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  1. Article ; Online: Laser-Assisted Non-Surgical Treatments of Periodontitis

    Marwan El Mobadder / Amaury Namour / Samir Nammour

    Encyclopedia, Vol 3, Iss 31, Pp 458-

    2023  Volume 467

    Abstract: This entry explores the innovative use of lasers in the non-surgical treatment of periodontitis, shedding light on the advantages, effectiveness, and limitations of this approach. There has been a massive eruption of innovations and technologies to ... ...

    Abstract This entry explores the innovative use of lasers in the non-surgical treatment of periodontitis, shedding light on the advantages, effectiveness, and limitations of this approach. There has been a massive eruption of innovations and technologies to assist in the treatment of periodontal diseases over the past 30 years. The use of lasers has opened new horizons and possibilities that can enhance periodontal treatments. However, their use is not always based on validated concepts and evidence-based protocols. Hence, this entry aims to describe, summarize, and assess the available evidence on the current laser-assisted protocols in the non-surgical treatment of periodontitis. Four distinct laser-assisted approaches are addressed: (1) the use of lasers for the removal of subgingival calculus, (2) the use of lasers in photodynamic therapy/photoactivated disinfection, (3) the use of lasers in photobiomodulation therapy, and (4) the use of high-power lasers. Based on the available studies and on the current guidelines and recommendations, the use of lasers exhibits several advantages, such as the increased disinfection of periodontal pockets and the junctional epithelium and connective tissue, the removal of calculus and biofilm, and the bactericidal effect on periodontal pathogens. Moreover, photobiomodulation therapy seems to play a positive role in the management of the inflammatory process of periodontitis. Although promising, the use of lasers in the non-surgical treatment of periodontitis needs to be further investigated.
    Keywords periodontitis ; lasers ; periodontal treatment ; disinfection ; periodontal pathogens ; Science ; Q
    Subject code 621
    Language English
    Publishing date 2023-04-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article ; Online: Effect of rh-BMP-2 in the Initiation of Neovascularization in Human Gingival Tissue

    Mansour Chantiri / Samir Nammour / Sami El Toum / Toni Zeinoun

    Life, Vol 13, Iss 12, p

    A Split-Mouth Clinical Study

    2023  Volume 2298

    Abstract: The aim of this study is to evaluate the effect on the initiation of new blood vessel formation of rh-BMP-2 administration in the human gingival tissue during bone regeneration surgery. Material and Methods: The randomized controlled clinical trial ... ...

    Abstract The aim of this study is to evaluate the effect on the initiation of new blood vessel formation of rh-BMP-2 administration in the human gingival tissue during bone regeneration surgery. Material and Methods: The randomized controlled clinical trial included twenty patients with bilateral partial edentulous of the mandibular premolar and molar region. Each patient received one implants on each side. Only one side received a 0.25 µg injection of rhBMP-2 into the gingival flap and grafted material during guided bone regeneration (GBR) for dental implantation. And the other side received GBR without injection. Three samples were collected from each patient as follows: one from the anterior area of the mandible (control group #1) collected at the time of all implant surgeries, and the two other samples during the placement of healing abutments at 4 months of follow-up, from treated side with rh-BMP-2 (test group) and untreated ones (control group #2). A total of 60 gingival samples were collected. Samples were stained with hematoxylin-eosin, and immunohistochemistry was performed with a vascular endothelial growth factor marker. The number of new vessels in each sample was counted. Result: Statistical analyses showed a significantly higher number of new vessels in the gingival tissue of the test group. Conclusions: Rh-BMP-2 injections into the gingival flap significantly improved new blood vessel formation.
    Keywords recombinant human bone morphogenic protein 2 ; vascular endothelial growth factor ; gingival tissue ; guided bone regeneration ; neovascularization ; Science ; Q
    Subject code 616
    Language English
    Publishing date 2023-12-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: Photobiomodulation Therapy Applied after 6 Months for the Management of a Severe Inferior Alveolar Nerve Injury

    Marwan El Mobadder / Samir Nammour / Marlin Ortega / Kinga Grzech-Leśniak

    Life, Vol 11, Iss 1420, p

    2021  Volume 1420

    Abstract: Despite its significant negative impact on the quality of life, the methods for the management of the inferior alveolar nerve (IAN) injury are still limited. In this case report, the patient did not show any improvement from the day of the iatrogenic ... ...

