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| industry 28 laser 4 2016 painkillersaftersurgery/extraction.Accustomedoral hygiene practices can be restarted again sooner. The swelling that often follows tooth extraction has also become rare at my clinic. Redlaserlightcangenerallybeusedinmanyways. Asearlyasthe1990s,scientificstudiesshoweditpro- ducedgoodresultswithdentinehypersensitivity(for current data: Gärtner 2013).7 LLLT is also successful for use in conjunction with xerostomia because it stimulates the salivary glands while at the same time promoting their regeneration. In implantology, using LLLT after surgery causes less swelling, infection and pain and can stimulate wound healing (Heinemann & Braun 2013).8 The only side ef- fectthatIhaveobservedsofarisapossiblereddening ofthetreatedareaduetothestimulationofbloodflow. Practical case study For a patient of mine, an elderly man aged 82 (high bloodpressure,medicationwithanticoagulants,dia- betes), I conducted LLLT for biostimulation and thus better wound healing following the extraction of teeth 12 and 23. I also used it to avoid possible com- plications that would constitute even greater stress for his body. The individual steps are as follows: – – Followingtheextractionoftooth12,thewoundwas lased within the framework of LLLT for 60 seconds usingthereddiode(660nm)at100 mWdose6 Jwith an8 mmprobeatadistanceofapproximately2 mm. Specifically, this meant lasing at 2 J buccal and lin- gual in contact mode, occlusal at a distance of ap- prox.0.5 cmfor20secondsoneachside(Figs.1-4). – – Figures 5, 6 and 7 show the rapid healing of the wound one day, one week and three weeks after surgery. – – Figure 8 shows the initial situation for the same patient with the remains of the root of tooth 23. – – Here,Iconductedthefollowingpre-treatment:Be- fore removing the remains of the root of tooth 23, the patient was lased with 445 nm laser light (800 mW,25 Hz,50 %dutycyclecircular)toremove the remaining tissue around the root and prevent greater damage to the surrounding tissue (Fig. 9). – – This was followed by lasing using red laser light (LLLT) for biostimulation (Fig. 10). – – Figures 11 (the following day) and 12 (two weeks after surgery) highlight how quickly the wound healed. Thewoundsdidnotneedtobesutured.Thepatient subsequently did not experience any swelling and painkillers did not need to be administered. The older patient reacted positively and was pleased with both theprocedureandtheoutcomeoftheextractions.He was happy to have been pain-free. Conclusions for practice Diodelasers(e.g.SIROLaserBlue,madebyDentsply Sirona) are suitable not only for treating inflamma- tory periodontal diseases, of which about one-third of today's adults suffer, but laser therapy is also val- ued by patients and users alike in surgery and restor- ativedentistry(e.g.endodontics,dentinehypersensi- tivity or fissure sealing). The new SIROLaser Blue model combines three diodes (blue, red and infrared) fordifferentapplications,forinstanceforprecisecut- tinginnon-contactmodeduringsurgicalprocedures (blue diode at 445 nm). I regularly use the red diode (660 nm) for its biostimulatory effect. It speeds the healing of wounds, reduces postoperative complica- tions such as pain and swelling and can even remove the need to suture wounds in some situations. User- friendly default settings and a compact design facilitate efficient use in dental practice for the pa- tient’s benefit._ Fig. 8a Fig. 10 Fig. 8b Fig. 11 Fig. 12 Fig. 9 contact Dr Talat Qadri Fjärdhundragatan 41 B 74530 Enköping, Sweden Tel.: +46 17131261 info@Kamidental.se Author details Literature Figs. 8a & b: The same patient, remains of root of tooth 23 in situ, X-ray of the remains of root of tooth 23. Fig. 9: Extraction of the remains of the root of tooth 23. Pre-treatment: before removing the remains of the root of tooth 23, the patient was lased with 445 nm laser light (800 mW, 25 Hz, 50 % duty cycle cir- cular) to remove the remaining tissue around the root and prevent greater damage to the surrounding tissue. Fig. 10: This was followed by lasing using red laser light (LLLT) for biostimulation (Fig. 10). Fig. 11: The clinical situation one day after surgery. Fig. 12: The clinical situation two weeks after surgery Figs. 11 and 12 highlight the speed of healing. 42016 Tel.: +4617131261