Laser: Aphthous Ulcer /Canker Sore

• White and yellowish, very painful, maybe not viral invasion so we are not killing any viral particles.
• $50-75 for D9110 Emergency palliative TX, or
• $150 for D7465 Destruction of lesion via laser therapy…must be >=3mm and have to send in a picture)
• 1.5 watts/ pulse / NON initiated tip (If necessary repeat at 1.7, then if necessary at 2.0)
• Start 5 mm away from itching/burning area.
• Do small circles approaching up to 1 mm away
• Use HIGH SPEED suction next to area
• Cools tissue = more energy can be pumped into tissue = more comfortable for patient
• Keep treating until pain is gone(pt will feel like it is a little piece of numb tissue)

Since Maybe No Virus, we are at least doing 2 things:

• Cauterizing nerve ending: Itching burning to not itching burning
• Biostimulation: Enhancing healing (increased circulation, collagen formation, osteoblasts, fibroblasts)