Recently, a wide variety of procedures have been done by laser application in Orthodontics. Apart from the mentioned range of various treatments, laser has become a tool for many soft tissue surgeries as an alternative to conventional scalpel-based technique during orthodontic treatments in the management of soft tissue. Due to scarce information in the latter subject, this study was designed in order to include clinical trials that included soft tissue ablation by laser in orthodontics.
Literature was searched based on PubMed and Google Scholar databases in 5 years (2010-2015) with English Language restriction and clinical trial design. Studies that performed soft tissue application of laser during orthodontic treatment were extracted by the authors.
Only eight studies met the inclusion criteria. No significant difference were found between laser ablation and conventional scalpel technique in the matter of treatment outcome. However, few issues remained to clarify the differences in the mentioned procedures.
Laser performance can be recommended in case of preceding less bleeding and discomfort during surgical procedure. There are still quandaries among clinical application of scalpel-based surgery in aesthetic region with bracket-bonded teeth.
Precaution and knowledge regarding the characteristics of laser beam such as wavelength, frequency, power and timing is extremely needed.
Maiman TH. Stimulated optical radiation in ruby. Nature.1960;187:493-4.
Verma SK, Maheshwari S, Singh RK, Chaudhari PK. Laser in dentistry: An innovative tool in modern dental practice. Natl J Maxillofac Surg. 2012;3(2):124-32.
Dukic W, Bago I, Aurer A, Roguljic M. Clinical effectiveness of diode laser therapy as an adjunct to non-surgical periodontal treatment: a randomized clinical study. J Periodontol. 2013;84(8):1111-7.
Stubinger S. Advances in bone surgery: the Er:YAG laser in oral surgery and implant dentistry. Clin Cosmet Investig Dent. 2010;2:47-62.
Agrawal AA. Esthetic crown lengthening with depigmentation using an 810 nm GaAlAs diode laser. Indian J Dent. 2014;5(4):222-4.
Basha MI, Hegde RV, Sumanth S, Sayyed S, Tiwari A, Muglikar S. Comparison of Nd:YAG Laser and Surgical Stripping for Treatment of Gingival Hyperpigmentation: A Clinical Trial. Photomed Laser Surg. 2015;33(8):424-36.
Vale FA, Moreira MS. Low-level laser therapy in the treatment of recurrent aphthous ulcers: a systematic review. Sci World J. 2015;2015:150412.
Yoo YJ, Shon WJ, Baek SH, Kang MK, Kim HC, Lee W. Effect of 1440-nanometer neodymium:yttrium-aluminum-garnet laser irradiation on pain and neuropeptide reduction: a randomized prospective clinical trial. J Endod. 2014;40(1):28-32.
Seifi M, Vahid-Dastjerdi E, Ameli N, Badiee M-R, Younessian F, Amdjadi P. The 808 nm Laser-Assisted Surgery as an Adjunct to Orthodontic Treatment of Delayed Tooth Eruption. J Lasers Med Sci. 2013;4(2):70.
To TN, Rabie AB, Wong RW, McGrath CP. The adjunct effectiveness of diode laser gingivectomy in maintaining periodontal health during orthodontic treatment. Angle Orthod. 2013;83(1):43-7.
Seifi M, Vahid-Dastjerdi E. Tooth movement alterations by different low level laser protocols: a literature review. J Lasers Med Sci. 2015;6(1):1-5.
Seifi M, Shafeei HA, Daneshdoost S, Mir M. Effects of two types of low-level laser wave lengths (850 and 630 nm) on the orthodontic tooth movements in rabbits. Lasers Med Sci. 2007;22(4):261-4.
Dostalova T, Jelinkova H, Sulc J, Nemec M, Jelinek M, Fibrich M, et al. Ceramic bracket debonding by Tm:YAP laser irradiation. Photomed Laser Surg. 2011;29(7):477-84.
Macri RT, de Lima FA, Bachmann L, Galo R, Romano FL, Borsatto MC, et al. CO2 laser as auxiliary in the debonding of ceramic brackets. Lasers Med Sci. 2015;30(7):1835-41.
Saito A, Namura Y, Isokawa K, Shimizu N. CO2 laser debonding of a ceramic bracket bonded with orthodontic adhesive containing thermal expansion microcapsules. Lasers Med Sci. 2015;30(2):869-74.
Kumar R, Jain G, Dhodapkar SV, Kumathalli KI, Jaiswal G. The Comparative Evaluation of Patient's Satisfaction and Comfort Level by Diode Laser and Scalpel in the Management of Mucogingival Anomalies. J Clin Diagn Res. 2015;9(10):Zc56-8.
Akpinar A, Toker H, Lektemur Alpan A, Calisir M. Postoperative Discomfort After Nd: YAG laser and conventional frenectomy: comparison of both genders. Australian Dent J. 2015;61(1):71-5.
Fabre HS, Navarro RL, Oltramari-Navarro PV, Oliveira RF, Pires-Oliveira DA, Andraus RA, et al. Anti-inflammatory and analgesic effects of low-level laser therapy on the postoperative healing process. J Phys Ther Sci. 2015;27(6):1645-8.
Junior RM, Gueiros LA, Silva IH, de Albuquerque Carvalho A, Leao JC. Labial frenectomy with Nd:YAG laser and conventional surgery: a comparative study. Lasers Med Sci. 2015;30(2):851-6.
