Clinical Application of Diode Laser (980 nm) in Maxillofacial Surgical Procedures

Abstract

For many procedures, lasers are now becoming the treatment of choice by both clinicians and patients, and in some cases, the standard of care. This clinical study was carried out at Department of Maxillofacial Surgery, Ramadi Teaching Hospital, Rashid Private Hospital and Razi Private Hospital, Anbar Health Directorate, Anbar Province, Iraq. A total of 32 patients including 22 (≈ 70%) male and 10 (≈ 30%) female with age range from 5 months to 34 years old. Chirolas 20 W diode laser emitting at 980 nm was used. Our preliminary clinical findings include sufficient hemostasis, coagulation properties, precise incision margin, lack of swelling, bleeding, pain, scar tissue formation and overall satisfaction were observed in the clinical application. The clinical application of the diode (980 nm) laser in maxillofacial surgery proved to be of beneficial effect for daily practice and considered practical, effective, easy to used, offers a safe, acceptable, and impressive alternative for conventional surgical techniques.

An Overview of Diode Laser-Assisted Oral Surgery

“…Second, intention healing is one of the most important clinical advantages of DL use for major oral surgery. It is frequently difficult to directly suture the surgical margins of large mucosal lesions or those occurring in unfavorable anatomical sites (e.g., soft palate, gingiva-buccal sulcus, retro-molar area in the mandible, and maxillary tuberosity) [2,6,8,11]. In such cases, DL surgery prevents more invasive procedures, such as additional flaps and skin grafts, for the direct coverage or closure of the surgical site.…”

“…With all of these advantages, the DL is used in many oral surgical and nonsurgical applications: frenectomy/frenulotomy; gingival remodeling; removal of benign, potentially malignant, and malignant lesions; surgical and nonsurgical periodontal treatments including drug-related gingival overgrowth; and photocoagulation of venous malformations [3,4,6,[8][9][10][11]. Moreover, the relatively low cost and the small dimensions of the medical device are certainly adjunctive reasons for its extensive use among clinicians in outpatient and hospital settings [2,6,11]. Herein, the authors report a case series to highlight the capabilities of DL in minor and major oral surgery.…”

“…The main properties of the diode laser (DL) are its targeted selectivity for oxyhemoglobin, induction of photothermolysis, erythrocyte microagglutination, and vessel obliteration [ 1 - 3 ]. The practical result is essentially the capability to coagulate tissue during cutting as well as directly coagulate small and large venous malformations [ 3 - 6 ]. Other generally accepted advantages of DL surgery are the reduction in the amount of locoregional anesthesia that is required, reduction of postoperative edema and pain, no need to apply stitches, and fast mucosal restoration for second intention healing [ 7 - 9 ].…”

Use of Surgical Laser for Excision of a Neurofibroma Associated With Neurofibromatosis Type-1

“…These lasers can also be used in oral pathology to excise oral lesions, such as: fibroma, mucocele, hyperkeratosis, Fordyce granules, neurofibromas and other types of soft tissue lesions. 10 Some of the advantages of using a laser to excise soft lesions may be listed as: excellent hemostasis, reduced swelling and post-operative discomfort, minimal or no suturing, sterilization of the surgical area, patient acceptance and satisfaction. 11 The specimens obtained with a diode laser have good readability.…”

Efficacy of surgery and laser matrixectomy in the treatment of onychocryptosis in children

“…При воздействии на биологические ткани различные длины волн поглощаются неодинаково в разных компонентах тканей [10]. Приходящееся на локальные максимумы коэффициентов поглощения в воде и оксигемоглобине излучение лазерных диодов с длиной волны 0,97 мкм хорошо сочетает режущие и кровоостанавливающие свойства [11,12].…”