• Logo
  • SBMUPublishing

Diode Laser Application in Soft Tissue Oral Surgery

Ehsan Azma, Nassimeh Safavi




Introduction: Diode laser with wavelengths ranging from 810 to 980 nm in a continuous or pulsed mode was used as a possible instrument for soft tissue surgery in the oral cavity.

Discussion: Diode laser is one of laser systems in which photons are produced by electric current with wavelengths of 810, 940 and 980nm. The application of diode laser in soft tissue oral surgery has been evaluated from a safety point of  view, for facial pigmentation and vascular lesions and in oral surgery excision; for example frenectomy, epulis fissuratum and fibroma. The advantages of laser application are that it provides relatively bloodless surgical and post surgical courses with minimal swelling and scarring. We used diode laser for excisional biopsy of pyogenic granuloma and gingival pigmentation.

Conclusion: The diode laser can be used as a modality for oral soft tissue surgery


laser; soft tissue; oral surgery


- Deppe H, Horch HH. Laser applications in oral surgery and implant dentistry. Lasers Med Sci 2007;22:217-21.

-Romanos G, Nentwig GH. Diode laser (980) in oral and maxillofacial surgical procedures: clinical observations based on clinical applications. J Clin Laser Med Surg 1999;17(5):193-7.

- Coluzzi D. Fundamental of lasers in dentistry: Basic science, tissue interaction, and instrumentation. J Laser Dent 2008;16:4-10.

-Desiate A, Cantore S, Tullo D, Profetta G, Grassi FR, Ballini A. 980 nm diode lasers in oral and facial practice: current state of the science and art. Int J Med Sci 2009;6 (6):358-64.

-Eliades A, Stavrianos C, Kokkas A, Kafas P, Nazaroglou I. 808 nm diode laser in oral surgery: A case report of laser removal of fibroma. Res J Med Sci 2010;4(3):175-8.

-Pick RM, Pecaro BC. Use of the CO2 laser in soft tissue dental surgery. Lasers Surg Med 1987; 7: 207–13.

- Pecaro BC, Garehime WJ. The CO2 laser in oral and maxillofacial surgery. J Oral Maxillofac Surg 1983; 41: 725–8.

-Harris DM, Pick RM. Laser physics. In: Lasers in Dentistry. Miserendino LJ, Pick RM (editors); 1995. Quintessence, Chicago: pp 27–38.

-Coleton S. Lasers in surgical periodontics and oral medicine. Dent Clin North Am 2004; 48: 937– 62.

-Andreana S. The use of diode lasers in periodontal therapy. Literature review and suggested technique. Dent Today 2005 ;24: 130–5.

-Janda P, Sroka R, Mundweil B, Betz CS, Baumgartner R, Leunig A: Comparison of thermal tissue effects induced by contact application of fiber guided laser systems. Lasers Surg Med 2003 ;33: 93–101.

-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: 401–6.

-D’Arcangelo C, Di Nardo Di Maio F, Prosperi G D, 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: 764–73.

- Frame JW. Removal of oral soft tissue pathology with the CO2 laser. J Oral Maxillofac Surg 1985;43(11): 850–5.

-Bornstein MM, Suter VGA, Stauffer E, Buser D. [The CO2 laser in stomatology: Part 1.] Schweiz Monatsschr Zahnmed 2003a; 113: 559–70. German.

- Brandon MS, Strauss RA. Complications of CO2 laser procedures in oral and maxillofacial surgery. Oral Maxillofac Surg Clin North Am 2004;16: 289–99.

-Fisher SE, Frame JW, Browne RM, Tranter RMD. A comparative histological study of wound healing following CO2 laser and conventional surgical excision of canine buccal mucosa. Arch Oral Biol 1983; 28: 287–91.

- Chomette G, Auriol M, Labrousse F, Vaillant JM. [The effect of CO2 laser radiation on the morphological changes of mucocutaneous wound healing in oral surgery. A histo-enzymologic and ultrastructural study]. Rev Stomatol Chir Maxillofac 1991; 92: 1–7. French.

-Zeinoun T, Nammour S, Dourov N, Aftimos G, Luomanen M. Myofibroblasts in healing laser excision wounds. Lasers Surg Med 2001;28(1): 74–9.

-Suter VG, Altermat HJ, Sendi P, Mettraux G, Bornstein MM. Co₂ and diode laser for excisional biopsies of oral mucosal lesions. Schweis Monatsshr Zahnmed 2010;120(8):664-71.

DOI: http://dx.doi.org/10.22037/2010.v4i4.4150