Iraqi Journal of Laser

Aim: The Aim of the study is to compare between Er,Cr:YSGG 2780 nm laser and carbide fissure bur in root-end resection regarding the morphological variations, temperature changes and the duration of resection process. Settings and Design: 5 W, 25 Hz, 50% water, 80% air,25.47 J/cm2 . Material and method: twenty-one extracted single rooted teeth endodontically were treated, twenty teeth were obturated and divided into two groups according to method of resection. Group 1 root-end resected using cross cut carbide bur while group 2 root-end resected using laser with MGG6 sapphire tip of 600 μm diameter. Temperature on external root surface and duration of resection were recorded. The remaining tooth served as control. Samples were prepared for SEM and examined to evaluate dentinal cracks, cemental damage, roughness, filling material-root canal wall interface. Statistical Analysis: whenever required, x2 test/Fisher exact and Kruskal–Wallis test were used. Results: laser result in intradentin cracks in 70% of samples while bur cause intradentin crack in 30% of samples. There was no significant difference between group 1 and 2 regarding the percentage of complete and incomplete cracks. Resection with bur resulted in cemental damage in 70% of samples while resection with laser didn’t result in cemental damage in any of the samples .Evaluation of surface roughness revealed statistically significant difference (P ≤ 0.05). The difference in duration of resection was statistically significant while in recorded temperature was not significant. Conclusion: Er,Cr:YSGG laser showed higher percentage of intradentinal cracks, no cemental damage, larger gap area ,rougher surface and longer time for resection than bur .There is no elevation of temperature on external root surface.

Striae distensae SD or stretch mark are frequent skin lesion that cause considerable aesthetic concern. The 1064nm long pulsed Nd:YAG Laser has been used to promote an increase in dermal collagen and is known to be a Laser that has a high affinity to vascular chromphores. Also by using fractional CO2 Laser 10600nm as an effective modality in treatment of striae distensae SD. It works to stimulate fibroblast and enhance Collagen formation, which is important for newly generated skin tissue. Objectives: This study aims to verify the efficacy of long pulsed Nd: YAG Laser (1064nm) in the treatment of immature striae distensae (SD) and the efficacy of C02 fractional Laser (10600nm) in treatment of mature striae distensae SD. Patient and methods: Ten female patients with striae distensae (SD) in the abdomen formed during pregnancy period five of them had immature or recent type of striae were treated by long pulse Nd: YAG Laser 1064nm and the others five patient had mature type of striae were treated by fractional Co2 Laser (10600nm). This study done in Laser medicine research clinic of institute of Laser for post graduate studies from July 2018 to the end of November 2018. The Age of patients range from 20-40 years old. The Laser parameter used for fractional Co2 Laser (10600nm) was 18 Watts power. Pulse duration 1.3ms, interval 1ms, with distance 1.1mm, the procedure was done under topical anesthesia (EMLA) and the number of sessions done were three sessions of one month interval. The parameter used for long pulse ND: YAG Laser (1064nm) was (51.J) energy in the first session and (70.J) in the second, pulse duration (30ms) frequency (2Hz) with spot size (10mm) with two weeks interval between the sessions, three sessions were used for every patient. Results: The patient treated by fractional CO2 Laser (10600nm) had a change in the shape and texture of striae distensae SD from first session, and there was noticeable change occurred in the second session regarding texture and color of striae that became faint. The patient treated with long pulse Nd:YAG(1064nm) had good result from the second session in which the S.D line became faint with change in texture. With no or mild side effect of treatment, 90% of all patient are fully satisfied with treatment only 10% of patient showed partial satisfaction. 10% of patient had hyperpigmentation. Conclusion: Striae can be treated by Laser as an effective and safe method with less side effect with good patient satisfaction by long pulse Nd: YAG Laser (1064nm) and fractional Co2 Laser (10600nm) to treat immature and mature striae respectively.

Background: Cervical ectopy advanced to erosion is one of the common conditions in gynecological and pathological study. It is considered as a physiologic condition resulting from columnar epithelium migration from the cervical canal into the vaginal portion of the cervix, in which no treatment for asymptomatic cervical ectropion can be given. Treatment can be accomplished via thermal cauterization (Electro cautery), Cryosurgery. CO2 laser therapy is another modality of treatment. Objective: To study the effectiveness of CO2 laser therapy and evaluate it as a biomedical tool for the treatment of cervical ectropion. The study was done at Laser Medicine Research Clinic at the Institute of Laser for Postgraduate Studies, University of Baghdad during a period of three months from (1st August to 30th October) 2018. Methods: Ten female Patients with age range between 22 to 40 years old who attended the private clinic or the outpatient clinic of Al-Imamain Al-Kadhmain Medical City and diagnosed with cervical ectropion. Patients were diagnosed clinically as having cervical ectropion. Pap smear was done to all patients at the Department of Health (Pap smear unit) at Al-Imamain Al-Kadhmain Medical City in order to exclude an underlying dysplasia. The patients were subjected to CO2 laser therapy at a continuous mode. All patients were subjected to continuous wave laser and the range of power from 5 up to 10 Watt. The exposure time ranged from 1-2 minutes. Results: From all studied patients only three had mild bleeding during procedure and there was no pain reported during procedure except mild pain in two patients. So, simple analgesia (mefenamic acid 500 mg.) was given to them. No need for a prophylactic antibiotic in all patients. After two weeks follow up, the findings were slight vaginal discharge, no slough. Complete healing of erosion was noticed by the 4th week after procedure. Conclusion: Laser therapy with CO2 10600nm at specific parameters was effective in treating women with cervical ectropion, which was non-invasive and acceptable by the women as a method of treatment, by laser we can treat precisely the affected area without affecting the surrounding healthy tissue.

