Application of the diode laser for soft-tissue surgery in orthodontics: Case series

2020 ◽  
pp. 146531252095870
Author(s):  
John Hyunbaek Ahn ◽  
Susan Power ◽  
Eleanor Thickett
Keyword(s):  
Soft Tissue ◽  
Diode Laser ◽  
Patient Compliance ◽  
Laser Surgery ◽  
Orthodontic Treatment ◽  
Case Series ◽  
Effective Alternative ◽  
Laser Exposure ◽  
Laser Technology ◽  
Soft Tissue Surgery

Referral to an oral surgeon for soft-tissue surgery before, during or after orthodontic treatment is not uncommon. This process may delay treatment and could potentially increase the risk of complications. In addition, seeing multiple specialties in different environments may demotivate paediatric or anxious patients from pursuing orthodontic treatment and could also adversely affect patient compliance and satisfaction. The development of laser technology provides a safe and effective alternative, allowing the orthodontic clinician to perform soft-tissue surgery. To date, there are no laser exposure protocols or UK guidelines regarding the use of laser surgery in orthodontics. This case series reports four clinical cases that demonstrate potential advantages of using a diode laser for the management of soft tissue in the field of orthodontics.

Ex vivo evaluation of super pulse diode laser system with smart temperature feedback for contact soft-tissue surgery

2018 ◽  
Author(s):  
Ilya Yaroslavsky ◽  
Dmitri Boutoussov ◽  
Alexander Vybornov ◽  
Igor Perchuk ◽  
Val Meleshkevich ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Diode Laser ◽  
Ex Vivo ◽  
Laser System ◽  
Temperature Feedback ◽  
Soft Tissue Surgery

scholarly journals Perceptions of soft tissue laser use in orthodontics

2011 ◽  
Vol 82 (1) ◽  
pp. 75-83 ◽  
Author(s):  
Brandon Burke ◽  
Ahmad Mohammad Hamdan ◽  
Eser Tufekci ◽  
Bhavna Shroff ◽  
Al M. Best ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Representative Sample ◽  
Orthodontic Treatment ◽  
Standard Of Care ◽  
Total Sample ◽  
Lower Percentage ◽  
Accepted Standard ◽  
Orthodontic Patients ◽  
General Dentists ◽  
Soft Tissue Surgery

Abstract Objectives: To compare attitudes of orthodontists, periodontists, and general dentists regarding the use of soft tissue lasers by orthodontists during the course of orthodontic treatment. Materials and Methods: An analogous survey was developed to evaluate and compare the current opinions of a representative sample (n  =  538) of orthodontists (61.3%), periodontists (24.3%), and general dentists (14.3%) regarding orthodontists' use of soft tissue lasers. Results: The majority (84%) of orthodontists, periodontists, and general dentists regarded the use of a soft tissue laser by orthodontists as appropriate. When compared to orthodontists and general dentists, a lower percentage of periodontists indicated that soft tissue laser use by orthodontists was appropriate (P < .01). For each of the eight specific soft tissue laser procedures investigated, periodontists reported a significantly lower level of appropriateness than did orthodontists and general dentists (P < .01). Around 75% of the total sample believed that referral would not be affected by the use of soft tissue lasers by orthodontists. Conclusions: Orthodontists, periodontists, and general dentists differed in their opinions of the perceived appropriateness of soft tissue laser use by orthodontists, with periodontists reporting a lower level of appropriateness. Clinicians need to communicate effectively to ensure that orthodontic patients in need of adjunctive soft tissue surgery are treated to the accepted standard of care.

scholarly journals Split anterior tibialis tendon transfer to peroneus brevis for spastic equinovarus in children with hemiplegia

2021 ◽  
pp. 1-12
Author(s):  
Peter Wong ◽  
Shaneil Fransch ◽  
Charles Gallagher ◽  
Kate Louise Francis ◽  
Abhay Khot ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Case Series ◽  
Tibialis Posterior ◽  
Retrospective Case ◽  
Retrospective Case Series ◽  
Spastic Hemiplegia ◽  
Peroneus Brevis ◽  
Soft Tissue Surgery ◽  
Shoe Wear

