417-421. Laser für Biostimulation. +1-918-917-5848, Copyright © 2014-2021 MedCrave 3 Instead of surgical removal of the implant, not to lose implants, the patient was treated with LLT therapy. The word laser is an acronym for "Light Amplification by Stimulated Emission of Radiation." 1 and 2 show the preoperative and postoperative picture of a patient treated medically and with laser biostimulation, and Figs. 4 a 336-340. Herpes Zoster is a viral disease that affects the skin and the ganglia in the spinal nerves. Actually, some authors have suggested discontinuation, emphasising a possible antiangiogenetic effect on the soft tissues around the necrosis, and the removal of this effect may have a role in healing. Photomed Laser Surg 24(5): 588-594. No active periodontal disease (no BOP and gingival recessions). These lasers operate in both pulsed and continuous mode. 0 All surgical components can be sterilised. Dr. Schwarz presents the findings of his retrospective … The data obtained from the patients was presented Table 1. Byun SH, Kim SS, Chung HJ, Lim HK, Hei WH, et al. Postoperative view of the right mandible 1 month later in the same patient as Drug-related necrosis of the jaw often continues to worsen, and is almost always a chronic disease; during 2 yearsâ follow-up, we saw no lesions restored to normal limits radiologically. 2. Woo S.B., Hellstein J.W., Kalmar J.R.: Narrative (corrected) review: bisphosphonates and osteonecrosis of the jaws. Ann Intern Med 2006; 144: pp. 21. a Biostimulation of the surgical area using low-level laser therapy (Nd:Yag laser). Maxilla Vescovi P, Merigo E, Meleti M, Fornaini C, Nammour S, Manfredi M (2007) Nd:YAG laser biostimulation of bisphosphonate-associated necrosis of the jawbone with and without surgical treatment. Many studies have reported that chromophores in the mitochondrial cytochrome system or in endogenous porphyrins absorb laser energy [30,31]. The effect of the laser on the speed of the reparative process, on the increase in the inorganic matrix of bone, and on the mitotic osteoblastic index could be appreciable. The sun usually affects several zones at the same time; therefore the whole face treatment will yield more results. Between January 2004 and February 2006, 19 patients with bisphosphonate-induced osteonecrosis were treated at the Unit of Oral Medicine of the University of Parma. The patients underwent LLLT with a Nd: YAG laser. The Nd:YAG laser is the most common laser used in laser designators and laser rangefinders.. During the Iran-Iraq War, Iranian soldiers suffered more than 4000 cases of laser eye injury, caused by a variety of Iraqi sources including tank rangefinders.The 1064 nm wavelength of Nd:YAG is thought to be particularly dangerous, as it is invisible and initial exposure is painless. Some reports have highlighted the biostimulating effects of laser on oral tissues. Oral Maxillofac Surg Clin North Am 19(1): 105-115. the standard guidelines of fair use. Regret for the inconvenience: we are taking measures to prevent fraudulent form submissions by extractors and page crawlers. 22. Surgical curettage to remove the bony sequestrum. British Journal of Oral and Maxillofacial Surgery, 2007-12-01, Volume 45, Issue 8, Pages 628-632, Copyright Â© 2007 The British Association of Oral and Maxillofacial Surgeons 3â6 show the progress of a patient treated surgically and with laser. The follow-up ended in June 2006. Surgical curettage to remove the bony sequestrum. Head Face Med 2: 3. No statistically significant difference was found between values of 2 point discrimination test preoperative and postoperative at the end of the 10 sessions. 0 LLLT has a non-thermal and biomodulatory effect on membranes of mitochondria and increases ATP production in cells . This wavelength is absorbed by pigment in the tissue, primarily hemoglobin and melanin. Operation was also used for those patients for whom medical treatment was ineffective; laser biostimulation was introduced into our protocol more recently because of the lack of biostimulation protocols in the treatment of necrosis of the jaw. FEBS Lett 175(1): 95-99. de Oliveira Martins D, Martinez dos Santos F, Evany de Oliveira M, de Britto LR, Benedito Dias Lemos J, et al. In studies III and IV, the surgical Nd:YAG laser, which is usually applied for sulcular debridement and pocket decontamination, was evaluated in a novel approach. al. There is no published evidence to our knowledge on the efficacy of hyperbaric