Abstract
The in vivo tissue ablation characteristics of a pulsed infrared laser (Hol:YAG, λ = 2120 nm) and a pulsed excimer laser (XeCl, λ = 308 nm) were studied in an animal model. Laser energy was delivered via nylon fibers for the Hol:YAG laser and via quartz fibers for the excimer laser. Laser incisions were made under precise reproducible conditions on the sublingual side of the tongue and the gingiva of white rats. Laser surgery was done at two different energy output settings for the Hol:YAG laser and at one setting for the excimer laser. Histologic studies revealed tissue defects with dean contours for both laser types with small zones of necrosis of the adjacent tissue (Hol:YAG: 180 μm to 640 μm; excimer: 40 μm to 160 μm) and without carbonization. Both laser types function on the principle of photoablation and permit excellent control of tissue ablation. Wound healing was studied over a 10-day period and showed complete wound closure by re-epithelization. The in vivo tissue ablation characteristics and the surgical reliability of the two lasers are compared and discussed with respect to oral and periodontal surgery.
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