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Sharp A, Smith MM, Taney K, Sharp AR. Commissurotomy Using Carbon Dioxide Laser in 67 Dogs. J Vet Dent 2024; 41:122-128. [PMID: 37801564 DOI: 10.1177/08987564231206460] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/08/2023]
Abstract
Commissurotomy is a surgical technique whereby the lip commissure is incised. Indications for commissurotomy include cheiloplasty, partial commissurectomy, or access to the caudal portion of the maxilla or mandible for oral surgery. Carbon dioxide (CO2) laser was used for commissurotomy in dogs for partial commissurectomy (n = 7) or access for oral surgery (n = 60). All dogs had oral or maxillofacial neoplasms that required resective surgery. The CO2 laser was used to perform commissurotomy or commissurectomy, as indicated. Commissurotomy healing was evaluated at 2 weeks with longer-term follow-up of a minimum of 6 weeks (104.6 ± 99.2 weeks) postoperatively. Postoperative complications related to commissurotomy (n = 6) included mucosal dehiscence (n = 3) less than 1.5 cm, lip margin dehiscence (n = 2) less than 1.0 cm, and complete commissurotomy wound dehiscence (n = 1). Two wound dehiscence cases, including the complete wound dehiscence, had uncomplicated healing following revision surgery. Minor marginal and mucosal dehiscence cases healed by the second intention. Periwound edema ranged from mild to severe and resolved by the 2-week postoperative examination. Statistical analysis showed that complications associated with commissurotomy/commissurectomy were independent of the type of surgical procedure, tumor type, and surgical margin evaluation when using the CO2 laser. Commissurotomy using CO2 laser provided rapid and unimpeded exposure with minimal hemorrhage of the caudal maxilla and mandible for resective oral and maxillofacial surgery.
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Affiliation(s)
- Abigail Sharp
- Center for Veterinary Dentistry and Oral Surgery, Gaithersburg, USA
| | - Mark M Smith
- Center for Veterinary Dentistry and Oral Surgery, Gaithersburg, USA
| | - Kendall Taney
- Center for Veterinary Dentistry and Oral Surgery, Gaithersburg, USA
| | - Alexander R Sharp
- Conservation & Biodiversity, Texas A&M University-Corpus Christi Harte Research Institute for Gulf of Mexico Studies, Corpus Christi, USA
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Doğan SSA, Karakan NC, Doğan Ö. Effects of topically administered 0.6% hyaluronic acid on the healing of labial frenectomy in conventional and 940-nm indium gallium arsenide phosphide (InGaAsP) diode laser techniques in pediatric patients: a randomized, placebo-controlled clinical study. Lasers Med Sci 2024; 39:48. [PMID: 38279075 PMCID: PMC10817992 DOI: 10.1007/s10103-024-03983-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2023] [Accepted: 01/07/2024] [Indexed: 01/28/2024]
Abstract
This study aimed to investigate the effects of 0.6% hyaluronic acid (HA) gel on the healing process and postoperative pain levels after diode laser-assisted labial frenectomy in pediatric patients. Ninety-six pediatric patients (females, 50 and males, 46) aged 8-14 years were randomly divided into four groups as follows: (1) conventional frenectomy with 0.6% topically administered HA (CFH, n = 24); (2) conventional frenectomy with placebo gel (CFP, n = 24); (3) frenectomy performed by diode laser with 0.6% topically administered HA (DLH, n = 24); and (4) frenectomy performed by diode laser with placebo gel (DLP, n = 24). HA application was continued for 1 week thrice daily after the frenectomy. Visual analog scale forms were collected from patients 1 week after the operation. In addition, the plaque index, gingival index, periodontal probing depth, and keratinized tissue width and thickness were recorded. This process was repeated 1 and 3 months after the first visit. The DLH group revealed significant differences in the probing depth, bleeding on probing, keratinized gingiva width, and attached gingiva width according to dual comparisons of the initial, first, and third-month values (p = 0.010, p = 0.007, p<0.001, and p = 0.001, respectively). Significant differences were observed between the CFP and CFH groups according to the initial and initial third-month values with regard to the bleeding on probing (p=0.019 and p = 0.019, respectively). The attached gingival thickness revealed significant differences between the CFP and CFH groups for the initial and initial-third-month comparisons (p = 0.005 and p = 0.007, respectively). The mean values of the initial and initial-third-month differences were significantly higher in the CFH group than those in the CFP group. HA- and laser-assisted labial frenectomies revealed better outcomes in terms of the probing depth, attached gingiva width, keratinized gingiva width, healing process, and postoperative comfort.
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Affiliation(s)
- Suat Serhan Altintepe Doğan
- Department of Periodontology, Faculty of Dentistry, Afyonkarahisar Health Sciences University, Güvenevler Mahallesi, İsmet İnönü St., No. 4, 03030, Afyonkarahisar, Turkey.
| | - Nebi Cansın Karakan
- Department of Periodontology, Faculty of Dentistry, Afyonkarahisar Health Sciences University, Güvenevler Mahallesi, İsmet İnönü St., No. 4, 03030, Afyonkarahisar, Turkey
| | - Özgür Doğan
- Department of Periodontology, Faculty of Dentistry, Afyonkarahisar Health Sciences University, Güvenevler Mahallesi, İsmet İnönü St., No. 4, 03030, Afyonkarahisar, Turkey
- Deparment Of Pediatric Dentistry, Faculty of Dentistry, Afyonarahisar Health Sciences University, Afyonkarahisar, Turkey
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Frezza A, Ezeddine F, Zuccon A, Gracco A, Bruno G, De Stefani A. Treatment of Ankyloglossia: A Review. CHILDREN (BASEL, SWITZERLAND) 2023; 10:1808. [PMID: 38002899 PMCID: PMC10670877 DOI: 10.3390/children10111808] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/18/2023] [Revised: 10/30/2023] [Accepted: 11/10/2023] [Indexed: 11/26/2023]
Abstract
AIM The aim of this narrative review is to analyze and compare the current scientific evidence regarding the diagnosis and treatment of hypertrophic lingual frenulum in preschool and school-age children. The treatments considered in this review are traditional surgical therapy, laser-assisted surgical therapy, and functional rehabilitation therapy. MATERIALS AND METHODS A comprehensive literature review was conducted using the PubMed and PubMed Central search engines, considering articles published in the English language between 1 January 2000 and 30 June 2022. The bibliographic search was performed using the following keywords as search strings: "lingual", "frenulectomy", "frenulotomy", "frenulum", "ankyloglossia", and "laser." RESULTS A total of 14 articles were included in this review, including four prospective observational studies, one case-control study, three cross-sectional studies, four retrospective studies, and one randomized controlled trial. The data extracted from each article are summarized in a table. CONCLUSIONS In the literature, there are still limited studies regarding the treatment of hypertrophic frenulum. No common indications for the treatment of ankyloglossia and universally used classification for lingual frenulum were found. Currently, clinicians prefer the use of a diode laser for treatment. This method offers several advantages over the use of a scalpel blade. Many studies agree on the usefulness of providing patients with myofunctional rehabilitation to improve lingual mobility, both prior to surgical therapy and in the postoperative period.
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Affiliation(s)
- Alessandro Frezza
- Department of Neuroscience, School of Dentistry, University of Padova, 35122 Padova, Italy; (A.F.); (F.E.); (A.Z.); (A.G.); (G.B.)
| | - Fatima Ezeddine
- Department of Neuroscience, School of Dentistry, University of Padova, 35122 Padova, Italy; (A.F.); (F.E.); (A.Z.); (A.G.); (G.B.)
| | - Andrea Zuccon
- Department of Neuroscience, School of Dentistry, University of Padova, 35122 Padova, Italy; (A.F.); (F.E.); (A.Z.); (A.G.); (G.B.)
| | - Antonio Gracco
- Department of Neuroscience, School of Dentistry, University of Padova, 35122 Padova, Italy; (A.F.); (F.E.); (A.Z.); (A.G.); (G.B.)
| | - Giovanni Bruno
- Department of Neuroscience, School of Dentistry, University of Padova, 35122 Padova, Italy; (A.F.); (F.E.); (A.Z.); (A.G.); (G.B.)
- Department of Industrial Engineering, University of Roma Tor Vergata, 00133 Roma, Italy
| | - Alberto De Stefani
- Department of Neuroscience, School of Dentistry, University of Padova, 35122 Padova, Italy; (A.F.); (F.E.); (A.Z.); (A.G.); (G.B.)
- Department of Pharmacological Sciences, University of Padova, 35122 Padova, Italy
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Mikhail FF, El Menoufy H, El Kilani NS. Assessment of clinical outcomes and patient response to gingival depigmentation using a scalpel, ceramic bur, and diode laser 980 nm. Clin Oral Investig 2023; 27:6939-6950. [PMID: 37878070 PMCID: PMC10630251 DOI: 10.1007/s00784-023-05310-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2023] [Accepted: 10/03/2023] [Indexed: 10/26/2023]
Abstract
OBJECTIVE This research compares the clinical outcomes of gingival depigmentation procedures with conventional scalpel, ceramic trimmer bur, and diode laser techniques. MATERIALS AND METHODS Twenty-four individuals with physiologic gingival hyperpigmentation received random allocation to one of three treatment groups: scalpel, ceramic bur, or diode laser. Pain score, operation time, bleeding index, degree of epithelialization, wound healing, Dummett-Gupta Oral Pigmentation Index (DOPI), and Takashi Index score changes were all investigated at different time points. RESULTS At 12-h follow-up, significant variations in pain scores were seen between the laser and scalpel groups (p = 0.003) but not between the laser and ceramic bur groups. The diode laser group completed the procedure significantly quicker than the scalpel and ceramic bur groups (p = 0.004 and p = 0.001, respectively). The ceramic trimmer bur and diode laser groups showed significantly less bleeding tendency than the scalpel group. Wound healing and the degree of epithelialization were similar in all groups. DOPI and Takashi indices significantly decreased compared to baseline in all groups, with no significant difference recorded between all groups. CONCLUSION While diode lasers are a safe and effective treatment option for gingival hyperpigmentation, providing optimal aesthetics with reduced discomfort to patients, a ceramic trimmer bur can also be used as a simple and affordable alternative to a laser in gingival depigmentation procedures. CLINICAL RELEVANCE Gingival hyperpigmentation is a major aesthetic issue for many individuals. Laser and ceramic trimmer bur treatments produce equivalent aesthetic outcomes for gingival hyperpigmentation.
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Affiliation(s)
- Faten Fawzy Mikhail
- Surgery & Oral Medicine Department, Oral & Dental Research Institute, National Research Centre, 33 El Buhouth St., Ad Doqi, Dokki, Giza, 12622, Egypt.
| | - Hala El Menoufy
- Laser Research Centre, Faculty of Dentistry, Misr University for Science and Technology (MUST), 6Th of October City, Giza, Egypt
| | - Naglaa Shawki El Kilani
- Laser Research Centre, Faculty of Dentistry, Misr University for Science and Technology (MUST), 6Th of October City, Giza, Egypt
- Oral Medicine, Periodontology, Diagnosis, and Radiology Department, Faculty of Dentistry, Al-Azhar University, Cairo, Egypt
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5
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Inchingolo AM, Malcangi G, Ferrara I, Viapiano F, Netti A, Buongiorno S, Latini G, Azzollini D, De Leonardis N, de Ruvo E, Mancini A, Rapone B, Venere DD, Patano A, Avantario P, Tartaglia GM, Lorusso F, Scarano A, Sauro S, Fatone MC, Bordea IR, Inchingolo F, Inchingolo AD, Dipalma G. Laser Surgical Approach of Upper Labial Frenulum: A Systematic Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:1302. [PMID: 36674058 PMCID: PMC9859463 DOI: 10.3390/ijerph20021302] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/12/2022] [Revised: 01/02/2023] [Accepted: 01/06/2023] [Indexed: 06/17/2023]
Abstract
An abnormal and hypertrophied upper labial frenulum (ULF) can cause diastemas, gingival recession, eruption abnormalities, and the onset of carious and periodontal problems in the upper central incisors, as well as aesthetic and functional disorders of the upper lip. The goal of this investigation is to review the evidence on the surgical techniques that are currently available for treating ULF in order to identify the best approach. PubMed, Scopus, Cochrane Library, and Embase were searched for papers that matched our topic from 13 November 2012 up to 22 November 2022 using the following Boolean keywords: "frenulum" and "surgery*". A total of eight articles were selected for the purpose of the review. ULF can be surgically treated using either traditional scalpel surgery or laser surgery. The latter is the better option due to its intra- and post-operative benefits for both the patients and the clinicians, in terms of faster healing, fewer side effects and discomfort, and greater patient compliance. However, a higher learning curve is required for this technique, especially to calibrate the appropriate power of the laser. To date, it is not possible to identify which type of laser achieves the best clinical results for the treatment of ULF.