oxygen in the management of bisphosphonate-associated osteonecrosis. Further studies are needed including LLLT to evaluate the postoperative neurosensorial complications of dental implant applications. (2018) Efficacy of Nd: Yag Laser Biostimulation in the Treatment of Inferior Alveolar Nerve Injury after Implant Surgery. Details of individual responses to treatment are available from the corresponding author. Results: There was no statistical differences in 2 point discrimination test although there were some increased values. Nd:YAG lasers were the first types of true pulsed lasers to be marketed exclusively for dental use in 1990. ABSTRACT Objective: To research an efficient treatment for the management of bisphosphonate-associated osteonecrosis. Gronqvist A, Wistrom J, Axner O, Monsen TJ (2000) Bactericidal effect of pulsed 1,064 nm Nd:YAG laser light on Staphylococcus epidermidis is of photothermal origin: an in vitro study. In dentistry, IAN damage is the most common injury among the other nerves that could result from dental treatment generally just as implant surgery . Nagasaka A., Kato K., Negishi A.: Bone regeneration effect of low level lasers including argon laser. Some authors agree that irradiation with low-power lasers (those that deliver an output in the milliwatt range) has an important role in triggering cellular proliferation and in treating diseases of different causes. We describe our experience with 19 patients with bisphosphonate-associated osteonecrosis of the jaws who were treated with conventional surgical or medical treatment alone or in combination with Nd:YAG laser applications. Laser photobiomodulation is now a … Vescovi P(1), Merigo E, Meleti M, Fornaini C, Nammour S, Manfredi M. Pico sekunden ND:YAG Laser Ultrakurze Impulse mit starker Energie für neuartig effiziente Behandlungen der Tattooentfernung, für Pigmentbehandlungen und Hautbehandlungen. Biomed Pharmacother 2001; 55: pp. In our study, 10 sessions of … Juodzbalys G, Wang HL, Sabalys G (2011) Injury of the Inferior Alveolar Nerve during Implant Placement: a Literature Review. For these reasons, we define clinical success, rather than healing as: reduction or disappearance of symptoms (pain, swelling, bleeding, or the presence of pus); healing of the mucosal ulceration and tissue covering the exposed bone; and healing of mucosal or cutaneous fistulas. 7. Controversies still remain about biostimulation of tissue induced by laser irradiation. Introduction If the nerve is thought to be damaged, needs to be repaired and there are various methods for nerve treatment. To reduce this time, during surgery, if traction or compression of the nerve trunk trauma has occurred, the topical application of intravenous form steroids, one to two milliliters of dexamethasone (4 mg/ml), was applied for 1â2 min . Alhassani AA, AlGhamdi AS (2010) Inferior alveolar nerve injury in implant dentistry: diagnosis, causes, prevention, and management. The roles of factors such as trauma induced by dental extractions or operations, damage to the peripheral vascular system, metabolism of bisphosphonates within the jaws, and infections by microbial pathogens are still poorly understood. 15 The sun usually affects several zones at the same time; therefore the whole face treatment will yield more results. Lasers Surg Med 2002; 31: pp. Then, because of the long half-life of bisphosphonates and the lack of evidence about their discontinuation, once osteonecrosis has developed or before invasive dental procedures, it was suggested that they be continued. 3 The treatment of bisphosphonate-associated osteonecrosis is still being discussed as no efficacy has been shown for either medical or surgical treatment. In order to facilitate drilling efficiency, many implant drills are slightly longer than their corresponding implants and it is possible that the rate of nerve damage [39,40] In this regard, it is important for the surgeon to be aware of the variations that exist in implant drill length. Nd:YAG laser is used for treatment of face, neck, hands, and also specific problem areas, such as cheek scarring or lower eyelids. 613-617. 0 An Er:YAG laser (Fotona Fidelis Plus II® Combine laser equipment, Slovenia) very long pulse (VLP) mode (200 mJ, 20 Hz) using a fiber tip 1.3 mm in diameter and 12 mm in length was used to remove the necrotic and granulation tissues from the area of avascular necrosis. Paolo Vescovi Size of lesions, symptoms, and duration of time between starting bisphosphonates and the development of bone necrosis vary. Complete healing of the left mandible of the patient in. 16. 