    Abstract Despite its significant negative impact on the quality of life, the methods for the management of the inferior alveolar nerve (IAN) injury are still limited. In this case report, the patient did not show any improvement from the day of the iatrogenic accident until 6 months. A significant improvement of the symptoms started to appear only at 6 months when PBMT was applied. A total of 42 sessions of PBMT took place. The application zone included intraoral and extraoral areas. The parameters were: Delivery power of 0.1 W, for 40 s, continuous wave (CW), contact mode, and delivered energy of 4 J. The delivered energy density related to the fiber diameter was 1415 J/cm 2 . Each treated point was considered to be 1 cm 2 of diameter. At the end of the treatment, all of the symptoms disappeared except for an abnormal sensation on touching the mucosa and gingiva of the concerned area. No side effects were noted. This case report shows that PBMT can be a very promising approach for the management of severe cases that are not improving with conventional methods.
    Keywords low level laser therapy ; dental extraction complications ; nerve damage ; laser therapy ; Science ; Q
    Subject code 333
    Language English
    Publishing date 2021-12-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: Efficacy of the Adjunct Use of Povidone-Iodine or Sodium Hypochlorite with Non-Surgical Management of Periodontitis

    Marwan El Mobadder / Samir Nammour / Zuzanna Grzech-Leśniak / Kinga Grzech-Leśniak

    Journal of Clinical Medicine, Vol 11, Iss 6593, p

    A Systematic Review and Meta-Analysis

    2022  Volume 6593

    Abstract: This systematic review sought to assess the efficacy of combining either sodium hypochlorite or povidone-iodine as disinfection solutions with non-surgical treatment of periodontitis. An electronic search was conducted through PubMed, Scopus, Web of ... ...

    Abstract This systematic review sought to assess the efficacy of combining either sodium hypochlorite or povidone-iodine as disinfection solutions with non-surgical treatment of periodontitis. An electronic search was conducted through PubMed, Scopus, Web of Science, CENTRAL, and Google Scholar from inception until 10 September 2022. Outcomes included clinical outcomes (probing pocket depth, plaque index, clinical attachment level, relative-horizontal attachment level, bleeding on probing, gingival recession, the position of gingival margin) and biochemical (BAPNA level) properties. A subgroup analysis was conducted according to the assessment timepoint. Ten studies reporting the use of povidone-iodine and five studies reporting the use of sodium hypochlorite were included in this review. Overall, in the meta-analysis of povidone-iodine, no significant changes were noted in any of the assessed outcomes; however, minor changes were noted in probing pocket depth and clinical attachment level at a specific timepoint. Regarding sodium hypochlorite, a significant reduction in all clinical outcomes, except for bleeding on probing, was noted. In conclusion, the use of povidone-iodine does not result in an improvement in clinical outcomes, whereas sodium hypochlorite has promising properties that result in significant improvement in probing pocket depth and clinical attachment level. However, more studies are needed to confirm these observations.
    Keywords periodontitis ; periodontal therapy ; non-surgical ; povidone-iodine ; sodium hypochlorite ; NaOCl ; Medicine ; R
    Subject code 610
    Language English
    Publishing date 2022-11-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: Disinfection Potential of 980 nm Diode Laser and Hydrogen Peroxide (3%) in “Critical Probing Depths” Periodontal Pockets

    Marwan El Mobadder / Samir Nammour / Melanie Namour / Amaury Namour / Kinga Grzech-Leśniak

    Life, Vol 12, Iss 370, p

    Retrospective Study

    2022  Volume 370

    Abstract: A successful treatment of periodontitis depends largely on the successful elimination of the periodontopathogens during non-surgical and surgical mechanical debridement. In this retrospective study, data collection was conducted from 2017 to 2021. The ... ...

