Review: Laser soft tissue treatments for paediatric dental patients

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

doi:10.1007/bf03262788

Cited by 33 publications

(35 citation statements)

References 59 publications

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“…Wavelength, pulse duration, fiber diameter, type of tissue, pigmentation, blood circulation, applied dose, treatment time, and the experience of the operator are the other parameters that affect the results of the laser-tissue interaction. [16][17][18][19][20] On the other hand, it was reported that, while the power exceeds 4 W in cw-mode in diode lasers, it leads very quickly to carbonization, thermal damage, and necrosis of the tissue. 29,30 Decreasing the power may reduce these negative effects, but this can cause insufficient cutting ability of the laser, so doses (of 3-3.5 W) within the recommended range (of 2-4 W) were used, and the practitioner shortened the treatment time by acting as quickly as possible in order to reduce the total energy given to the target tissue.…”

Section: Discussionmentioning

confidence: 99%

“…However, there is no consensus in the various studies related to laser usage in pediatric dentistry. 11,17,19,20 For most minor intraoral surgical procedures, the recommended average power setting is in the range of 2-4 W with diode lasers. 18 This paper describes the treatment of three cases of complicated crown-root fractures that extended subgingivally and involved pulp exposure to the permanent maxillary incisors that required endodontic treatment.…”

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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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“…In addition, there can be access to areas difficult to reach and reduction of chair time (22). Laser therapy has been suggested as an alternative approach (23,24). Concerning the excision of soft tissue lesions, CO2 and Nd:YAG laser have been suggested for the excision of fibromas with various advantages such as direct haemostasis and disinfection of the surgical field, minimal postoperative pain and inflammation, elimination of sutures and acceleration of the healing process.…”

Section: Discussionmentioning

confidence: 99%

A Case Report and Update of Giant Cell Fibroma

Madi¹,

Shetty²,

Babu³

et al. 2014

MUSBED

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ÖZET Dev hücreli fibroma ile ilgili olgu raporu ve güncellemeDev hücreli fibroma, geleneksel fibromdan ayırt edici klinikopatolojik özelliklerle ayrılan fibröz bir tümördür. Biyopsi alınan tüm oral fibröz proliferasyonların yaklaşık %2 ile %5'ini oluşturmakla beraber ağırlıklı olarak Kafkaslarda nadiren diğer ırklarda görü-lür. Çoğu zaman dev hücreli fibroma, papiller yüzeyi nedeniyle papilloma ile ya da fibröz veya elastik yapısından dolayı fibrom ile karıştırılmaktadır. Bu olgu sunumunda 30 yaşındaki otistik bir kadın hastanın kesici papilla bölgesinde gözlenen dev hücreli fibroma anlatılmaktadır. Anahtar sözcükler: Dev hücreli fibroma, fibrom, histopatoloji, dev hücreler ABS TRACTA case report and update of giant cell fibromaThe giant cell fibroma is a fibrous tumour with a distinctive clinicopathologic features which sets it apart from a conventional fibroma. It represents approximately 2% to 5% of all oral fibrous proliferations submitted for biopsy and is found predominantly in Caucasians and rarely in other races. Most often giant cell fibroma is mistaken for papilloma because of its papillary surface or fibroma because of its fibrous or elastic nature. Here, we report a case of giant cell fibroma, in the region of the incisive papilla, in a 30-year old autistic female.

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“…Since the effects of ruby laser irradiation on dental pulp tissue were reported, 23 other studies using CO 2, Nd:YAG, Er:YAG, Er,Cr:YSGG, diode laser (DL), and argon laser (AL) pulpotomies have been published. 18,[24][25][26] DLs have been applied widely in oral surgery procedures involving soft tissue. Because these lasers are relatively poorly absorbed by the tooth structure, soft tissue surgery can be performed safely in close proximity to enamel, dentin, and cementum.…”

mentioning

confidence: 99%

“…DLs can be used for ablation, incision, and excision (cutting, vaporization, curettage, coagulation, and hemostasis). 26 Furthermore, the laser has the advantages of being portable and compact with a minimum setup time. 26 Based on these characteristics and previous studies, 18,[24][25][26][27] the DL could be an alternative for pulpotomy therapy.…”

mentioning

confidence: 99%

In Vivo Evaluation of the Treatment Outcome of Pulpotomy in Primary Molars Using Diode Laser, Formocresol, and Ferric Sulphate

Durmuş

Tanboğa

2014

Photomedicine and Laser Surgery

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Objective: The purpose of this study was to assess whether the diode laser (DL) pulpotomy method is a suitable alternative to formocresol (FC) and ferric sulphate (FS) pulpotomies in human primary teeth. Background data: Pulpotomy is the amputation of infected coronal pulp to maintain radicular pulp vitality and function. Although FC is regarded as the gold standard for pulpotomy in primary teeth, concerns about its safety have been reported. Lasers are an effective nonpharmacological alternative for treating pulp in children. Methods: This study included 120 primary molars in 58 children 5-9 years of age who underwent an identical conventional pulpotomy technique; the molars were allocated to FC, FS, and DL groups. After removal of the coronal tissue, complete hemostasis of the remaining pulp in the DL group was achieved by DL at 1.5 W, 30 Hz, and 50 mJ, with a 10 sec exposure time. For the FC group, diluted FC (1:5 Buckley's formocresol) was used for 5 min., and for the FS group, a 15.5% FS solution was used for 15 sec. Treatments in all groups were completed with stainless steel crowns and monitored clinically and radiographically at 1, 3, 6, 9, and 12 months. Results: The clinical success rates at 12 months were 97%, 95%, and 100%, whereas the radiographic success rates were 87%, 79%, and 75%, for the FC, FS and DL groups, respectively. The differences in the results were not statistically significant according to the v 2 test ( p > 0.05). Conclusions: DL pulpotomy offers a high clinical success rate, however considering radiographic success rate, it may not replace traditional FC and FS pulpotomies in primary molars.

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Review: Laser soft tissue treatments for paediatric dental patients

Abstract: It is essential to have a good knowledge of laser operation and of which type of laser is most appropriate for each lesion.

Cited by 33 publications

References 59 publications

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

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

A Case Report and Update of Giant Cell Fibroma

In Vivo Evaluation of the Treatment Outcome of Pulpotomy in Primary Molars Using Diode Laser, Formocresol, and Ferric Sulphate

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