Use of Lasers and Piezoelectric in Intraoral Surgery

Costa, Davani Latarullo; Azevedo, Eduardo Thomé de; Przysiezny, Paulo Eduardo; Klüppel, Leandro Eduardo

doi:10.1016/j.coms.2020.12.004

Cited by 6 publications

(5 citation statements)

References 40 publications

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“…There are two main types of soft lasers, one is the visible-red or near-red light in the electromagnetic spectrum with wavelengths between 600 and 700 or 780 and 1100 nm, and the other is a power diode laser, its rate density is between 0.005 and 5 W/cm 2 . 26 The indications of laser in dentistry include the treatment of various oral mucosa diseases, pulp and periodontal therapy, oral and maxillofacial surgery, etc. Low-intensity laser can be used to relieve pain, swelling and bleeding after extraction of impacted wisdom teeth, and to rehabilitate the injury of IAN and facial nerve, so it has better efficacy than conventional pharmacotherapy.…”

Section: Discussionmentioning

confidence: 99%

“…Soft laser, also known as low‐intensity laser, refers to a kind of laser with a wavelength between 600 and 1100 nm, energy density less than 50 J/cm 2 and output power less than 0.5 W laser. There are two main types of soft lasers, one is the visible‐red or near‐red light in the electromagnetic spectrum with wavelengths between 600 and 700 or 780 and 1100 nm, and the other is a power diode laser, its rate density is between 0.005 and 5 W/cm 2 26 . The indications of laser in dentistry include the treatment of various oral mucosa diseases, pulp and periodontal therapy, oral and maxillofacial surgery, etc.…”

Section: Discussionmentioning

confidence: 99%

“…The penetration depth of different wavelengths of laser varies. Previous studies suggested that a laser with a wavelength of 808 nm is capable of promoting the metabolic activities and growth potential of cells 26,27 . When 808 nm laser radiated the tissue, it was less absorbed in the surface but could penetrate deeper, about 5 mm tissue, which means more irradiation area 28 .…”

Section: Discussionmentioning

confidence: 99%

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Effectiveness of concentrated growth factor and laser therapy on wound healing, inferior alveolar nerve injury and periodontal bone defects post‐mandibular impacted wisdom tooth extraction: A randomized clinical trial

Lu,

Bingquan,

Jun

et al. 2024

International Wound Journal

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The extraction of wisdom teeth with mandibular impact frequently results in complications including damage to the inferior alveolar nerve (IAN) and malformations of the bone. The objective of this research endeavour was to assess the efficacy of low‐level laser therapy and concentrated growth factor (CGF) in facilitating nerve recovery and wound healing in such instances. A total of thirty‐one patients (mean age 27.52 ± 5.79 years) who presented with IAN injury after extraction were randomly assigned to one of three groups: control group (which received oral mecobalamin), CGF group (which received CGF gel applied to the extraction sockets) and laser group (which received low‐level lasers (808 nm, 30 mW, 10 J/cm2)) at the extraction site. Patients' recovery from IAN paresthesia was evaluated seven times over the course of 14 days utilizing visual analogue scale (VAS) and the pinprick test (PP). At multiple intervals following surgery, periodontal probing and bone level measurements were utilized to assess the recovery of both soft and hard tissues. The findings revealed that, compared with the control group, both the CGF and laser treatment groups exhibited a markedly greater improvement in VAS scores and wound healing of soft tissues, as well as in PP results (p < 0.001), indicating enhanced wound healing processes. Despite these improvements, there was no significant difference in wound healing outcomes between the CGF and laser groups. Notably, the CGF group showed a statistically significant improvement in healing bone defects at 30 and 90 days post‐treatment compared with the control group (p = 0.003 and p = 0.004, respectively), underscoring its effectiveness in bone healing as a critical aspect of the overall wound healing process. However, in terms of other wound healing comparisons, no significant differences were observed. CGF and laser therapy significantly enhanced the healing of wounds, including soft tissue and bone recovery, in addition to accelerating the recovery of IAN injuries following mandibular wisdom tooth extraction. Although both treatments were equally effective in nerve recovery, CGF notably excelled in promoting bone healing, suggesting its pivotal role in comprehensive wound healing. This highlights that both CGF and laser therapy are viable options for not only nerve recovery but also for overall wound healing in such dental procedures.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Effectiveness of concentrated growth factor and laser therapy on wound healing, inferior alveolar nerve injury and periodontal bone defects post‐mandibular impacted wisdom tooth extraction: A randomized clinical trial