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Affiliation(s)
- Angelo Michele Inchingolo
- Department of Interdisciplinary Medicine, School of Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy
| | - Giuseppina Malcangi
- Department of Interdisciplinary Medicine, School of Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy
| | - Irene Ferrara
- Department of Interdisciplinary Medicine, School of Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy
| | - Fabio Viapiano
- Department of Interdisciplinary Medicine, School of Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy
| | - Anna Netti
- Department of Interdisciplinary Medicine, School of Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy
| | - Silvio Buongiorno
- Department of Interdisciplinary Medicine, School of Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy
| | - Giulia Latini
- Department of Interdisciplinary Medicine, School of Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy
| | - Daniela Azzollini
- Department of Interdisciplinary Medicine, School of Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy
| | - Nicole De Leonardis
- Department of Interdisciplinary Medicine, School of Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy
| | - Elisabetta de Ruvo
- Department of Interdisciplinary Medicine, School of Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy
| | - Antonio Mancini
- Department of Interdisciplinary Medicine, School of Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy
| | - Biagio Rapone
- Department of Interdisciplinary Medicine, School of Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy
| | - Daniela Di Venere
- Department of Interdisciplinary Medicine, School of Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy
| | - Assunta Patano
- Department of Interdisciplinary Medicine, School of Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy
| | - Pasquale Avantario
- Department of Interdisciplinary Medicine, School of Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy
| | - Gianluca Martino Tartaglia
- UOC Maxillo-Facial Surgery and Dentistry, Department of Biomedical, Surgical and Dental Sciences, School of Dentistry, Fondazione IRCCS Ca’ Granda, Ospedale Maggiore Policlinico, University of Milan, 20100 Milan, Italy
| | - Felice Lorusso
- Department of Innovative Technologies in Medicine and Dentistry, University of Chieti-Pescara, 66100 Chieti, Italy
| | - Antonio Scarano
- Department of Innovative Technologies in Medicine and Dentistry, University of Chieti-Pescara, 66100 Chieti, Italy
| | - Salvatore Sauro
- Department of Interdisciplinary Medicine, School of Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy
- Dental Biomaterials and Minimally Invasive Dentistry, Department of Dentistry, Cardenal Herrera-CEU University, CEU Universities, C/Santiago Ramón y Cajal, s/n., Alfara del Patriarca, 46115 Valencia, Spain
| | | | - Ioana Roxana Bordea
- Department of Oral Rehabilitation, Faculty of Dentistry, Iuliu Hațieganu University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania
| | - Francesco Inchingolo
- Department of Interdisciplinary Medicine, School of Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy
| | - Alessio Danilo Inchingolo
- Department of Interdisciplinary Medicine, School of Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy
| | - Gianna Dipalma
- Department of Interdisciplinary Medicine, School of Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy
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Management of Aberrant Frenal Attachments in Adults by Scalpel Method and 980 nm Diode Laser. Case Rep Dent 2023; 2023:7258637. [PMID: 36643590 PMCID: PMC9833900 DOI: 10.1155/2023/7258637] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2022] [Revised: 12/11/2022] [Accepted: 12/12/2022] [Indexed: 01/06/2023] Open
Abstract
Treatment modalities like electrosurgery and lasers have emerged as effective painless alternatives to scalpel methods for a frenectomy. The present case series involves ten patients, diagnosed with abnormal frenal attachments. Frenectomy was performed by 980 nm diode laser and scalpel methods. Scalpel frenectomy was performed as described by Archer and Kruger. Laser-assisted frenectomy was performed by a hemostat-guided incision using a 980 nm diode laser tip in a paintbrush motion. It was observed that Visual Analogue Scale (VAS) pain scores in patients who underwent scalpel frenectomy were comparatively higher than the laser-treated patients. In contrast, wound healing scores were higher in the scalpel group, suggesting early wound healing in the scalpel-treated patients.
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7
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Dioguardi M, Ballini A, Quarta C, Caroprese M, Maci M, Spirito F, Caloro GA, Alovisi M, Basile E, Lo Muzio L. Labial Frenectomy using Laser: A Scoping Review. Int J Dent 2023; 2023:7321735. [PMID: 37168276 PMCID: PMC10164919 DOI: 10.1155/2023/7321735] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2023] [Revised: 04/13/2023] [Accepted: 04/15/2023] [Indexed: 05/13/2023] Open
Abstract
Labial frenectomy is a surgical technique, that aims to remove the frenulum with its attachment to the underlying bone. Frenectomy, is indicated if the frenulum attachment causes midline diastema, gingival recession, hindrance in maintaining oral hygiene, or if it interferes with lip movements and for prosthetic needs. A labial frenectomy can be performed either by the routine scalpel technique, electrocautery, and most recently medical lasers. The aim of this study was to evaluate, whether the laser technique is more effective than the conventional surgical technique, and whether there are differences between the different types of lasers. The scoping review was conducted and prepared on the basis of the indications of the PRISMA guidelines (PRISMA Extension for Scoping Reviews, PRISMA-ScR) of PRISMA checklist, and nine papers were considered admissible to the qualitative analysis for the following outcomes: bleeding during intervention, use of sutures, duration of the intervention, and use of analgesic drugs in the days following the intervention. This review suggests that laser-performed labial frenectomy is faster and offers better intra- and postoperative management; however, due to the limited number of available papers, the final results of the present review are not absolute.
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Affiliation(s)
- Mario Dioguardi
- Department of Clinical and Experimental Medicine, University of Foggia, Via Rovelli 50, Foggia 71122, Italy
| | - Andrea Ballini
- Department of Clinical and Experimental Medicine, University of Foggia, Via Rovelli 50, Foggia 71122, Italy
- Department of Precision Medicine, University of Campania “Luigi Vanvitelli”, Naples 80138, Italy
| | - Cristian Quarta
- Department of Clinical and Experimental Medicine, University of Foggia, Via Rovelli 50, Foggia 71122, Italy
| | - Marino Caroprese
- Department of Clinical and Experimental Medicine, University of Foggia, Via Rovelli 50, Foggia 71122, Italy
| | - Marta Maci
- Department of Clinical and Experimental Medicine, University of Foggia, Via Rovelli 50, Foggia 71122, Italy
| | - Francesca Spirito
- Department of Clinical and Experimental Medicine, University of Foggia, Via Rovelli 50, Foggia 71122, Italy
| | - Giorgia Apollonia Caloro
- Unità Operativa Nefrologia e Dialisi, Presidio Ospedaliero Scorrano, ASL (Azienda Sanitaria Locale) Lecce, Via Giuseppina Delli Ponti, Scorrano 73020, Italy
| | - Mario Alovisi
- Department of Surgical Sciences, Dental School, University of Turin, Turin 10127, Italy
| | - Elisabetta Basile
- Department of Clinical and Experimental Medicine, University of Foggia, Via Rovelli 50, Foggia 71122, Italy
| | - Lorenzo Lo Muzio
- Department of Clinical and Experimental Medicine, University of Foggia, Via Rovelli 50, Foggia 71122, Italy
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8
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Lou ME, Kleinhenz MD, Schroeder R, Lechtenberg K, Montgomery S, Coetzee JF, Viscardi AV. Evaluating the utility of a CO2 surgical laser for piglet tail docking to reduce behavioral and physiological indicators of pain and to improve wound healing: A pilot study. Appl Anim Behav Sci 2022. [DOI: 10.1016/j.applanim.2022.105720] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022]
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9
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Mazzoni A, Navarro RS, Fernandes KPS, Mesquita-Ferrari RA, Horliana ACRT, Silva T, Santos EM, Sobral APT, Júnior AB, Nammour S, Motta LJ, Bussadori SK. Comparison of the Effects of High-Power Diode Laser and Electrocautery for Lingual Frenectomy in Infants: A Blinded Randomized Controlled Clinical Trial. J Clin Med 2022; 11:jcm11133783. [PMID: 35807068 PMCID: PMC9267408 DOI: 10.3390/jcm11133783] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2022] [Revised: 06/15/2022] [Accepted: 06/23/2022] [Indexed: 01/27/2023] Open
Abstract
The aim of the study was to evaluate the release of the lingual frenulum through frenectomy in newborns zero to 90 days of age who breastfed and had diagnosis of ankyloglossia with an indication for surgery, comparing two methods: electrocautery and a high-power diode laser. Fifty-seven patients were randomly allocated to two groups (23 submitted to electrocautery and 34 submitted to a high power diode laser). Tongue movements were evaluated based on a clinical assessment and using the Bristol Tongue Assessment Tool (BTAT) before and 15 days after the surgical procedures. The visual analog scale was administered to the mothers on the same occasions for the measurement of pain during breastfeeding. Both groups had an increased BTAT score (favorable outcome) at the post-surgical evaluation, but the anterior third of the tongue was not always free to enable the movements necessary for lingual functions. It is fundamental for surgeons to have skill and in-depth knowledge of the equipment used to avoid accidents and complications in the region of important structures. Both techniques employed in this study were safe and effective, causing little bleeding and few postoperative complications. The group submitted to a high-power diode laser exhibited less post-surgical bleeding compared to the group submitted to electrocautery and no inflammation at the edges of the surgical cut.
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Affiliation(s)
- Adriana Mazzoni
- Postgraduate Program in Biophotonics Applied to Health Sciences, Nove de Julho University (UNINOVE), São Paulo 01525-000, Brazil; (A.M.); (K.P.S.F.); (A.C.R.T.H.); (L.J.M.)
| | - Ricardo Scarparo Navarro
- Postgraduate Program in Bioengineering, Scientific and Technological Institute, Brazil University (UB), São Paulo 08230-030, Brazil;
| | - Kristianne Porta Santos Fernandes
- Postgraduate Program in Biophotonics Applied to Health Sciences, Nove de Julho University (UNINOVE), São Paulo 01525-000, Brazil; (A.M.); (K.P.S.F.); (A.C.R.T.H.); (L.J.M.)
| | - Raquel Agnelli Mesquita-Ferrari
- Postgraduate Program in Rehabilitation Sciences, Nove de Julho University (UNINOVE), São Paulo 01525-000, Brazil; (R.A.M.-F.); (T.S.)
| | - Anna Carolina Ratto Tempestini Horliana
- Postgraduate Program in Biophotonics Applied to Health Sciences, Nove de Julho University (UNINOVE), São Paulo 01525-000, Brazil; (A.M.); (K.P.S.F.); (A.C.R.T.H.); (L.J.M.)
| | - Tamiris Silva
- Postgraduate Program in Rehabilitation Sciences, Nove de Julho University (UNINOVE), São Paulo 01525-000, Brazil; (R.A.M.-F.); (T.S.)
| | - Elaine Marcílio Santos
- Postgraduate Program in Health and Environment, Metropolitan University of Santos (UNIMES), Santos 11045-002, Brazil; (E.M.S.); (A.P.T.S.)
| | - Ana Paula Taboada Sobral
- Postgraduate Program in Health and Environment, Metropolitan University of Santos (UNIMES), Santos 11045-002, Brazil; (E.M.S.); (A.P.T.S.)
| | - Aldo Brugnera Júnior
- National Institute of Science and Technology, INCT “Basic Optics Applied to Life Sciences”, UFSCar, USP, São Carlos 13565-905, Brazil;
| | - Samir Nammour
- Laser Application in Dental Medicine, Department of Dental Sciences, Faculty of Medicine, University of Liege, 4000 Liege, Belgium;
| | - Lara Jansinski Motta
- Postgraduate Program in Biophotonics Applied to Health Sciences, Nove de Julho University (UNINOVE), São Paulo 01525-000, Brazil; (A.M.); (K.P.S.F.); (A.C.R.T.H.); (L.J.M.)
| | - Sandra Kalil Bussadori
- Postgraduate Program in Biophotonics Applied to Health Sciences, Nove de Julho University (UNINOVE), São Paulo 01525-000, Brazil; (A.M.); (K.P.S.F.); (A.C.R.T.H.); (L.J.M.)
