Treatment of peri-implantitis around orthodontic miniscrew using Er,Cr: YSGG Laser

Chawla, Kirti; Lamba, Arundeep Kaur; Gupta, Manak; Khanna, Neha

doi:10.4103/0976-2868.106665

Cited by 4 publications

(6 citation statements)

References 2 publications

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“…11 The erbium laser does not produce heat or a zone of osseous necrosis when used to remove and recontour bone. 19 While delivering water to the osteotomy site and lowering the risk of heat-induced bone necrosis, water spray coolants may result in unintended patient body liquid splatter in the operating room. 11 Er,Cr:YSGG can interact with soft tissue, dentin, enamel, and bone.…”

Section: Discussionmentioning

confidence: 99%

Pre-prosthetic atraumatic laser-assisted mandibular rehabilitation: Er,Cr:YSGG 2780 nm for alveoloplasty and mucocele removal. A case report

Emam,

Abdelhamid,

Segaan

et al. 2024

Laser Ther J

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Lasers are a popular technology in many areas of dentistry due to their low invasiveness, quick tissue response, and rapid healing time. Mucoceles develop from minor salivary glands, whereas bony exostosis is a prosthodontic challenge that prevents optimal prosthetic management. Scarring, pain, and discomfort are common drawbacks of traditional surgical approaches, which are followed by prolonged postoperative healing. Laser-assisted mandibular rehabilitation is a promising approach with predictable results. The patient complained of severe pain during denture fabrication, as well as a small, painless swelling on the inner aspect of the lower lip. The patient was able to receive the planned complete dentures after undergoing atraumatic laser-assisted removal of mucocele and bone exostosis with an Er,Cr:YSGG (Erbium, chromium-doped, yttrium, scandium, gallium, and garnet) laser treatment at 2780 nm. Both procedures were completed quickly, and there were no postoperative complications to report. Blanching overlying both lesions quickly faded after healing and was replaced by a healthy pink mucosal color; both lesions were monitored until complete healing. The Er,Cr:YSGG effectively ablated and removed both soft and hard tissue lesions with minimal bleeding and pain.

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Section: Discussionmentioning

confidence: 99%

Pre-prosthetic atraumatic laser-assisted mandibular rehabilitation: Er,Cr:YSGG 2780 nm for alveoloplasty and mucocele removal. A case report

Emam,

Abdelhamid,

Segaan

et al. 2024

Laser Ther J

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“…Extravasation mucoceles are most prevalent on the labial mucosa, where trauma is most common (45-70%), but they may also occur on the buccal mucosa, tongue, floor of the mouth, and retromolar area [1-3, 11, 12]. Mucus leaked onto connective tissue from a ruptured or traumatized salivary gland duct is preserved in these mucoceles, which are coated with granulation tissue rather than epithelial tissue [2,9]. They account for more than 80% of all mucoceles, and are most common in patients aged 30 and younger [2].…”

Section: Case Descriptionmentioning

confidence: 99%

“…They can also be caused by unintentional damage or pain from orthodontic devices. Extravasation wall and a distinct border, and are composed of adjacent connective tissue and inflammatory components [9][10][11].…”

Section: Introductionmentioning

confidence: 99%

Treatment of mucocele of the lower lip using diode laser in a pediatric patient: interdisciplinary case report

Raj¹,

Hegde²,

Gupta³

et al. 2021

HIV & AIDS Review

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Mucocele or mucus extravasation cyst is a common oral cavity lesion, involving minor salivary glands, and results from duct rupture or obliteration, causing glandular contents (mucinous) to be released subepithelially. The incidence is high, with 2.5 lesions per 1,000 individuals. Indeed, mucoceles are the most common minor salivary gland disorder, and represent the second most frequent benign soft tissue tumors of the oral cavity, following irritative fibromas. Trauma, parafunctional behavior, lip chewing, and other etiological factors may contribute to a permanent bump in the region of incidence if left untreated. These are non-neoplastic cystic lesions of the major and minor salivary glands caused by mucus accumulation. Children are the most often affected by these lesions. Various treatment modalities for mucocele have been advocated, with lasers being the most recent and innovative. In the current case report, a diode laser was used to remove a mucocele on the lower lip, with benefits of less pain, bleeding, recurrence, and greater patient compliance. While these lesions are usually treated with local surgical excision, in our case, to prevent intra-operative surgical complications, such as bleeding and edema, and to facilitate faster healing, excision was performed using a diode laser with a wavelength of 940 nm. After achieving hemostasis, the excised tissue was sent for histopathological examination, which confirmed our diagnosis of that lesion as mucus extravasation cyst or mucocele.

