Systematic Review of Post-Surgical Laser-Assisted Oral Soft Tissue Outcomes Using Surgical Wavelengths Outside the 650–1350 nm Optical Window

Parker, Steven; Anagnostaki, Eugenia; Mylona, Valina; Cronshaw, Mark; Lynch, Edward; Grootveld, Martin

doi:10.1089/photob.2020.4847

Cited by 5 publications

(4 citation statements)

References 56 publications

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“…Laser provides better postoperative patient perceptions than the conventional technique [19]. Different wavelengths can be used, but the principal concept to remember for all wavelengths is that the minimum effective energy must be used because the lower the energy applied, the less damage to the targeted tissue and the faster the healing process [20,21]. In this case, laser excision seems more convenient because of no bleeding, no need for suture, and no unaesthetic sequelae [22][23][24].…”

Section: Discussionmentioning

confidence: 99%

Twelve-Year Follow-Up of Laser Frenectomy during Early Mixed Dentition

Awooda

2023

Case Reports in Dentistry

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Median maxillary labial frenum (MMLF) is one of the oral freni, found on the inner side of the centre of the upper lip. Maxillary midline diastema (MMD) is commonly associated with highly attached frenum, and frenectomy during early mixed dentition is controversial. A 6-year-old boy came with a chief complaint of unpleasant spacing between the two upper front teeth. A median maxillary high attached labial frenum with midline spacing of 5 mm was diagnosed. A consensus was made with the child’s father to remove the frenum by laser. Diode laser frenectomy was done, and subsequent follow-up for 12 years revealed no relapse and complete closure of the diastema. Frenectomy during early mixed dentition could be a suitable option for the closure of midline diastema.

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Section: Discussionmentioning

confidence: 99%

Twelve-Year Follow-Up of Laser Frenectomy during Early Mixed Dentition

Awooda

2023

Case Reports in Dentistry

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“…There is no need for sutures, and less morbidity. 9,27,31 For these reasons, fewer postoperative complications can be expected in laser surgery. The 810 nm diode laser has the lowest tissue removal rate.…”

Section: Discussionmentioning

confidence: 99%

“…There are studies in which swelling, or edema were measured by tape or visual scoring. 6,[29][30][31]34,35 In the tape measurement method, amount of edema formation is measured by the distance between points, such as the tragus and vermillion. 19 The reproducibility and reliability of this methods is variable.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of edema formation and salivary EGF related to 810 nm diode laser and conventional surgery after frenectomy

Ak¹

2023

JOOO

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The surgical procedure that lessens edema formation after frenectomy surgery is important.Re-epithelialization with lasers occurs differently from conventional surgery, and this can affect the salivary EGF level. The aim of this study was to determine edema caused by frenectomy surgery and compare the amount of EGF in saliva. Conventional and 810 nm diode laser surgery performed with thirty-four patients. Laser parameters were 400 µm fiber with 2.5 W output energy, in continuous mode.3D face scan data was obtained with a Planmeca Proface Mid device and analyzed with the 3D metrology method using the CloudCompare V2 software. Cephalometric analysis was performed using 2D profile photographs with Geogebra software. Edema measurements were repeated on day 1 (T1), day 3 (T2) and day 14 (T3). All saliva samples were collected at T1 and T3 and salivary EGF concentration was determined using the ELISA method. In conventional surgery, a significant difference was found between ΔT2-T1 and ΔT3-T1 in 3D metrology measurements (p=0.0046). In 2D cephalometric measurements there was significant differences in Angle A T2-T1 vs. Angle A T3-T1 (p=0,0014) and vs. Angle B T2-T1 (p=0,0017) and vs. Angle B T3-T1 (p=0,0087) in conventional surgery. There were no significant changes in edema measurements of laser surgery. The laser frenectomy does not produce edema significantly (p=0,1232). There were no significant changes between groups in salivary EGF measurements (p>0.999). The 810 nm laser surgery produced less edema than conventional surgery. The 810 nm diode laser does not significantly affect salivary EGF.

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“…Laser light of different wavelengths was shown to support wound healing in different intraoral an extraoral settings. Parker et al describe in a recent systematic review on different short- and long-wave laser wavelengths for intraoral indications, positive effects of laser light on wound healing compared to scalpel treatment in 46%, and no difference in 46% of the included studies [ 15 ]. However, none of the included studies evaluated wound healing after the use of short-wave lasers (< 650 nm) comparing to a non-laser comparison group at a clinical level.…”

Section: Discussionmentioning

confidence: 99%

Wound healing after therapy of oral potentially malignant disorders with a 445-nm semiconductor laser: a randomized clinical trial

Meisgeier,

Heymann,

Ziebart

et al. 2023

Clin Oral Invest

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Objectives Oral potentially malignant disorders (OPMDs) are the most clinically relevant precursor lesions of the oral squamous cell carcinoma (OSCC). OSCC is one of the 15 most common cancers worldwide. OSCC is with its high rate of mortality an important cause of death worldwide. The diagnosis and therapy of clinically relevant precursor lesions of the OSCC is one of the main parts of prevention of this malignant disease. Targeted therapy is one of the main challenges concerning an oncologically safe tissue removal without overwhelming functional and aesthetic impairment. Materials and methods In this randomized controlled trial, a newly introduced intraoral 445-nm semiconductor laser (2W; cw-mode; SIROLaser Blue, Dentsply Sirona, Bensheim, Germany) was used in the therapy of OPMDs. Duration and course of wound healing, pain, and scar tissue formation were compared to classical cold blade removal with primary suture by measuring remaining wound area, tissue colorimetry, and visual analogue scale. The study includes 40 patients randomized using a random spreadsheet sequence in two groups (n1 = 20; n2 = 20). Results This comparative analysis revealed a significantly reduced remaining wound area after 1, 2, and 4 weeks in the laser group compared to the cold blade group (p < 0.05). In the laser group, a significantly reduced postoperative pain after 1 week was measured (p < 0.05). Conclusion Laser coagulation of OPMDs with the investigated 445-nm semiconductor laser is a safe, gentle, and predictable surgical procedure with beneficial wound healing and reduced postoperative discomfort. Clinical relevance Compared to the more invasive and bloody cold blade removal with scalpel, the 445-nm semiconductor laser could be a new functional less traumatic tool in the therapy of OPMDs. The method should be further investigated with regard to the identification of further possible indications. Trail registration German Clinical Trials Register No: DRKS00032626.

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Systematic Review of Post-Surgical Laser-Assisted Oral Soft Tissue Outcomes Using Surgical Wavelengths Outside the 650–1350 nm Optical Window

Cited by 5 publications

References 56 publications

Twelve-Year Follow-Up of Laser Frenectomy during Early Mixed Dentition

Twelve-Year Follow-Up of Laser Frenectomy during Early Mixed Dentition

Evaluation of edema formation and salivary EGF related to 810 nm diode laser and conventional surgery after frenectomy

Wound healing after therapy of oral potentially malignant disorders with a 445-nm semiconductor laser: a randomized clinical trial

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