Using Diode Laser for Soft Tissue Incision of Oral Cavity
Journal of Lasers in Medical Sciences,
Vol. 3 No. 1 (2012),
14 March 2012
INTRODUCTION: The purpose of this case report is to analyze the results of vestibuleplasty around an over-denture based on dental implants to determine the evidence on the effectiveness of laser-assisted surgery and soft tissue management in implant dentistry.
CASE REPORT: The patient in this case report was a 57 year- old male who was completely edentulous, with a mandibular over denture based on 4 standard implants suffering from pain on chewing, and a general discomfort, especially in anterior segment. He received a standard gingival augmentation surgery which failed to create sufficient vestibular depth. A laser-assisted vestibuloplasty was done to make the environment suitable for making a new overdenture.
CONCLUSIONS: There were clinically significant improvements in vestibular depth and peri implant soft tissue situation by laser. Also, bleeding during surgery was well controlled; the patient’s discomfort and pain were less than the first operation done with gingival graft. Based on our clinical data and review of the literature, an evidence-based approach to the use of lasers for the management of soft tissue in oral surgery is necessary. Simply, there is insufficient evidence to suggest that any specific wavelength of laser is superior to the traditional modalities of therapy. However, improved hemostasis and patient’s satisfaction can be considered as advantages of adjunctive laser therapy in some clinical situations like vestibuloplasty.
- diode Laser
Goharkhay K, Moritz A, Wilder-Smith P, Schoop U, Kluger W, Jakolitsch S, et al. Effects on oral soft tissue produced by a diode laser in vitro. Lasers Surg Med. 1999;25(5):401-6.
Maiman TH. Stimulated optical radiation in ruby. Nature. 1960;187:493-4.
Mahajan A. Lasers in periodontics-a review. Eur J Dent Med. 2011;3:1-11.
Bains VK, Gupta S, Bains R. Lasers in periodontics: An Overview. J Oral Health Community Dent. 2010;4:29-34.
Ishikawa I, Aoki A, Takasaki AA, Mizutani K, Sasaki KM, Izumi Y. Application of laser in periodontics: true innovation or myth? Periodontol 2000. 2009;50:90-126.
Cobb CM. Lasers in peroidontics:a review of the literature. J Peridontol. 2006;77(4):545-64.
Wigdor HA, Walsh JT Jr, Featherstone JDB, Virsuri SR, Fried D, Waldvogel JL. Lasers in dentistry. Lasers Surg Med. 1995;16(2):103-33.
Luomanen M, Meurman JH, Lehto VP. Extracellular matrix in healing co2 laser incision wound. J Oral Pathol. 1987;16(6):322-31.
White JM, Goodis HE, Rose CL. Use of pulsed Nd;YAG laser for intraoral soft tissue surgery. Lasers Surg Med. 1991;11(5):455-61.
Oliver RJ, Sloan P, Pemberton MN. Oral Biopsies: methods and applications. Br Dent J. 2004; 196(6):329-33.
Wilder-Smith P, Arrastia AM, Liaw LH, Berns M. Incision properties and thermal effects of three CO2 lasers in soft tissue. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1995;79(6):685-91.
Rizoiu IM, Eversole LR, Kimmel AI. Effects of an erbium, chromium: yttrium, scandium, gallium, garnet laser on mucocutanous soft tissues. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1996;82(4):386-95.
Neiburger EJ. Rapid healing of gingival incisions by the helium-neon diode laser. J Mass Dent Soc. 1999;48(1):8- 13, 40.
Wilcox CW, Wilwerding TM, Watson P, Morris JT. Use of electrosurgery and lasers in the presence of dental implants. Int J Oral Maxillofac Implants. 2001;16(4):578- 82.
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.
Boj JR, Hernandez M, Espasa E, Poirier C. Laser treatment of an oral papilloma in the pediatric dental office: a case report. Quintessence Int. 2007;38(4):307-12.
D’Arcangelo C, Di Nardo Di Maio F, Prosperi GD, Conte E, Baldi M, Caputi S. A preliminary study of healing of diode laser versus scalpel incisions in rat oral tissue: a comparison of clinical, histological, and immunohistochemical results. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007;103(6):764-73.
