Therapeutic effect of laser on pediatric oral soft tissue problems: a systematic literature review

Khosraviani, Farshad; Ehsani, Sara; Fathi, Mohamed; Saberi-Demneh, Amir

doi:10.1007/s10103-019-02834-0

Cited by 10 publications

(10 citation statements)

References 70 publications

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“…Most of the results obtained in this systematic review are consistent with other studies performed in oral surgery [8,35,36], and are also supported by studies performed in other surgical specialties. Kim et al reported a significant shorter procedure time to excise epidermal cysts on the face after CO2 laser excision compared to scalpel [37] in a survey conducted on 120 patients.…”

Section: Discussionsupporting

confidence: 90%

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Perioperative outcomes of frenectomy using laserversusconventional surgery: a systematic review

Lebret

Garot

Pereira

et al. 2021

J Oral Med Oral Surg

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Introduction: Frenectomy is an oral surgical procedure usually performed with a scalpel. Several authors recently reported the interest of laser, as a minimally invasive and efficient alternative tool to perform frenectomy. This study aimed to compare the perioperative management of patients requiring a frenectomy using scalpel versus laser. Materials and methods: A systematic review of the literature has been carried out from Pubmed and Scopus databases following PRISMA guidelines. PICO method was used to select the relevant articles. Clinical studies comparing the perioperative outcomes of patients requiring frenectomies using scalpel versus laser were included. Results: Ten articles involving 375 patients were included. Pre-operative parameter (anxiety before surgery) and per-operative data such as anesthesia, surgery duration, bleeding, suture and difficulty were assessed. The post-operative outcomes investigated were pain, analgesics use, functional discomfort, edema, healing and satisfaction of patients. Laser achieved satisfactory peri-operative outcomes such as shorter operative time, without suturing requirement, as well as less post-operative pain and functional discomfort. Discussion: The low number of eligible studies, the different type of lasers used and heterogeneity across the methodology of the selected studies were the limits of the study. Conclusion: Laser-assisted surgery became an attractive tool to perform oral soft tissue surgery.

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Section: Discussionsupporting

confidence: 90%

“…Successful clinical outcomes using various types of lasers to manage oral soft tissue procedures are well described [8][9][10]. Furthermore, several authors reported the benefit of laser assistance to perform oral frenectomy, such as shorter operative time, hemostasis, or postoperative pain decrease.…”

Section: Introductionmentioning

confidence: 99%

Perioperative outcomes of frenectomy using laserversusconventional surgery: a systematic review

Lebret

Garot

Pereira

et al. 2021

J Oral Med Oral Surg

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“…Similar outcomes have been highlighted in other recent studies [ 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 ], making laser-assisted frenectomy a more valuable option compared to the conventional surgical method used in the last years. In particular, Nammour et al [ 50 ] focused on the reduced need for sutures, while Brignardello-Petersen [ 48 ] and Viet et al [ 53 ] highlighted different positive outcomes in diode laser frenectomy when compared to the traditional surgical method, such as reduced discomfort of the patients, reduction in the operation time, and reduced need of infiltration anesthesia.…”

Section: Discussionsupporting

confidence: 85%

Clinical Comparison of Diode Laser Assisted “v-Shape Frenectomy” and Conventional Surgical Method as Treatment of Ankyloglossia

