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The objective of this study was to assess the use of diode laser for surgical removal, and reducing the bacterial concentration around impacted lower wisdoms. Patients under study were 50 patients aged (19-35 years.), they were divided into two equal groups; the first was the control group; patients were subjected to conventional surgical treatment and the second was the study group; in which patients were treated with Diode Laser. Clinical follow up for post-operative pain, edema, and dry socket incidence, as well as bacterial isolation, and identification of Colony Forming Units (CFU), were done at the following post-operative periods; 1st, 3rd, 5th, and 7th days of operation. . Results showed marked reduction in the number of patients presenting with post-operative edema in the study group throughout the follow up period. Similarly the pain was much less in the lased group than the control group. The incidence of dry socket decreased in the study group if compared to the control one. Bacterial isolated species were facultative anaerobic as (Staph. aureus, CNS, Strept. viridans and mutans), while anaerobic were (Prevotella, Fusobacterium, Actinomyces, Bacteriods, and Lactobacillus species). The main growth degrees were 100, 80, 50, and 30% for 1stgroup, and 100, 50, 30, and 20% for 2ndgroup respectively. CFUs/ml resulted in 1stgroup as 3.2, 2.9, 2.3, and 1.9 x 104/ml, but in 2ndgroup were 3.1, 2.4, 1.7, and 1.1 x 104/ml. While the CFU/ml differences between 1stand 2ndgroup were 0.1, 0.5, 0.6, and 0.8 respectively. In conclusion: Laser treatment decreases post-operative discomfort, and aided reduction of CFU.

The use of Laser as a Treatment Modality for treatment of Impacted mandibular wisdom among patients of Taif University KSA