Case series: Laser treatments for soft tissue problems in children

Boj, J R; Poirier, C.; Hernández, M; Espasa, E; Espanya, A.

doi:10.1007/bf03262790

Cited by 17 publications

(9 citation statements)

References 16 publications

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“…Laser supported therapy is very useful in oral surgery in pediatric dentistry as it involves less discomfort and is well-accepted by young patients, it reduces psychological trauma and the laser produces a hemostatic effect that enhances the visibility of the surgical area, which is an advantage in children's small mouths. 15 Moreover, less anesthesia and analgesia is needed. Reduced chair time is another important advantage for pediatric dentistry.…”

Section: Discussionmentioning

confidence: 99%

“…[11][12][13][14][15] It has also been reported that laser treatment is suitable in gingival surgery for the treatment of a traumatic dental injury. A limited number of studies report on dental lasers [12][13] being utilized in complicated crown-root fractures for the purpose of successfully exposing the fracture line of the tooth below the gingival attachment and the alveolar bone level.…”

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confidence: 99%

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A Conservative Treatment Approach with Laser Therapy for Complicated Crown Root Fractures of Maxillary Anterior Teeth: A Report on Three Representative Cases of Pediatric Patients

Elbay¹,

Elbay²,

Yıldırım³

et al. 2015

Turkiye Klinikleri J Dental Sci Cases

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M ost cases of dental trauma involve the anterior region of the mouth and mainly affect the maxillary central incisors.1 Traumatic injuries of anterior teeth in children create a psychological effect on the parents and the child, especially if the injury affects the permanent dentition and involve the loss of extensive tooth structure. Therefore, tooth injuries due to trauma necessitate immediate treatment. A AB BS S T TR RA AC CT T If a complicated crown fracture includes subgingival fractures, accessibility to the fracture line determines how conservative the treatment needs to be. Exposure of the fracture line with traditional methods of oral surgery using scalpels or electro surgery may produce significant postoperative discomfort and a prolonged healing time. In addition, soft tissue surgical procedures are often not suitable for children as problems with cooperation means that they cannot be performed without general anesthetic. Therefore, laser supported therapy is a suitable alternative in oral surgery of traumatic injuries in pediatric dentistry as it is needle-free, causes less discomfort, and tends to be accepted by young patients; thereby reducing unnecessary psychological trauma. This paper describes the management of three cases of complicated crown-root fractures that extended subgingivally and involved pulp exposure to the permanent maxillary incisors. A dental laser was utilized in exposing the fracture line. Fiber posts were also used to reinforce the teeth structures. At 1 year follow up, clinical and and radiographic findings of the cases were satisfactory. K Ke ey y W Wo or rd ds s: : Laser therapy; tooth fractures; injuries Ö ÖZ ZE ET T Komplike kron kök kırıklarında kırık hattı subgingival alana uzandığında, kırık hattının ulaşılabilirliği tedavi seçeneğinin konservatif olup olmayacağını belirler. Kırık hattını bistüri kullanarak ya da elektro cerrahi gibi geleneksel yöntemlerle açığa çıkarmak, postoperatif rahatsızlık ve iyileşme süresinin uzamasına neden olabilmektedir. Ayrıca çocuklarda, yumuşak doku cerrahi işlemleri kooperasyon problemlerinden dolayı yapılamayabilmekte, genel anestezi gerektirebilmektedir. Bu yüzden çocuk hastalarda lazer destekli tedaviler; anestezi ihtiyacını ortadan kaldır-ması, hasta konforunu olumlu etkilemesi ve çocuklar tarafından daha rahat kabul edilmesi gibi avantajlarından dolayı travmatik yaralanmaların tedavisinde geleneksel cerrahi yöntemlere alternatif olabilmektedir. Bu makalede maksiller anterior dişlerde meydana gelen, subgingival alana uzanan ve pulpayı içine alan komplike kron kök kırığına ait üç olgu sunulmaktadır. Bu olgularda kırık hattını açığa çıkarabilmek için dental lazerden faydalanılırken, diş yapısını desteklemek için de fiber postlar kullanıldı. Bir yıl sonraki klinik ve radyografik bulgular tedavilerin başarılı olduğunu destekler nitelikteydi.A An na ah h t ta ar r K Ke e l li i m me e l le er r: : Lazer tedavisi; diş kırıkları; yaralanmalar T Tu ur rk ki iy ye e K Kl li in ni ik kl le er ri i J J D De en nt ta al l S Sc ci i C Ca as se...

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

A Conservative Treatment Approach with Laser Therapy for Complicated Crown Root Fractures of Maxillary Anterior Teeth: A Report on Three Representative Cases of Pediatric Patients

Elbay¹,

Elbay²,

Yıldırım³

et al. 2015

Turkiye Klinikleri J Dental Sci Cases

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“…10 Besides the proven benefits of Er;Cr:YSGG laser in cavity preparation and remarkable results in hard tissues management, it is also an appropriate instrument for soft tissue surgeries like the exposure of unerupted teeth, lingual and maxillary frenectomies, gingivectomy, excision of pyogenic granuloma and pulpotomy. 11 In some case series, acceptable flapless CL has been demonstrated as well. 12 It is shown that using this laser can do effective minimally invasive operations and help soft tissue management during restorative procedures.…”

Section: Introductionmentioning

confidence: 89%

The Esthetic Crown Lengthening by Er;Cr:YSGG laser: A Case Series

2018

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Introduction: Laser technology as a new modality in dentistry has gained special attention. Among different types of lasers, erbium lasers have gained special attention for management of oral soft and hard tissue simultaneously. This study presents series of cases of crown lengthening (CL) and restorations accomplished by erbium, chromium: yttrium-scandium-gallium-garnet (Er,Cr:YSGG). Case Reports: Seven patients were selected for this study. After complete oral examination and diagnosis, the treatment plan of each patient was designed. All cases needed esthetic CL. In some cases, frenum revision and class V cavity preparation was done by Er;Cr:YSGG laser. All patients treated with Er;Cr:YSGG laser producing a wavelength of 2780 nm (Biolase, Irvine, California, USA); Tip T4, 400 µm Diameter for soft tissue management and Tip G6, 6 mm long, 600 µm diameter for hard tissue management. Results: All patients reflected acceptable results based on clinical evaluation and patients’ declaration of post-surgical status. Conclusion: Using Er;Cr:YSGG laser in class v cavity preparation and flapless CL seemed to be effective and beneficial.

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“…Ayrıca çocuk hastaların lazer tedavisine karşı daha toleranslı oldukları belirtilmiştir. 37 Frigerio ve Tan (2015), hazırladıkları retrospektif bir çalışmada, 26 vasküler ve pigmente iyi huylu oral lezyonun tedavisinde selektif lazer uygulamalarını değerlendirmişlerdir. Araştırıcılar, lazerlerin çevre doku ve kritik yapıların zarar görmesini en aza indirirken, endojen kromoforları içeren lezyonları etkin bir şekilde yok edip edemeyeceğinin de belirlenmesini hedeflemişlerdir.…”

Section: Kli̇ni̇k Uygulamalarunclassified