Ribeiro FV, Cavaller CP, Casarin RC, Casati MZ, Cirano FR, Dutra-Correa M, et al. Esthetic treatment of gingival hyperpigmentation with Nd:YAG laser or scalpel technique: a 6-month RCT of patient and professional assessment. Lasers Med Sci. 2014;29(2):537-44.
Turer CC, Ipek H, Kirtiloglu T, Acikgoz G. Dimensional changes in free gingival grafts: scalpel versus Er:YAG laser--a preliminary study. Lasers Med Sci. 2015;30(2):543-8.
Fekrazad R, Nokhbatolfoghahaei H, Khoei F, Kalhori KA. Pyogenic Granuloma: Surgical Treatment with Er:YAG Laser. J Lasers Med Sci. 2014;5(4):199-205.
Mathur E, Sareen M, Dhaka P, Baghla P. Diode Laser Excision of Oral Benign Lesions. J Lasers Med Sci. 2015;6(3):129-32.
Kravitz ND, Kusnoto B. Soft-tissue lasers in orthodontics: an overview. Am J Orthod Dentofacial Orthop. 2008;133(4 Suppl):S110-4.
Gontijo I, Navarro RS, Haypek P, Ciamponi AL, Haddad AE. The applications of diode and Er:YAG lasers in labial frenectomy in infant patients. J Dent Child (Chic). 2005;72(1):10-5.
Haytac MC, Ozcelik O. Evaluation of patient perceptions after frenectomy operations: a comparison of carbon dioxide laser and scalpel techniques. J Periodontol. 2006;77(11):1815-9.
De Santis D, Gerosa R, Graziani PF, Zanotti G, Rossini N, Castellani R, et al. Lingual frenectomy: a comparison between the conventional surgical and laser procedure. Minerva Stomatol. 2013.
Gama SK, De Araujo TM, Pozza DH, Pinheiro AL. Use of the CO(2) laser on orthodontic patients suffering from gingival hyperplasia. Photomed Laser Surg. 2007;25(3):214-9.
Aboelsaad N, Attia N. DIODE LASER TREATMENT OF ORTHODONTICALLY INDUCED GINGIVAL HYPERPLASIA. A RANDOMIZED CONTROLLED CLINICAL TRIAL. Eur Sci J. 2013;9(27).
Jahanbin A, Ramazanzadeh B, Ahrari F, Forouzanfar A, Beidokhti M.
Effectiveness of Er:YAG laser-aided fiberotomy and low-level laser therapy in alleviating relapse of rotated incisors. Am J Orthod Dentofacial Orthop. 2014;146(5):565-72.
Sobouti F, Rakhshan V, Chiniforush N, Khatami M. Effects of laser-assisted cosmetic smile lift gingivectomy on postoperative bleeding and pain in fixed orthodontic patients: a controlled clinical trial. Progress Orthod. 2014;15:66.
Ize-Iyamu I, Saheeb B, Edetanlen B. Comparing the 810nm diode laser with conventional surgery in orthodontic soft tissue procedures. Ghana Med J. 2014;47(3):107-11.
Aras MH, Goregen M, Gungormus M, Akgul HM. Comparison of diode laser and Er:YAG lasers in the treatment of ankyloglossia. Photomed Laser Surg. 2010;28(2):173-7.
Ilaria G, Marco M, Elisabetta M, Giovanni M, Carlo F, Maddalena M, et al. Advantages of new technologies in oral mucosal surgery: an intraoperative comparison among Nd:YAG laser, quantic molecular resonance scalpel, and cold blade. Lasers Med Sci. 2015.
Vescovi P, Corcione L, Meleti M, Merigo E, Fornaini C, Manfredi M, et al. Nd:YAG laser versus traditional scalpel. A preliminary histological analysis of specimens from the human oral mucosa. Lasers Med Sci. 2010;25(5):685-91.
Angiero F, Parma L, Crippa R, Benedicenti S. Diode laser (808 nm) applied to oral soft tissue lesions: a retrospective study to assess histopathological diagnosis and evaluate physical damage. Lasers Med Sci. 2012;27(2):383-8.
Genovese MD, Olivi G. Laser in paediatric dentistry: patient acceptance of hard and soft tissue therapy. Eur J Paediatr Dent. 2008 Mar;9(1):13-7.
Fornaini C, Rocca JP, Bertrand MF, Merigo E, Nammour S, Vescovi P. Nd:YAG and diode laser in the surgical management of soft tissues related to orthodontic treatment. Photomed Laser Surg. 2007;25(5):381-92.
Kotlow L. Diagnosis and treatment of ankyloglossia and tied maxillary fraenum in infants using Er:YAG and 1064 diode lasers. Eur Arch Paediatr Dent. 2011;12(2):106-12.
Pie-Sanchez J, Espana-Tost AJ, Arnabat-Dominguez J, Gay-Escoda C. Comparative study of upper lip frenectomy with the CO2 laser versus the Er, Cr:YSGG laser. Med Oral Patol Oral Cir Bucal. 2012;17(2):e228-32.
Amaral MB, de Ávila JM, Abreu MH, Mesquita RA. Diode laser surgery versus scalpel surgery in the treatment of fibrous hyperplasia: a randomized clinical trial. Int J Oral Maxillofac Surg. 2015;44(11):1383-9.