#dental laser

[pioonlaser]

Medica 2021 trade fair for Medical technology

PIOON  Medical Laser sincerely invite you to our booth: 9D43-2

[pioonlaser]

Soft tissue Laser Applications in Pediatrics

There are many applications for pediatric soft tissue laser procedures in oral surgery, oral pathology, periodontology and orthodontics — including frenectomies, frenotomies, operculectomies, gingivectomies, and treatment of aphthous and herpetic lesions.

Ankyloglossia of the infant is a common and well-studied condition in which the attachment of the lingual frenum is at the tip of the tongue. This is most common in boys, with a reported incidence of 4% to 5%. Ankyloglossia and restriction of tongue movement can result in poor breastfeeding and maternal nipple pain. Research shows that frenotomy can reduce maternal nipple pain, although the effect on breastfeeding quality has not been consistently proven. Frenotomy involves administering local anesthesia and using two instruments — such as a mosquito or hemostat — in a V shape to protect structures in the sublingual area, including the lingual nerve and Wharton’s duct. A scalpel, laser or electrosurgical knife is used to make a V-shaped incision separating the attachment. Advantages of using a laser include the specific interaction of the laser with treated tissue, rapid hemostasis, reduced postoperative discomfort and fast wound healing. The laser also has a decontaminating and antibacterial effect.

Laser labial frenectomy is completed in a similar fashion, but can also include surgical repositioning of the frenum attachment. While indications for labial frenectomy are varied, this procedure can improve access and cleansability of the facial surfaces of the young child’s incisors, reduce traction on the marginal gingiva, aid in orthodontic treatment of a persistent midline diastema, and modify labial or lingual anatomic issues in a multidisciplinary approach to speech development. Advantages of using a laser in frenectomy or frenotomy include reduced operating time, decreased use of local anesthetic and faster healing.

Removal of benign, diseased oral soft tissue, such as mucocele, gingival fibroma, and pyogenic granuloma, can also be achieved with a diode or Nd:YAG laser. Case reports also indicate successful use of Er-Cr:YSGG lasers for these procedures. Aphthous ulcers and herpetic ulcers may be treated with laser therapy, resulting in reduced healing time — although more high-quality studies are needed to determine effectiveness and treatment protocols.

Periodontal disease is found in a smaller percentage of pediatric patients than adults; nonetheless, teenagers and children present with various periodontal conditions. Some of the most common laser procedures performed in a pediatric population include gingivectomy, removal of operculum, or exposure of a submerged tooth for placement of an orthodontic bracket. Although laser decontamination of periodontal pockets in adults has been studied with varying results, there is little research in pediatric populations. At this time, laser therapy is best considered as an adjunct to traditional periodontal treatment.

Additionally, evolving fields in medicine and dentistry involve photobiomodulation (PBM) and low-level laser therapy (LLLT). In PBM, lasers are used to initiate a photochemical effect on a cellular level, without thermal or ablative characteristics. The majority of studies use diode lasers and attribute positive clinical changes to stimulation of mitochondrial cytochromes, eliciting increased cellular metabolism and improved cell viability. While more studies are needed, there is sufficient literature to support PBM in the treatment of oral mucositis — which is of interest to clinicians who manage patients undergoing radiation or chemotherapy.

[pioonlaser]

(LLLT)Low-level laser therapy in acclerating orthodontic tooth

Orthodontic treatment is a way of straightening or moving teeth to improve the way they look and work. By distributing the pressure of the bite to all the teeth through orthodontic treatment, it also helps to maintain the long-term health of the teeth, gums and jaw joints. The length of treatment varies depending on the severity of the problem, with some taking a few months and others two and a half years. Most people can be cured in a year or two. It is therefore of great clinical importance to explore safe and effective adjunctive interventions to accelerate orthodontic tooth movement, achieve treatment goals in as short a time as possible and achieve a healthy, functional, stable and aesthetically pleasing bite, which is a common pursuit for orthodontists and patients alike. In recent years, low-level lasers have gradually gained the attention of orthodontists due to their safety and lack of side effects as well as their simplicity, convenience and comfort.

Low-level lasers are lasers that do not cause irreversible damage to biological tissues and do not cause a significant increase in local temperature, and have a spectral range of 600-1000 nm (infrared and near-infrared light), a power density of 5 mW/cm 2 -5W/cm 2 , an energy of 1mW-10W, an action time of 30s-60s per site and a number of sites of 1-15. 1-15. The low-level laser has a range of biomodulatory or biostimulatory effects on cells and tissues, including reducing inflammation, oedema and chronic joint disorders; accelerating soft tissue and bone tissue repair to promote wound and nerve healing; promoting hair growth; relieving pain and much more.

PIOON S3 dental diode laser 650nm can be adjusted to 0.1-0.5 watts and irradiated evenly over the surface of the lesion for 15-20 seconds, repeating the procedure 2 to 3 times until the patient is pain-free. Large lesions are treated continuously at intervals of 24 to 48 hours. This method is called LLLT (low-level laser therapy).

In addition, LLLT has a pain-relieving effect by reducing the release of arachidonic acid, which reduces prostaglandin E2 levels in the body; by inducing the release of the endogenous opioid neuropeptide beta-endorphin, which exerts a potent analgesic effect; and by stabilising the cell membrane potential, which blocks the activation and transmission of pain-related signals. This shows that LLLT is a promising non-invasive adjunctive intervention for accelerating orthodontic tooth movement.

[zolartek]

We provide more clinical value to dentists by improving the safety in dental procedures and the surgical outcomes using our advanced laser products. Learn more about the future of laser dentistry, consult our dental professionals at Zolartek. Zolar Technology allows the dentist to do all the surgery related to soft tissue treatment with speed, ease, precision and complete perfection. Our laser products, Photon and Photon Plus, offer many new different functional features and customized programs to redefine dentistry.