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“…Diode lasers are the commonly used soft tissue surgical procedures . [7]. The erbium family of lasers is used for oral hard tissue and soft tissue surgical procedures.…”

Section: Introductionmentioning

confidence: 99%

COMPARATIVE EVALUATION OF WOUND HEALING FOLLOWING GINGIVECTOMY USING DIODE LASER AND ERBIUM, CHROMIUM-DOPED YTTRIUM, SCANDIUM, GALLIUM AND GARNET (Er:Cr:YSGG) LASER–IN PATIENTS UNDERGOING FIXED ORTHODONTIC TREATMENT-A RANDOMIZED CONTROLLED TRIAL.

Naidu

2022

IJOrthoR

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Aim: The aim of the current study is to compare the healing following gingivectomy procedures using the Diode system and Er:Cr:YSGG lasers in patients undergoing fixed orthodontic treatment. Methodology: The study is a single center randomized controlled clinical study with a sample size of 40 patients who underwent gingivectomy using lasers. The patients were divided into two groups randomly (Group A= 20 and Group B= 20). Group A patients had undergone gingivectomy using diode laser (BIOLASE EPIC X,940 nm) and Group B patients had undergone gingivectomy using Er:Cr:YSGG laser (Waterlase,2780nm). The patients were followed at day3, day 7 and day 14. The wound healing was assessed post laser application using a healing index by Landry et al at different time intervals. Data were entered in Microsoft Excel spreadsheet and analyzed using SPSS software (IBM SPSS Statistics, Version 20.0, Armonk, NY: IBM Corp.). Independent t test was used to compare the mean healing index score between the groups. Repeated measures ANOVA and Post hoc Bonferroni test was used for comparison of mean healing index scores of Group A and B at different time periods Result: When comparing the healing index at day 3 between the groups, there was no significant difference between the diode laser and erbium laser group (P = 0.24). Similarly at day 7 and at day 14, there were no significant differences between the groups (P= 0.20), (P= 0.18) at day 7 and day 14 respectively. When comparing the healing index score of gingivectomy with diode laser between different time intervals, there was a statistically significant healing was seen at day 14 (P = 0.001). The healing at day 14 was significantly better than day 3 and day 7 in the erbium laser group (P =0.001). Conclusion: Within study limits it is concluded that Er:Cr:YSGG lasers have better healing compared to diode lasers following laser assisted gingivectomy although the results are not statistically significant. Thus, the use of laser is an effective treatment approach in the management of orthodontic associate gingival enlargement.

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Treatment of peri-implantitis around orthodontic miniscrew using Er,Cr: YSGG Laser

Cited by 4 publications

References 2 publications

Pre-prosthetic atraumatic laser-assisted mandibular rehabilitation: Er,Cr:YSGG 2780 nm for alveoloplasty and mucocele removal. A case report

Pre-prosthetic atraumatic laser-assisted mandibular rehabilitation: Er,Cr:YSGG 2780 nm for alveoloplasty and mucocele removal. A case report

Treatment of mucocele of the lower lip using diode laser in a pediatric patient: interdisciplinary case report

COMPARATIVE EVALUATION OF WOUND HEALING FOLLOWING GINGIVECTOMY USING DIODE LASER AND ERBIUM, CHROMIUM-DOPED YTTRIUM, SCANDIUM, GALLIUM AND GARNET (Er:Cr:YSGG) LASER–IN PATIENTS UNDERGOING FIXED ORTHODONTIC TREATMENT-A RANDOMIZED CONTROLLED TRIAL.

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