Lu,

Bingquan,

Jun

et al. 2024

International Wound Journal

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“…In the process of cutting, the important anatomical structures such as soft and hard tissues, nerves and blood vessels can be distinguished, and the cutting range can be accurately controlled. The accuracy control is very accurate, which can effectively improve the rationality of surgical cutting [20] ; and also has adjustable cutting intensity mode to avoid serious damage to the mucosa and vascular nerves, which can minimize the risk of soft tissue damage during the cutting process, avoid the blindness of traditional treatment methods, reduce intraoperative bleeding, and facilitate clear visual field;…”

Section: The Number Of Cases Of Postoperative Complicationsmentioning

confidence: 99%

Application of ultrasonic bone knife combined with dental electric motor in the extraction of mandibular middle and low impacted teeth

Wang¹,

Zhang²

2023

Preprint

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OBJECTIVE: To investigate the clinical application of ultrasonic bone knife (UBK) combined with dental electric motor (DEM) in the extraction of mandibular middle and low impacted teeth. Methods: From January 2022 to May 2023,200 patients with wisdom teeth were randomly divided into three groups: experimental group A (UBK combined with DEM) and experimental group B (UBK combined with high-speed turbine mobile phone (HSTMP)), control group (bone chisel split crown (BCSC)). The operation time, psychological state during operation, pain, swelling, limitation of mouth opening and other complications on the first, second and third days after operation were recorded. Results: The operation time of experimental group A(EAG) (12.95 ± 2.12) minutes was shorter than that of experimental group B (EBG) (17.06 ± 2.25) minutes and control group (CG) (23.43 ± 2.18) minutes, the difference was statistically significant (P < 0.05). The psychological state of EAG was significantly lower than that of EBG and CG (P < 0.05). The postoperative pain, swelling, limitation of mouth opening and complications in the EAG were significantly lower than those in the EBG and CG (P < 0.05). CONCLUSION: UBK combined with DEM in the extraction of mandibular middle and low obstructed teeth has good results, good prognosis, high safety, short operation time, better psychological status of patients, low postoperative pain, swelling, mouth opening restriction and complication rate, and is currently the preferred extraction method.

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“…The micro-movements created within the chosen frequency range is able to involve only mineralized tissue avoiding neurovascular tissue and other soft tissue. Piezoelectric cutting devices were first used in oral and neurosurgery [13][14][15][16][17][18]. Piezoelectric osteotomy has also been associated to a proper bone healing [19][20][21].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the Iatrogenic Sciatic Nerve Injury following Double Pelvic Osteotomy Performed with Piezoelectric Cutting Tool in Dogs

Properzi¹,

Collivignarelli

Paolini

et al. 2022

Veterinary Sciences

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(1) Background: The double pelvic osteotomy (DPO) is a prophylactic surgical procedure associated with 0.4% incidence of sciatic nerve injury. The piezoelectric cutting tool is a surgical device able to involve only mineralized tissue avoiding neurovascular tissue and other soft tissue. This study aimed to evaluate the sciatic nerve injury observed in dogs underwent iliac osteotomy performed using the piezoelectric cutting tool. (2) Methods: Dogs underwent DPO performed with piezoelectric cutting tool were included. Neurological assessment was performed 6 and 24 h after surgery and then repeated 12 days, 4 and 8 weeks after surgery. Temporary and or permanent sciatic nerve injury were recorded. (3) Results: 84 DPOs performed in fifty dogs were included. No temporary/permanent neurological disease associated with iatrogenic damage of the sciatic nerve were observed. (4) Conclusions: The iliac osteotomy performed with piezoelectric cutting tool was not associated to iatrogenic sciatic nerve injury.

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Use of Lasers and Piezoelectric in Intraoral Surgery

Cited by 6 publications

References 40 publications

Effectiveness of concentrated growth factor and laser therapy on wound healing, inferior alveolar nerve injury and periodontal bone defects post‐mandibular impacted wisdom tooth extraction: A randomized clinical trial

Effectiveness of concentrated growth factor and laser therapy on wound healing, inferior alveolar nerve injury and periodontal bone defects post‐mandibular impacted wisdom tooth extraction: A randomized clinical trial

Application of ultrasonic bone knife combined with dental electric motor in the extraction of mandibular middle and low impacted teeth

Evaluation of the Iatrogenic Sciatic Nerve Injury following Double Pelvic Osteotomy Performed with Piezoelectric Cutting Tool in Dogs

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