- Postgraduate Program in Rehabilitation Sciences, Nove de Julho University (UNINOVE), São Paulo 01525-000, Brazil; (R.A.M.-F.); (T.S.)
- Correspondence: ; Tel.: +55-113385-9241
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10
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Murias I, Grzech-Leśniak K, Murias A, Walicka-Cupryś K, Dominiak M, Golob Deeb J, Matys J. Efficacy of Various Laser Wavelengths in the Surgical Treatment of Ankyloglossia: A Systematic Review. Life (Basel) 2022; 12:life12040558. [PMID: 35455049 PMCID: PMC9031639 DOI: 10.3390/life12040558] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2022] [Revised: 04/03/2022] [Accepted: 04/06/2022] [Indexed: 11/16/2022] Open
Abstract
Ankyloglossia, commonly known as tongue-tie, is the most common disorder of tongue morphology characterized by aberrant attachment of the lingual frenum. This study aimed to provide a comprehensive literature review and evaluate the effectiveness of various laser wavelengths in the surgical treatment of patients with ankyloglossia. An electronic screening of PubMed and the Cochrane Central Register of Controlled Trials (CENTRAL) databases was conducted on 8 November 2021. The following search terms were used to review the available data on the subject of interest: (ankyloglossia OR tongue tie OR short lingual frenulum OR lingual frenectomy OR lingual frenulectomy OR lingual frenotomy OR lingual frenulotomy) AND laser. The use of lasers in ankyloglossia treatment resulted in shorter procedure time, reduced indications for general anesthesia, reduced administration of postoperative analgesics, fewer sutures or none needed, reduced postoperative bleeding, and improved healing. Despite many advantages, this method has its clinical limitations: it requires the use of expensive equipment; well-trained personnel familiar with lasers; and personal protective equipment for the patient, caregiver, operator, and assistant. The laser procedure does not eliminate the need for myofunctional exercises and work with a speech therapist.
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Affiliation(s)
- Iwona Murias
- EMDOLA, Wroclaw Medical University, 50-425 Wroclaw, Poland;
| | - Kinga Grzech-Leśniak
- Laser Laboratory, Oral Surgery Department, Wroclaw Medical University, 50-425 Wroclaw, Poland; (M.D.); (J.M.)
- Department of Periodontics, School of Dentistry, Virginia Commonwealth University, Richmond, VA 23298, USA;
- Correspondence:
| | - Anna Murias
- Faculty of Medicine, Pavel Jozef Šafárik University, Trieda SNP 1, 040 11 Košice, Slovakia;
| | - Katarzyna Walicka-Cupryś
- Institute of Health Sciences, Faculty of Medicine, University of Rzeszow, 35-959 Rzeszow, Poland;
| | - Marzena Dominiak
- Laser Laboratory, Oral Surgery Department, Wroclaw Medical University, 50-425 Wroclaw, Poland; (M.D.); (J.M.)
| | - Janina Golob Deeb
- Department of Periodontics, School of Dentistry, Virginia Commonwealth University, Richmond, VA 23298, USA;
| | - Jacek Matys
- Laser Laboratory, Oral Surgery Department, Wroclaw Medical University, 50-425 Wroclaw, Poland; (M.D.); (J.M.)
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11
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Baxter RT, Zaghi S, Lashley AP. Safety and efficacy of maxillary labial frenectomy in children: A retrospective comparative cohort study. Int Orthod 2022; 20:100630. [PMID: 35283058 DOI: 10.1016/j.ortho.2022.100630] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2021] [Revised: 01/24/2022] [Accepted: 01/25/2022] [Indexed: 11/18/2022]
Abstract
BACKGROUND Maxillary frenectomy in children is a common procedure, but concerns about scar tissue affecting diastema closure prevent many clinicians from treating prior to orthodontics. OBJECTIVES To determine if maxillary frenectomy is safe and if diastema size is affected by early treatment. MATERIALS AND METHODS Paediatric patients with hypertrophic maxillary frena were treated under local anaesthesia with diode laser and CO2 laser. Diastema width was compared by calibrating and digitally measuring initial and postoperative intraoral photographs. RESULTS In total, 109 patients were included: 95 patients with primary dentition (39% male; mean age 1.9 years±1.5 years) and 14 with mixed dentition (43% male; mean age 8.1±1.3 years) with a mean follow-up of 18.0±13.2 months. No adverse outcomes were noted other than minor pain and swelling. In the primary dentition, a decrease in diastema width was observed in 94.7% with a mean closure of -1.4±1.0mm (range +0.7 to -5.1mm). In the mixed dentition, a decrease in diastema width was observed in 92.9% with a mean closure of -1.8±0.8mm (range 0 to -3.5mm). 74.5% of patients in the primary dentition and 75% of patients in the mixed dentition with preoperative diastema>2mm improved to<2mm width postoperatively. CONCLUSIONS Frenectomy is associated with cosmetic and oral hygiene benefits and when performed properly, does not impede diastema closure and may aid closure. Technique and case selection are critical to successful outcomes. IRB ethics approval was obtained from Solutions IRB protocol #2018/12/8, and this investigation was self-funded.
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12
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Amaral Vargas EO, de Melo Magalhães K, Pereira Ferreira DMT, Marañón-Vásquez G, Sant'anna EF, Maia LC, Pithon MM. Clinical parameters in soft tissue adjunctive periodontal procedures for orthodontic patients: surgical laser vs scalpel. Angle Orthod 2022; 92:265-274. [PMID: 34875012 PMCID: PMC8887394 DOI: 10.2319/022621-159.1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2021] [Accepted: 10/01/2021] [Indexed: 11/23/2022] Open
Abstract
OBJECTIVES To systematically review existing literature regarding clinical parameters comparing surgical laser and conventional surgery with scalpel for soft tissue adjunctive periodontal procedures in orthodontic patients. METHODS AND MATERIALS MEDLINE, Scopus, Web of Science, The Cochrane Library, LILACS, Bibliografia Brasileira de Odontologia (Brazilian Dental Literature - BBO), Embase, Open Grey, Portal de Periódicos da Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (Coordination for the Improvement of Higher Education Personnel - CAPES), and Google Scholar were searched up to December 2020 without language restriction. Clinical trials comparing clinical parameters from surgical laser and conventional surgery with scalpel for soft tissue adjunctive periodontal procedures in orthodontic patients were selected. Risk of bias (RoB) assessments were performed using the Cochrane RoB2 tool. Narrative syntheses were performed, and the certainty of evidence was determined using the GRADE tool. RESULTS Five randomized clinical trials were included. One study was rated as low RoB, whereas others presented some concerns or high RoB. The studies were highly heterogeneous in relation to the procedure performed, laser protocol, outcomes evaluated, and follow-up periods. In general, regardless of the procedure and laser protocol used, the studies did not show significant differences between laser and scalpel for the outcomes of probing pocket depth, clinical crown length, gingival index, and relapse rate. Pain and bleeding were significantly lower with the use of laser compared with the scalpel. The certainty of evidence ranged from moderate to very low. CONCLUSIONS The existing literature on the subject is scarce and very heterogeneous and has methodological limitations. Based on the available evidence, it is not possible to draw definitive conclusions about the beneficial effect of laser use in orthodontic patients.
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13
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Hamada Y, Ricker A, Chiou LL, Prabhu S, Shin DE, Blanchard SB. Dental laser training and education in postgraduate periodontics programs in North America. J Dent Educ 2021; 86:517-525. [PMID: 34874564 DOI: 10.1002/jdd.12844] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2021] [Revised: 11/09/2021] [Accepted: 11/12/2021] [Indexed: 11/10/2022]
Abstract
INTRODUCTION The application of various lasers to treat periodontal and peri-implant diseases is gaining momentum. While laser-related dental research is ongoing, it is important to determine if current periodontal training programs are keeping pace with these new treatment modalities and actively incorporating them into their training. MATERIALS AND METHODS An electronic survey was created to evaluate the extent to which lasers are currently being used in North American periodontal programs. A brief explanation of the study and a link to the 15-question survey was emailed to 61 periodontal program directors requesting participation in the survey. The data regarding the prevalence of laser training in all the programs, which types of laser devices are used, and which surgical procedures are performed were collected and analyzed. RESULTS The response rate was 49.1% (n = 30). Among those responding to the survey, 76.7% (n = 23) of these programs reported providing clinical training in lasers, with the diode laser being the most frequently used (65.2%), followed by carbon dioxide (39.1%), neodymium-doped yttrium aluminum garnet (26.1%), and erbium:yttrium aluminum garnet lasers (26.1%). Two major reasons for not utilizing lasers as part of regular patient care were cost and lack of evidence to support laser efficacy. Three out of seven programs that do not currently use lasers plan to provide laser training in the future. Over half (56.7%) of program directors did not think that lasers would become the standard of periodontal/implant care within the next 10 years, while 20% of them believed that they would. CONCLUSIONS Laser training and education in postgraduate periodontal programs is still limited, and the majority of periodontal residents are not exposed to many types of laser devices.
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Affiliation(s)
- Yusuke Hamada
- Department of Periodontology, Indiana University School of Dentistry, Indiana University, Indianapolis, Indiana, USA
| | - Aly Ricker
- Texas A&M University College of Dentistry, Texas A&M University, College Station, Texas, USA
| | - Lan-Lin Chiou
- Department of Periodontology, Indiana University School of Dentistry, Indiana University, Indianapolis, Indiana, USA
| | | | - Daniel E Shin
- Department of Periodontology, Indiana University School of Dentistry, Indiana University, Indianapolis, Indiana, USA
| | - Steven B Blanchard
- Department of Periodontology, Indiana University School of Dentistry, Indiana University, Indianapolis, Indiana, USA
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Mazzoni A, Navarro RS, Fernandes KPS, Horliana ACRT, Mesquita-Ferrari RA, Motta PB, Silva T, Gomes AO, Martimbianco ALC, Sobral APT, Santos EM, Motta LJ, Bussadori SK. Evaluation of the effects of high-level laser and electrocautery in lingual frenectomy surgeries in infants: protocol for a blinded randomised controlled clinical trial. BMJ Open 2021; 11:e050733. [PMID: 34848514 PMCID: PMC8634217 DOI: 10.1136/bmjopen-2021-050733] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
INTRODUCTION Ankyloglossia (tongue-tie) is an anomaly characterised by an abnormally short, thick or small lingual frenulum that restricts tongue movements. This condition is considered one of the factors that can interfere with breast feeding by diminishing the ability of the newborn to latch adequately. According to the Brazilian Health Ministry, the prevalence of this anomaly among newborns is 3%-16%. Frenectomy is the most suitable surgical procedure for the treatment of ankyloglossia. The aim of this study is to compare the performance of electrocautery and high-power diode laser as forms of frenectomy. METHODS AND ANALYSIS The proposed study will be a randomised, controlled, blind clinical trial involving the participation of healthy infants 0-3 months of age with breastfeeding difficulty and a diagnosis of tongue-tie with an indication for lingual frenectomy. The guardians will receive clarifications regarding the procedures and will authorise the participation of the infants by signing a statement of informed consent. A non-blinded researcher will perform the screening and procedures and a blinded researcher will perform the postoperative evaluations. Fifty-six infants will be randomly allocated into two groups (n=28): the electrocautery group or the high-power laser group. The preparation of the patients, asepsis and infection control procedures will rigorously follow biosafety norms. For both groups, patient histories will be taken, clinical evaluations will be performed and a standardised photograph of the lingual frenulum will be taken before surgery. The Bristol Tongue Assessment Tool will be used. We will evaluate pain in the mother during breast feeding before, immediately after, and 15 days after surgery. ETHICS AND DISSEMINATION This protocol was submitted to the Research Ethics Committee of Nove de Julho University, having been given a favourable opinion (Number: 4387769). Results will be submitted to international peer-reviewed journals and presented at international conferences. TRIAL REGISTRATION NUMBER NCT04487418.