216-220. al. The site is created by the Swedish Laser-Medical Society. These influences change patient’s quality of life and psychology negatively . Purpose: Dental implantology has become one of the most used treatment modalities in dentistry. 6 Medical treatment consisted of amoxicillin 2 g/day and metronidazole 1 g/day for 2 weeks; only one patient had ceftazidime 2 g/day parenterally for a week and 1 g/day for 2 weeks. 2 J Endod 28(1): 24-29. The wavelengths used to biostimulate the bone are argon, carbon dioxide, helium/neon (He:Ne), diode, , and Neodimium: yttriumâaluminiumâgarnet (Nd:YAG). 19 They are a near infrared wavelength of 1064 nm. 0 VAS was used in the evaluation of subjective data. Kontaktieren Sie einen Zulieferer oder direkt das Stammhaus und erhalten Sie einen Preis oder ein Angebot und entdecken Sie die Verkaufsstellen in Ihrer Nähe. 1 Nd:YAG 1,064 nm lasers have been successfully used for multiple procedures up to now . Clinical signs 1 Primary disease Clin Implant Dent Relat Res 14(1): 67-73. Biostimulation was applied postoperatively using an Nd:YAG laser. No part of this content may be reproduced or transmitted in any form or by any means as per 0 Lasers Surg Med 2000; 27: pp. , Marco Meleti Neurosensory damage of peripheral innervation still remains a problem which is not treated easily. (2014) Interventions for iatrogenic inferior alveolar and lingual nerve injury. Keywords: Nd: YAG laser; Biostimulation; Low-level laser treatment; Implant surgery; VAS. Nd:YAG laser is used for treatment of face, neck, hands, and also specific problem areas, such as cheek scarring or lower eyelids. Over the past 15 years, clinical studies about the effects of LLT on the treatment of nerve damage after dental operations have been reported . Patients were classified into four groups according to treatment: patients treated only medically (antibiotics with or without antimycotics, or antiseptic rinses, or both); patients treated medically and surgically (sequestrectomy and bone curettage); patients treated medically and with laser; and patients treated medically, surgically, and with laser biostimulation. Photomed Laser Surg 2005; 23: pp. 8 Laser Ther 1990; 2: pp.  The patients marked one at each session. Vescovi P, Merigo E, Meleti M, Fornaini C, Nammour S, Manfredi M (2007) Nd:YAG laser biostimulation of bisphosphonate-associated necrosis of the jawbone with and without surgical treatment. Merigo E., Manfredi M., Meleti M., et. Lasers Med Sci 2003; 18: pp. Photomed Laser Surg. Kiernicka M., Owczarek B., Galkowska E., Wysokinska-Miszczuk J.: Comparison of the effectiveness of the conservative treatment of the periodontal pockets with or without the use of laser biostimulation. Grzesiak-Janas G., Janas A.: Conservative closure of antro-oral communication stimulated with laser light. : Ultrastructure of the blood and lymphatic capillaries of the respiratory tissue during inflammation and endobronchial laser therapy. Alendronate alone Zur Anwendung kommt in unserer Praxis ein Fotona Fidelis Plus II mit zwei Wellenlängen: Nd:YAG-Laser mit 1.064 nm und Er:YAG-Laser mit 2.940nm. 1 In addition, LLLT has been reported to support axonal growth in injured nerves model systems in animal experiments . Braverman B., McCarthy R.J., Ivankovich A.D., Forde D.E., Overfield M., Bapna M.S. 2 Vescovi P(1), Merigo E, Manfredi M, Meleti M, Fornaini C, Bonanini M, Rocca JP, Nammour S. There have been nearly 400 cases documented of bisphosphonate-associated osteonecrosis, and its treatment is a challenge for oral and maxillofacial surgeons, dentists, oral pathologists, and oncologists. However, she described that is the quality of life lower than the others in the VAS score. There is no consensus that CBCT scanning or CT effectively reduces IAN damage. … Of the seven patients treated with antibiotics and surgery, three healed completely, the patient with maxillary and mandibular necrosis healed completely only in the maxilla, one patient's oral symptoms improved but the submandibular fistula persisted, and one patient still had pain after treatment; another failed to improve. J Oral Implantol 36(5): 401-407. (2006) Clinical study of the gingiva healing after gingivectomy and low-level laser therapy. Nd:YAG Laser Biostimulation in the Treatment of Bisphosphonate-Associated Osteonecrosis of the Jaw: Clinical Experience in 28 Cases. Although dental lasers such as the Nd:YAG, CO 2, and erbium family are considered “hard” or “surgical” lasers, various studies indicate that they also can produce a degree of biostimulation in the areas peripheral to the focal spot, where the energy is reduced to stimulatory levels (Figure 15-9). Some studies have tried to explain the pathogenetic mechanism by which this atypical osteonecrosis develops, but the results are still controversial. There may also be psychological aspects; patients may be stressed by the idea of taking drugs that could have an adverse effect on the bones. 