Soft Tissue Laser Research Articles

Enhancing Smile Esthetics by Periodontists Utilizing Soft Tissue Lasers

Enhancing Smile Esthetics by Periodontists Utilizing Soft Tissue Lasers

LASER assisted soft tissue procedures for orthodontic treatment.

Light Amplified Stimulated Emission of Radiation (LASER) therapy has been the subject of numerous researches as an auxiliary method in orthodontic practice. Therefore, it is of interest to assess the clinical evaluation of laser assisted soft tissue procedures for orthodontic treatment. The soft tissue surgical procedures carried out were aestheticre-contouring, gingivectomy, maxillary frenectomy, operculectomy and surgical exposure of impacted canines. The clinical outcomes evaluated in each patient were post-operative pain, bleeding during surgical procedure. In our study, clinical evaluation of outcomes in both categories revealed reduced pain at 1 hour and 24 hour after surgical procedures in patients who underwent surgery with LASER.. Soft tissue Laser can be an alternative to conventional surgery for soft tissue surgeries in orthodontics with better pain relief and reduced bleeding.

Evaluation of effectiveness of low level laser therapy in accelerating orthodontic tooth movement-An in vivo study

To assess the acceleration of tooth movement in canine retraction and to assess the interleukin 1β level in Gingival Crevicular Fluid. 0.022 slot MBT brackets, 0.018 inch stainless steel arch wire, Low level laser (Gallium-Aluminium-Arsenide Laser), ELISA kit, Micro-capillary tube, Digital Vernier calliper, Dontrics gauge, NiTi closed coil springs Open labelled split mouth, non-experimental interventional institutional based study. By coin toss method, each of the participant’s mouth was randomly assigned either to the laser therapy (group 1) and 40 reference sites (group 2). On the experimental site orthodontic treatment with fixed appliance, a combination with low level laser therapy (Gallium-Aluminium-Arsenide laser) to the canine on the days 3,7,14 and then every 15 days for 2 months was initiated. Then 5µL of Gingival Crevicular Fluid (GCF) was collected to analyse the interleukin 1β levels using the ELIZA kit. The measurements were made with the help of a digital Vernier calliper. The laser group showed a significant greater reduction in the canine to molar distance than the site treated with conventional technique. The interleukin 1 β levels raised significantly for the site treated with laser as compared to the other. We observed that: Increased inflammatory response in the form of raised interleukin levels and Faster distalization of the canine when adjunct with low level soft tissue laser. The entire data was statistically analyzed using Statistical Package for Social Sciences (SPSS version 21.0, IBM Corporation, USA) for MS Windows. In Statistics, unpaired t-test is a used to compare equality of two population means and F-test is used to compare the equality of two population variance using that the samples were drawn from different populations. There was a clinically appreciable amount of retraction seen resulting in faster space closure between the canine and the first permanent molar in the group that had low level laser than the other group that was treated by the conventional therapy. We also observed a considerable rise in the interleukin 1 β levels in the laser group.

Application of soft tissue laser in the management of recurrent apthous stomatitis

Apthous ulcers are relatively common pathology and are very painful, so in order to facilitate the relief in pain and healing of these ulcers application of LLT has been done in the present study. The purpose of this study was to assess the efficacy of Low Level Laser Therapy in the treatment of recurrent aphthous ulcers. 30 patients of both sexes and all age groups with two recurrent aphthous ulcers were included in the study. One ulcer in each subject was subjected to Low Level Laser Therapy as study group and one ulcer in each subject was considered for the Sham Control group. The Student’s t-test was used for statistical evaluation of the data. The study group (LLLT) showed a statistically significant reduction in pain as compared to the sham controlled group. Complete resolution of the ulcers in the study group was observed to be 4.7 ± 1.2 days and control group was 8.4 ± 2.6 days. On comparison with the sham group, the complete healing time for the study group (LLLT) was found to be highly significant, with a p value of <0.001.

