radiology, DMIMS, Wardha, Maharashtra, India
2 Lokmanya Tilak Municipal Medical College and Hospital, Sion, Mumbai, Maharashtra, India
3 Public Health Dentistry, DMIMS, Wardha, Maharashtra, India

Correspondence Address:
Dr. Neha Agrawal
Sharad Pawar Dental College, Sawangi (M) Wardha, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jdmimsu.jdmimsu_31_19

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Background: There are different modalities for the management of aphthous stomatitis. Laser therapy and topical corticosteroid are among these treatment options. The main focus of all these treatment modalities is toward the symptomatic relief and decrease in the duration of ulcer. Objectives: The aim of this study was to compare the efficacy of laser of 810 nm wavelength with topical corticosteroid in the management of aphthous stomatitis. Materials and Methods: A prospective clinical study comprised 77 patients ranging in the age group 20–40 years. Patients were divided into two groups – Group I patients were treated with laser therapy (810 nm) on the 1st day of the visit, while Group II patients underwent single local corticosteroid treatment (triamcinolone acetonide 0.1% in orabase). Size measurement, pain score, functional disability, and the level of erythema were measured immediately after application and on the 3rd day. Results: On follow-up visit, there was a significant statistical difference in pain score and functional disability in Group I patients. The level of erythema was significantly decreased in both the groups, more in Group II. Conclusion: Laser treatment showed superiority over corticosteroid in terms of instant pain relief and functional disability caused by the ulcer. However, both the therapies resulted in significant relief in symptoms at the end 3rd day.


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