Diode Laser in Minor Oral Surgery: A Case Series of Laser Removal of Different Benign Exophytic Lesions

Sotoode, Somaye Mazarei; Azimi, Somayyeh; Taheri, Sayed Alinaghi; Asnaashari, Mohammad; Khalighi, Hamid Reza; Rahmani, Somayeh; Jafari, Soudeh; Rankohi, Zahra Elmi

doi:10.15171/jlms.2015.08

Cited by 20 publications

(20 citation statements)

References 10 publications

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“…This laser can be used in continuous or pulsed mode, using a contact or non-contact optical fiber, depending on the clinical approach and treatment method; It is a portable, compact, and low-cost system when compared to other high power lasers. 6,[16][17][18] During and after surgery it was possible to rely on the advantages of applying the diode laser. The surgical field was clearly visible; the incision was accurate; with better control of infection risk, elimination of edema and minimal scars, reduction of postoperative pain (patient did not use analgesics); minimum dose of anesthetic administered, reduction of surgical time, surgical and postoperative period with bleeding almost absent.…”

Section: Discussionmentioning

confidence: 99%

“…Additionally, there was no need for suturing, since the site did not present any bleeding and healing was by second intention. 16,[18][19][20] In addition, the laser instantaneously disinfects the area of surgery, allows a non-contact incision (thus without mechanical trauma to the tissue), 12,16 there is absence of vibration, vaporization of the lesions; presents antiinflammatory and biomodulatory properties, tissue destruction accuracy, minimal damage to adjacent tissues, hemostatic effect, reduction of pain and edema and possibility of microscopic and endoscopic control. 12,20 Laser applications also allow patients to enjoy a more relaxed experience in the dentist's office, reducing their fears and anxieties.…”

Section: Discussionmentioning

confidence: 99%

“…12,20 Laser applications also allow patients to enjoy a more relaxed experience in the dentist's office, reducing their fears and anxieties. 12,18 In general, high power laser systems, including diode lasers, present few disadvantages compared to the procedures performed with the cold scalpel. They are the delay of repair -which is prominent in larger lesions-, and the carbonization of tissue in minor lesions.…”

Section: Discussionmentioning

confidence: 99%

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High Power Laser and Photobiomodulation in Oral Surgery: Case Report

Araújo

Rodrigues

et al. 2018

J Lasers Med Sci

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Introduction: The labial frenum is a fold of mucous membrane that attaches the lip and the cheek to the alveolar mucosa, the gingiva, and the underlying periosteum. In some cases, its presence can cause a midline diastema, periodontal diseases related to food impaction, or retention of biofilm, among others. In such cases, lip frenectomy is indicated as treatment, which can be performed with a scalpel (conventional method), an electric scalpel, or a surgical laser. Objective: To show a clinical case performed at Laser Extension Project in Dentistry, Federal University of Maranhão grounded in a literature review. Case Presentation: A laser frenectomy was performed on a female patient, aged 20, who had a diastema between the upper central incisors and an indication for frenum removal. The high-power diode laser is excellent for procedures in soft tissue because its wavelength is well absorbed by hemoglobin and other pigments; its use also allows a reduction in the amount of anesthetic and medicines used. The parameters used were 2 W, in a continuous mode, 808 nm infrared emission; with delivery of the beam through optical fiber 300 μM; energy of 120 J; 20 pps. Conclusion: the high power diode laser allowed a satisfactory result, the procedure was safe, the technique was a simple one and of reduced clinical time, as mentioned in the literature. It is worth noting that the technique is dependent on the skill of the professional performing it.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

High Power Laser and Photobiomodulation in Oral Surgery: Case Report

Araújo

Rodrigues

et al. 2018

J Lasers Med Sci

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“…The rapid rise in intercellular temperature and pressure leads to cellular rupture as well as release of vapor and cellular debris, termed as the laser plume (Lagdive S et al 2009). The diode laser application, is more acceptable to the patient since the procedure takes less time and is more comfortable as there is absence of post-operative pain and hemorrhage , Sotoode SM et al 2015. One of the studies found that the subjects experienced a higher extent of discomfort/pain in the side treated by the surgical removal as compared with the diode laser-treated side during the first post-therapy week (Ribeiro FV et al 2014).…”

Section: Discussionmentioning

confidence: 99%

diode laser for excisional biopsy of pyogenic granuloma: a case series

Mahajan

Gautam

2017

IJDR

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Pyogenic granuloma is one of the inflammatory hyperplasias seen in the oral cavity. This term is a misnomer because the lesion is unrelated to infection and in reality, arises in response to various stimuli such as low-grade local irritation, traumatic injury or hormonal factors. The clinical diagnosis of such as lesion can be quite challenging because of its close resemblance to certain malignancies like peripheral giant cell granuloma, kaposi's sarcoma, non hodgkin's lymphoma, etc. for excisional biopsy, options available are conventional surgical excision, electrocautery or lasers. In this report, we seek to highlight the therapeutic advantages achieved with a soft-tissue diode laser in the treatment of pyogenic granuloma.

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“…23 It is assumed that this property might result in minimal postoperative edema and pain. 24 We used laser in the pulsed mode, which prevents rapid temperature rise in the target tissue and provides time to the tissue to cool down. Modest collateral tissue damage as well as possible biostimulatory effect of laser in the surrounding tissue lead to proper wound healing.…”

Section: Discussionmentioning

confidence: 99%

Periosteal Releasing Incision With Diode Laser in Guided Bone Regeneration Procedure: A Case Series

et al. 2016

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Introduction: Periosteal releasing incision (PRI) is nearly always essential to advance the flap sufficiently for a tension-free flap closure in bone augmentation procedures. However, hematoma, swelling, and pain are recognized as the main consequences of PRI with scalpel. The aim of this case series was to investigate the effectiveness of laser-assisted PRI in guided bone regeneration (GBR) procedure. In addition, postoperative hematoma, swelling, and pain and implant success were assessed. Methods: Seventeen patients needed GBR were included in this study. Diode laser (940 nm, 2 W, pulse interval: 1 ms, pulse length: 1 ms, contact mode, 400-μm fiber tip) was used in a contact mode to cut the periosteum to create a tension-free flap. Facial hematoma, swelling, pain, and the number of consumed nonsteroidal anti-inflammatory drugs (NSAIDs) were measured for the six postoperative days. Six months after implant loading, implant success was evaluated. Results: Minimal bleeding was encountered during the procedure. A tension-free primary closure of the flap was achieved in all cases. The clinical healing of the surgical area was uneventful. None of the patients experienced hematoma, ecchymosis, or intense swelling after surgery. The mean value of maximum pain (visual analogue scale -VAS) was 20.59 ± 12.10 mm (mild pain). Patients did not need to use NSAID after four postoperative days. All implants were successful and functional and none of them failed after 6 months of implant loading. Conclusion: This study revealed the effectiveness of laser-assisted PRI in GBR procedure. This technique was accompanied with minimal sequelae at the first postoperative week. All implants were successful and no complication was noted during the course of this study.

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Diode Laser in Minor Oral Surgery: A Case Series of Laser Removal of Different Benign Exophytic Lesions

Cited by 20 publications

References 10 publications

High Power Laser and Photobiomodulation in Oral Surgery: Case Report

High Power Laser and Photobiomodulation in Oral Surgery: Case Report

diode laser for excisional biopsy of pyogenic granuloma: a case series

Periosteal Releasing Incision With Diode Laser in Guided Bone Regeneration Procedure: A Case Series

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