Hard tissue & soft tissue lasers role in dental caries diagnosis, prevention and treatment- A narrative review

Hard tissue & soft tissue lasers role in dental caries diagnosis, prevention and treatment- A narrative review

Laser biomodulation in dentistry

The laser is an acronym for “light amplification by stimulated emission of radiation.” After the discovery of laser in 1960, it was very well appreciated that laser therapy has the ability to reduce pain, inflammation, swelling, and also improve wound healing. The dentists are now provided with a wide variety of lasers of different wavelengths and so they readily choose according to their needs of treatment. Each of the wavelengths has specific laser-tissue interactions. One such laser-tissue interaction is called “soft-tissue laser therapy or biostimulation or biomodulation.” This laser uses the specific wavelength from visible red to near-visible red in the electromagnetic spectrum ranging from 630 to 980 nm. Numerous researches on low-level laser therapy are documented in the literature over 30 years before. This review article gives an insight into the mechanism of action, its dosage, and emphasizes its application in dentistry.

The effect of 805 nm near-infrared photobiomodulation on proliferation and differentiation of bone marrow stem cells in murine rats.

To evaluate the effect of near infra-red gallium-aluminium-arsenide (GaAlAs) diode laser (805 nm) irradiation on proliferation and differentiation of rat femoral bone marrow-derived mesenchymal stem cells (BMSCs) cultured in osteogenic medium. BMSCs were obtained from femurs of 60 Sprague Dawley rats (200 gm). The control group comprised isolated BMSCs supplemented with an osteogenic differentiation medium. On the other hand, in the experimental group, the BMSCs were irradiated with a near-infrared laser in addition to an osteogenic differentiation medium. The experimental group was irradiated with a soft tissue laser comprising of allium-aluminium-arsenic (Ga-Al-Ar) Diode at a near-infrared wavelength of 805 nm in continuous mode. The different output powers applied were 0.5 W, 1.0 W, 1.5 W and 2.0 W respectively. Various energy levels of 1, 4, 7 and 10 J were used for irradiation. Alkaline phosphatase (ALP) assay and Alizarin staining were performed to confirm osteogenic differentiation. Statistical analysis was done using a one-way ANOVA and a p-value of <0.05 was considered significant. According to our findings, 1.27 J/cm2 was the optimal energy density value that significantly increased the BMSC proliferation at the output of 1.5 W with the power density of 1.27 W/cm2. On 1.27 J/cm2, there was a significant difference compared to the control group on the first day, and the osteogenic differentiation increased significantly on the 4th day compared to the 1st day. According to our findings, 1.27 J/cm2 was the optimal energy density value that significantly increased the BMSC proliferation at the output of 1.5 W with the power density of 1.27 W/cm2.

Abstracts from the World Federation for Laser Dentistry—Asia Pacific Division Virtual Conference July 16–17, 2021

Abstracts from the World Federation for Laser Dentistry—Asia Pacific Division Virtual Conference July 16–17, 2021

Lasers in Orthodontics

Laser technique now is widely applied in orthodontic treatment and proved to have many benefits. Soft tissue lasers can be used to perform gingivectomy, frenectomy and surgical exposure of tooth with less bleeding and swelling, improved precision, reduced painand less wound contraction. Other laser applications include enamel etching and bonding andbracket debonding. Lower level lasers have the potential effects of pain control and accelerating tooth movement. Clinicians must be aware of the safety issues and risks associated with laser and receive proper training before the laser treatment is started.

Preventive aspects and patient satisfaction with laser aided gingivectomy versus conventional method. An in-vivo comparative study

Background and Objectives: Nowadays, the field of dentistry has undergone an outstanding remarkable advances in both scientific and technological aspects, dentists are obligated to synchronize the progressive demands of the patients. Gingival diseases are among the most common health problems of human being. Gingivectomy, as a surgical interference can be performed with either scalpel or soft tissue Laser The objective of this study was to evaluate the preventive extent of Diode Laser in regards to gingivectomy associated complications beside the patient`s satisfaction. Methods: This in vivo comparative study was designed to include 64 patients, divided into 2 groups of patients treated with either Laser therapy (34 Patients) or conventional method (30 Patients) of gingivectomy. The outcomes of the study plus patients` satisfaction with each procedure were analyzed using IBM SPSS V. 22 program.Results: The mean age of the sample was 25.01 + 6.56 years, more than half (57.8%) of the sample were females. All the patients in the surgery group needed local anesthesia and periodontal pack compared to 23.5% and 0% of patients in the laser group respectively. The bleeding was significantly more severe in the first group than second group. The mean ranks of the post-operative pain scores among patients of the surgery group were significantly higher than laser group (p &lt; 0.001). More than forty percent of the patients in the laser group were strongly satisfied with the procedure compared to 10% of patients in the surgery group.Conclusions: Diode laser can be used as a preventive tool for undesired Gingivectomyassociated pain, bleeding, and needs for anaesthesia which subsequently leads to more patient satisfaction compared to conventional methods.