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Affiliation(s)
- Adriana Mazzoni
- Postgraduate Program in Biophotonics Applied to Health Sciences, Universidade Nove de Julho (UNINOVE), São Paulo, Brazil
| | | | | | | | - Raquel Agnelli Mesquita-Ferrari
- Postgraduate Program in Biophotonics Applied to Health Sciences, Universidade Nove de Julho (UNINOVE), São Paulo, Brazil
- Postgraduate Program in Rehabilitation Sciences, Universidade Nove de Julho (UNINOVE), São Paulo, Brazil
| | - Pamella Barros Motta
- Postgraduate Program in Biophotonics Applied to Health Sciences, Universidade Nove de Julho (UNINOVE), São Paulo, Brazil
| | - Tamiris Silva
- Postgraduate Program in Rehabilitation Sciences, Universidade Nove de Julho (UNINOVE), São Paulo, Brazil
| | - Andréa Oliver Gomes
- Postgraduate Program in Rehabilitation Sciences, Universidade Nove de Julho (UNINOVE), São Paulo, Brazil
| | - Ana Luiza Cabrera Martimbianco
- Postgraduate Program in Health and Environment, Universidade Metropolitana de Santos (UNIMES), Santos, Brazil
- Center of Health Technology Assessment, Hospital Sírio-Libanês, São Paulo, Brazil
- Cochrane Brazil Rio de Janeiro, Cochrane, Petrópolis, Brazil
| | - Ana Paula Taboada Sobral
- Postgraduate Program in Health and Environment, Universidade Metropolitana de Santos (UNIMES), Santos, Brazil
| | - Elaine Marcilio Santos
- Postgraduate Program in Health and Environment, Universidade Metropolitana de Santos (UNIMES), Santos, Brazil
| | - Lara Jansiski Motta
- Postgraduate Program in Biophotonics Applied to Health Sciences, Universidade Nove de Julho (UNINOVE), São Paulo, Brazil
| | - Sandra Kalil Bussadori
- Postgraduate Program in Biophotonics Applied to Health Sciences, Universidade Nove de Julho (UNINOVE), São Paulo, Brazil
- Postgraduate Program in Rehabilitation Sciences, Universidade Nove de Julho (UNINOVE), São Paulo, Brazil
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15
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Sobouti F, Dadgar S, Salehabadi N, Moallem Savasari A. Diode laser chairside frenectomy in orthodontics: A case series (DIODE LASER FRENECTOMY: CASE SERIES). Clin Case Rep 2021; 9:e04632. [PMID: 34401174 PMCID: PMC8353415 DOI: 10.1002/ccr3.4632] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2021] [Revised: 06/06/2021] [Accepted: 06/14/2021] [Indexed: 11/18/2022] Open
Abstract
Offering the whole orthodontic and surgical treatment to the patient as a single package in a one office can save them considerable time and the trouble. Diode laser enables orthodontists to do so while enjoying its benefits over the scalpel.
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Affiliation(s)
- Farhad Sobouti
- Dental Research CenterMazandaran University of Medical SciencesSariIran
- Department of OrthodonticsFaculty of DentistryMazandaran University of Medical SciencesSariIran
| | - Sepideh Dadgar
- Dental Research CenterMazandaran University of Medical SciencesSariIran
- Department of OrthodonticsFaculty of DentistryMazandaran University of Medical SciencesSariIran
| | - Negareh Salehabadi
- Student Research CommitteeFaculty of DentistryMazandaran University of Medical SciencesSariIran
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16
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Lebret C, Garot E, Amorim Pereira M, Fricain JC, Catros S, Fénelon M. Perioperative outcomes of frenectomy using laser versus conventional surgery: a systematic review. JOURNAL OF ORAL MEDICINE AND ORAL SURGERY 2021. [DOI: 10.1051/mbcb/2021010] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Introduction: Frenectomy is an oral surgical procedure usually performed with a scalpel. Several authors recently reported the interest of laser, as a minimally invasive and efficient alternative tool to perform frenectomy. This study aimed to compare the perioperative management of patients requiring a frenectomy using scalpel versus laser. Materials and methods: A systematic review of the literature has been carried out from Pubmed and Scopus databases following PRISMA guidelines. PICO method was used to select the relevant articles. Clinical studies comparing the perioperative outcomes of patients requiring frenectomies using scalpel versus laser were included. Results: Ten articles involving 375 patients were included. Pre-operative parameter (anxiety before surgery) and per-operative data such as anesthesia, surgery duration, bleeding, suture and difficulty were assessed. The post-operative outcomes investigated were pain, analgesics use, functional discomfort, edema, healing and satisfaction of patients. Laser achieved satisfactory peri-operative outcomes such as shorter operative time, without suturing requirement, as well as less post-operative pain and functional discomfort. Discussion: The low number of eligible studies, the different type of lasers used and heterogeneity across the methodology of the selected studies were the limits of the study. Conclusion: Laser-assisted surgery became an attractive tool to perform oral soft tissue surgery.
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17
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Onur SG. Evaluation of Pain Perception and Wound Healing After Laser-Assisted Frenectomy in Pediatric Patients: A Retrospective Comparative Study. Photobiomodul Photomed Laser Surg 2021; 39:204-210. [PMID: 33337937 DOI: 10.1089/photob.2020.4886] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Background: The maxillary labial frenulum is an attachment that connects the upper lip to the gingival tissue, and when it is too closely attached to gingival margin due to inadequate plaque control, it may put gingival health at risk. Objective: This study aimed to assess postoperative pain perception and wound healing after laser-assisted frenectomy in a pediatric population retrospectively. Methods: This study is based on the clinical records of the patients who received laser-assisted frenectomy treatment due to mucogingival problems at the pediatric dentistry department. Twenty-two patients were treated with either 2780 nm Er,Cr:YSGG laser (Waterlase iPlus; Biolase Technology, Irvine, CA, USA) or 940 nm diode laser (Epic10; Biolase Technology). The analyzed data included age, gender, frenulum insertion type, type of dental laser, postoperative pain perception, and wound healing. Postoperative pain evaluation was performed using Wong-Baker Faces Pain Rating Scale after 3 h, 1 day, 1 week, and 2 weeks. Wound surface healing was assessed through photography. Images were uploaded to the software, and changes in the wound surface area were measured in square millimeters on the day of frenectomy and on postoperative first day, first week, and second week. Results: Er,Cr:YSGG group had statistically significant better wound healing results after 1 and 2 weeks, respectively (p < 0.05). No significant difference was found between 2780 nm Er,Cr:YSGG laser and 940 nm diode laser groups in terms of pain perception. Conclusions: It can be concluded that both laser wavelengths are a safe and useful tool for frenectomies in pediatric patients with less pain. Er,Cr:YSGG laser achieved faster healing than 940 nm diode laser. Clinical Registration number: Clinical Trials gov ID NCT04368715.
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Affiliation(s)
- Sirin Guner Onur
- Department of Pediatric Dentistry, Faculty of Dentistry, Trakya University, Edirne, Turkey
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18
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Sarmadi R, Gabre P, Thor A. Evaluation of upper labial frenectomy: A randomized, controlled comparative study of conventional scalpel technique and Er:YAG laser technique. Clin Exp Dent Res 2020; 7:522-530. [PMID: 33369213 PMCID: PMC8404491 DOI: 10.1002/cre2.374] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2020] [Revised: 11/22/2020] [Accepted: 11/24/2020] [Indexed: 12/03/2022] Open
Abstract
Objectives Abnormalities in the maxillary frenum may lead to esthetic or functional limitations and need to be corrected with a surgical intervention called frenectomy. The aim of the study was to compare frenectomies performed using Er:YAG laser technology with those using a conventional scalpel technique. Comparisons were of patients' experiences, treatment times, bleeding during treatment and wound healing. Material and methods The trial was performed as a prospective, randomized and controlled, single‐blind investigation. A total of 40 patients requiring frenectomy were randomly assigned to groups which underwent either conventional or Er:YAG laser treatment. Patients' experiences, treatment time, bleeding and wound healing were evaluated immediately after surgery and 5 days, 12 days and 3 months after surgery. Results Significant increase in time spent in surgery and bleeding was seen with conventional scalpel surgery. Directly after surgery the wound area was significantly larger in the laser group but at the 5‐day evaluation no difference could be observed between the groups. Finally, patients were satisfied with both methods, giving them the same assessments. Conclusion In the frenectomy procedure, laser surgery is faster and causes less bleeding and may be advantageous in frenectomies.
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Affiliation(s)
- Roxana Sarmadi
- Department of Paediatric Dentistry, Public Dental Health, Uppsala County Council, Uppsala, Sweden.,Department of Cariology, Institute of Odontology, The Sahlgrenska Academy of Gothenburg, Gothenburg, Sweden
| | - Pia Gabre
- Department of Cariology, Institute of Odontology, The Sahlgrenska Academy of Gothenburg, Gothenburg, Sweden.,Department of Preventive Dentistry, Public Dental Health, Uppsala County Council, Uppsala, Sweden
| | - Andreas Thor
- Department of Plastic and Oral and Maxillofacial Surgery, Department of Surgical Sciences, Uppsala University, Uppsala, Sweden
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Khatri M, Puri K, Kumar A, Bansal M, Rehan M, Rajkhowa C. PeriOrtho-dontics: Together We Succeed! JOURNAL OF INDIAN ORTHODONTIC SOCIETY 2020. [DOI: 10.1177/0301574220912600] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Orthodontics and periodontics have a sophisticated elaborate interdependence as every orthodontic intervention has a periodontal extent. Although orthodontic alignment promotes adequate plaque control, many detrimental effects on the periodontium may be observed during the treatment. Periodontal intervention is required at all stages of orthodontic therapy starting from orthodontist diagnosing a case to mid-treatment analysis of periodontium and also posttreatment investigation of the case. Many a time, successful orthodontic treatment is dependent on the overall maintenance of the health of the periodontium. On the other hand, orthodontic tooth alignment may be used as an adjunctive treatment in periodontally compromised patients. This review will help in better understanding of the orthodontic–periodontal interrelationship for the better framework of the treatment approach to bring out the optimum results in patients.
