Clinical application of diode laser radiation for surgical treatment of patients with dental diseases

Abstract

Background. Traumatism of surgical operations in dentistry dictates the need to search for minimally invasive methods of tissue alteration. The use of lasers makes it possible to solve this problem, since laser radiation possesses a lower operative injury, selective action and activates the reparative processes in the wound.

Aim. To increase the effectiveness of surgical treatment of dental patients by using a diode laser.

Materials and Methods. In a clinic, 134 patients from 18 to 82 years of age with various dental diseases were examined and underwent surgical treatment using a traditional method and a diode «PICASSO Lite» laser with 810 nm wavelength from AMD Lasers (USA), with the radiation power in the range from 0.6 to 1.0 W. The criteria for evaluation of the effectiveness of laser application were the data of clinical examination.

Results. In comparison with the traditional method of treatment, use of a surgical laser resulted in a less pronounced postoperative edema and pain. The difference between healing time of the operative wound after use of surgical laser and after the traditional treatment was 3±0.5 days in case of suturing of the wound and 7±0.5 days in case of wound healing under the fibrinous film and under the iodoform tampon. The wound defect induced by laser radiation passed all stages of the wound process much faster that with use of scalpel. In addition, selective removal of pathological tissues reduced the likelihood of injury to the oral mucosa, which leads to reduction in the duration of treatment.

Conclusions. Thus, the use of a diode laser allows to improve the technique of surgical treatment of patients and increases the effectiveness of treatment of patients with dental diseases.

Keywords

diode laser / oral mucosa / oral dental diseases

References

[1] Biriukova UA, Filimonova LB, Galizina OA. Laboratory evaluation of efficiency use of herbal remediesin the treatment of hypertrophic gingivitis. I.P. Pavlov Russian Medical Biological Herald. 2014;22(3):13942. (In Russ). doi:10.17816/PAVLOVJ20143139142

[2] Бирюкова Ю.А., Филимонова Л.Б., Гализина О.А. Лабораторная оценка эффективности использования фитопрепарата при лечении гипертрофического гингивита // Российский медикобиологический вестник имени академика И.П. Павлова. 2014. Т. 22, №3. С. 139142. doi:10.17816/ PAVLOVJ 20143139142

[3] Peterson PE, Kuzmina EM. The Prevalence of dental diseases. Risk factors and health of the oral cavity. The main problems of public health. Dental Forum. 2017;64 (1):211. (In Russ).

[4] Петерсон П.Э., Кузьмина Э.М. Распространенность стоматологических заболеваний. Факторы риска и здоровье полости рта. Основные проблемы общественного здравоохранения // Dental Forum. 2017. Т. 64, №1. С. 211.

[5] Eliseenko VI, Skobelkin OK, Titova TM. Morfologiya reparativnykh protsessov posle ostanovki zheludochkovykh krovotecheniy s pomoshch'yu razlichnykh lazerov. Arkhiv patologii. 1981;43(9):4350. (In Russ).

[6] Елисеенко В.И., Скобелкин О.К., Титова Т.М. Морфология репаративных процессов после остановки желудочковых кровотечений с помощью различных лазеров // Архив патологии. 1981. Т. 43, №9. С. 4350.

[7] Tarasenko IV. Growth factor levels in osseous regenerates of rat's femoral bone after laser and mechanical impact. Laser medicine. 2011;15(3):436. (In Russ).

[8] Тарасенко И.В. Содержание факторов роста в регенерате костной ткани бедра крыс после лазерного и механического воздействия // Лазерная медицина. 2011. Т. 3, №15. С. 4346.

[9] Romeo U, Russo C, Palaia G, et al., Biopsy of Different Oral Soft Tissues Lesions by KTP and Diode Laser: Histological Evaluation. The Scientific World Journal. 2014. Article ID 761704. doi:10.1155/2014/761704

[10] Romeo U., Russo C., Palaia G., et al. Biopsy of different oral soft tissues lesions by KTP and diode laser: histological evaluation // The Scientific World Journal. 2014. Article ID 761704. doi:10.1155/2014/761704

[11] Novikova A. Primenenie diodnykh lazerov v stomatologii na primere KaVo GentLeRay 980. Inovatsionnaya stomatologiya. 2010;1: 6871. (In Russ).

[12] Новикова А. Применение диодных лазеров в стоматологии на примере KaVo GENTLEray 980 // Инновационная стоматология. 2010. №1. С. 6871.

[13] Abbas N, Vertey AN. Terapiya myagkikh tkaney s pomoshch'yu diodnogo lazera «LAMI». Dental Market. 2007;1:3942. (In Russ).

[14] Аббас Н., Вертей А.Н. Терапия мягких тканей с помощью диодного лазера «ЛАМИ» // Dental Market. 2007. №1. С. 3942.

[15] Kulakov AA, Grigor'yants LA, Kasparov AS, et al. Primenenie diodnogo lazernogo skal'pelya v ambulatornoy khirurgicheskoy stomatologii. Moscow: Central Research Institute of Dental and Maxillofacial Surgery; 2008. (In Russ).

[16] Кулаков А.А., Григорьянц Л.А., Каспаров А.С., и др. Применение диодного лазерного скальпеля в амбулаторной хирургической стоматологии. М.: ФГУ «ЦНИИС и ЧЛХ Росмедтехнологий», 2008.

RIGHTS & PERMISSIONS

Morozova E.A., Tarasenko S.V., Zhuravlev A.N., Filimonova L.B., Stekolschikova Y.V.