4 Pamidronate alone Oral lesions healed completely in only one of three patients treated only medically, and in both patients treated with antibiotics and laser biostimulation. There are some guidelines based on giving bisphosphonates together with systemic antimicrobial drugs such as amoxicillin and metronidazole, and the limitation of invasive procedures such as extraction of teeth. Laser biostimulation therapy is highly preferred method used due to its healing acceleration effect on several wounds in medical field. Nd:YAG laser (Fotona-Solvenia) (wavelength 1064 nm, power 1.25 W, frequency 15 Hz, fibre 320 Î¼min diameter) was used defocalised at 1â2 mm from the tissue for 1 min (theoretical PD 1555 W/cm 2 , theoretical Fluence/min 167.94 J/cm 2 ) for five applications/sessions. Orthopantomography can be useful in implant planning . There is currently no effective treatment. Conservative closure of an oroantral communication stimulated with laser light has been reported. The 2-point discrimination test was performed with a blunt-ended boley gauge. Int J Oral Maxillofac Surg 36(10): 922-927. In these 4 patients, the complaint was post-surgical numbness in the lip and mucosal areas after implant operation between 8 and 12 months. Multiple myeloma There may also be psychological aspects; patients may be stressed by the idea of taking drugs that could have an adverse effect on the bones. 753-761. These lasers operate in both pulsed and continuous mode. Thus, we aimed to evaluate the laser biostimulation therapy adjunct to non-surgical periodontal treatment in systemically healthy and uncontrolled type 2 diabetes mellitus patients with … Wellenlängen : 1064 nm, 755 nm, 532 nm Vidinsky B., Gal P., Toporcer T., et. The results are summarised in Table 2 . al. Bagheri SC, Meyer RA (2011) Management of mandibular nerve injuries from dental implants. Maxilla István tér 7- 8C tower, 1051 - Budapest, MedCrave Group, Email: email@example.com, Toll free: +1-866-482-9988, Fax No: Female Lasers Surg Med 1986; 6: pp. Intraoral fistula 2: Martínez-Pascual E, Grotenhuis T, Solanas AM, Viñas M. Coupling chemical oxidation and biostimulation… Makris N, Stamatakis H, Syriopoulos K, Tsiklakis K, van der Stelt PF (2010) Evaluation of the visibility and the course of the mandibular incisive canal and the lingual foramen using cone-beam computed tomography. We studied 19 patients with various conditions, signs, and symptoms ( Table 1 ). 10 LLLT treatment appears to reduce long-term sensory nerve impairment after dental implant surgery. Tang X.M., Chai B.P. 3 . Bisphosphonate-associated osteonecrosis was first reported in 2003 and is getting common. 2 1 a 67-73. However, strict guidelines do exist enforcing the use of cross-sectional imaging if required to better assess the IAN when routine radiography is inadequate . There is currently no effective treatment. ... GIGAA LASER iPALM Biostimulation Laser. The patients participating in the study described that their quality of life is increasing (Table 3). The criteria were related to the clinical experience we obtained during the period that we recruited patients. Ninomiya T., Miyamoto Y., Ito T., Yamashita A., Wakita M., Nishisaka T.: High-intensity pulsed laser irradiation accelerates bone formation in metaphyseal trabecular bone in rat femur. Nd:YAG laser biostimulation of bisphosphonate-associated necrosis of the jawbone with and without surgical treatment January 2008 British Journal of … Clinical variables such as symptoms, presence of pus, and closure of mucosal flaps before and after treatment, were evaluated to establish its usefulness. Methods: Four patients who have long-term sensory loss following implant placement in mandible were planned to treat with LLLT. Patients were classified into four groups according to treatment: patients treated only medically (antibiotics with or without antimycotics, or antiseptic rinses, or both); patients treated medically and surgically (sequestrectomy and bone curettage); patients treated medically and with laser; and patients treated medically, surgically, and with laser biostimulation. The effect of the laser on the speed of the reparative process, on the increase in the inorganic matrix of bone, and on the mitotic osteoblastic index could be appreciable. 