Iraqi Journal of Laser

Leiomyosarcoma (smooth muscle tumor) is a rare type of a malignant neoplasm of smooth
muscle. It is a resistant cancer, generally not very responsive to chemotherapy, radiationand surgery.The
aim of this study was to evaluate photodynamic therapy (PDT) as a possible basis for treatment using
(650 nm)diode laser with methyleneblue (MB) as a photosensitizer on leiomyosarcoma (LMS)cell line
(L20B) in vitro. The cytotoxic effects of 650nm diode laser 0.052 W/cm2 (power density) at different
exposure time (10, 20, and 30 min) with methylene blue at different concentrations (0.01% ,0.1 % ,1%)
was investigated on LMS cell line (L20 B). The cytotoxic effect of laser was increased with increasing
irradiation time for a certain concentration of methylene blue. The exposure time 30 min of diode laser
with 1% (MB) has the great inhibitory rate(IR)for LMS cells growth which reaches to 80.46% and
reducing the proliferation rate (PR) which reaches to 19.54%.

Laser assisted skin wound closure offers many distinct advantages over conventional closure
techniques. The objective of this in vitro experimental study, carried out at the Institute of Laser for
Postgraduate Studies/Baghdad University, was to determine the effectiveness of 980 nm diode laser in
welding of human skin wounds. Multiple 3-4 cm long full thickness incisions in a specimen of human
skin obtained from the discarded panniculus of an Abdominoplasty operation were tried to be laser
welded using a 4 mm spot diameter laser beam from a 980 nm diode laser at different laser parameters
and modes of action. The tensile strength at the weld site was analyzed experimentally. Although laser
assisted wound welding did actually happen at many laser parameter settings, it was not strong enough to
be clinically useful in living human beings. Despite the 980-nm diode laser system has proved to be an
effective way of wound welding but it the weld was of low tensile strength to withstand living patient
normal daily activity and movement. It can really shorten the operative time required to close a wound if
proper laser parameters were used among an endless effective combinations of parameters. Further future
studies are highly recommended on live human beings.

The present study was conducted on 20 patients suffering from different types of lesion like
pyogenic granuloma, peripheral giant cell granuloma, mucoceles, pregnancy tumour, Fordyce's granules
and irritating fibroma.The cases were selected from outpatient clinic of the Al Kydhemya Teaching
Hospital. Patients were treated by diode laser (810±20 nm) at the affected areas of the oral cavity with
continuous contact focused mode until excision of the lesion with coagulation of the oozing area after
excision. Patients were followed up after 2 days, 7 days and 2 weeks to assess healing process and any
post operative complication. Some of undiagnosed lesion sent for histopathological examination. No
serious complications were recorded; one suffered from slight oedema and one case with simple
bleeding. After 2 months follow up, recurrence occurred in one case. Diode laser provides a marked
clinical improvement without the need for surgical intervention.

The purpose of this work was to study the effects of the Nd:YAG laser on exposed dentinal
tubules of human extracted teeth using a scanning electron microscope (SEM). Eighty 2.5mm-thick
slices were cut at the cementoenamel junction from 20 extracted human teeth with an electric saw. A
diamond bur was used to remove the cementum layer to expose the dentinal tubules. Each slice was
sectioned into four equal quadrants and the specimens were randomly divided into four groups (A to D ).
Groups B to D were lased for 2 mins using an Nd:YAG laser at 6 pulses per second at energy outputs of
80 , 100 and 120 mJ. Group A served as control. Under SEM observation, nonlased specimens showed
numerous exposed dentinal tubules. SEM observation revealed that application of Nd:YAG laser at
energy output of 80 mJ may cause melting of dentin and partial closure of exposed dentinal tubules
without dentin surface cracking. But when the energy output raised to 100 and 120 mJ more sealing of
dentinal tubules occurs. Heat generation occurred in all lased groups but the amount of temperature
increase was within the permissible limits(less than 5.5⁰C). The measured sealing depths were from 3-
5μm for groups B-D and the width of the created groove was 30μm in all lased groups. In conclusion
lasing with nanosecond Nd:YAG with a wavelength of 1064nm at 120mJ with 6Hz for 2 minutes (group
D) shows the efficient laser parameters for complete sealing of exposed dentinal tubules without
temperature increase to the damaging level of the pulp tissue.

The aim of this research work is to evaluate the use of 980 nm diode laser in clotting the blood
in the bone socket after tooth extraction. The objective is to prevent possible clot dislodgement which is
a defect that may lead to possible infection. A number of rabbits were irradiated using 980nm CW mode
diode laser, 0.86W power output for 9s and 15s exposure time. The irradiated groups were studied
histopathologically in comparison with a control group. Results showed that laser photothermal
coagulation was of benefit in minimizing the possibility of the incidence of postoperative complications.
The formation of the clot reduces the possibility of bleeding and infection.