Laser Surgery of Soft Tissue in Orthodontics: Review of the Clinical Trials

Abstract

Introduction: Recently, a wide variety of procedures have been done by laser application in orthodontics. Apart from the mentioned range of various treatments, laser has become a tool for many soft tissue surgeries as an alternative to conventional scalpel-based technique during orthodontic treatments in the management of soft tissue. Due to scarce information in the latter subject, this study was designed in order to include clinical trials that included soft tissue ablation by laser in orthodontics. Methods: Literature was searched based on PubMed and Google Scholar databases in 5 years (2010)(2011)(2012)(2013)(2014)(2015) with English language restriction and clinical trial design. Studies that performed soft tissue application of laser during orthodontic treatment were extracted by the authors. Results: Only eight studies met the inclusion criteria. No significant difference was found between laser ablation and conventional scalpel technique in the matter of treatment outcome. However, few issues remained to clarify the differences in the mentioned procedures. Conclusion: Laser performance can be recommended in case of preceding less bleeding and discomfort during surgical procedure. There are still quandaries among clinical application of scalpel-based surgery in aesthetic region with bracket-bonded teeth. Precaution and knowledge regarding the characteristics of laser beam such as wavelength, frequency, power and timing is extremely needed.

Oxidative Effects during Irreversible Electroporation of Melanoma Cells—In Vitro Study

“…Conversely, laser ablation induces damage by high-temperature-aided vaporization of the tissue [ 18 , 19 ]. Laser scalpels are widely used in surgery due to their high effectivity in soft and hard tissue removal and blood-vessel-closing capabilities [ 20 , 21 ]. Radiofrequency ablation is a minimally invasive procedure for tissue removal, especially used in hard tissue disorders [ 22 ].…”

Estabilidad Del Tratamiento De Ortodoncia Y De La Condición Periodontal Con La Fibrotomía Supracrestal Circunferencial: Revisión Sistemática

“…30 It should be noted that this type of laser is the most widely used in clinical trials to evaluate the effectiveness of fiberotomy, taking into account that it is little absorbed by teeth and bones, making it a safer procedure due to the lower risk of hard tissue damage. 35 In 2017, Faramarz et al used the Nd:YAG laser for CSF. Their results showed that the location of gingival margin and alveolar bone crest remained unchanged after fiberotomy with the Nd:YAG laser during the orthodontic forced eruption procedure.…”

Surgical Management of Frenula: Laser Therapy Compared with Z-Frenuloplasty Technique

“…Specifically, as regards lasers, according to some authors [4,5], throughout a penetrating beam of light, these appliances deliver a quantity of energy at InfraRed and UltraViolet electromagnetic spectra ranges that can be used in most oral surgeries as an alternative to conventional scalpel-based techniques. Usually, after a surgery, sutures are no needed, there is a rapid tissue healing and there is no bleeding in the operating phase.…”