Haemostasis in Oral Surgery with Blue-Violet Light

Authors

  • Daniela Veleska-Stevkoska Department of Oral Surgery and Implantology, Faculty of Dental Medicine, Ss. Cyril and Methodius University of Skopje, Skopje
  • Filip Koneski Department of Oral Surgery and Implantology, Faculty of Dental Medicine, Ss. Cyril and Methodius University of Skopje, Skopje http://orcid.org/0000-0003-2412-7594

DOI:

https://doi.org/10.3889/oamjms.2018.181

Keywords:

Tooth extraction, Bleeding, Bleeding control, Haemostasis, LED irradiation

Abstract

BACKGROUND: The invasive dental procedures usually result in wounds accompanied by physiological bleeding. Even though the bleeding is easily manageable, it is still one of the major concerns of the patients and a reason for their subjective discomfort. Recently, a novel approach with light-emitting diode (LED) was introduced to control the bleeding. This study aims to examine the effectiveness of the irradiation with blue-violet light LEDs on the haemostasis.

MATERIAL AND METHODS: The study included 40 patients with an indication for tooth extraction, divided into two groups: examination group (n = 30) and a control group (n = 10). The site of the extraction socket in the examination group was irradiated with LED (410 nm) until the bleeding stopped. The patients from the control group were treated by conventional gauze pressure to stop the bleeding (control group). The duration of irradiation and gauze pressure was measured and compared. The statistical analysis was performed with Student T-test.

RESULTS:  The examination group showed the shorter duration of bleeding compared to the control group for 13.67 seconds and 156 seconds, respectively. The most of the cases in the examination group were irradiated in 10 seconds (70%), followed by irradiation of 20 seconds (23.3%) and 30 seconds (6.6%). In the control group, the average time to stop the bleeding by the conventional method was 156 second.

CONCLUSION: The blue-violet LED light shortens the bleeding time from the extraction socket after tooth extraction and may be a promising method for achieving haemostasis.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Plum Analytics Artifact Widget Block

References

Aubé M, Roby J, Kocifaj M. Evaluating Potential Spectral Impacts of Various Artificial Lights on Melatonin Suppression, Photosynthesis, and Star Visibility. Plos One. 2013; 8(7):e67798. https://doi.org/10.1371/journal.pone.0067798 PMid:23861808 PMCid:PMC3702543

Moreno I, Sun CC. Modeling the radiation pattern of LEDs. Optics Express. 2008; 16(3):1808–1819. https://doi.org/10.1364/OE.16.001808 PMid:18542260

Schubert FE. Light-emitting diodes 2nd ed., Cambridge University Press, 2006. https://doi.org/10.1017/CBO9780511790546

Nakamura S, Mukai T, Senoh M. Candela-Class High-Brightness InGaN/AlGaN Double-Heterostructure Blue-Light-Emitting-Diodes. Appl Phys Lett. 1994; 64(13):1687. https://doi.org/10.1063/1.111832

Dadgar A, Alam A, Riemann T, Bläsing J, Diez A, Poschenrieder M, et al. Bright, Crack-Free InGaN/GaN Light Emitters on Si (111). Physica Status Solidi. 2001; 188:155–158. https://doi.org/10.1002/1521-396X(200111)188:1<155::AID-PSSA155>3.0.CO;2-P

Naruhito I, Mukai T, Mukai N. U.S. Patent 5,578,839. Light-emitting gallium nitride-based compound semiconductor device. Issue date: 1996, November 26.

The Nobel Prize in Physics 2014 – Press release. www.nobelprize.org. Retrieved October 7, 2014.

Lipták BG. Instrument Engineers' Handbook: Process control and optimization, CRC Press, 2005.

Dakin J, Dakin B, Robert GW. Handbook of optoelectronics, Volume 2, Taylor & Francis, 2006.

Merrick MF, Pardue HL. Evaluation of absorption and first- and second-derivative spectra for haemostasis by blue-violet LED 337 simultaneous quantification of bilirubin and hemoglobin. Clin Chem. 1986; 32:598–602. PMid:3955808

Ishikawa I, Okamoto T, Morita S, Shiramizu F, Fuma Y, Ichinose S, et al. Blue-Violet Light Emitting Diode (LED) irradiation immediately controls socket bleeding following tooth extraction; clinical and electron microscopic observations. Photomedicine and Laser Surgery. 2011; 29(5): 333–338. https://doi.org/10.1089/pho.2010.2856 PMid:21495857

Duke WW. The relation of blood platelets to hemorrhagic disease: Description of a method for determining the bleeding time and coagulation time and report of three cases of hemorrhagic disease relieved by transfusion. JAMA. 1910; 55:1185-1192. https://doi.org/10.1001/jama.1910.04330140029009

Kamoh A, Swantek J. Hemostasis in oral surgery. Dent Clin North Am. 2012; 56(1):17-23. https://doi.org/10.1016/j.cden.2011.06.004 PMid:22117940

Colman RW, Marder VJJ, Clowes AW. Overview of coagulation, fibrinolysis and their regulation. In: Haemostasis and Thrombosis: Basic Principles and Clinical Practice. 5th ed. (eds.) Philadelphia: Williams & Wilkins, 2006:17–20.

Sasaki KM, Aoki A, Ichinose S, Ishikawa I. Ultrastructural analysis of bone tissue irradiated by Er:YAG Laser. Lasers Surg Med. 2002; 31:322–332. https://doi.org/10.1002/lsm.10110 PMid:12430149

Price RB, Felix CA, Andreou P. Effects of resin composite composition and irradiation distance on the performance of curing lights. Biomaterials. 2004; 25: 4465–4477. https://doi.org/10.1016/j.biomaterials.2003.11.032 PMid:15046937

Pinheiro AL, Gerbi ME. Photoengineering of bone repair processes. Photomed. Laser Surg. 2006; 24: 169–178. https://doi.org/10.1089/pho.2006.24.169 PMid:16706695

Okamoto T, Ishikawa I, Kumasaka A, Morita S, Katagiri S, Okano T, et al. Blue-violet light-emitting diode irradiation in combination with hemostatic gelatin sponge (Spongel) application ameliorates immediate socket bleeding in patients taking warfarin. Oral Surg Oral Med Oral Pathol Oral Radiol. 2014; 117(2): 170-177. https://doi.org/10.1016/j.oooo.2013.09.009 PMid:24332521

Takada A, Matsushita K, Horioka S, Furuichi Y, Sumi Y. Bactericidal effects of 310 nm ultraviolet light-emitting diode irradiation on oral bacteria. BMC Oral Health. 2017; 17:96. https://doi.org/10.1186/s12903-017-0382-5

Published

2018-04-03

How to Cite

1.
Veleska-Stevkoska D, Koneski F. Haemostasis in Oral Surgery with Blue-Violet Light. Open Access Maced J Med Sci [Internet]. 2018 Apr. 3 [cited 2023 Feb. 4];6(4):687-91. Available from: https://oamjms.eu/index.php/mjms/article/view/oamjms.2018.181

Issue

Section

D - Dental Sciences

Most read articles by the same author(s)