Healthy lifestyle habits benefit remission of recurrent aphthous stomatitis and RAS type ulceration.

In a clinical setting, it is not practical to separate recurrent aphthous stomatitis (RAS) from RAS-type ulceration in every case, so both conditions have been considered together for the purpose of this article. Due to the lack of consistently effective therapeutic options for RAS, other approaches to treat the disease are considered here, beginning with an analysis of possible aetiological factors. The aetiology of RAS, the most common mucosal disease, remains undefined thus far. A few researchers have proposed psychological disorders as a major factor impacting RAS. Some systemic diseases and lifestyle habits are also reported to be associated with RAS; these also impact mental health. I believe that all habits contributing to mental health might also benefit patients with RAS. I suggest that practitioners of oral medicine should recommend a healthy lifestyle to patients with RAS, before prescribing medicines.

Láser de baja potencia en el tratamiento de la estomatitis aftosa recurrente / Low-power laser in the treatment of recurrent aphthous stomatitis

Introducción: entre las urgencias periodontales que requieren atención inmediata está la estomatitis aftosa recurrente, debido a las molestias o complicaciones que ocasiona al paciente. Se caracteriza por la aparición de úlceras bucales dolorosas, aisladas o agrupadas, localizadas en los labios, mucosa oral y lengua, y variables en forma, número y tamaño; su evolución es aguda, necrótica y recidivante. Aunque las lesiones curan en pocos días, semanas o meses, los ataques se repiten periódicamente.Objetivo: evaluar la efectividad del láser de baja potencia para el tratamiento de la estomatitis aftosa recurrente.Método: se realizó un ensayo clínico controlado aleatorio en pacientes de la Clínica Estomatológica Docente Área Norte de Morón. El universo de estudio abarcó todos los pacientes remitidos al Servicio de Laserterapia en el período de junio de 2014 a diciembre de 2015; se seleccionó una muestra de 76 pacientes, dividida en dos grupos. Los pacientes del Grupo I fueron tratados con láser; en el Grupo II se empleó tratamiento medicamentoso.Resultados: la mayoría de los pacientes fueron de sexo femenino; en ambos sexos la enfermedad fue más frecuente en las edades entre 19 y 34 años. La cara interna de los labios y la lengua fueron los sitios de localización más frecuentes de las lesiones. La respuesta al tratamiento fue satisfactoria en 95,24 por ciento de los pacientes y no se presentaron efectos colaterales. Conclusiones: el láser de baja potencia es altamente efectivo en el tratamiento de la estomatitis aftosa recurrente; no obstante, ésta es sólo una alternativa de tratamiento(AU)

Introduction: among the periodontal emergencies requiring immediate attention is recurrent aphthous stomatitis, due to the discomfort or complications caused to the patient. It is characterized by the appearance of painful oral ulcers, isolated or grouped, located in the lips, oral mucosa and tongue, and variables in form, number and size; its evolution is acute, necrotic and relapsing. Although the lesions heal in a few days, weeks or months, the attacks recur periodically.Objective: to evaluate the effectiveness of the low-power laser for the treatment of recurrent aphthous stomatitis.Method: a randomized controlled clinical trial was carried out in patients from the Teaching Stomatology Clinic in the North Area of Morón. The study universe covered all patients referred to the Laser Therapy Service from June 2014 to December 2015; a sample of 76 patients was selected, divided into two groups. Group I patients were treated with laser; in Group II, medication treatment was used.Results: the majority of the patients were female; in both sexes the disease was more frequent in the ages between 19 and 34 years. The inner face of the lips and tongue were the most frequent sites of lesions. The response to treatment was satisfactory in 95,24 percent of the patients and there were no side effects. Conclusions: low power laser is highly effective in the treatment of recurrent aphthous stomatitis; however, this is only an alternative treatment(AU)

O uso do apontador laser no tratamento da afta bucal / The use of laser point in the treatment of the oral aphthous ulcer

O objetivo deste trabalho foi analisar os possíveis efeitos da ação da radiação laser, emitida pelos apontadores lasers, sobre as úlceras aftosas bucais. Concordaram em participar do estudo, 30 pacientes portadores de aftas bucais. Foi utilizado como fonte para a irradiação, um apontador laser de diodo de baixa intensidade, classe 2 (potência de 1 mW). Comprimento de onda de 655 nm, emissor de luz vermelha e feixe de luz com 4 mm de diâmetro. Cada aplicação foi feita por três minutos, com dose de 1,5 J/cm2. Todos os pacientes relataram alívio da sintomatologia dolorosa logo após a aplicação do laser, sendo que em 26 casos a dor desapareceu. Todos os pacientes com histórico de aftas relataram uma diminuição no tempo de cicatrização das lesões. Não houve nenhum sinal de efeito indesejável da aplicação desse tipo de laser sobre a reparação das lesões.

The objective of this work went analyze the possible effects of the laser radiation, emitted by the lasers pointers, on the oral aphthous ulcers. They agreed in participating in the study, 30 patient carriers of aphthous ulcers. It was used for the irradiation a laser point of diode of low intensity, class 2 (output power 1 mW), wave length 655 nm, originator of red light and light bunch with 4 mm diameter. Each application was made by 3 minutes, with dose 1,5 J/cm2. All the patients told relief of the pain soon after the action of the laser, and in 26 cases the pain disappeared. All the patients with historical of aphthous ulcers told a decrease in the time of cicatrization of the lesions. There was not any sign of undesirable effect of the application of that type laser about the repair of the lesions.