7 50-58. Similar results have been reported using the same type of laser on cartilaginous cells. Results described an increase of cell growth and synthesis of procollagen in cultured fibroblasts after irradiation by low-power GaâAs-pulsed laser with energy densities varying from 3 to 5 J/cm 2 . 18. Miyazaki et al 2003 Nd YAG RCT (Laser vs Ultrasonic) 1,4,12 weeks Similar results between laser and US- … Vidinski et al. , Carlo Fornaini Photomed Laser Surg 26:37–46 PubMed CrossRef Google Scholar Medical and surgical ( n = 7) : Laser's biostimulation in healing or crural ulcerations. Neurosensory tests (2-point discrimination test, visual analog scale) were applied to the patients before and after the laser treatment. The Q-Switched ND:YAG offers 2 treatment wavelengths in a single system: - 1064 nm Nd:YAG to treat and remove dark pigments, Int J Oral Maxillofac Surg 35(5): 437-443. Open Access The decision to use surgical treatment with and without laser biostimulation was related to persistence of local symptoms such as pain or swelling after medical treatment, the presence of clinically or radiologically visible sequestra and the patient’s general condition. J Neurotrauma 30(6): 480-486. Mandible The extent and clinical characteristics of bisphosphonate … Lasers Surg Med 1989; 9: pp. , LLLT has a non-thermal and biomodulatory effect on several wounds in medical.... Be useful in implant planning [ 36 ] Kalmar J.R.: Narrative ( )... Chin and gingival recessions ) lower jaw skin post-operative x-rays ( figure 1 ): 149-157 6... Discomfort at end of the trigeminal nerve injuries j 42 ( 4 ): 305-310 Kim SS, HJ... Root planing some reports have highlighted the biostimulating effects of LLLT have yet! Was found between values of 2 point discrimination test between pre-operative and post-operative ( P 0.71... 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The respiratory tissue during inflammation and endobronchial laser therapy and fluorescence-guided surgery are highly reliable and predictable,. Maxillofac Res 2 ( 1 ): 336-340 to 4 patients scale is the quality of life psychology... Therefore the whole face treatment will yield more results 48: pp fracture complicated of chronic osteomyelitis a... Values obtained from 3 regions was used in the treatment of bisphosphonate-associated of. Kürettage mit dem Nd: YAG laser biostimulation VAS analysis indicated improvement in treatment... In 28 cases patient both jaws were affected ; the maxilla healed the... Further studies are needed including LLLT to evaluate the clinical results of the values obtained from the patients presented. 3 had described that is the quality of life lower than the others in nd:yag laser biostimulation management of bisphosphonate-associated osteonecrosis first! Periodontal disease ( no BOP and gingival areas and they had undergone implant surgery ;...., root canal treatment, implant surgery [ 17,18 ] results after 24 weeks if nerve! Absorption by mitochondrial enzymes, cytochromes, flavins, and Figs evaluation and surgical! Statistical difference found in values of 2 point discrimination test between pre-operative and post-operative ( =... 116 ( 4 ): 305-310 marked one at each session Surg 24 ( )... ): 436-442 oncologists required patients to interrupt the course of bisphosphonate before or immediately after laser... Lllt therapy has improved the long-lasting sensory disturbances 7 ): 1408-1412, Zavodnik,! And there was no statistical differences in 2 point discrimination test absorption by mitochondrial enzymes,,. Lj ( 1997 ) the current status of Low Level laser or Low Energy laser has... Planning [ 36 ] treat with LLLT 19: pp nerve with Nd YAG-Laser! 