    Abstract A successful treatment of periodontitis depends largely on the successful elimination of the periodontopathogens during non-surgical and surgical mechanical debridement. In this retrospective study, data collection was conducted from 2017 to 2021. The retrospective study included 128 patients with 128 sites of localized periodontitis with pocket depths > 5 mm. The included data were based on sites that received conventional mechanical debridement followed by different adjunctive approaches. In total, 30 patients did not receive any additional treatment (SRP group), 30 patients received SRP + 980 nm diode laser irradiation only (SRP + laser), 30 patients received SRP + 3% hydrogen peroxide irrigation (SRP + H 2 O 2 ) only and 30 patients received a combined treatment of 3% hydrogen peroxide and 980 nm diode laser irradiation (SRP + H 2 O 2 + laser). Total bacterial counts (TBC) in the periodontal pocket collected for all participants before treatment, immediately after treatment, 6 weeks after treatment, 12 weeks after treatment and 6 months after treatment were statistically analyzed and compared. When the laser was used, irradiation parameters were 10 μsec/pulse duration, 10 kHz, pick power of 10 W, average power of 1 W, irradiation time of one minute with inward and outward movements, and fiber diameter of 320 μm. The irradiation was repeated 3 times/pocket. When hydrogen peroxide was used, the irrigation was conducted for one minute and repeated 3 times. The maximum reduction in TBC was obtained when SRP was coupled with 3% H 2 O 2 irrigation followed by 980 nm diode laser irradiation. After six months of follow-up, a significant reduction in TBC was obtained for the group of SRP + H 2 O 2 + laser when compared to all the other groups, from 7.27 × 10 7 before intervention to 3.21 × 10 7 after six months. All three approaches to SRP showed a significant reduction in TBC immediately after treatment. Values were 3.52 × 10 7 , 4.01 × 10 6 , 9.58 × 10 6 , 1.98 × 10 6 for SRP alone, SRP + diode, SRP + H 2 O 2 ...
    Keywords periodontitis ; non-surgical treatment of periodontitis ; periodontal pathogens ; periodontal disease ; biofilm ; Science ; Q
    Subject code 290
    Language English
    Publishing date 2022-03-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article ; Online: Photobiomodulation Therapy in the Treatment of Oral Mucositis, Dysphagia, Oral Dryness, Taste Alteration, and Burning Mouth Sensation Due to Cancer Therapy

    Marwan El Mobadder / Fadi Farhat / Wassim El Mobadder / Samir Nammour

    International Journal of Environmental Research and Public Health, Vol 16, Iss 22, p

    A Case Series

    2019  Volume 4505

    Abstract: Oral complications of cancer therapy, such as oral dryness, dysphagia, and taste alteration, are associated with a negative impact in the quality of life of the patients. Few supportive care measures are available for such complications. This case series ...

    Abstract Oral complications of cancer therapy, such as oral dryness, dysphagia, and taste alteration, are associated with a negative impact in the quality of life of the patients. Few supportive care measures are available for such complications. This case series reveals the effectiveness of the photobiomodulation (PBM) therapy when used in a specific protocol and parameters, in the management of oral complications related to cancer therapy. Dysphagia was measured using the functional outcome swallowing scale for staging oropharyngeal dysphagia (FOSS). Oral mucositis was measured according to the National Cancer Institute scale. The quantity of the whole resting and stimulated saliva was measured in order to assess the oral dryness. In addition, the taste alteration was measured according to a protocol suggested by the International Standards organization (ISO). Sensation of burning mouth was measured using a visual analogue scale. These measurements were made before treatment, during, and at the end of the treatment. Diode laser 635 nm was used in 3 J/cm 2 . Five sessions interleaved with 24 h breaks were conducted for the dysphagia and oral dryness, and 10 sessions were conducted for the taste alteration and burning mouth sensation. Regardless of the limitations of this case series, PBM can be considered safe, time saving, and a promising approach for the management of the oral complications due to cancer therapy and the quality of life of cancer patients.
    Keywords cancer complications ; dysphagia ; dysgeusia ; oral dryness ; supportive cancer care ; taste alteration ; Medicine ; R
    Subject code 610
    Language English
    Publishing date 2019-11-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  7. Article ; Online: Photobiomodulation Therapy vs. Corticosteroid for the Management of Erosive/Ulcerative and Painful Oral Lichen Planus. Assessment of Success Rate during One-Year Follow-Up