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Affiliation(s)
- Manish Khatri
- Department of Periodontology, Institute of Dental Studies and Technologies, Modinagar, Ghaziabad, Uttar Pradesh, India
| | - Komal Puri
- Department of Periodontology, Institute of Dental Studies and Technologies, Modinagar, Ghaziabad, Uttar Pradesh, India
| | - Ashish Kumar
- Department of Periodontology, Institute of Dental Studies and Technologies, Modinagar, Ghaziabad, Uttar Pradesh, India
| | - Mansi Bansal
- Department of Periodontology, Institute of Dental Studies and Technologies, Modinagar, Ghaziabad, Uttar Pradesh, India
| | - Mohd. Rehan
- Department of Periodontology, Institute of Dental Studies and Technologies, Modinagar, Ghaziabad, Uttar Pradesh, India
| | - Chitrani Rajkhowa
- Department of Periodontology, Institute of Dental Studies and Technologies, Modinagar, Ghaziabad, Uttar Pradesh, India
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20
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Öztürk Özener H, Meseli SE, Sezgin G, Kuru L. Clinical Efficacy of Conventional and Diode Laser-Assisted Frenectomy in Patients with Different Abnormal Frenulum Insertions: A Retrospective Study. Photobiomodul Photomed Laser Surg 2020; 38:565-570. [DOI: 10.1089/photob.2020.4841] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- Hafize Öztürk Özener
- Department of Periodontology, Faculty of Dentistry, Marmara University, Istanbul, Turkey
| | - Suleyman Emre Meseli
- Department of Periodontology, Faculty of Dentistry, Istanbul Aydin University, Istanbul, Turkey
| | - Gamze Sezgin
- Department of Periodontology, Faculty of Dentistry, Marmara University, Istanbul, Turkey
| | - Leyla Kuru
- Department of Periodontology, Faculty of Dentistry, Marmara University, Istanbul, Turkey
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21
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Sezgin G, Öztürk Özener H, Meseli SE, Kuru L. Evaluation of Patient's Perceptions, Healing, and Reattachment After Conventional and Diode Laser Frenectomy: A Three-Arm Randomized Clinical Trial. PHOTOBIOMODULATION PHOTOMEDICINE AND LASER SURGERY 2020; 38:552-559. [PMID: 32609576 DOI: 10.1089/photob.2019.4783] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
Objective: The aim of this study is to compare the conventional and diode laser techniques in terms of patient's perceptions, epithelization, reattachment, and periodontal clinical parameters in the treatment of abnormal papillary frenum. Materials and methods: Forty-eight patients with abnormal papillary frenum were enrolled in the study. Patients were randomly assigned into three groups; conventional frenectomy operation (C group), diode laser-assisted frenectomy (L group), and diode laser-assisted frenectomy with conventional horizontal incision on the periosteum (L + P group). Postoperative pain, discomfort in speaking, and chewing scores were assessed with visual analogue scale (VAS) at postoperative 3rd hour and on days 1, 7, 14, 21, and 45. Epithelialization process of the wound surface was evaluated by hydrogen peroxide solution applied to the wound on days 7, 14, 21, and 45 following operations. The distance between the frenum attachment point and mucogingival junction (FMGJ) was recorded at baseline, postoperative 45th day, and 6th month to assess the reattachment of the frenum. Plaque index, gingival index, bleeding on probing, and probing depth were recorded at baseline and postoperative 7th, 14th, 21st, and 45th days. Results: On the 1st and 7th day after operation, VAS pain score in the C group was significantly higher than in the L and L + P groups (p < 0.017). Difficulty in speaking and chewing scores were significantly lower in the L and L + P groups compared to the C group at postoperative 3rd hour and 7th day (p < 0.017). The FMGJ and epithelization period demonstrated no difference among the groups at any time point (p > 0.05). Conclusions: Our results suggest that diode laser provides better postoperative patient's perceptions than the conventional technique in frenectomy operation. In addition, both conventional and laser-assisted frenectomy surgeries prevent the frenum reattachment regardless of periosteal horizontal incision.
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Affiliation(s)
- Gamze Sezgin
- Department of Periodontology, Faculty of Dentistry, Marmara University, Istanbul, Turkey
| | - Hafize Öztürk Özener
- Department of Periodontology, Faculty of Dentistry, Marmara University, Istanbul, Turkey
| | - Suleyman Emre Meseli
- Department of Periodontology, Faculty of Dentistry, Istanbul Aydin University, Istanbul, Turkey
| | - Leyla Kuru
- Department of Periodontology, Faculty of Dentistry, Marmara University, Istanbul, Turkey
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22
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Messner AH, Walsh J, Rosenfeld RM, Schwartz SR, Ishman SL, Baldassari C, Brietzke SE, Darrow DH, Goldstein N, Levi J, Meyer AK, Parikh S, Simons JP, Wohl DL, Lambie E, Satterfield L. Clinical Consensus Statement: Ankyloglossia in Children. Otolaryngol Head Neck Surg 2020; 162:597-611. [PMID: 32283998 DOI: 10.1177/0194599820915457] [Citation(s) in RCA: 70] [Impact Index Per Article: 17.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
OBJECTIVE To identify and seek consensus on issues and controversies related to ankyloglossia and upper lip tie in children by using established methodology for American Academy of Otolaryngology-Head and Neck Surgery clinical consensus statements. METHODS An expert panel of pediatric otolaryngologists was assembled with nominated representatives of otolaryngology organizations. The target population was children aged 0 to 18 years, including breastfeeding infants. A modified Delphi method was used to distill expert opinion into clinical statements that met a standardized definition of consensus, per established methodology published by the American Academy of Otolaryngology-Head and Neck Surgery. RESULTS After 3 iterative Delphi method surveys of 89 total statements, 41 met the predefined criteria for consensus, 17 were near consensus, and 28 did not reach consensus. The clinical statements were grouped into several categories for the purposes of presentation and discussion: ankyloglossia (general), buccal tie, ankyloglossia and sleep apnea, ankyloglossia and breastfeeding, frenotomy indications and informed consent, frenotomy procedure, ankyloglossia in older children, and maxillary labial frenulum. CONCLUSION This expert panel reached consensus on several statements that clarify the diagnosis, management, and treatment of ankyloglossia in children 0 to 18 years of age. Lack of consensus on other statements likely reflects knowledge gaps and lack of evidence regarding the diagnosis, management, and treatment of ankyloglossia. Expert panel consensus may provide helpful information for otolaryngologists treating patients with ankyloglossia.
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Affiliation(s)
- Anna H Messner
- Otolaryngology-Head and Neck Surgery, Baylor College of Medicine/Texas Children's Hospital, Houston, Texas, USA
| | | | | | | | - Stacey L Ishman
- Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA
| | | | - Scott E Brietzke
- Nemours Specialty Care, Wolfson Children's Hospital, St. Johns, Florida, USA
| | | | | | - Jessica Levi
- Boston University and Boston Medical Center, Boston, Massachusettes, USA
| | - Anna K Meyer
- UCSF School of Medicine, San Francisco, California, USA
| | - Sanjay Parikh
- University of Washington Seattle Children's Hospital, Seattle, Washington, USA
| | - Jeffrey P Simons
- Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania, USA
| | - Daniel L Wohl
- Pediatric Otolaryngology Associates, LLC, Jacksonville, Florida, USA
| | - Erin Lambie
- American Academy of Otolaryngology-Head and Neck Surgery Foundation, Alexandria, Virginia, USA
| | - Lisa Satterfield
- American Academy of Otolaryngology-Head and Neck Surgery Foundation, Alexandria, Virginia, USA
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23
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Early Creeping Attachment Noted after Mandibular Labial Frenuloplasty. Case Rep Dent 2020; 2020:3130894. [PMID: 32099684 PMCID: PMC7038411 DOI: 10.1155/2020/3130894] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2019] [Accepted: 02/04/2020] [Indexed: 11/17/2022] Open
Abstract
Recession of the mandibular central incisors is frequently associated with high frenum insertion. Often times, this recession is accompanied by a lack of sufficient amount of keratinized tissue and absence of attached gingiva. In this case report, an ASA I patient presented with Cairo Recession Type 2 (RT2) and a minimal amount of keratinized tissue on the mandibular central incisors and underwent frenuloplasty in the anterior mandible with the use of a conventional scalpel technique due to high frenum attachment. The results demonstrated creeping attachment of 1.0 mm as early as 10 days postoperatively resulting in complete root coverage and closure of the interproximal space between teeth #24 and 25. A second soft tissue surgery was avoided due to complete root coverage which remained stable at the 6-month follow-up appointment.
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Tanik A, Cicek Y. Evaluation of the distance between the central teeth after frenectomy: a randomized clinical study. Eur Oral Res 2020; 55:99-103. [PMID: 34250477 PMCID: PMC8244937 DOI: 10.26650/eor.20210030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2020] [Revised: 12/27/2020] [Accepted: 01/10/2021] [Indexed: 11/20/2022] Open
Abstract
Purpose: The present study aimed to evaluate the periodontal status and the distance
between the teeth one year after frenectomy in patients with abnormal frenums in
the maxillary and mandibular midline. Materials and methods: This study included 50 patients (24 men and 26 women) between the ages of 13
and 53 who have frenum-induced diastemas between the incisors. The abnormal
frenums were removed via conventional frenectomy. The distances between
the teeth before and one year after the surgery were measured with a caliper. To
determine the periodontal status, the pocket depth, plaque index, and bleeding
on probing were measured from four surfaces. In addition, the amount of attached
gingiva and degree of gingival recession were recorded and were statistically
analysed. Results: A significant decrease in the distance between teeth before and after frenectomy
was observed (p<0.05). There was a statistically significant difference in the amount
of gingival attachment, pocket depth, degree of gingival recession, plaque index,
and bleeding on probing (p<0.05). Conclusion: The removal of abnormal frenums with frenectomy can contribute to the reduction
in the distance between the teeth. In addition, frenectomy increases the amount
of gingiva and decreases the depth of the pocket, gingival recession, amount of
plaque, and bleeding.
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Affiliation(s)
- Abdulsamet Tanik
- Department of Periodontology, Faculty of Dentistry, Adıyaman University, Adıyaman,Turkey
| | - Yasin Cicek
- Department of Periodontology, Faculty of Dentistry, Adıyaman University, Adıyaman,Turkey
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Varadan M, Chopra A, Sanghavi A, Sivaraman K, Gupta K. Etiology and clinical recommendations to manage the complications following lingual frenectomy: A critical review. JOURNAL OF STOMATOLOGY, ORAL AND MAXILLOFACIAL SURGERY 2019; 120:549-553. [DOI: 10.1016/j.jormas.2019.06.003] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/02/2019] [Revised: 05/07/2019] [Accepted: 06/18/2019] [Indexed: 11/25/2022]
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Abstract
In the oropharyngeal region examinations, the abeslang (tongue depressor) used to create a wider field of vision and press down the tongue to make the pharynx easier. In order to look under the tongue, the depressor is redesigned so that it can be examined under the tongue and transformed into a retractor by creating an angle in the body of the present invention. This technique is intended to be used in conjunction with new technology surgical procedures. Our invention consists of the stem (1), the body (2), the end (3) and the notch (4), and the angle (5) in the angled model. This model, which is more effective than the routine tongue depressors at the same time it will not make any difference regarding cost. It will also allow the use of new surgical techniques while at the same time ensuring the exclusion of language in operations.
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Efficacy and safety of diode laser during circumvestibular incision for Le Fort I osteotomy in orthognathic surgery: a triple-blind randomized clinical trial. Lasers Med Sci 2019; 35:395-402. [PMID: 31273569 DOI: 10.1007/s10103-019-02832-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2019] [Accepted: 06/20/2019] [Indexed: 10/26/2022]
Abstract
The aim of this triple-blind randomized clinical trial was to evaluate the efficacy and safety of diode laser during circumvestibular incisions for Le Fort I osteotomy in orthognathic surgeries in comparison with conventional techniques using electrocautery and scalpel. Patients were randomly allocated to one of three groups based on the technique employed to perform incisions: diode laser, electrocautery, and scalpel. The parameters used to evaluate the efficacy and safety of diode laser were incision velocity, duration of surgery, bleeding rate, alterations in postoperative functions, pain, edema, wound clinical healing, and infection. Thirty patients were enrolled in the study (10 per group). Regarding bleeding, the incisions performed with diode laser promoted a lower bleeding rate compared with scalpel and electrocautery (p = 0.00). The diode surgical laser was effective during the incision procedure, but required a longer time to perform the incisions compared with the other techniques evaluated (p < 0.05). No statistically significant difference was detected between groups regarding total surgical time or other safety parameters (p > 0.05). Thus, diode laser proved to be effective and safer during circumvestibular incisions for Le Fort I osteotomy than conventional devices.