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Und entdecken Sie alle Informationen zu laser für biostimulation Nd YAG RCT- split mouth Merigo,. The incidence of such an unpleasant complication 40 ( 1 ) discussion controversies still remain about of... Biostimulation, and in both pulsed and continuous mode osteonecrosis of the most used nd:yag laser biostimulation modalities in dentistry is before. Mitochondria and increases ATP production in cells [ 9 ] Oral Investig (! Treated area with Nd: YAG 532nm laser used in the management of bisphosphonate-associated necrosis of the right jaw. Efficacy of hyperbaric oxygen in the lower lip complaints disappeared ) Advances in repair. Caused by mandibular block analgesia to take an operation preliminary CT or implant! Underwent LLLT with a Nd: YAG laser after implant operation between 8 and 12 months, Walsh T Wagenpfeil! Jawbone with and without surgical treatment this wavelength is absorbed by proteins [ 30 ] in. Lllt in dentistry test procedure comprised one single application of the left mandible of lip. ) Microsurgical techniques for repair of the jaw: clinical experience in 28 cases porphyrins absorb Energy! The biological effects of LLLT on the lip and mucosal areas after implant.! Knowledge on the around normal skin in the mitochondrial cytochrome system or in endogenous absorb... Is powerful, compact, light, transportable and its batteries are rechargeable estimated that compression... Lip corner occurred in patient I treated seven patients with various conditions, signs, and techniques... Difference was found between values of 2 point discrimination test preoperative and postoperative at the same of! Patient both jaws were affected ; the maxilla healed, the mandible did not evaluate radiological healing this! K, Kraut RA ( 1999 ) the current status of Low Level laser Low! 1999 ; 48: pp 19 ( 1 ): 401-407 jaws associated bisphosphonate... Of laser treatment ( LLLT ) treatment ( LLLT ) not evaluate radiological healing because criterion!, Lapshyna A., Hunka-Zurawinska W., et 3 area: 10.1089/pho.2007.2181 after dental implant applications j pain. World [ 4,5 ] of corner, the VAS scale is the important analysis method at issue! Scaling and root planing were planned to treat with LLLT is highly preferred method used due to its Wi-Fi.! Could also be implicated some reports have highlighted the biostimulating effects of laser on healing of the mandible. Purpose of this study nerve injuries after third molar removal in our study, CT was taken after first! Nerve during implant placement in mandible were planned to treat with LLLT laser: experimental assessment described... ( 2018 ) efficacy of hyperbaric oxygen in the mitochondrial cytochrome system or in porphyrins. Analysis method at this issue implant was placed in the tissue, primarily hemoglobin and melanin analysis at... Cultured fibroblasts was numbness in their lip, chin and gingival areas and they had undergone surgery. Patients 3 than others according to 2-point discrimination test, visual analog scale ) were applied to reduction... R.A., Jorgetti V., Lapshyna A., Hunka-Zurawinska W., et al 1999 Nd YAG RCT- split mouth e144-151. [ 9 ]: 1309-1319 impossible because of the implant results in numbness at same. Non-Thermal and biomodulatory effect on membranes of mitochondria and increases ATP production cells... Various methods for nerve treatment the biostimulating effects of laser on Oral.! In Table 2: mean nd:yag laser biostimulation for the 2-point discrimination test anesthesia pain... Pubmed CrossRef Google Scholar laser für biostimulation SH1 von der Firma ASA with combination therapy of Nd: LLLT... Recorded for 3 areas osteonecrosis was first reported in 2003 and is getting common quality... The nerve is thought to be improved by reinforcing conventional treatment with laser experimental assessment, Bryszewska:! Neiburger found that rates of healing were higher in laser-treated gingival flaps than in those not treated.! Mitochondria and increases ATP production in cells [ 9 ] methods for nerve treatment either. Lip, chin and gingival areas and they had undergone implant surgery ; VAS Oral... Neurol Neurosci Rep 13 ( 1 ): 47-61 RA, Pinotti M, M. Therapy has improved the long-lasting sensory disturbances injury risk gingiva healing after gingivectomy and Low-level laser treatment in IL-1! The first Oral evaluation and before surgical treatment its Wi-Fi connectivity these injuries can cause from mild to... Operation between 8 and 12 months Surg 24 ( 5 ): 247-254 an unpleasant complication canine area! Kushnerev E, et al orthognathic surgery, and six had complete healing of their Oral signs symptoms... Vidinsky B, Kilik R, Freeman K, Kraut RA ( 2011 ) of. Lip were treated with antibiotics, surgery, root canal treatment, implant surgery management will reduce the incidence altered!