<i>Ex Vivo</i> Evaluation of Gingival Ablation with Various Laser Systems and Electroscalpel

Kawamura, Rie; Mizutani, Koji; Lin, Taichen; Kakizaki, Sho; Mimata, Ayako; Watanabe, Kojiro; Saito, Norihito; Meinzer, Walter; Iwata, Takanori; Izumi, Yuichi; Aoki, Akira

doi:10.1089/photob.2019.4713

Cited by 20 publications

(22 citation statements)

References 24 publications

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“…As the bibliography indicates, other minimally invasive techniques could be used in the management of the soft tissue, such as laser systems (Er:YAG or Er,Cr:YSGG), according to the expert’s skills, with similar results. [ 42 , 43 , 44 ]. Some publications suggest that complications can be higher in patients with HIV, and therefore the viral load (CD4/CD8 ratio) must be stable [ 45 ].…”

Section: Discussionmentioning

confidence: 99%

Complications in the Use of Deepithelialized Free Gingival Graft vs. Connective Tissue Graft: A One-Year Randomized Clinical Trial

Ripoll

Velasco-Tarilonte

Bullón

et al. 2021

IJERPH

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In the treatment of gingival recession, different surgical options have been described: free gingival grafts (FGG), connective tissue Grafts (CTG), and a more recent technique, de-epithelialized free gingival graft (DFGG). They are not procedures exempt from the appearance of complications. Most publications refer to postoperative complications, and there is limited literature regarding the development of late complications (weeks or months). Our working group carried out a study to describe the development of late complications associated with the use of DFGG in comparison with CTG, providing an incidence rate and a classification. Sixty-eight patients with mucogingival problems were selected, and divided into two groups: the Test Group, for which we used DFGG + Coronal Advancement Flap (CAF), and the Control Group (CTG + CAF). All patients were treated at the University of Seville’s dental school to solve mucogingival problems for aesthetic and/or functional reasons. A classification is proposed based on its severity; Major and Minor. Major complications included reepithelialization of the graft, epithelial bands, cul-de-sac, epithelial cysts, and bone exostoses. Minor complications included the graft´s color changes and superficial revascularization. Late major complications were only associated with the use of the DFGG, and the late minor complications developed with the use of the DFGG were much higher than those associated with CTG. CTG appears to be a safer procedure than DFGG in terms of late complications.

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Section: Discussionmentioning

confidence: 99%

Complications in the Use of Deepithelialized Free Gingival Graft vs. Connective Tissue Graft: A One-Year Randomized Clinical Trial

Ripoll

Velasco-Tarilonte

Bullón

et al. 2021

IJERPH

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“…The Er:YAG laser is a surface-absorption laser, and the findings from our recent ex vivo study showed that it causes the least thermal damage to surrounding tissue compared with that of other lasers, including carbon dioxide, neodymium-doped yttrium aluminum garnet, diode, and Er,Cr:YSGG lasers, particularly when it used in combination with a water spray. 30 The minimal thermal effects of Er:YAG lasers are advantageous for inspecting lased surfaces, subsequent wound healing, and pain control. Thus, we consider Er:YAG lasers to be the most suitable for esthetic soft tissue management.…”

Section: Discussionmentioning

confidence: 99%

A novel minimally‐invasive approach for metal tattoo removal with Er:YAG laser

Mikami

Mizutani

Nagai

et al. 2021

J Esthet Restor Dent

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Objective: Few effective and established treatment methods can remove gingival metal or amalgam tattoos. With this case series, we aimed to demonstrate the use of a novel minimally invasive technique to remove metal tattoos using an erbium-doped yttrium aluminum garnet (Er:YAG) laser. Materials and Methods:We retrospectively collected clinical data from 18 patients who had undergone Er:YAG laser treatment to remove metal tattoos. Minimal gingival ablation using an Er:YAG laser directed towards the pigmented area was performed, which exposed metal debris within the connective tissue that was carefully removed. A dental microscope was employed to identify the metal debris, for accurate irradiation, and to minimize wounding by reducing invasion. Postoperative gingival color and morphology, and visual analog scale as a patient-reported outcome assessing postoperative pain were evaluated.Results: All patients' metal tattoos were removed completely and safely during short procedures. Considerable esthetic improvements and favorable wound healing were achieved with almost no postoperative pain or complications. Conclusion:The findings from this case series suggest that this novel minimally invasive therapy for metal tattoo removal that involved the Er:YAG laser is effective and safe, is associated with successful outcomes, and contributes greatly to patients' esthetic satisfaction.Clinical Significance: Metal tattoo removal using an Er:YAG laser safely and successfully improved gingival esthetics. This novel technique is much simpler and less invasive than conventional periodontal plastic surgery, and it may be more reliable regarding esthetic gingival improvements as it is associated with favorable wound healing, and it could offer significant benefits to patients by alleviating physical and mental stresses via reduced chair time and postoperative pain.

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“…Moreover, soft-tissues surgical procedures such as frenectomy and mucocele removal with diode or Nd:YAG lasers could be performed within a few minutes, reducing the need for anesthesia or wound care and therefore reducing the fear of the patient [85] . Besides, diode laser has positively influenced the post-surgical wound healing by the acceleration of the epithelial regeneration, providing lower postoperative pain and discomfort than conventional techniques [86] , [87] , [88] .…”

Section: Biophotonics Approachesmentioning

confidence: 99%

How can biophotonics help dentistry to avoid or minimize cross infection by SARS-CoV-2?

Besegato

Melo

Tamae

et al. 2022

Photodiagnosis and Photodynamic Therapy

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Biophotonics is defined as the combination of biology and photonics (the physical science of the light). It is a general term for all techniques that deal with the interaction between biological tissues/cells and photons (light). Biophotonics offers a great variety of techniques that can facilitate the early detection of diseases and promote innovative theragnostic approaches. As the COVID-19 infection can be transmitted due to the face-to-face communication, droplets and aerosol inhalation and the exposure to saliva, blood, and other body fluids, as well as the handling of sharp instruments, dental practices are at increased risk of infection. In this paper, a literature review was performed to explore the application of Biophotonics approaches in Dentistry focusing on the COVID-19 pandemic and how they can contribute to avoid or minimize the risks of infection in a dental setting. For this, search-related papers were retrieved from PubMED, Scielo, Google Schoolar, and American Dental Association and Centers for Disease Control and Prevention databases. The body of evidence currently available showed that Biophotonics approaches can reduce microorganism load, decontaminate surfaces, air, tissues, and minimize the generation of aerosol and virus spreading by minimally invasive, time-saving, and alternative techniques in general. However, each clinical situation must be individually evaluated regarding the benefits and drawbacks of these approaches, but always pursuing less-invasive and less aerosol-generating procedures, especially during the COVID-19 pandemic.

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Ex Vivo Evaluation of Gingival Ablation with Various Laser Systems and Electroscalpel

Cited by 20 publications

References 24 publications

Complications in the Use of Deepithelialized Free Gingival Graft vs. Connective Tissue Graft: A One-Year Randomized Clinical Trial

Complications in the Use of Deepithelialized Free Gingival Graft vs. Connective Tissue Graft: A One-Year Randomized Clinical Trial

A novel minimally‐invasive approach for metal tattoo removal with Er:YAG laser

How can biophotonics help dentistry to avoid or minimize cross infection by SARS-CoV-2?

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