Background: Anal fistula is an anorectal condition with over 90% of cases being cryptoglandular in origin and occurring after anorectal abscesses. The traditional method of treatment of an anal fistula is by excision or de roofing the tract awaiting complete healing.. Aim: The aim of this study is to assess the efficacy of diode laser 980 nm in the treatment of low fistula in ano. Methods: The study was performed between June 2019 to end of September 2019, at the institute of laser for postgraduate study in Baghdad university. A cohort of ten male patients with a provisional diagnosis of low type anal fistula were selected for this study and treated by interstitial photothermal therapy of fistula epithelium by diode laser 980nm . They were ageing from 21-45 years. Results: The mean operative time was 18.9 minutes (range of 12-25) minutes. All patients discharged after procedure to their home. No pain is presented by seven patients. Only three patients reported a mild pain and occasional need for a pain killer. No patient complained of incontinence anytime during postoperative period. The mean time for closure of the fistulae was 12.7 days(range of 7-18 days). Conclusions: The procedure described in this work indicate that it may be possible to affect healing of a low anal fistula tract by mere photocoagulation of the tract without excision or deroofing.

Acne is a common disorder experienced by adolescents and persists into adulthood in approximately 12%–14% of cases with psychological and social implications of high gravity. Fractional resurfacing employs a unique mechanism of action that repairs a fraction of skin at a time. The untreated healthy skin remains intact and actually aids the repair process, promoting rapid healing with only a day or two of downtime. Aims: This study, was designed to evaluate the safety and effectiveness of fractional photothermolysis (fractionated Er: YAG laser 2940nm) in treating atrophic acne scars. Methods: 7 females and 3 males with moderate to severe atrophic acne scarring were enrolled in this study that attained private clinic for Dermatology and Laser in Baqubah city of Diyala - Iraq during the period from 1st of June 2019 to 10th of October 2019. Fractional Er:YAG laser 2940 nm wavelength was delivered to the whole face with a single pass treatment and for the acne scar areas with two passes. Therapeutic outcomes were assessed by standardized digital photography. Results: Three patients (30%) reported excellent improvement, five patients (50%) significant improvement, one patient (10%) moderate improvement, and one patient (10%) mild improvement in the appearance of the acne scars. Conclusion: Fractional Er: YAG a safe and effective option for the treatment of acne scars in Iraqi patients by offering faster recovery time with no or mild side effects in comparison to other traditional modalities

Fractional Er: YAG laser resurfacing is increasingly used for treating rhytides and photo aged skin because of its favorable benefit‐risk ratio. The multi-stacking and variable pulse width technology opened a wide horizon of rejuvenation treatments using this type of laser. To evaluate the efficacy and safety of the use of fractional 2940 nm Er: YAG laser in facial skin rejuvenation. Twelve female patients with mean age 48.3 years and multiple degrees of aging signs and solar skin damages, were treated with 2 sessions, one month apart by fractional Er: YAG laser. Each session consisted of 2 steps, the first step employed the use of the multi stack ablative fractional mode and the fractional long pulsed non-ablative mode settings were used in the second step. The results were assessed 4-8weeks after the last session by using the wrinkles assessment scale improvement, the improvement in the degree of dyschromia and keratosis, the degree of patients' satisfaction and rate of complications. The mean improvement in Wrinkles assessment scale was very satisfying. The improvement in keratosis was good to excellent in 66.7% of patients compared to 33.3% of patients who were mildly to moderately improved. Dyschromia improvement, 50% of the patients had good to excellent results versus 50% who had mild to moderate improvement. 75% of patients were well satisfied, 16.6% were moderately satisfied and 8.3% were unsatisfied. Total incidence of complications was 16.6%, where 1 patient had herpes infection and a second patient had milia. The use of Er: YAG laser in fractional ablative and fractional long pulse non ablative modes for facial rejuvenation is an effective, safe, with short down time and low complication rate.

The effect of the concentration of the colloidal nanomaterial on their optical limiting behavior is reported in this paper. The colloids of sliver nanoparticles in deionized water were chemically prepared for the two concentrations (31 ppm and 11ppm). Two cw lasers (473 nm Blue DPSS laser and 532 nm Nd:YAG laser) are used to compare the optical limiting performance for the samples. UV–visible spectrophotometer, transmission electron microscope (TEM) and Fourier Transformation Infrared Spectrometer (FTIR) were used to obtain the characteristics of the sample. The nonlinear refractive index was calculated to be in the order of 10-9 cm2/W. The results demonstrate that the observed limiting response is significant for 532nm. In addition, the more concentrated of short optical path length has better optical limiting performance which gets the sample is attractive for optical limiting applications.