Different applications of laser in the field of orthodontics: A review

In today’s time laser has been used widely in various fields of dentistry, out of all one is in the field of orthodontics and proved to be as useful equipment. Specific lasers such as soft tissue lasers can be used in the treatment of exposure of the tooth surgically with its prime advantage of very less bleeding as well as little bit of swelling it is also helpful in reducing the potential of post reducing pain. Along with all this the other applications of lasers in the field of orthodontics are, they are helpful in etching the superior most surface of the tooth i.e. enamel as well as helpful in bonding of the bracket to the enamel and vice versa i.e. debonding of the bracket from the superior most surface of the tooth i.e. enamel. Lasers are also helpful in tooth movement along with reducing the pain threshold.

English

BACKGROUND Gingival melanin pigmentation (GMP) is a common aesthetic concern. The gold standard for depigmentation, is surgery. Recently soft tissue lasers have gained popularity. The purpose of this study was to compare and evaluate the clinical efficacy of surgical blade and laser treatment in terms of pain perception and wound healing outcomes, 7 and 14 days following the procedures for the treatment of gingival depigmentation. METHODS This 14 day follow up comparative clinical study, utilized a split mouth design, in the anterior region. Fifteen patients with moderate to heavy bilateral gingival pigmentation were included as per the criteria by Dummett et al. The patients’ right side (group 1) was treated with surgical blade and the left side (group 2) with diode laser (Picasso, AMD LASERS™) by a trained clinician. Pain perception was assessed using Visual Analog Scale (VAS) and wound healing was assessed using clinical parameters. RESULTS Data was analysed using paired t test and Wilcoxon’s signed rank test. P value of &lt; 0.05 was considered statistically significant. On day 7, more than 70 % patients had slight pain in group 1. Whereas, 47 % experienced no pain in group 2. The mean difference in VAS scores between the groups at day 7, was statistically significant. No statistically significant distinction in wound healing was observed 7 days following both procedures. No pain, and complete epithelialisation was noted in both groups on day 14. CONCLUSIONS Pain experienced by the patients was slightly more in the scalpel group compared to laser. There was no difference in wound healing between both groups. KEY WORDS GMP, Gingival Melanin Pigmentation, VAS Scale, Depigmentation, Wound Healing, Laser, Surgical Blade, Split Mouth Design

2μm widely tunable thulium-doped fiber laser seed oscillator

2μm band laser can be used in transparent plastic welding, soft tissue laser surgery, LiDAR, toxic hazard gas sensing and medium-and far-infrared parametric oscillation conversion. However, there are still many problems that need to be clarified on how to break through the peak power limit, realize pulse time domain programmable and laser wavelength wide range tuning in the nanosecond thulium fiber system. In this experiment, wide tuning laser at 2μm band was used to realize different laser wavelength, constant seed laser power output, and EOM was used to define laser pulse waveform and pulse frequency.

A case series of treatment of oral mucosal lesions using diode lasers

Background: Einstein's photoelectric amplification theory provided the template for the development of lasers. With recent technological advancements, the increasing use of lasers in dentistry has had a meaningful impact on the diagnosis and management of oral mucosal lesions. This case series highlights lasers' impact. Case Reports: Five patients with diagnoses of arteriovenous malformation, homogeneous leukoplakia, mucocele, traumatic fibroma, and erosive lichen planus were treated with a diode laser (1,200 J/s; wavelength of 940 nm; 1.5 W; pulse mode). The patients were followed up to evaluate lesion healing and complete healing of the lesion was rapidly achieved with minimal discomfort. Conclusion: Soft-tissue lasers are trending in the management of various oral mucosal lesions due to their advantages of providing higher precision, a clean surgical field with minimal blood loss, accelerated wound healing, and fewer postoperative complications.

