Minimally Invasive Management of Pericoronal Abscess using 810 nm GaAIAs Diode Laser

Abstract

Acute exacerbations of pericoronitis is associated with debilitating symptoms, and requires urgent intervention. Mechanical debridement, operculectomy and antibiotic therapy are parts of established treatment protocol, however, associated with many limitations. This report highlights successful management of a case of pericoronal abscess around mandibular third molar in a 30-year-old female, with GaAlAs diode laser-assisted disinfection and operculectomy. Although infection was initially associated with lymphadenitis and fever, postoperaive period was symptom free, even without use of antibiotics. Due to many intraoperative and postoperative advantages and better patient acceptance, diode laser has become a preferred option for minor oral surgical procedures.

Diode Laser Assisted Excision and Low Level Laser Therapy in the Management of Mucus Extravasation Cysts: A Case Series

“…12 Advantages of Diode Laser for Excisional Biopsy A diode laser was used in these cases as it offers the advantage of providing bloodless field, rapid healing and is easy to operate. 7 Light of wavelength of 810 nm is intensely absorbed by oxygenated haemoglobin, resulting in elevation of temperature at operative site, promoting coagulation and carbonization of soft tissues, with minimum discomfort and scarring. Stimulation of clotting factor VII by diode laser resulting in enhanced haemostasis has also been reported in literature.…”

“…Additionally, diode lasers are compact, affordable and easy to move since they do not have water or air lines. [5][6][7] Case Presentation Case 1 A systemically healthy 20-years-old female was referred to the department of periodontics with chief complaint of localized swelling on the left labial mucosa of lower lip since one week. There was no significant finding on extra oral examination, while intraoral examination revealed a swelling with light bluish hue on the left side of labial mucosa, about seven mm in diameter, soft and fluctuant on palpation ( Figure 1A).…”

Diode laser or scalpel: A comparison of the two “Cutting Edge” surgical tools in maxillofacial surgery

“…Laser poses a "non-threatening" aesthetic to the patient with its slim and fine tip and therefore patients are more at ease during laser surgery than scalpel operations where patients are intimidated by the sharpness of the instrument and perceive the procedure as a painful one. Reduced postoperative pain has been observed in the laser-treated groups in a multitude of research such as the ones conducted by Ahad et al, 9 Qafmolla et al, 10 Gabric et al, 19 Patel et al, 17 Bhatsange et al 2 and Shahnaz et al 12 Kashyap et al 18 have stated that although the mechanism of analgesic effects of laser therapy is not well understood, an increased pain threshold through the alteration of neuronal stimulation and firing pattern, and the inhibition of the medullary reflexes are thought to be involved. In addition, the laser effect is seen in prostaglandin synthesis, resulting in an increased conversion of prostaglandin G2 and prostaglandin H2 into prostaglandin I2 (prostacyclin).…”

“…The use of a diode laser offers significant advantages in cutting efficiency and getting a bloodless field. Azma E et al 9 stated that laser transmits energy to the cells causing warming, welding, coagulation, protein denaturation, drying, vaporization and carbonization. The power settings of the laser determine the size of the coagulum ring formed during the incision.…”