Er:YAG laser-assisted flapless esthetic crown lengthening procedure: A case report

Ng, Min Yee; Lin, Taichen; Yu, Cheng–Chia; Chen, Chuncheng

doi:10.1016/j.jds.2021.10.006

Cited by 3 publications

(8 citation statements)

References 4 publications

(4 reference statements)

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“…These techniques offer more comfortable sounds to patients and greater precision during the procedure. 11 A power of 3.20 W, 40 Hz, 80 mJ, 8 water, 8 air, SP mode was used for the osteotomy. Then, the irradiation parameters were reduced to perform osteoplasty to remove acute angles and bone volume (power of 2 W, 20 Hz, 100 mJ, 8 water, 8 air, SP mode).…”

Section: Case Reportmentioning

confidence: 99%

“…17 The erbium laser used in this case report was efficient in performing the osteotomy, although some studies have shown that the surgery time can be longer with the use of a laser. 11,18 Additionally, a low-power laser was used to promote beneficial biological effects, including analgesic, anti-inflammatory and healing effects, through photobiomodulation. The radiation emitted by the therapeutic laser affects the metabolic processes of target cells, producing biostimulating effects that result in the occurrence of cellular and vascular events, which seem to directly interfere in the process of repair.…”

Section: Case Reportmentioning

confidence: 99%

“…On the other hand, Erbium‐doped yttrium aluminum garnet (Er:YAG) (2940 nm), Erbium, Chromium:Yttrium Scandium Gallium Garnet (Er,Cr:YSGG) (2790 nm) and Carbon Dioxide (CO 2 ) lasers can deliver an accurate osteotomy by creating an efficient photothermal effect on the bone tissue, utilizing the high water absorption peak within bone. The principal benefit of erbium laser ablation is its precision and ability to control the depth of bone tissue removal 9–11 …”

Section: Introductionmentioning

confidence: 99%

“…The principal benefit of erbium laser ablation is its precision and ability to control the depth of bone tissue removal. [9][10][11] The inclusion of low-power laser therapy, also referred to as photobiomodulation, into crown lengthening procedures can stimulate healing and promote the repair of gingival tissues, while also reducing postoperative pain. 12,13 To improve the appropriate EGD diagnosis and ensure a predictable and safe crown lengthening procedure, the digital workflow can be used to achieve these objectives.…”

mentioning

confidence: 99%

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Use of both the diode and Er: YAG lasers in esthetic crown lengthening with the aid of digitally guided dual technique: 3 years follow‐up

Benítez,

Azevedo,

da Silva

et al. 2023

J Esthet Restor Dent

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ObjectiveTo explore the feasibility of the usage of digital guides in combination with low‐ and high‐power lasers for the treatment of excessive gingival display, also known as “gummy smile”.Clinical ConsiderationsExcessive gingival display due to altered passive eruption can affect patient's perception of their own esthetics and consequently have an impact on self‐confidence. Therefore, the management of this condition should offer a predictable and stable long‐lasting solution. To attain these objectives, digital planning emerges as a tool in optimizing the outcomes of crown lengthening surgery for this condition by enhancing precision through the use of surgical guides. Additionally, the usage of high‐ and low‐powered lasers can provide a safe approach because of their tissue selective removal properties.ConclusionsThe technique described showed satisfactory clinical results in the short‐ and long‐term follow‐up, leading to an improvement in patients' self‐esteem. This approach integrates digital and laser technologies to deliver a surgical treatment characterized by precision, efficiency, and safety.Clinical SignificanceDigital dentistry has contributed to innovative dental procedures, as personalizing surgical guides for patients, assisting and guiding incisions of the gingival margins, as well as the extension of the osteotomy, during the procedures for increasing the clinical crown. Furthermore, smile esthetics are directly related to an individual's improved emotional and social quality of life.

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Section: Case Reportmentioning

confidence: 99%

Section: Case Reportmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Use of both the diode and Er: YAG lasers in esthetic crown lengthening with the aid of digitally guided dual technique: 3 years follow‐up

Benítez,

Azevedo,

da Silva

et al. 2023

J Esthet Restor Dent

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“…Furcation involvement (FI) is one of the most detrimental factors affecting tooth survival rate over time. 1 Recently, the dental application of Er:YAG lasers has increased, 2 especially in periodontal therapy. 3 , 4 The Er:YAG laser effectively ablates soft and hard tissues and calculus on root and implant surfaces and effectively debrides bony defects in restricted areas, including furcation defects.…”

mentioning

confidence: 99%

Management of furcation-involved molar using Er:YAG laser-assisted bone regenerative therapy: A case report

Lin

Taniguchi

Aoki

et al. 2022

Journal of Dental Sciences

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Laser-Assisted Crown Lengthening: Clinical Efficacy and Advantages Over Conventional Techniques (Systematic Review)

Rieska,

Fatimah Maria

2024

interdental

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Introduction: Crown lengthening is a widely recognized dental procedure with both aesthetic and functional purposes. It involves the reduction of periodontal hard and soft tissues to obtain supracrestal tooth length, resulting in longer clinical crowns and adequate supracrestal tissue attachment. Laser therapy has emerged as a promising alternative that is currently developing in the field of periodontics and offers several advantages. This review aims to synthesize the current research on the clinical efficacy of laser-assisted crown lengthening procedures and highlight their advantages over conventional methods. Review: Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, a comprehensive search was conducted in electronic databases PubMed, Scopus, Embase, and Google Scholar for human studies published from 2017 to April 2023. Out of 213 identified and screened studies, three original articles were included in the analysis. Two clinical trial studies used Er,Cr:YSGG while one study used Er:YAG for crown lengthening procedures involving gingiva and alveolar bone reduction, with a 3-month follow-up period. Compared to conventional crown lengthening, the laser-assisted approach showed comparable increases in clinical crown length. However, the laser-assisted group demonstrated better gingival margin stability, improved soft tissue healing, and minimal damage to adjacent tissues. Furthermore, there was a statistically significant lower bacterial load and less post-surgery pain with laser-assisted crown lengthening compared to the conventional method. Conclusion: In cases where both gingival and bone reduction are required, laser-assisted crown lengthening using Er,Cr:YSGG and Er:YAG can be considered a minimally invasive alternative with several advantages over conventional procedures.

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Er:YAG laser-assisted flapless esthetic crown lengthening procedure: A case report

Cited by 3 publications

References 4 publications

Use of both the diode and Er: YAG lasers in esthetic crown lengthening with the aid of digitally guided dual technique: 3 years follow‐up

Use of both the diode and Er: YAG lasers in esthetic crown lengthening with the aid of digitally guided dual technique: 3 years follow‐up

Management of furcation-involved molar using Er:YAG laser-assisted bone regenerative therapy: A case report

Laser-Assisted Crown Lengthening: Clinical Efficacy and Advantages Over Conventional Techniques (Systematic Review)

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