Lasers in Orthodontics – A Review

Introduction: In past few years, there is huge improvement in orthodontics. Different innovation in orthodontics made the procedure easier and less time consuming. Application of laser is one of them. Many types of dental lasers are currently available that can be efficiently used for soft and hard tissue applications in the field of orthodontics. Two types of lasers are there. One is hard tissue laser, and another is soft tissue laser. Laser therapy is advantageous because it often avoids bleeding, can be pain free, is non‑invasive and is relatively quick. The high cost is its primary disadvantage. The purpose of this article is to provide an overview regarding safe and proper use of soft-tissue lasers in orthodontics

Comparison of pyogenic granuloma excision using scalpel, electrosurgery and diode laser

Oral pyogenic granulomas, a common clinical condition, occurring in all age groups, and is seen frequently in females around the second decade of their life. It occurs as a sessile or pedunculated growth varies in color from red to purple. It is frequently seen on the marginal gingiva especially in the maxillary arch. Anterior teeth are more frequently affected then posteriors. They are commonly seen on the facial aspect and usually do not show radiologic findings. The treatment is surgical excision which was usually done with scalpel blade. However, with recent technological advances, excision can be done using electrosurgery and diode lasers. In the present case report, excision of pyogenic granuloma is done using scalpel, electrosurgery and diode laser. Keywords: Soft tissue lasers, Diode laser, Electrosurgery, Scalpel, Pyogenic granuloma

ADOBE READER (Require Adobe Acrobat Reader to open, If you don't have Adobe Acrobat Reader) Index Page 1 Click here to Download IJPR 9[3] JULY - SEPTEMBER 2017 SPECIAL ISSUE July - September 9[3] 2017 Click to download  Manuscript Status... GO Article Detail Comparative Assessment of Intraoperative Pain During Crown Lengthening Procedures Using Soft Tissue and Hard Tissue Laser

ADOBE READER (Require Adobe Acrobat Reader to open, If you don't have Adobe Acrobat Reader) Index Page 1 Click here to Download IJPR 9[3] JULY - SEPTEMBER 2017 SPECIAL ISSUE July - September 9[3] 2017 Click to download  Manuscript Status... GO Article Detail Comparative Assessment of Intraoperative Pain During Crown Lengthening Procedures Using Soft Tissue and Hard Tissue Laser

Dental LASER : A Boon in Dentistry &amp; its significance in Covid-19

LASER stands for light amplification by stimulated emission of radiation. Einstein was the ist to give the foundation for laser , however the first to give laser term was Gordon Gould. Invention of LASER has brought about a major revolution in the ways of life of people. The increasing use of laser in medicine has only been possible due to a better understanding of the interaction between laser light and living tissue. Reliably laser removes the needle, drill, and pain from the dental procedures &amp; also reduces risk of contamination with respect to drills. Laser significantly reduces aerosols and Does not produce scratch material , thus causing less spread of debris outside the oral cavity. Blood free procedures for better recovery . Laser dentistry can be a precise and effective way to perform many dental procedures. Dental laser can be used to generate both hard and soft tissue laser energy, depending upon the patient’s needs.

Advanced esthetic laser procedures in orthodontic practice

The use of a soft tissue laser will not only improve the quality and speed of orthodontic treatment, it can dramatically enhance final esthetic results. To optimize the speed of treatment, esthetic considerations should be considered as part of the initial diagnosis. Using a laser allows cleaner finish lines and reduces damage to the gingival crests, with faster healing and less discomfort when compared to more conventional techniques. Even when dealing with complex altered passive eruption cases, soft-tissue laser procedures can provide significant benefits to patients.

Basic laser procedures in orthodontic practice

Adding a soft tissue laser to an orthodontist's technology toolbox permits performance of numerous procedures that reduce time in treatment, saves valuable chair time and improves results. It is critical to know both the abilities and limitations of the device in order to maximize benefits to both patient and practice, and realize an acceptable return on investment. Important considerations to understand when treatment planning for a laser procedure include the type of laser to use, levels of keratinized tissue, an understanding of biologic width and measurement of pocket depth. It is also critical to use the proper settings on the laser to reduce tissue charring, which could potentially result in delayed healing and postoperative discomfort. The most critical criterion when purchasing a laser may well be the amount and type of training that comes with the device. Within these parameters, a number of procedures may be safely and easily performed by orthodontists including gingivectomies, tooth exposures, frenotomies (labial and lingual), crestal fiberotomies and treatment of aphthous ulcers.