[pioonlaser]

FRENOTOMY USING DIODE LASER

Frenum is an anatomic structure formed by a fold of mucous membrane and connective tissue fibers that attach the lip and cheeks to the alveolar mucosa, the gingiva and the underlying periosteum. Placek et al. have classified frenum depending on the extension of attachment of fibers, (1) Mucosal: when the frenal fibers are attached up to mucogingival junction, (2) Gingival: when fibers are inserted within attached gingiva, (3) Papillary: when fibers are extending into interdental papilla, and (4) Papilla penetrating: when the frenal fibers cross the alveolar process and extend up to palatine papilla.

Frenum with mucosal attachment is the usual and is considered to be the correct level of attachment but if the frenum that encroaches on the margin of the gingiva (Class 2 and above) may interfere with plaque removal, and the tension on the frenum may tend to open the sulcus eventually leading to gingival recession, midline diastema, root dentine hypersensitivity and unaesthetic looks. Nowadays aesthetic concerns have led to an increasing importance in seeking dental treatment, with the purpose of achieving perfect smile.  

Treatment Modalities The aberrant frena can be treated by frenectomy or by frenotomy procedures. Frenectomy is the complete removal of the frenum, including its attachment to the underlying bone, while frenotomy is the incision and the relocation of the frenal attachment. These can be accomplished either by the routine scalpel technique, electrosurgery or by using lasers. The conventional technique involves excision of the frenum by using a scalpel. However, it carries the routine risks of surgery like bleeding due to which visibility is impaired, risk of post-operative infection and edema.

After evolution of LASERS, conventional techniques are replaced by LASER. PIOON Laser offers different wavelengths like 450nm/810nm or 980nm.  In this case before the frenotomy procedure tension test was performed to detect the abnormal frena visually by applying tension over the frenum. This procedure was carried out under topical anesthesia by using wavelength of 980nm in contact mode and it started from ablating superficial layer towards the deeper layer till the muscle pull was released. Laser safety glasses were worn by the clinician and the patient and proper precautions were taken.

Patil P et al in 2019 used 980nm wavelength and revealed that it provided an excellent alternative to conventional scalpel surgery because of patient comfort, bloodless field, and reduced pain and healing time. Patel R M et al in 2015 also used 980 wavelength and concluded that diode lasers provide better patient perception and an efficient and satisfactory option for procedures.

Rationale behind Use of Lasers Lasers are becoming popular over conventional techniques because they are less invasive, which result in reduced postoperative edema. The sealing of nerve endings result in reduced inflammatory response and the formation of a protein layer over the surgical wound protects the wound from external irritation, causing less post-operative pain.

                       Preoperative View (Courtesy- Dr. Sana Farista)

                 Immediate Postoperative view (Courtesy- Dr. Sana Farista)

Reference - Patil P, Kabbur KJ, Madaiah H, Satyanarayana S. Diode laser frenectomy: A case report with review of literature. J Dent Lasers 2019;13:19-22 and Patel R M, Varma S, Suragimath G, Abbayya K, Zope S A, Kale V. Comparison of labial frenectomy procedure with conventional surgical technique and diode laser. J Dent Lasers 2015;9:94-9.

[pioonlaser]

Here comes the IAACD seminar

Don't miss the session about laser dentistry given by laser specialists Dr Sana and Dr Shanin on 18th July 2021: 11am - 12:30PM.For registration, plz contact:Dr Twinkle JainTEL: 9820167063

learn more

[pioonlaser]

Pioon laser arrived in Syria, thanks for the support of very kind and professional Dr. Omar Hamadah.

[pioonlaser]

What is Operculectomy and why is it performed

What is Operculectomy?

Operculectomy is the procedure of surgically removing the operculum or the flap of gum that partially covers over a tooth. This procedure treats pericoronitis, a condition characterized by pain and inflammation of the operculum. Pericoronitis typically occurs among young adults, especially those whose wisdom tooth is starting to erupt.

What happens if Operculectomy is not performed?

1. Causes inflammation in the soft tissues surrounding the crown of the partially erupted tooth clinically called pericoronitis. It typically occurs in teeth that erupt very slowly or become impacted.

2. Penetration of bacteria into the follicular space initiates infection which is potentiated by food debris trapped in proximity to the operculum and occlusal trauma of the pericoronal tissues by the opposing tooth.

When is Operculectomy suggested?

Operculectomy is advised by the dentist when one develops Pericoronitis, which may be acute or chronic.

Acute pericoronitis: characterized by severe radiating pain, localized swelling of the pericoronal tissues, purulence or drainage, trismus, regional lymphadenopathy, painful swallowing, pyrexia, and sometimes spreading of the infection to adjacent tissue spaces.

Chronic Pericoronitis: characterized by dull pain or discomfort, often accompanied by bad taste, lasting a couple of days with remission lasting several weeks or months.

How is Operculectomy Performed?

1. Surgical excision or ablation of the operculum via a wide variety of techniques: Scalpel.

2. Excision using caustic agents, radiofrequency surgery, electrosurgery, cautery, CO2 laser, or hot-tip diode surgery.

3. Soft-tissue laser surgery or Laser-Assisted Operculectomy

Laser Assisted Opereculectomy

Soft-tissue laser ablation (and incision and excision) is a process of vaporization of cellular water due to the heat produced by the laser light within the irradiated soft tissue. Water vapors, rapidly steaming out of the intensely laser-heated soft tissue, carry with them cellular ashes and other byproducts of this fast boiling and vaporization process.

Advantages of Laser Assisted Operculectomy

The most important advantage of soft-tissue lasers over other surgical modalities is their ability to cut and provide hemostasis efficiently.