et al. 2022

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(1) Background: Ankyloglossia, or tongue-tie is a condition, in which the tip of tongue cannot protrude beyond the lower incisor teeth because of short frenulum linguae, often containing scar tissue. Limitations of movement are the most important clinical symptoms of this condition, together with feeding, speech, and mechanical problems. (2) Methods: the present study included two groups of patients (group A and group B) including, respectively, 29 and 32 patients (61 patients total), aged from 8 to 12 and presenting ankyloglossia classified according to the Kotlow’s classification. The patients in group A underwent a common surgical procedure. For the patients of group B, a diode laser device (K2 mobile laser, Dentium, Korea) with a micro-pulsed wavelength of 980 ± 10 nm and power of 1.2 watts was used. The post-surgical discomfort of the patients (recording the pain perceived immediately after the end of the anesthesia and during the following week, using the Numeric Rating Scale (NRS) system) and healing characteristics (recorded using the Early Wound Healing Score or EHS) were evaluated. (3) Results: The results shows that the pain in the patients who underwent laser-assisted frenectomy is significantly reduced (p < 0.001) when compared to those who underwent conventional surgical frenectomy, both immediately after surgery (with a reduction in the average NRS of 80.6%) and after the first week (with a reduction in the average NRS of 86.58%). Additionally, in the same patients, an augmentation in the average value of the EHS of 45% was recorded, highlighting significantly (p < 0.001) better quality in the healing of the wound within the 24 h after surgery. Moreover, other advantages observed in the use of laser assisted-frenectomy are the absence of bleeding and, consequently, a clear operative field; no need to use sutures; no need to take painkillers or antibiotics after surgery; and having a faster recovery and less time needed to perform the operation. (4) Conclusions: within the limits of the present study, it seems possible to assert that the laser frenectomy performed using the v-shape technique presents a series of advantages if compared to the conventional surgical method.

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“…Finally, due to the ability to promote bacterial reduction, the use of these lasers can also help decrease possible infections in these patients who are immunosuppressed, by declining the number of microorganisms during the surgical procedure in the irradiated area. The surgery using diode laser, in addition to shortening the patient time in the chair by minimizing stress, is more accepted by the patient, as it has other benefits such as reduced bleeding, decreased pain during and after surgery, reduced trauma and no sutures (Gontiya, et al, 2011;Ortega-Concepción, et al, 2017;Khosraviani, et al, 2019). Devi et al (2013) reported a case of recurrent idiopathic gingival enlargement after 15 years of anticonvulsant use.…”

Section: Discussionmentioning

confidence: 99%

Gingival hyperplasia treatment using diode laser gingivectomy in a child with cerebral palsy: case report

Theodoro

Rodrigues

Furtado

et al. 2021

RSD

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Gingival hyperplasia is associated with several factors, such as chronic inflammation due to the large accumulation of biofilm and medications including anticonvulsants. The aim of this study is to report a clinical case of a 4-year-old spastic quadriplegic cerebral palsy patient with gingival hyperplasia in the palatal region of the upper teeth induced by the use of high doses of anticonvulsant medications. The patient attended the Dental Assistance Center for People with Disabilities, with fibrotic gingival hyperplasia in the upper posterior region, covering the dental crowns on the palatal and occlusal surfaces. Oral hygiene instructions were previously carried out using chlorhexidine gluconate solution (0.12%) on the teeth with the aid of a cotton swab, twice a day for seven days, to reduce bacterial plaque levels and control periodontal inflammation. Gingivectomy was performed using a gallium aluminum arsenide diode laser (GaAlAs; 808±10 nm, 2.5 W output power, continuous mode). Following the surgical procedures, photobiomodulation therapy was performed with a low-level aluminum gallium indium phosphide diode laser (InGaAlP; 660±10 nm, 100 mW, 3 J) at three points (anterior, middle and posterior region of surgical wound). The patient returned at 7 and 30 days after surgery presenting accelerated wound healing. It was concluded that the high-level diode laser associated with photobiomodulation therapy were effective for performing a conservative and safe procedure in a patient with severe neurological disorder.

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Therapeutic effect of laser on pediatric oral soft tissue problems: a systematic literature review

Cited by 10 publications

References 70 publications

Perioperative outcomes of frenectomy using laserversusconventional surgery: a systematic review

Perioperative outcomes of frenectomy using laserversusconventional surgery: a systematic review

Clinical Comparison of Diode Laser Assisted “v-Shape Frenectomy” and Conventional Surgical Method as Treatment of Ankyloglossia

Gingival hyperplasia treatment using diode laser gingivectomy in a child with cerebral palsy: case report

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