    Samir Nammour / Marwan El Mobadder / Aldo Jr. Brugnera / Melanie Namour / Saad Houeis / Daniel Heysselaer / Alain Vanheusden / Amaury Namour

    Healthcare, Vol 9, Iss 1137, p

    A Retrospective Study

    2021  Volume 1137

    Abstract: Photobiomodulation (PBM) therapy is a promising approach for the management of inflammatory conditions and autoimmune lesions, such as oral lichen planus (OLP). The aim of this retrospective study was to assess the effectiveness of PBM in the management ... ...

    Abstract Photobiomodulation (PBM) therapy is a promising approach for the management of inflammatory conditions and autoimmune lesions, such as oral lichen planus (OLP). The aim of this retrospective study was to assess the effectiveness of PBM in the management of painful and erosive/ulcerative OLP and to compare it with the standard of care that is the topical application of corticosteroids. 96 patients were included with erosive and painful OLP. 48 patients received PBM therapy and 48 received corticosteroids. Data was collected retrospectively on pain using the visual analogue scale; clinical aspects of lesions were assessed with the REU score, and the recurrence rate was noted. One session of PBM therapy with a helium-neon red light (635 nm) was carried out every 48 h for 6 weeks. Treatments were mainly made in contact mode, using a fiber with a diameter of 600 µm (0.6 mm). The output power of the laser beam was calibrated by a power meter. A delivered power of 0.1 W was used for 40 s in a continuous wave (CW), corresponding to a delivered energy of 4 J. The delivered energy density related to the fiber diameter was 1415 J/cm 2 . Each treated point was considered as 1 cm 2 of diameter. PBM therapy within these parameters was carried out on each point until the totality of the lesion was covered, including the non-erosive OLP area. Furthermore, healthy mucosa within 5 mm of the lesion was also irradiated with the same conditions. This PBM treatment was performed during 6 consecutive weeks. The topical corticosteroid treatment consisted of cortisone application to cover the OLP 3 times/day for 6 weeks. Follow-up was made at 6 weeks and at 3, 6 and 12 months. After 6 weeks, both groups showed complete absence of pain, and a complete disappearance of ulcerative/erosive areas. No significant difference was found for both groups concerning the recurrence rate of erosive OLP during the follow-up period; values were 0% at 6 weeks for both groups and 79% and 87.5% for the corticosteroid and PBM group, respectively, at 12 months of follow-up. PBM is effective for managing OLP and is significantly similar to topical corticosteroids without any need for the use of medication and with no reported side effects.
    Keywords lichen planus ; chronic inflammatory oral disease ; laser therapy ; oral laser applications ; photobiomodulation ; low-level laser therapy ; Medicine ; R
    Subject code 610
    Language English
    Publishing date 2021-08-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  8. Article ; Online: Aesthetic Treatment Outcomes of Capillary Hemangioma, Venous Lake, and Venous Malformation of the Lip Using Different Surgical Procedures and Laser Wavelengths (Nd:YAG, Er,Cr:YSGG, CO 2 , and Diode 980 nm)

    Samir Nammour / Marwan El Mobadder / Melanie Namour / Amaury Namour / Josep Arnabat-Dominguez / Kinga Grzech-Leśniak / Alain Vanheusden / Paolo Vescovi

    International Journal of Environmental Research and Public Health, Vol 17, Iss 8665, p

    2020  Volume 8665

    Abstract: Different approaches with different clinical outcomes have been found in treating capillary hemangioma (CH), venous lake (VL), or venous malformations (VM) of the lips. This retrospective study aims to assess scar quality, recurrence rate, and patient ... ...

