An Overview of Diode Laser-Assisted Oral Surgery

Falco, Domenico De; Venere, Daniela Di; Maiorano, Eugenio

doi:10.7759/cureus.9297

Cited by 5 publications

(4 citation statements)

References 16 publications

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“…Various kinds of lasers [Carbon dioxide lasers, Nd: YAG lasers, Ho: YAG lasers, Er: YAG lasers, Alexandrite lasers Argon, KTP] are used in different surgeries, but CO 2 , Nd: YAG and Diode lasers are used in the oral cavity most frequently. [ 16 17 18 19 20 21 ]…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of Diode Laser in Intraoral Soft Tissue Surgeries - An Evaluative Study

Movaniya,

Desai,

Makwana

et al. 2023

Annals of Maxillofacial Surgery

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Introduction: The clinical application of the diode laser seems to have beneficial effects in surgery. The laser provides precise and rapid tissue dissection, excellent haemostasis and lessens post-operative inflammation. This study was done to assess the clinical effectiveness of diode laser in the management of different varieties of intraoral soft-tissue lesions. Materials and Methods: After applying exclusion criteria, a total of 50 samples were selected with benign intraoral soft-tissue lesions treated with a diode laser under local anaesthesia between September 2017 and September 2020. Each patient was followed up on the 3rd, 7th and 15th post-operative days for healing, pain, infection and swelling. Results: From all patients, a total of 50 were evaluated in the study; out of all, 60% of patients had no pain on the 2nd follow-up. As per the Landry Index of Healing, 54% of patients had excellent healing. None of the cases had post-operative bleeding, infection was present in 4% at the 1st–2nd follow-up, and in 2% of cases, post-operative swelling was present. The efficacy of diode lasers was tested using the Chi-square test and P < 0.01, which was statistically significant. Discussion: Diode laser seems to be superior over conventional treatment modalities as it provides a bloodless dry field and increases patient comfort during surgery. It also lessens the post-operative pain and swelling. Diode laser can safely and effectively be used as a treatment modality for benign soft-tissue lesions, without any complication and without compromising the health and function of patients.

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Section: Discussionmentioning

confidence: 99%

Effectiveness of Diode Laser in Intraoral Soft Tissue Surgeries - An Evaluative Study

Movaniya,

Desai,

Makwana

et al. 2023

Annals of Maxillofacial Surgery

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“…El láser ha demostrado tener excelentes beneficios clínicos no solo desde el punto de vista del odontólogo, sino también desde el paciente. En comparación con las técnicas convencionales, los láseres de diodo ofrecen algunas ventajas como una mejor visión del área quirúrgica debido a un menor sangrado (De Araújo et al, 2019); incisiones más precisas y visibles (De Falco et al, 2020), no requieren de sutura debido a la reparación por segunda intención (De Araújo et al, 2019); menor o nulo dolor postoperatorio debido al sellado de las terminaciones nerviosas sensoriales con el calor del rayo láser; poco o nulo edema post operatorio; utilización reducida de anestesia para el control del dolor; riesgo mínimo de infección debido a la capacidad de esterilización del láser (Coleton, 2004) y reducción del tiempo quirúrgico (De Falco et al, 2020).…”

Section: Discussionunclassified

“…Moritz et alhan informado del efecto bactericida del láser de diodo que proporciona una reducción significativa de las bacterias en el lecho de la herida, lo que también reduce el riesgo de bacteremia (Umeda et al, 2011;Moritz et al, 1998) En relación a la cantidad de anestesia utilizada, distintos autores describen que los pacientes tratados con láser de diodo requieren menor infiltración de anestesia (Derikvand et al, 2016;De Araújo et al, 2019;Sotoode et al, 2015;De Falco et al, 2020). Esto coincide con la anestesia aplicada en los tres casos expuestos en esta publicación, donde sólo 1/3 del tubo fue infiltrado como anestesia local.…”

Section: Discussionunclassified

Use of diode laser in soft tissue. Report of 3 cases

Basualdo

Yang²,

PLacencia³

et al. 2020

IJMSS

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There are various anatomical conditions or mucogingival alterations that can affect the normal functioning and the gingival aesthetics of teeth and dental implants. Although the treatments of these conditions have been traditionally performed with a scalpel, technological development has allowed that they can be now performed with lasers. There are different types of lasers, being the diode one of the most used due to its smaller size, portability, easy configuration, and lower cost. The laser has become more popular in soft tissue surgeries due to its multiple benefits: shorter operating time, control of bleeding and hemostasis, reduction in the amount of anesthesia, possibility of not requiring sutures, and minimization of post-surgical pain and inflammation. The purpose of this work is to present the resolution of three clinical cases which underwent labial frenectomy procedures, removal of gingival melanosis and resection of irritative fibroma using diode laser. To develop all the procedures, a 940 nm diode laser equipment (Biolase®, USA) was used with a power that varied between 2 and 2.5 W in continuous mode, using a 300 µm tip (E 3-4), which was activated before starting. After surgery, biostimulation was carried out to reduce postoperative pain and edema using the pain tip at 4 W for 30 seconds at a distance of 1 cm directly in the operated area in all cases. In all cases, the diode laser allowed a successful result. The procedure was safe, the technique was simple, and the clinical time was short. The postoperative period occurred with the absence of pain or discomfort, generating greater patient satisfaction. It should be noted that the technique depends on the skill of the professional who performs it.

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“…Moreover, the interactions of the different wavelengths of a diode laser can have photothermal and photochemical effects and could have some benefits on the lining epithelium remnants of the cyst [13][14][15].…”

Section: Introductionmentioning

confidence: 99%

Combined conservative treatment of a recurrent mandibular keratocyst by enucleation, diode laser, 5-Fluorouracil and dental implants: a case report with 18 years-follow up

Berbéri

Aoun

Hjeij

et al. 2021

Medicine and Pharmacy Reports

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In 2017, the World Health Organization classified the odontogenic keratocyst as a developmental odontogenic cyst. The posterior parts of the mandible, especially the angle and the ramus, are the most involved sites. Due to their high recurrence rate, keratocysts are managed surgically with careful complete excision. Additionally, chemical solutions such as Carnoy's solution, modified Carnoy's solution, and 5-Fluorouracil have been associated with surgical treatment. Diode lasers generate diverse wavelengths that have photothermal and photochemical special properties and could have some effects on the lining epithelium remnants of the cyst. In this paper, we discuss a case of mandibular recurrent odontogenic keratocyst treated with 5-Fluorouracil topical application after enucleation and diode laser application with 18 years follow-up and teeth replacement with dental implant. 5-Fluorouracil and diode laser have been found to be very effective in the treatment of keratocysts.

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An Overview of Diode Laser-Assisted Oral Surgery

Cited by 5 publications

References 16 publications

Effectiveness of Diode Laser in Intraoral Soft Tissue Surgeries - An Evaluative Study

Effectiveness of Diode Laser in Intraoral Soft Tissue Surgeries - An Evaluative Study

Use of diode laser in soft tissue. Report of 3 cases

Combined conservative treatment of a recurrent mandibular keratocyst by enucleation, diode laser, 5-Fluorouracil and dental implants: a case report with 18 years-follow up

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