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Protásio ACR, Galvão EL, Falci SGM. Laser Techniques or Scalpel Incision for Labial Frenectomy: A Meta-analysis. J Maxillofac Oral Surg 2019; 18:490-499. [PMID: 31624426 DOI: 10.1007/s12663-019-01196-y] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2017] [Accepted: 02/02/2019] [Indexed: 11/29/2022] Open
Abstract
Introduction Labial frenectomy is a common procedure in the oral surgery specialty. Nowadays, laser surgery seems to provide better post-operative results than scalpel surgery. Thus, the aim of this study was to analyze whether trans-surgical and postoperative variables of labial frenectomy are better when performed with laser than with conventional scalpel. Materials and Methods A systematic review has been performed based on PRISMA criteria. The search included three databases, with no limitations of time or language. After screening, seven papers were included in qualitative analysis and six in meta-analysis. Bias analysis was performed according to Cochrane Handbook. Pain during the first (MD - 3.18, 95% CI - 4.03 to - 2.32) and seventh post-surgical days (MD - 1.04, 95% CI - 1.45 to - 0.64); discomfort during speech on the first (MD - 2.15, 95% CI - 3.94 to - 0.37) and the seventh post-surgical days (MD - 1.60, 95% CI - 1.96 to - 1.24); discomfort during chewing on the first (MD - 2.90, 95% CI - 3.35 to - 2.45) and the seventh days (MD - 1.56, 95% CI - 2.21 to - 0.91); and average surgery time (MD - 1.84, 95% CI - 3.22 to - 0.46) were lower in the laser group than in the scalpel group. Conclusion The results of this systematic review have shown better results to laser group in the following variables: pain, discomfort during speech and chewing. However, the evidence is limited due the high risk of bias.
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Affiliation(s)
- Ana Cláudia Rocha Protásio
- 1Department of Dentistry, Clinic of Surgery/Federal University of Jequitinhonha and Mucuri Valleys- UFVJM, Rua da Glória, 187, Diamantina, MG 39100-000 Brazil
| | - Endi Lanza Galvão
- 2Research Center René Rachou, Fundação Oswaldo Cruz, Av. Augusto de Lima, 1715 - Barro Preto, Belo Horizonte, MG 30190-002 Brazil
| | - Saulo Gabriel Moreira Falci
- 1Department of Dentistry, Clinic of Surgery/Federal University of Jequitinhonha and Mucuri Valleys- UFVJM, Rua da Glória, 187, Diamantina, MG 39100-000 Brazil
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Ipek H, Kirtiloglu T, Diraman E, Acikgoz G. A comparison of gingival depigmentation by Er:YAG laser and Kirkland knife: osmotic pressure and visual analog scale. J COSMET LASER THER 2018; 21:209-212. [PMID: 30118615 DOI: 10.1080/14764172.2018.1511912] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
Background: The aim of this study was to compare osmotic pressure (OP) 1 week after the gingival depigmentation in two diffeent methods: Er: YAG laser and Kirkland knife. Methods: This study included 20 patients, 13 women, and 7 men who had esthetic complaints of gingival melanin hyperpigmentation. The left side of the maxilla and mandible were depigmented with Er:YAG laser using air and water spray and the right side was removed with a Kirkland knife. Gingival biopsies were obtained from attached gingiva of operation sides with approximate dimensions of 2 mm × 2 mm before and 1 week after the depigmentation. The visual analog scale (VAS) was used to evaluate the pain level experienced by each patient. Results: Patients reported no pain at the gingivoplasty sides after 4 days and at the laser sides after 3 days. There were not statistical differences between laser and gingivoplasty groups according to values of OP (P > 0.05). Conclusion: According to results of wound healing, OP and VAS, two depigmentation procedures can be used safely and effectively.
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Affiliation(s)
| | - Tugrul Kirtiloglu
- Department of Periodontology, Faculty of Dentistry, University of Ondokuz Mayis , Samsun , Turkey
| | - Emine Diraman
- Department of Molecular Biology, Faculty of Science, University of Ondokuz Mayis , Samsun , Turkey
| | - Gokhan Acikgoz
- Department of Periodontology, Faculty of Dentistry, University of Aydin , Istanbul , Turkey
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Uraz A, Çetiner FD, Cula S, Guler B, Oztoprak S. Patient perceptions and clinical efficacy of labial frenectomies using diode laser versus conventional techniques. JOURNAL OF STOMATOLOGY, ORAL AND MAXILLOFACIAL SURGERY 2018; 119:182-186. [PMID: 29410192 DOI: 10.1016/j.jormas.2018.01.004] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/31/2017] [Revised: 01/05/2018] [Accepted: 01/29/2018] [Indexed: 11/25/2022]
Abstract
INTRODUCTION The aim of present study was to compare the keratinized gingival tissue measurements, degree of subjective complaints and functional complications of using an 980nm diode laser versus a scalpel for labial frenectomies. MATERIAL AND METHODS Thirty-six patients requiring labial frenectomies, between 14 and 51 years old, were randomly assigned to either scalpel or diode laser treatments. The soft tissue measurements, including the keratinized gingiva width (KGW), attached gingiva width (AGW) and attached gingiva thickness (AGT), were recorded before surgery, immediately after, one week later and one, three and six months after surgery. In addition, the functional complications and the morbidity (level of pain, swelling and redness) were evaluated during the first postoperative week using a visual analog scale (VAS). RESULTS We determined statistically significant gains in the KGW, AGW and AGT after surgery in both groups; however, there was no significant difference between the study groups. The VAS scores indicated that the patients treated with a diode laser had less discomfort and functional complications compare with scalpel surgery. DISCUSSION The results described above show that diode laser surgery offers a safe, impressive alternative for labial frenectomies that are comfortable for the patients.
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Affiliation(s)
- A Uraz
- Gazi University, Faculty of Dentistry, Department of Periodontology, 8. cadde, 82. Sok 06510 Emek, Ankara, Turkey.
| | - F D Çetiner
- Gazi University, Faculty of Dentistry, Department of Periodontology, 8. cadde, 82. Sok 06510 Emek, Ankara, Turkey
| | - S Cula
- Başkent University, Faculty of Commercial Sciences, Department of Insurance and Risk, Ankara, Turkey
| | - B Guler
- Dumlupınar University, Faculty of Dentistry, Department of Periodontology, Kütahya, Turkey
| | - S Oztoprak
- Gazi University, Faculty of Dentistry, Department of Periodontology, 8. cadde, 82. Sok 06510 Emek, Ankara, Turkey
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Sant'Anna EF, Araújo MTDS, Nojima LI, Cunha ACD, Silveira BLD, Marquezan M. High-intensity laser application in Orthodontics. Dental Press J Orthod 2018; 22:99-109. [PMID: 29364385 PMCID: PMC5784822 DOI: 10.1590/2177-6709.22.6.099-109.sar] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2017] [Accepted: 08/28/2017] [Indexed: 11/21/2022] Open
Abstract
Introduction: In dental practice, low-level laser therapy (LLLT) and high-intensity laser therapy (HILT) are mainly used for dental surgery and biostimulation therapy. Within the Orthodontic specialty, while LLLT has been widely used to treat pain associated with orthodontic movement, accelerate bone regeneration after rapid maxillary expansion, and enhance orthodontic tooth movement, HILT, in turn, has been seen as an alternative for addressing soft tissue complications associated to orthodontic treatment. Objective: The aim of this study is to discuss HILT applications in orthodontic treatment. Methods: This study describes the use of HILT in surgical treatments such as gingivectomy, ulotomy, ulectomy, fiberotomy, labial and lingual frenectomies, as well as hard tissue and other dental restorative materials applications. Conclusion: Despite the many applications for lasers in Orthodontics, they are still underused by Brazilian practitioners. However, it is quite likely that this demand will increase over the next years - following the trend in the USA, where laser therapies are more widely used.
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Affiliation(s)
- Eduardo Franzotti Sant'Anna
- Universidade Federal do Rio de Janeiro, Departamento de Odontopediatria e Ortodontia (Rio de Janeiro/RJ, Brazil)
| | - Mônica Tirre de Souza Araújo
- Universidade Federal do Rio de Janeiro, Departamento de Odontopediatria e Ortodontia (Rio de Janeiro/RJ, Brazil)
| | - Lincoln Issamu Nojima
- Universidade Federal do Rio de Janeiro, Departamento de Odontopediatria e Ortodontia (Rio de Janeiro/RJ, Brazil)
| | - Amanda Carneiro da Cunha
- Universidade Federal do Rio de Janeiro, Departamento de Odontopediatria e Ortodontia (Rio de Janeiro/RJ, Brazil)
| | - Bruno Lopes da Silveira
- Universidade Federal de Santa Maria, Departamento de Odontologia Restauradora (Santa Maria/RS, Brazil)
| | - Mariana Marquezan
- Universidade Federal de Santa Maria, Departamento de Estomatologia, Disciplina de Ortodontia (Santa Maria/RS, Brazil).
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Jaeger F, Chiavaioli GM, de Toledo GL, Freire-Maia B, Amaral MBF, Mesquita RA. High-power diode laser in the circumvestibular incision for Le Fort I osteotomy in orthognathic surgery: a prospective case series study. Lasers Med Sci 2017; 33:51-56. [PMID: 28951983 DOI: 10.1007/s10103-017-2333-4] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2017] [Accepted: 09/19/2017] [Indexed: 12/17/2022]
Abstract
The incisions during orthognathic surgery are classically performed with conventional scalpel or electrocautery. Considering that the high-power diode laser surgery may provide advantages when compared to conventional incision techniques, the current study aimed to present a prospective case series of patients submitted to circumvestibular incision for Le Fort I osteotomy. Ten patients with dentofacial deformities who underwent to rapid assisted maxillary expansion or bimaxillary orthognathic surgery were enrolled in the study. All incisions were performed by a single surgeon using an 808-nm diode laser, with an optical fiber of 600 μm, at a power of 2.5 W, in a continuous-wave mode. The performance of the incision was evaluated by incision velocity, bleeding, edema, secondary infection, clinical healing, and pain. The velocity of the incision ranged from 0.10 to 0.20 mm/s (mean 0.13 ± 0.03 mm/s). Considering bleeding during the soft tissue incision, all surgeries were classified as absent bleeding. All patients presented a clinical healing of the surgical wound in a period that range from 3 to 5 weeks and experienced swelling during the follow-up period. On average, approximately 50% of the swelling had resolved after the third postoperative week, and 28.8% of swelling remained after 2 months after the surgery. The pain decreased after 2 and 3 days, and 90.0% of the patients reported no pain after 7 postoperative days. High-power diode laser is effective and safety during circumvestibular incisions for Le Fort I osteotomy in orthognathic surgery decreasing bleeding, surgery time, pain, and edema after orthognathic surgery.
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Affiliation(s)
- Filipe Jaeger
- Department of Oral Surgery and Pathology, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
- Department of Dentistry, Pontifícia Universidade Católica de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
- Department of Dentistry, Centro Universitário Newton Paiva, Belo Horizonte, Brazil.
- Oral and Maxillofacial Sugery Service, Baleia Hospital - CENTRARE, Belo Horizonte, Brazil.
| | | | | | - Belini Freire-Maia
- Department of Dentistry, Pontifícia Universidade Católica de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
- Oral and Maxillofacial Sugery Service, Baleia Hospital - CENTRARE, Belo Horizonte, Brazil
| | - Marcio Bruno Figueiredo Amaral
- Department of Oral Surgery and Pathology, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
- Oral and Maxillofacial Sugery Service, Baleia Hospital - CENTRARE, Belo Horizonte, Brazil
| | - Ricardo Alves Mesquita
- Department of Oral Surgery and Pathology, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
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A preliminary randomized clinical trial comparing diode laser and scalpel periosteal incision during implant surgery: impact on postoperative morbidity and implant survival. Lasers Med Sci 2017; 33:19-25. [PMID: 28861729 DOI: 10.1007/s10103-017-2315-6] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2017] [Accepted: 08/24/2017] [Indexed: 10/19/2022]
Abstract
The aim of this preliminary randomized clinical trial was to compare: (1) post-operative morbidity after application of laser or scalpel incision for flap advancement during implant surgery and bone grafting and (2) implant survival rate following flap advancement with laser or scalpel incision after 6 months of loading. Eighteen patients who were scheduled for dental implant placement and simultaneous bone grafting were randomly assigned to test or control groups. Diode laser (810 nm, 2 W, pulse interval 200 μs; pulse length 100 μs, 400-μm initiated fiber tip), or scalpel (control) was used to sever the periosteum to create a tension-free flap. Visual analogue scale (VAS) pain score, rate of nonsteroid anti-inflammatory drug (NSAID) consumption, intensity of swelling, and ecchymosis were measured for the six postsurgical days. Six months after loading, implant survival was assessed. VAS pain score (during the first four postoperative days), rate of NSAID consumption (during the first three postoperative days), and intensity of swelling (during the first five postoperative days) were significantly lower in the test group compared to the control group (All P values < 0.05). One patient in the control group experienced ecchymosis. All implants were successful in function. Application of laser for performing periosteal releasing incision reduced the incidence and severity of postoperative morbidity of the patients undergone implant surgery in conjunction with bone augmentation procedure. We did not find any detrimental effect of laser incision on the implant survival within 6 months of loading.