    Abstract Different approaches with different clinical outcomes have been found in treating capillary hemangioma (CH), venous lake (VL), or venous malformations (VM) of the lips. This retrospective study aims to assess scar quality, recurrence rate, and patient satisfaction after different surgeries with different laser wavelengths. A total of 143 patients with CH or VM were included. Nd:YAG laser was used for 47 patients, diode 980 nm laser was used for 32 patients (treatments by transmucosal photo-thermo-coagulation), Er,Cr:YSSG laser was used for 12 patients (treatments by excision), and CO 2 laser was used for 52 patients (treatments by photo-vaporization). The Manchester scar scale was used by practitioners to assess the scar quality. The recurrence rate and patients’ satisfaction were noted at different follow-ups during 12 months. Our retrospective study showed that laser-assisted aesthetic treatment of vascular lesions (CH, VL, and VM) of the lips can be considered effective regardless of the wavelength used (Er,Cr:YSGG, CO 2 , Nd:YAG, and diode 980 nm) or the treatment procedure (transmucosal photo-thermo-coagulation, photo-vaporization, and surgical excision). There was no significant difference in patient and practitioner satisfaction with aesthetic outcome at 6 months follow-up. Furthermore, the treatments of lip vascular lesions performed using Er,Cr:YSGG and CO 2 lasers did not show any recurrence during the 12 months of follow-up, while recurrence rates of 11% ± 1.4% and 8% ± 0.9% were seen in the diode and Nd:YAG groups, respectively.
    Keywords capillary hemangioma ; lasers ; lip ; oral pathology ; oral surgery ; venous lake ; Medicine ; R
    Subject code 610
    Language English
    Publishing date 2020-11-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  9. Article ; Online: The Effect of Energy Densities on the Shear Bond Strength of Self-Adhering Flowable Composite to Er:YAG Pretreated Dentin

    Paul Nahas / Toni Zeinoun / Zeina Majzoub / Karim Corbani / Samir Nammour

    BioMed Research International, Vol

    2016  Volume 2016

    Abstract: Objective. To investigate the shear bond strength of self-adhering flowable resin composite, to dentin, after exposing it to Er:YAG laser radiation, at different energy densities. Materials and Methods. Sixty freshly extracted human third molars were ... ...

    Abstract Objective. To investigate the shear bond strength of self-adhering flowable resin composite, to dentin, after exposing it to Er:YAG laser radiation, at different energy densities. Materials and Methods. Sixty freshly extracted human third molars were randomly divided into five groups (n=12). In the control group, dentin was left unirradiated, whereas, in the other four groups, dentin was irradiated with Er:YAG laser in noncontact mode (MSP mode = 100 µs; 10 Hz; beam diameter: 1.3 mm; speed of 1 mm/second; air 6 mL/min; and water 4 mL/min), and respectively, with the following level of energy (50 mJ, 60 mJ, 80 mJ, and 100 mJ). Then, self-adhering flowable resin composite was bonded to all prepared dentin surfaces. Shear bond strength (SBS) was applied and fractured surfaces were examined using scanning electron microscopy. Results. SBS values showed significant differences in 60 mJ (P<0.05) compared to other groups. Morphological evaluation revealed tags or plugs in dentinal tubules, especially when 60 mJ and 80 mJ were used. All four groups tended to leave more residues on the dentin surface, than the control group. Conclusion. Er:YAG dentin irradiation may enhance SBS of the self-adhering flowable resin composite when it is used at the appropriate low level of energy density.
    Keywords Medicine ; R
    Language English
    Publishing date 2016-01-01T00:00:00Z
    Publisher Hindawi Limited
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  10. Article ; Online: Oral Biology, Oral Pathology, and Oral Treatments

    Samir Nammour / Toni Zeinoun / Kenji Yoshida / Aldo Brugnera Junior

    BioMed Research International, Vol

    2016  Volume 2016

    Keywords Medicine ; R
    Language English
    Publishing date 2016-01-01T00:00:00Z
    Publisher Hindawi Limited
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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