Comparison of Er:YAG Laser and Surgical Drill for Osteotomy in Oral Surgery: An Experimental Study

Pandurić, Dragana Gabrić; Bago, Ivona; Katanec, Davor; Žabkar, Janez; Miletić, Ivana; Anić, Ivica

doi:10.1016/j.joms.2012.06.192

Cited by 49 publications

(36 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[1][2]. Meanwhile, numerous researches have proven the feasibility of using short-pulsed lasers to perform hard tissue ablation [3][4][5][6], which enable higher ablation accuracy without mechanical stress to the patient. Lasers are therefore very suitable for performing microsurgeries on fragile structures such as the cochleostomy (Fig.…”

Section: Introductionmentioning

confidence: 99%

Optical coherence tomography as highly accurate optical tracking system

Zhang

Wörn

2014

2014 IEEE/ASME International Conference on Advanced Intelligent Mechatronics

View full text Add to dashboard Cite

Optical coherence tomography (OCT) guided laser cochleostomy enables the ablation accuracy on tens of micrometer scale and therefore also requires a high patient tracking accuracy on the same order of magnitude, which however exceeds the ability of the conventional optical or electromagnetic tracking systems. We have developed a novel approach of using OCT itself as a highly accurate optical tracking system by ablating tiny artificial landmarks surrounding the cochleostomy on the target bone surface and locating them in the online acquired 3D OCT Volumes. The mechanism enables a direct tracking of the target area with respect to the laser optics while the conventional systems rely on indirect tracking of the markers or sensors attached to the regions of interest. The new approach has achieved an overall tracking accuracy of 22.8±14.9μm (mean absolute error) and 27.2μm (root mean square), which is one order of magnitude higher than the conventional tracking system-based setups. ). the online measured residual bone thickness and enables the ablation accuracy on tens of micrometer scale.

show abstract

Section: Introductionmentioning

confidence: 99%

Optical coherence tomography as highly accurate optical tracking system

Zhang

Wörn

2014

2014 IEEE/ASME International Conference on Advanced Intelligent Mechatronics

View full text Add to dashboard Cite

show abstract

“…Sasaki et al [11] as well as Hibst [12] explain the ‘cold' ablation of the erbium:YAG laser by its maximal energy absorbance in water, which induces rapid steam creation, leading to an explosive destruction of inorganic substances. This property is the basis for the reduced thermal damage in treated bone surfaces compared to when a surgical drill is used [9]. Sasaki et al [13] could not find any carbonization regions in bone tissue after erbium:YAG treatment even after high repetition rates (20 Hz).…”

Section: Discussionmentioning

confidence: 99%

“…Yoshino et al [14] revealed that erbium:YAG irradiation did not inhibit cell migration and proliferation, which is a prerequisite for the development of healthy granulation tissue. In addition, Panduric et al [9] demonstrated that the erbium:YAG laser, compared to the surgical drill, does not produce additional bone dust or bone fragments, which increase the chance of local infection, as shown by Stübinger et al [15]. Furthermore, the same group found that the precision of the erbium:YAG laser in osteotomy is much greater than that of a surgical drill [8].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Trepanation or Complete Removal of the Outer Table of the Calvarium for Granulation Induction: The Erbium:YAG Laser as an Alternative to the Rose Head Burr

Valesky¹,

Vogl

Kaufmann³

et al. 2015

Dermatology

View full text Add to dashboard Cite

Background: Large scalp defects devoid of periosteum following tumor excisions are a surgical challenge. In this case, drilling the outer table of the calvarium with a rose head burr is a standard method to induce granulation tissue. Objectives: We describean alternative for trepanation or complete removal of the outer table of the calvarium. Methods: We demonstrate the use of an erbium:yttrium-aluminum-garnet (erbium:YAG) laser for the induction of granulation tissue, compare this technique with the standard procedure and evaluate the benefits and limitations. Results: The erbium:YAG laser is an excellent method for trepanation or complete removal of the outer table of the calvarium and induction of granulation tissue. Conclusion: The use of the laser for trepanation of the calvarium gives results comparable to those of the rose head burr for inducing granulation tissue but has its benefits. Therefore, this method should become a standard alternative to the known procedure.

show abstract

“…In addition, the antibacterial and detoxifying effects as well as the biological effects of the ErL may improve the wound healing of treated sites [7][8][9][10][11][12] . The ErL applications in dental treatments such as operative dentistry [13][14][15][16] , pediatric dentistry 17,18) , endodontics [19][20][21] , periodontics [22][23][24][25][26][27][28][29] , and oral surgery 30,31) have increased in recent years. Furthermore, the use of ErL has also been proposed in implant therapy applications such as the implant placement procedure as well as treatment of peri-implantitis [32][33][34][35][36][37] .…”

Section: Introductionmentioning

confidence: 99%

Energy output reduction and surface alteration of quartz tips following Er:YAG laser contact irradiation on soft and hard tissues <i>in vitro </i>

et al. 2016

View full text Add to dashboard Cite

Though the Er:YAG laser (ErL) has been used in periodontal therapy, the irradiated tip damage has not been studied in detail. In this study, the change in the energy output, surface morphology, and temperature of quartz tips was evaluated following contact irradiation. Soft tissue, calculus on extracted human teeth, and porcine bone were irradiated by ErL for 60 min at 14.2 or 28.3 J/ cm 2 /pulse and 20 Hz with or without water spray. The energy output ratio declined the most in the calculus group, followed by the bone and soft tissue groups with and/or without water spray. Carbon contamination was detected in all groups, and contamination by P, Ca, and/or other inorganic elements was observed in the calculus and bone groups. The rate of energy output reduction and the degree of surface alteration/contamination is variously influenced by the targeting tissue, temperature elevation of the tip and water spray.

show abstract

Comparison of Er:YAG Laser and Surgical Drill for Osteotomy in Oral Surgery: An Experimental Study

Cited by 49 publications

References 30 publications

Optical coherence tomography as highly accurate optical tracking system

Optical coherence tomography as highly accurate optical tracking system

Trepanation or Complete Removal of the Outer Table of the Calvarium for Granulation Induction: The Erbium:YAG Laser as an Alternative to the Rose Head Burr

Energy output reduction and surface alteration of quartz tips following Er:YAG laser contact irradiation on soft and hard tissues <i>in vitro </i>

Contact Info

Product

Resources

About