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Tracy LF, Gomez G, Overton LJ, McClain WG. Hypovolemic shock after labial and lingual frenulectomy: A report of two cases. Int J Pediatr Otorhinolaryngol 2017; 100:223-224. [PMID: 28802376 DOI: 10.1016/j.ijporl.2017.07.013] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/19/2017] [Revised: 07/05/2017] [Accepted: 07/12/2017] [Indexed: 11/27/2022]
Abstract
Lingual and labial frenulectomy are commonly performed as an outpatient procedure, either in an office setting or under general anesthesia. Frenulectomy is generally regarded by both otolaryngologists and dentists as a straightforward and low-risk procedure with limited evidence-based indications and similarly few contraindications. We describe two cases of hypovolemic shock occurring after outpatient frenulectomy requiring emergent interventions of cardiopulmonary resuscitation and blood transfusion. These rare, but life-threatening outcomes warrant recognition as potential complications for the presumed benign labial and lingual frenulectomy. We additionally briefly review indications for upper labial and lingual frenulectomy.
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Affiliation(s)
- Lauren F Tracy
- University of North Carolina, Department of Otolaryngology/Head and Neck Surgery, 101 Manning Drive, Chapel Hill, NC 27599, USA.
| | - Gabriel Gomez
- University of North Carolina, Department of Pediatric Otolaryngology, 101 Manning Drive, Chapel Hill, NC 27599, USA
| | - Lewis J Overton
- University of North Carolina, Department of Otolaryngology/Head and Neck Surgery, 101 Manning Drive, Chapel Hill, NC 27599, USA
| | - Wade G McClain
- University of North Carolina, Department of Pediatric Otolaryngology, 101 Manning Drive, Chapel Hill, NC 27599, USA
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Seifi M, Matini NS. Laser Surgery of Soft Tissue in Orthodontics: Review of the Clinical Trials. J Lasers Med Sci 2017; 8:S1-S6. [PMID: 29263776 DOI: 10.15171/jlms.2017.s1] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Introduction: 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. Methods: 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. Results: Only eight studies met the inclusion criteria. No significant difference was 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. Conclusion: 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.
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Affiliation(s)
- Massoud Seifi
- Tayebi Research Center, Marquette University, Wisconsin, USA.,Dentofacial Deformities Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Negin-Sadat Matini
- School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran
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Zeinoun T, Majzoub Z, Khoury C, Nammour S. CO 2 Laser-Mediated Apically Positioned Flap in Areas Lacking Keratinized Gingiva. Laser Ther 2017; 26:121-127. [PMID: 28785132 PMCID: PMC5539379 DOI: 10.5978/islsm.17-or-10] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2016] [Accepted: 01/27/2017] [Indexed: 12/24/2022]
Abstract
BACKGROUND AND OBJECTIVES Autogenous gingival grafts are considered the "gold standard" for gingival augmentation, however they require a second surgical site for graft harvesting. Apically positioned flaps (APFs) represent an alternative method in soft tissue augmentation procedures. Limited information is available relative to the effectiveness of laser-mediated APF in augmenting keratinized gingiva (KG). The aim of this paper is to evaluate soft tissues changes following APF using CO2 laser in mandibular incisors with minimal KG and high labial frenum attachment. MATERIALS AND METHODS A total of 20 patients with minimal amount of KG (< 2 mm) on the labial aspect of one mandibular incisor and high buccal frenum insertion were selected for treatment. Only 19 completed the last follow-up visit. An APF consisting of a single superficial horizontal incision just coronal to the mucogingival junction using CO2 laser, elevation of a split-thickness flap, and suturing of the flap to the periosteum in an apical position was performed. The apico-coronal height of KG was measured at baseline, and at 3, 6 and 12 months postoperatively. RESULTS Uneventful healing was observed in all patients and an increase in KG of 2-3 mm was obtained. Most patients rated the procedure and the postoperative course as non painful. CONCLUSIONS CO2 laser-assisted APF procedure is a minimally invasive treatment modality associated with reduced risk of bleeding and predictable increase in the height of KG.
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Affiliation(s)
- Toni Zeinoun
- Department of Oral and Maxillofacial Surgery, Faculty of Dental Medicine, Lebanese University, Beirut, Lebanon
| | - Zeina Majzoub
- Department of Periodontology, Faculty of Dental Medicine, Lebanese University, Beirut, Lebanon
| | - Carlos Khoury
- Department of Oral and Maxillofacial Surgery, Faculty of Dental Medicine, Lebanese University, Beirut, Lebanon
| | - Samir Nammour
- Department of Dental Sciences, Faculty of Medicine, University of Liège, Belgium
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Theerasopon P, Wangsrimongkol T, Sattayut S. Soft tissue molding technique in cleft lip and palate patient using laser surgery in combination with orthodontic appliance: A case report. Laser Ther 2017; 26:59-64. [PMID: 28740330 DOI: 10.5978/islsm.17-cr-02] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2016] [Accepted: 10/18/2016] [Indexed: 11/06/2022]
Abstract
BACKGROUND Although surgical treatment protocols for cleft lip and palate patients have been established, many patients still have some soft tissue defects after complete healing from surgical interventions. These are excess soft tissue, high attached fraena and firmed tethering scares. These soft tissue defects resulted shallowing of vestibule, restricted tooth movement, compromised periodontal health and trended to limit the maxillary growth. The aim of this case report was to present a method of correcting soft tissue defects after conventional surgery in cleft lip and palate patient by using combined laser surgery and orthodontic appliance. CASE REPORT A bilateral cleft lip and palate patient with a clinical problem of shallow upper anterior vestibule after alveolar bone graft received a vestibular extension by using CO2 laser with ablation and vaporization techniques at 4 W and continuous wave. A customized orthodontic appliance, called a buccal shield, was placed immediately after surgery and retained for 1 month to 3 months until complete soft tissue healing. The procedures were performed 2 episodes. Both interventions used the same CO2 laser procedure. The first treatment resulted in partial re-attachment of soft tissue at surgical area. The second laser operation with the proper design of buccal shield providing passive contact with more extended flange resulting in a favorable outcome from 1 year follow up. Then the corrective orthodontic treatment could be continued effectively. CONCLUSION The CO2 laser surgery was a proper treatment for correcting soft tissue defects and the design of buccal shield was a key for success in molding surgical soft tissue.
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Affiliation(s)
- Pornpat Theerasopon
- Department of Orthodontics, School of Dentistry, University of Phayao, Phayao, Thailand and Lasers in Dentistry Research Group, Khon Kaen University
| | | | - Sajee Sattayut
- Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Khon Kaen University, Khon Kaen, Thailand and Lasers in Dentistry Research Group, Khon Kaen University
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Komori S, Matsumoto K, Matsuo K, Suzuki H, Komori T. Clinical Study of Laser Treatment for Frenectomy of Pediatric Patients. Int J Clin Pediatr Dent 2017; 10:272-277. [PMID: 29104388 PMCID: PMC5661042 DOI: 10.5005/jp-journals-10005-1449] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2017] [Accepted: 03/01/2017] [Indexed: 12/03/2022] Open
Abstract
Aim To suggest regarding the timing of oral surgery and laser treatment for frenulum abnormalities in the pediatric population. Materials and methods We investigated the sex, age, frenulum site, reason for consultation, treatment method, and prognosis of 35 patients aged 15 years or younger and who were examined at our hospital for the chief complaint of frenulum abnormality. Results A total of 21 (mean age, 6.0 years) of the 35 patients underwent frenectomy using a carbon dioxide (CO2) laser. Of these, 7 patients (mean age, 2.8 years) underwent the procedure with general anesthesia and 14 patients (mean age, 7.6 years) underwent the procedure with local anesthesia. The surgical site was the lingual frenulum in 15 patients and the maxillary labial frenulum in 6 patients. No adverse events were intraoperatively reported in any of the patients, and the procedure was quickly and safely performed. The mean postoperative follow-up period was 4.6 months, and readhesion was noted in one patient (4.8%). The most common reason cited for not undergoing frenectomy in the 14 patients (mean age, 3.4 years) was the young age of the child. Conclusion Retrospective study of pediatric patients with frenulum abnormalities demonstrated the usefulness of the CO2 laser in performing frenectomy and offered suggestions regarding the timing of this procedure. Clinical significance Frenectomy performed using a CO2 laser for pediatric patients is a useful, simple, and safe treatment method. How to cite this article Komori S, Matsumoto K, Matsuo K, Suzuki H, Komori T. Clinical Study of Laser Treatment for Frenectomy of Pediatric Patients. Int J Clin Pediatr Dent 2017;10(3):272-277.
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Affiliation(s)
- Sayaka Komori
- Attending Staff, Department of Oral and Maxillofacial Surgery, Graduate School of Medicine, Kobe University, Chuo-ku, Kobe, Japan
| | - Kousuke Matsumoto
- Assistant Professor, Department of Oral and Maxillofacial Surgery, Graduate School of Medicine, Kobe University, Chuo-ku, Kobe, Japan
| | - Kenji Matsuo
- Undergraduate Student, Department of Oral and Maxillofacial Surgery, Graduate School of Medicine, Kobe University, Chuo-ku, Kobe, Japan
| | - Hiroaki Suzuki
- Lecturer, Department of Oral and Maxillofacial Surgery, Graduate School of Medicine, Kobe University, Chuo-ku, Kobe, Japan
| | - Takahide Komori
- Professor, Department of Oral and Maxillofacial Surgery, Graduate School of Medicine, Kobe University, Chuo-ku, Kobe, Japan
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Tachmatzidis T, Dabarakis N. Technology of Lasers and Their Applications in Oral Surgery: Literature Review. BALKAN JOURNAL OF DENTAL MEDICINE 2016. [DOI: 10.1515/bjdm-2016-0021] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Summary
The word “Laser” is an acronym for “Light Amplification by Stimulated Emission of Radiation”. Recent advances in laser technology have brought a kind of revolution in dentistry. The purpose of this article is to provide an overview of clinical application of lasers in oral medicine and especially in oral surgery, including their advantages, disadvantages and safety.
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Affiliation(s)
- Theodoros Tachmatzidis
- Aristotle University of Thessaloniki Dept. of Dentoalveolar Surgery Implantology & Radiology Thessaloniki, Greece
| | - Nikolaos Dabarakis
- Aristotle University of Thessaloniki Dept. of Dentoalveolar Surgery Implantology & Radiology Thessaloniki, Greece
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Smith MM. Letter to the Editor Response. J Vet Dent 2016. [DOI: 10.1177/089875640602300402] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Abullais SS, Dani N, Ningappa P, Golvankar K, Chavan A, Malgaonkar N, Gore A. Paralleling technique for frenectomy and oral hygiene evaluation after frenectomy. J Indian Soc Periodontol 2016; 20:28-31. [PMID: 27041834 PMCID: PMC4795129 DOI: 10.4103/0972-124x.175170] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Background: High frenum attachment is a very common problem in the population. Various conventional techniques are available which has certain disadvantages; in addition to that high frenum also hinders oral hygiene maintenance. This study aims to evaluate patient's response to two different frenectomy technique, and oral hygiene maintenance before and after frenectomy. Materials and Methods: Twenty patients with high labial frenum were randomly selected from the outpatient department. Patients were divided into two groups according to the technique used. Each group contained ten patients. One group was treated by “conventional scalpel technique” and other group by “new paralleling technique”. To evaluate patients response, visual analogue scale for pain and speech were taken at first postoperative day, 1-week and 1-month. In other part of the study the oral hygiene maintenance was evaluated by using plaque and gingival bleeding index at baseline before frenectomy, 1-week and 1-month after frenectomy. Results: Results showed that new paralleling technique for frenectomy causes less postoperative discomfort and also there was significant improvement in the oral hygiene maintenance by the patient after frenectomy. Conclusion: High maxillary frenum causes hindrance in oral hygiene maintenance. Paralleling technique for frenectomy causes less discomfort to the patient during healing phase when compared with the conventional technique.
