Removal of partially erupted third molars using an Erbium (Er):YAG laser: a randomised controlled clinical trial

Abu-Serriah, M.; Critchlow, H.A.; Whitters, C.J.; Ayoub, Ashraf

doi:10.1016/j.bjoms.2004.02.006

Cited by 40 publications

(34 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…23,24 A Er: YAG laser (wavelength 2.94 μm) with a strong water absorption became popular in the past years for applications in orthopaedical, maxilofacial, and dental surgeries and for possible use in periodontal surgery. 23,25,26 Carbonizations were also observed using Nd:YAG lasers, 12,26,27 unlike what happened in our study using a femtosecond laser.…”

Section: Resultscontrasting

confidence: 56%

Influence of effective number of pulses on the morphological structure of teeth and bovine femur after femtosecond laser ablation

Nicolodelli¹,

Lizarelli²,

Bagnato³

2012

J. Biomed. Opt.

View full text Add to dashboard Cite

Section: Resultscontrasting

confidence: 56%

Influence of effective number of pulses on the morphological structure of teeth and bovine femur after femtosecond laser ablation

Nicolodelli¹,

Lizarelli²,

Bagnato³

2012

J. Biomed. Opt.

View full text Add to dashboard Cite

“…Similar findings have also been reported by Taguchi 10 and Abu-Serriah. 11 Possible mechanisms of pain reduction in Er: YAG ablation, is the disruption of nerve terminals in bone, combined with a degeneration of nerve ending. Secondly vibration speed caused by bur is 100 times higher than laser.…”

Section: Discussionmentioning

confidence: 99%

“…A greater reduction in the range of mouth opening was found after laser than after bur treatment. 11 Generally the severity of the intervention, massiveness of tissue and bone destruction leads to trismus. 18 Longer period manipulation of the mucoperiosteal flap with a retractor during the impacted third molar surgery contributed to the more severe trismus.…”

Section: Discussionmentioning

confidence: 99%

Laser vs bur for bone cutting in impacted mandibular third molar surgery: A randomized controlled trial

Passi

Pal

Mohammad

et al. 2013

Journal of Oral Biology and Craniofacial Research

View full text Add to dashboard Cite

a b s t r a c tBackground: The aim of this study was to assess the feasibility of Er: YAG laser in bone cutting for removal of impacted lower third molar teeth and compare its outcomes with that of surgical bur. Materials & methods:The study comprised 40 subjects requiring removal of impacted mandibular third molar, randomly categorized into two equal groups of 20 each, who had their impacted third molar removed either using Er: YAG laser or surgical bur as per their group, using standard methodology of extraction of impacted teeth. Clinical parameters like pain, bleeding, time taken for bone cutting, postoperative swelling, trismus, wound healing and complications were compared for both groups. Observation & result: Clinical parameters like pain, bleeding and swelling were lower in laser group than bur group, although the difference was statistically not significant. However, postoperative swelling showed significant difference in the two groups. Laser group required almost double the time taken for bone cutting with bur. Trismus persisted for a longer period in laser group. Wound healing and complications were assessed clinically and there was no significant difference in both the groups. Conclusion: Based on the results of our study, the possibility of bone cutting using lasers is pursued, the osteotomy is easily performed and the technique is better suited to minimally invasive surgical procedures. The use of Er: YAG laser may be considered as an alternative tool to surgical bur, specially in anxious patients.

show abstract

“…The situation changed with the introduction of new pulsed laser systems with additional water sprays which allowed direct photoablation of mineralized hard tissues. In spite of their good results, the clinical use and distribution are still very limited in various surgical disciplines [16] . Distinct time expenditure and sophisticated handling still confine a widespread use not only of new and advanced CO 2 laser systems, but also of most of available erbium laser systems.…”

Section: Introductionmentioning

confidence: 99%

Er:YAG Laser Osteotomy: Preliminary Clinical and Histological Results of a New Technique for Contact-Free Bone Surgery

et al. 2009

View full text Add to dashboard Cite

Background: The purpose of this retrospective study was to evaluate the surgical performance, clinical usability and outcome of a new variable square pulsed (VSP) Er:YAG laser for bone cutting in oral and maxillofacial surgery. Materials and Methods: In 40 patients an Er:YAG laser with pulse energy of 1,000 mJ, pulse duration of 300 μs and a frequency of 12 Hz was used for different intraoral osteotomies. The spot size was 0.9 mm, and the handpiece was kept at a distance of 10 mm from the bone surface. Additionally, histological analyses of the fresh osteotomy rims of lasered bone were performed. Results: Er:YAG laser osteotomy revealed a remarkable cutting efficiency without any visible, negative, thermal side effects. There was no damage of adjacent soft tissue structures. However, depth control was limited to visual inspection. Histologically, a 5- to 10-μm-wide zone of a characteristic laser fingerprint appeared on the cut edges. However, there was no sign of thermal tissue damage to the underlying bone structures. Conclusions: VSP Er:YAG laser osteotomy is clinically practicable without any signs of charred tissue and wound healing disturbances. However, the lack of depth control and the necessity for careful handling are still technical limitations to be overcome.

show abstract

Removal of partially erupted third molars using an Erbium (Er):YAG laser: a randomised controlled clinical trial

Cited by 40 publications

References 22 publications

Influence of effective number of pulses on the morphological structure of teeth and bovine femur after femtosecond laser ablation

Influence of effective number of pulses on the morphological structure of teeth and bovine femur after femtosecond laser ablation

Laser vs bur for bone cutting in impacted mandibular third molar surgery: A randomized controlled trial

Er:YAG Laser Osteotomy: Preliminary Clinical and Histological Results of a New Technique for Contact-Free Bone Surgery

Contact Info

Product

Resources

About