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The most up-to-date book on Laser therapy:
Laser Therapy -
Clinical Practice and Scientific Background

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Book Review


Laser Therapy – Clinical Practice and Scientific Background
Tunér, J. and Hode, L., (2002), pp 570 with 1400 Refs.
Prima Books AB, Grängesberg, Sweden

www.prima-books.com
ISBN: 91-631-1344-9
Price 120 USD


The body of knowledge regarding the properties and uses of laser devices continues to expand and improve our understanding of the mechanisms involved. Several recent developments have expanded and intensified interest in furthering clinical applications in dentistry, dermatology, wound healing and other disciplines. The recent FDA approval of a few low power devices for LLLT is beginning to intensify interest in the United States. Work in these areas has been ongoing elsewhere in the world for more than 30 years.

Tunér and Hode have provided the reader with an excellent text which presents current information on a diverse array of laser related topics with a sound description of laser physics, light profiling and dosimetry. This second edition volume is a major advance over the predecessor, published in 1999. The current offering has been upgraded to a full color publication. It is printed on high quality paper with crisp graphics and a tabbed reference section. Each chapter follows a logical progression and presents the relevant research for each topical area and displays this information in a different colored font. This later feature makes it quite simple for the reader to understand the scientific bases for the following discussion and to retrieve the relevant reference in the bibliography. The bibliography consists of more than 1400 references. Each reference is numbered as it is cited in the text and a separate alphabetic listing is also provided.

Crisp graphics and easily read descriptions make this book easily understood by both the novice and the expert. It is clear that Tunér and Hode have produced a classic which should be a “must have” for the personal and institutional library.


Raymond J. Lanzafame, MD, MBA, FACS
Clinical Journal of Laser Medicine & Surgery

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“Laser Therapy - Clinical Practice and Scientific Background" is a reference guide as well as a wealth of laser therapy knowledge.

The book contains 600 pages, hard cover, multicoloured and loaded with new information about the clinical and scientific aspects of laser therapy. Among other things there are about 1400 references.

Laser therapy - a powerful medical tool
Medicine of today is dominated by expensive pharmaceuticals and advanced technologies. Although generally very sophisticated and helpful they cause a great number of predictable and unpredictable side effects. Laser therapy offers a safe therapeutic medical modality that is free from side effects. The unique quality of laser therapy is its universal usefulness. Even if more precise conditions such as pain, oedema, zoster, paraesthesia and herpes can be treated, laser therapy also has a general beneficial influence on the immune system, thus enabling healing processes to start. After more than 30 years of use, no harmful side effects have been reported.

Laser therapy has a so far untapped potential in health care. The purpose of this book is to describe the physical and clinical aspects of laser therapy and to analyse the rich scientific literature in this field. The book will serve as a useful guide and reference work for research scientists, doctors, dentists, veterinary surgeons, nurses, physiotherapists and other workers within the medical field. Every indication discussed is supported by scientific references and all in all more than 1400 such references are listed.

Laser therapy has for some persons an aura of magic through its ability to heal longstanding medical problems. To other persons it has an aura of "alternative" medicine through the allegedly poor scientific foundation. Both categories will find that they are wrong. Laser therapy is no magic, and the rich scientific documentation will certainly surprise the unbelieving.

Are you looking for a specific study?
Which indications are there?
Does the book have the information you need?

Contents at a glance
Chapter 1 - Some basic laser physics
1
 

Electromagnetic radiation

2
 

Various sources of radiation

5
 

Laser types in medicine and surgery

26
 

The surgical lasers

27
 

Therapeutic lasers

40
Chapter 2 - Therapeutic instruments 45
 

A customer's guide

46
 

Ten points to consider when choosing an instrument

56
 

How do I maintain my laser?

59
Chapter 3 - Biostimulation 61
 

History

62
 

A few words on mechanisms

 65
 

What parameters to use

68
 

Other considerations

92
 

Laser Therapy with high output lasers

98
 

Risks and side effects

101
 

How to measure effects of laser therapy

 105
 

"Is laser therapy effective?"

107
Chapter 4 - Medical indications 115
 

Who and what can be treated?

116
 

Anecdotal indications

198
  Chapter 5 - Dental laser therapy
 201
 

What is “a god dentist”

202
 

On which patients can laser therapy be used?

203
 

Dental indications

203
 

Other dental laser applications

234
 

Case reports

235
Chapter 6 - Dental research 239
Chapter 7 - Veterinary use
277
Chapter 8 - Contraindications 285
 

Pacemaker

286
 

Pregnancy

286
 

Epilepsy

286
 

Thyroid gland

 286
 

Children

 287
 

Cancer

288
 

Radiation therapy patients

 288
 

Diabetes

289
Chapter 9 - Laser therapy on the Internet
291
 

Laser therapy on the Internet

 291
 

Internet discussion groups

292
Chapter 10 - The difficult dose and intensity 311
 

Basics about energy

312
 

Output power

313
 

Power density

314
 

The laser beam

316
 

The laser probe

318
 

Pulsed lasers

319
 

Energy density

 319
 

Treatment dose

320
 

The dose does not depend on the intensity

325
 

Dose per point

328
 

More about treatment technique

 329
Chapter 11 - The Mechanisms
333
 

Are the biostimulative effects laser specific?

334
 

Possible primary mechanisms

348
 

Secondary mechanisms

 356
 

Summary of mechanisms

361
 

Diagnostics with Therapy Lasers

363
 

Photodynamic Therapy - PDT,

363
 

Other medical uses of lasers

363
Chapter 12 - A guide for scientific work 365
 

Methodology of a trial

368
 

Parameters

369
Chapter 13 The laser therapy literature 379
 

The positive double blind studies

380
 

The negative double blind studies

388
 

Are all the negative studies really negative?

391
 

The Cochrane analyses – can they be improved?

412
 

Poor documentation – compared to what?

418
 

The Russian experience

418
 

The work of Tiina Karu

421
 

English language books on laser therapy:

430
 

Books in other languages, with ISBN.

 431
 

Laser journals

433
Chapter 14 - References - Abbreviations 435
 

Numeric references referred to in the book.

436
 

Alphabetical register of references

499
 

Abbreviations

559
Alphabetic index 561

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Jan Tunér is a dentist in private practice, working with LLLT since 1986. Member of the editorial board of Laser Therapy, the organ of WALT. About the authors:
 Lars Hode is a physicist,
specializing in laser applications in the medical field, working with LLLT since 1984. Chairman of the Swedish Laser-Medical Association.

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