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Affiliation(s)
- Shahabe Saquib Abullais
- Department of Periodontics, Yogita Dental College and Hospital, Khed, Ratnagiri, Maharashtra, India
| | - Nitin Dani
- Department of Periodontics, M.G.V Dental College and Hospital, Nasik, Maharashtra, India
| | - Priyanka Ningappa
- Department of Periodontics, Yogita Dental College and Hospital, Khed, Ratnagiri, Maharashtra, India
| | - Kapil Golvankar
- Department of Endodontics, Yogita Dental College and Hospital, Khed, Ratnagiri, Maharashtra, India
| | - Amit Chavan
- Department of Periodontology and Implantology, Dr. D. Y. Patil Dental College and Hospital, Navi Mumbai, Maharashtra, India
| | - Nikhil Malgaonkar
- Department of Oral Pathology, Yogita Dental College and Hospital, Khed, Ratnagiri, Maharashtra, India
| | - Anup Gore
- Department of Periodontics, M.G.V Dental College and Hospital, Nasik, Maharashtra, India
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Akpınar A, Toker H, Lektemur Alpan A, Çalışır M. Postoperative discomfort after Nd:YAG laser and conventional frenectomy: comparison of both genders. Aust Dent J 2016; 61:71-75. [PMID: 25892582 DOI: 10.1111/adj.12333] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/15/2015] [Indexed: 11/28/2022]
Abstract
BACKGROUND Evidence has suggested that males and females experience and report feeling pain differently. The aim of this study was to determine the postoperative perception levels of both females and males after neodymium-doped yttrium aluminum garnet (Nd:YAG) laser frenectomy and conventional frenectomy, and to compare the perceptions between genders. METHODS Eighty-nine patients requiring frenectomy were randomly assigned to have treatment with either the conventional frenectomy or with the Nd:YAG laser. Postoperative discomfort (pain, chewing, talking) was recorded using a visual analog scale (VAS) on the operation day and postoperative days 1, 3, 7 and 10. RESULTS According to the female VAS scores of the pain, chewing and speaking discomfort were statistically higher in the conventional group than those of the laser group on the operation day, and on the first and third postoperative days. Pain discomfort in males was statistically higher in the conventional group than those of the laser group on the operation day. Speaking discomfort in males was statistically higher in the conventional group than those of the laser group on the operation day and the first postoperative day. CONCLUSIONS The present study indicated that Nd:YAG laser treatment used for frenectomies provides better postoperative comfort for each gender, especially in females in terms of pain, chewing and speaking than the conventional procedure up to the seventh postoperative day. According to our results, Nd:YAG laser may provide a safe, bloodless, painless surgery and an impressive alternative for frenectomy operations.
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Affiliation(s)
- A Akpınar
- Department of Periodontology, Faculty of Dentistry, Cumhuriyet University, Sivas, Turkey
| | - H Toker
- Department of Periodontology, Faculty of Dentistry, Cumhuriyet University, Sivas, Turkey
| | - A Lektemur Alpan
- Department of Periodontology, Faculty of Dentistry, Cumhuriyet University, Sivas, Turkey
| | - M Çalışır
- Department of Periodontology, Faculty of Dentistry, Adiyaman University, Adiyaman, Turkey
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Milling Tania SD, Sathiasekar C, Anison JJ, Samyukta Reddy BV. The extended tentacles of laser - From diagnosis to treatment in orthodontics: An overview. J Pharm Bioallied Sci 2015; 7:S387-92. [PMID: 26538884 PMCID: PMC4606626 DOI: 10.4103/0975-7406.163462] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
Since the introduction of lasers in dentistry in the mid-1990's, research in laser supported dental therapies is progressing at a rapid pace. Orthodontics is no exception. In orthodontics, lasers have many diagnostic, therapeutic, and biomodulating applications. To update the various applications of lasers in orthodontics. Lasers work by delivering energy in the form of light. Laser, striking the biological tissues can either get reflected, absorbed or scattered depending on several factors. Depending on the fate of the emitted laser, it can be applied for different diagnostic, therapeutic and surgical procedures. The knowledge and understanding of different types of lasers and its specific applications is a prerequisite before it can be applied beneficially. In Orthodontics, the versatility of laser has expanded into bonding, curing, debonding, imaging, growth modification, pain reduction, etc. Definitely laser has extended its tentacles from diagnosis to treatment in orthodontics.
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Affiliation(s)
- S D Milling Tania
- Department of Orthodontics, Rajas Dental College and Hospital, Tirunelveli, Tamil Nadu, India
| | - Cynthia Sathiasekar
- Department of Oral Pathology, Rajas Dental College and Hospital, Tirunelveli, Tamil Nadu, India
| | - Job Jacob Anison
- Department of Orthodontics, Tagore Dental College and Hospital, Rathinamangalam, Chennai, Tamil Nadu, India
| | - B V Samyukta Reddy
- Department of Oral Pathology, Dr. Sudha and Nageswara Rao Siddartha Institute of Dental Science, Vijayawada, Andhra Pradesh, India
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Diode laser surgery versus scalpel surgery in the treatment of fibrous hyperplasia: a randomized clinical trial. Int J Oral Maxillofac Surg 2015; 44:1383-9. [DOI: 10.1016/j.ijom.2015.05.015] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2014] [Revised: 03/12/2015] [Accepted: 05/18/2015] [Indexed: 11/20/2022]
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Nazemisalman B, Farsadeghi M, Sokhansanj M. Types of Lasers and Their Applications in Pediatric Dentistry. J Lasers Med Sci 2015; 6:96-101. [PMID: 26464775 DOI: 10.15171/jlms.2015.01] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
Laser technology has been recently introduced into the dental field with the idea to replace drilling. Having a less painful first dental experience by the use of modern instruments like laser can be an efficient preventive and therapeutic strategy in pediatric dentistry. Pedodontists need to learn the new less invasive technologies and adopt them in their routine practice. This study aimed to review the available types of lasers and their applications in pediatric dentistry. An electronic search was carried out in IranMedex, InterScience, Scopus, Science Direct, PubMed, ProQuest, Medline and Google Scholar databases to find relevant articles published from 2000 to 2014. Relevant textbooks were reviewed as well. Laser can be used as a suitable alternative to many conventional diagnostic and therapeutic dental procedures. It is especially efficient for caries detection and removal, pulp therapy, lowering the risk of infection, inflammation and swelling and reducing bleeding. On the other hand, due to minimal invasion, laser treatment is well tolerated by children. Improved patient cooperation leads to higher satisfaction of the parents, dentists and the children themselves.
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Affiliation(s)
- Bahareh Nazemisalman
- Department of Pediatrics, School of Dentistry, Zanjan University of Medical Sciences, Zanjan, Iran
| | - Mahya Farsadeghi
- School of Dentistry, Zanjan University of Medical Sciences, Zanjan, Iran
| | - Mehdi Sokhansanj
- School of Dentistry, Zanjan University of Medical Sciences, Zanjan, Iran
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Khairnar M, Pawar B, Khairnar D. A Novel Surgical Pre-suturing Technique for the Management of Ankyloglossia. J Surg Tech Case Rep 2015; 6:49-54. [PMID: 25598942 PMCID: PMC4290039 DOI: 10.4103/2006-8808.147259] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
Ankyloglossia or “tongue-tie” is a congenital anomaly caused by tight lingual frenulum that abnormally connects the tongue base to the floor of the mouth. Ankyloglossia can results in difficulty during speech and deglutition. This case series presents a novel surgical technique in the management of ankyloglossia in using presuturing technique in which different sets of sutures are given on lingual frenum before severing it. This results in reduced opening of the wound, minimal bleeding, pain and discomfort. Two male patients with severe ankyloglossia had been managed with this technique and after 2 years of follow-up of these cases showed satisfactory protrusive and lateral movement of the tongue with minimal scarring and discomfort.
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Affiliation(s)
- Mayur Khairnar
- Private Practice, Precision Dental Clinic, Mumbai, Maharashtra, India
| | - Babita Pawar
- Department Periodontology, Rural Dental College, Loni, Maharashtra, India
| | - Darshana Khairnar
- Private Practice, Precision Dental Clinic, Mumbai, Maharashtra, India
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Barot VJ, Vishnoi SL, Chandran S, Bakutra GV. Laser: The torch of freedom for ankyloglossia. Indian J Plast Surg 2015; 47:418-22. [PMID: 25593432 PMCID: PMC4292124 DOI: 10.4103/0970-0358.146630] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
The tongue is an important oral structure that affects speech, position of teeth, periodontal tissues, nutrition, swallowing, nursing, and certain social activities. Ankyloglossia or tongue-tie, is a congenital anomaly characterized by an abnormally short lingual frenulum, which restricts mobility of the tongue. Though the ankyloglossia is not a serious condition, it may lead to a host of problems including infant feeding difficulties, speech disorders, and various mechanical and social issues related to the inability of the tongue to protrude. Hence, management of ankyloglossia should be considered at any age considering the risk-benefit evaluation. Tongue being highly vascular and mobile structure, laser-assisted lingual frenectomy is the simplest, safest and less traumatic of all the treatment modalities available, with most promising results in minimally invasive dentistry. Here, a case of ankyloglossia is reported with its management by diode laser.
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Affiliation(s)
- Varshal J Barot
- Department of Periodontics and Implantology, Manubhai Patel Dental College and Hospital, Vadodara, Gujarat, India
| | - Shivlal L Vishnoi
- Department of Periodontics and Implantology, Manubhai Patel Dental College and Hospital, Vadodara, Gujarat, India
| | - Sarath Chandran
- Department of Periodontics and Implantology, Manubhai Patel Dental College and Hospital, Vadodara, Gujarat, India
| | - Gaurav V Bakutra
- Department of Periodontics and Implantology, Manubhai Patel Dental College and Hospital, Vadodara, Gujarat, India
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Ozturan S, Ay E, Sagir S. Case series of laser-assisted treatment of excessive gingival display: an alternative treatment. Photomed Laser Surg 2014; 32:517-23. [PMID: 25054278 DOI: 10.1089/pho.2014.3737] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
OBJECTIVE The objective of this study was to investigate the stable and significant outcomes of laser-assisted lip repositioning technique for the treatment of excessive gingival display. BACKGROUND DATA "Gummy smile" is a major concern for a large number of patients visiting the dentist. The hyperactivity of the upper lip is one of the main causes of a gummy smile, and several techniques have been proposed for its treatment. METHODS Ten patients with excessive gingival display were treated with laser-assisted lip repositioning technique. The technique is composed of removing a strip of mucosa by laser incisions from the maxillary buccal vestibule, and coronal repositioning of the new mucosal margin. The clinical dimensions of gingival display were measured from the left, right posterior, and anterior sides at baseline, 6 and 12 months postoperatively. Subjects completed surveys to evaluate satisfaction with outcomes. Clinical and patient-centered parameters [visual analog scale for pain and aesthetics (VAS)] were measured at 7 days and again at 12 months after the surgery. RESULTS The baseline anterior gingival display of 4.3±1.8 mm significantly decreased to 1.1±1.0 mm at 6 months (p<0.0001) and was maintained at 12 months (1.2±1.5 mm). The baseline left, right gingival display (4.9±2.2 mm; 5.0±1.4 mm) significantly decreased (1.2±1.4 mm; 1.3±1.1 mm) at 12 months (p<0.0001). Patients were satisfied with their smile after surgery and would likely choose to undergo the procedure again. CONCLUSIONS The treatment of gummy smile with laser-assisted lip repositioning successfully reduced the preoperative gingival display without postoperative complications, in all cases.
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Affiliation(s)
- Seda Ozturan
- 1 Faculty of Dentistry, Department of Periodontology, Biruni University , Istanbul, Turkey
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