Shetty K, Trajtenberg C, Patel C, Streckfus C. Maxillary frenectomy using a carbon dioxide laser in a pediatric patient: a case report. Gen Dent. 2008;56(1):60-3.
Capodiferro S, Maiorano E, Scarpelli F, Favia G. Fibrolipoma of the lip treated by diode laser surgery: a case report. J Med Case Reports. 2008;2:301.
Boj JR, Poirier C, Espasa E, Hernandez M, Espanya A. Lower lip mucocele treated with an erbium laser. Pediatr Dent. 2009;31(3):249-52.
Işeri U, Ozçakir-Tomruk C, Gürsoy-Mert H. Treatment of epulis fissuratum with CO2 laser and prosthetic rehabilitation in patients with vesiculobullous disease. Photomed Laser Surg. 2009;27(4):675-81.
de Arruda Paes-Junior TJ, Cavalcanti SC, Nascimento DF, Saavedra Gde S, Kimpara ET, Borges AL, et al. CO(2) laser surgery and prosthetic management for the treatment of epulis fissuratum. ISRN Dent. 2011;2011:282361.
Tuncer I, Ozçakir-Tomruk C, Sencift K, Cöloğlu S. Comparison of conventional surgery and CO2 laser on intraoral soft tissue pathologies and evaluation of the collateral thermal damage. Photomed Laser Surg. 2010;28(1):75-9.
Cercadillo-Ibarguren I, Espana Tost A, Arnabat- Dominguez J, Valmaseda-Castellon E, Berini-Aytes L, Gay-Escoda C. Histologic evaluation of thermal damage produced on soft tissues by CO2, Er,Cr: YSGG and diode lasers. Med Oral Patol Oral Cir Bucal. 2010;15(6):912-8.
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.
Jin JY, Lee SH, Yoon HJ. A comparative study of wound healing following incision with a scalpel, diode laser or Er,Cr:YSGG laser in guinea pig oral mucosa: A histological and immunohistochemical analysis. Acta Odontol Scand. 2010;68(4):232-8.
Gómez-Santos L, Arnabat-Domínguez J, Sierra- Rebolledo A, Gay-Escoda C. Thermal increment due to ErCr:YSGG and CO2 laser irradiation of different implant surfaces. A pilot study. Med Oral Patol Oral Cir Bucal. 2010;15(5):e782-7.
De Oliveira Guaré R, Costa SC, Baeder F, de Souza Merli LA, Dos Santos MT. Drug-induced gingival enlargement: biofilm control and surgical therapy with gallium-aluminum- arsenide (GaAlAs) diode laser-A2-year follow-up. Spec Care Dentist. 2010;30(2):46-52.
Pedron IG, Galletta VC, Azevedo LH, Corrêa L. Treatment of mucocele of the lower lip with diode laser in pediatric patients: presentation of 2 clinical cases. Pediatr Dent. 2010;32(7):539-41.
Lee JW, Park KH, Chung JH, Kim SJ. Effects of laseraided circumferential supracrestal fiberotomy on root surfaces. Angle Orthod. 2011;81(6):1021-7.
Arnabat-Domínguez J, Bragado-Novel M, España-Tost AJ, Berini-Aytés L, Gay-Escoda C. Advantages and esthetic results of erbium, chromium:yttrium-scandiumgallium- garnet laser application in second-stage implant surgery in patients with insufficient gingival attachment: a report of three cases. Lasers Med Sci. 2010;25(3):459-64.
Boj JR, Poirier C, Hernandez M, Espassa E, Espanya A. Case series: laser treatments for soft tissue problems in children. Eur Arch Paediatr Dent. 2011;12(2):113-7.
Kardos TB, Holt T, Ferguson MM. Histological evaluation of the effect of a miniature CO2 laser on oral mucosa. Int J Oral Maxillofac surg. 1989;18(2):117-20.
Niccoli-Filho W, Murilo-Santos L, Schubert M, Morosolli AC. Treatment of developmental defect of upper lip with CO2 laser radiation: First surgical time. J Cosmet Laser Ther. 2005;7(2):97-100.
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