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The objective of this study was to assess the use of diode laser for surgical removal, and reducing the bacterial concentration
around impacted lower wisdoms. Patients under study were 50 patients aged (19-35 years), they were divided into two
equal groups; the first was the control group; patients were subjected to conventional surgical treatment and the second was
the study group; in which patients were treated with diode laser. Clinical follow up for post-operative pain, edema, and dry
socket incidence, as well as bacterial isolation, and identification of Colony Forming Units (CFU), were done at the following
post-operative periods; 1st, 3rd, 5th, and 7th days of operation. Results showed marked reduction in the number of patients
presenting with post-operative edema in thestudy group throughout the follow up period. Similarly the pain was much less in
the lased group than the control group. The incidence of dry socket decreased in the study group if compared to the control
one. Bacterial isolated species were facultative anaerobic as (Staph. aureus, CNS, Strept. viridans and mutans), while anaerobic
were (Prevotella, Fusobacterium, Actinomyces, Bacteriods, and Lactobacillus species). The main growth degrees were 100,
80, 50, and 30% for 1stgroup, and 100, 50, 30, and 20% for 2nd group respectively. CFUs/ml resulted in 1stgroup as 3. 2, 2. 9, 2.
3, and 1. 9x104/ml, but in 2ndgroup were 3. 1, 2. 4, 1. 7, and 1. 1x104/ml. While the CFU/ml differences between 1stand 2nd
group were 0. 1, 0. 5, 0. 6, and 0. 8 respectively. In conclusion, laser treatment decreases post-operative discomfort and aided
reduction of CFU.
Mahitab M Soliman has completed her PhD degree in Oral and Maxillofacial Surgery in 1990, from Alexandria University, Faculty of Dentistry. She is working now
as a Professor of Oral Surgery in Taif University, KSA &is Supervisor of OutpatientDental Clinic. She has several publications in international journals and she
is a reviewer in Qassim International Journal of Health sciences. Her work is concentrated on the use of soft tissue lasers in different surgical procedures. She
was course director for Oral Surgery for several years, and she gave several courses for Oral surgery Diploma and Master post graduate students in Alexandria
University, Faculty of Dentistry.
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