Morphological and Ultrastructural Comparative Analysis of Bone Tissue After Er:YAG Laser and Surgical Drill Osteotomy

Pandurić, Dragana Gabrić; Jurič, Ivona Bago; Musić, Svetozar; Molčanov, Krešimir; Sušić, Mato; Anić, Ivica

doi:10.1089/pho.2014.3711

Cited by 28 publications

(22 citation statements)

References 28 publications

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“…The use of Er,Cr:YSGG laser has a great potential in the hard tissues surgery; indeed Er,Cr:YSGG laser enables efficient resection of the maxilla without using conventional rotary instruments, as the laser produces a clear and precise cut with minimal injury to contiguous hard and soft tissues [6, 20, 23, 42, 43]. …”

Section: Discussionmentioning

confidence: 99%

Conservative Surgical Treatment of Bisphosphonate-Related Osteonecrosis of the Jaw with Er,Cr:YSGG Laser and Platelet-Rich Plasma: A Longitudinal Study

Mauceri

Panzarella

Maniscalco

et al. 2018

BioMed Research International

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Introduction The management of bisphosphonate-related osteonecrosis of the jaw (BRONJ), with no evidence-based guidelines, remains controversial. We aimed to evaluate the efficiency of a conservative surgical treatment combining Er,Cr:YSGG laser and platelet-rich plasma (PRP) for the treatment of BRONJ in cancer patients. Methods We performed a longitudinal cohort study. Inclusion criteria were (1) age ≥ 18 years; (2) cancer diagnosis; (3) treatment with NBP because of the underlying cancer. Results We consecutively recruited ten patients diagnosed with BRONJ in stage I or II. These patients underwent a surgical laser-assisted therapy together with autologous PRP. At the latest follow-up at 12 months, clinical improvement was observed in eight patients. Registration Number is IRCT20180329039159N1. Conclusion We could successfully manage the BRONJ utilizing this combined protocol to heal the 30% of surgically treated sites and to improve the 50% of patients' lesions clinically. Our findings suggest that a surgical approach combined with Er,Cr:YSGG laser and PRP benefit cancer patients with general health issues.

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Section: Discussionmentioning

confidence: 99%

Conservative Surgical Treatment of Bisphosphonate-Related Osteonecrosis of the Jaw with Er,Cr:YSGG Laser and Platelet-Rich Plasma: A Longitudinal Study

Mauceri

Panzarella

Maniscalco

et al. 2018

BioMed Research International

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“…Sasaki et al [13] could not find any carbonization regions in bone tissue after erbium:YAG treatment even after high repetition rates (20 Hz). Further analysis by Panduric et al [8] by field emission scanning electron microscopy and energy-dispersive X-ray analysis of erbium:YAG-treated bone demonstrated a similar amount and distribution of the chemical elements in the treated and untreated areas. 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.…”

Section: Discussionmentioning

confidence: 93%

“…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]. An additional benefit of the erbium:YAG laser is the lack of development of a wet aerosol as seen with the surgical drill and therefore a reduction in the infection risk for the surgeon and assistance personnel.…”

Section: Discussionmentioning

confidence: 99%

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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

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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.

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“…Dental biocompatible materials and their modifi cations were tested by the use of nuclear magnetic resonance (NMR) spectroscopy [1,2], Fourier-transform infrared (FTIR) [3,4], and electron microscopy [5,6]. Gamma irradiated dental materials were tested by electron paramagnetic resonance (EPR) method [7,8].…”

Section: Introductionmentioning

confidence: 99%

Effect of microwave power on EPR spectra of natural and synthetic dental biocompatible materials

2015

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Abstract. Paramagnetic centers in the two exemplary synthetic and natural dental biocompatible materials applied in implantology were examined by the use of an X-band (9.3 GHz) electron paramagnetic resonance (EPR) spectroscopy. The EPR spectra were measured in the range of microwave power 2.2-70 mW. The aims of this work were to compare paramagnetic centers concentrations in different dental biocompatible materials and to determine the effect of microwave power on parameters of their EPR spectra. It is the very fi rst and innovatory examination of paramagnetic centers in these materials. It was pointed out that paramagnetic centers existed in both natural (~10 18 spin/g) and synthetic (~10 19 spin/g) dental biocompatible materials, but the lower free radical concentration characterized the natural sample. Continuous microwave saturation of EPR spectra indicated that faster spin-lattice relaxation processes existed in synthetic dental biocompatible materials than in natural material. Linewidths (B pp ) of the EPR spectra of the natural dental material slightly increased for the higher microwave powers. Such effect was not observed for the synthetic material. The broad EPR lines (B pp ): 2.4 mT, 3.9 mT, were measured for the natural and synthetic dental materials, respectively. Probably strong dipolar interactions between paramagnetic centers in the studied samples may be responsible for their line broadening. EPR spectroscopy is the useful experimental method in the examination of paramagnetic centers in dental biocompatible materials.

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Morphological and Ultrastructural Comparative Analysis of Bone Tissue After Er:YAG Laser and Surgical Drill Osteotomy

Abstract: The Er:YAG laser ablation did not cause any chemical or crystallographic changes of the bone tissue. Compared with the drill, Er:YAG laser created well-defined edges of the preparations, and cortical bone had no smear layer.

Cited by 28 publications

References 28 publications

Conservative Surgical Treatment of Bisphosphonate-Related Osteonecrosis of the Jaw with Er,Cr:YSGG Laser and Platelet-Rich Plasma: A Longitudinal Study

Conservative Surgical Treatment of Bisphosphonate-Related Osteonecrosis of the Jaw with Er,Cr:YSGG Laser and Platelet-Rich Plasma: A Longitudinal Study

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

Effect of microwave power on EPR spectra of natural and synthetic dental biocompatible materials

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