Objectives To evaluate the effect of diode laser therapy on bleeding control and soft tissue healing following tooth extraction in patients with controlled type 2 diabetes mellitus. Methods Six patients with type 2 diabetes mellitus requiring dental extractions were enrolled in this clinical study. Medical histories were reviewed, and glycemic control was confirmed by glycated hemoglobin (HbA1c) levels. Panoramic radiographs were obtained to exclude periapical pathology. All extractions were performed under local anesthesia. Postoperatively, low-level laser therapy (LLLT) was applied using an 808-nm diode laser with an energy output of 0.3 J for 60 seconds at the occlusal, vestibular, and lingual/palatal aspects of the extraction site. Placebo laser application was performed at control sites. Results Diode laser therapy resulted in a reduction in both the amount and duration of postoperative bleeding, likely due to improved clot stability. Additionally, enhanced soft tissue healing was observed in laser-treated sites compared with placebo-treated sites. Conclusions LLLT using an 808-nm diode laser appears to enhance hemostasis and accelerate soft tissue healing following tooth extraction in patients with type 2 diabetes mellitus. These findings suggest that diode laser therapy may serve as a beneficial adjunct in the management of diabetic patients undergoing dental extractions.
Shakkour et al. (Mon,) studied this question.