Purpose The aim of this study is to report the safety and eff-cacy of soft-tissue surgery incorporating split transfer of tibi-alis anterior to peroneus brevis (SPLATT-PB) for children with hemiplegic spastic equinovarus. Methods This was a retrospective case series of children and adolescents with spastic hemiplegia who had a novel combination of SPLATT-TB, intramuscular tenotomy of tibialis posterior and either spasticity management or gastrocsole-us lengthening as the index surgery. The principal outcome measures were changes in pain and difficulty with shoe wear and radiological parameters obtained from weight-bearing anteroposterior and lateral radiographs of the affected foot before and after surgery. Results A total of 63 patients with symptomatic spastic equinovarus met the inclusion criteria. Mean age at surgery was 9.8 years (6 to 18) and the mean follow-up was seven years (range 3 to 10 years). Foot pain and problems with shoe wear improved after surgery. Seven radiological criteria showed a clinically and statistically significant improvement at follow-up, the majority being in the normal range. There were 11 surgical adverse events, all classified as Modified Cla-vien-Dindo Grade II. Three patients required further surgery for recurrent equinus, eight patients required further surgery for valgus deformities and four patients required bony surgery for residual varus deformities. Conclusion Soft-tissue surgery for spastic equinovarus was successful in the majority of children with spastic hemiplegia, particularly between ages eight and 12 years, resulting in a plantigrade, flexible foot with minimal pain or limitations in shoe-wear. Children younger than 8 years at index surgery were more prone to overcorrection into valgus. Children older than 12 years had persistent varus deformities requiring bony surgery. Level of evidence Level IV, retrospective case series

EFFECTIVENESS OF DIODE LASER IN PERIODONTAL THERAPY: A CLINICAL STUDY

2020 ◽  
Vol 4 (3) ◽  
Author(s):  
Abhishek Gautam ◽  
Nidhi . ◽  
Kumar Manish ◽  
Amar Kumar ◽  
Samir Jain ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Diode Laser ◽  
Laser Energy ◽  
Invasive Procedure ◽  
Bactericidal Action ◽  
Specialty Area ◽  
Implant Surgery ◽  
Pulsed Mode ◽  
Gingival Enlargement ◽  
Soft Tissue Surgery

Now-a-days, almost every specialty area of dentistry is utilizing the powers of laser energy for therapeutic purposes. The diode laser is the most popular soft tissue laser and commonly used in dentistry. A diode laser with wavelengths ranging from 810 to 980 nm in a continuous or pulsed mode is used as a possible instrument for soft tissue surgery in the oral cavity. The 810 nm devices predominate in dentistry, whereas 810 nm is specific for hemoglobin absorption. Diode lasers have many advantages over traditional surgical and therapeutic techniques in addition to providing bloodless surgical and postsurgical course with minimal swelling, scarring, and others things noted are less pain, excellent hemostasis, rapid wound healing and bactericidal action with the minimally invasive procedure. In the present paper, we discuss various uses of the diode laser such as frenectomy, implant surgery, vestibular deepening, and gingival enlargement procedures in dentistry. Keywords: Diode laser; frenectomy, Implant Surgery, Vestibular Deepning, Gingival enlargement

scholarly journals The evolution of lasers in urology.

2020 ◽  
Author(s):  
Dmitry Enikeev ◽  
Ekaterina Laukhtina ◽  
Mark Taratkin ◽  
Yuri Alyaev ◽  
Leonid Rapoport ◽  
...  
Keyword(s):  
Laser Surgery ◽  
Rapid Development ◽  
Prostatic Hyperplasia ◽  
Laser Exposure ◽  
Bladder Tumors ◽  
Laser Technology ◽  
Thulium Fiber Laser ◽  
Laser Devices ◽  
Methods Of Treatment ◽  
Urological Diseases

A very rapid development of laser technology lead to the fact that many of them have already replaced surgeons with their usual scalpel. Laser technology has taken a place among the methods of treatment of various urological diseases. The features of the physical effect of laser exposure make it possible to characterize laser surgery as safe for the patient and convenient for the doctor. Therefore, along with the improvement of old laser devices, also the development and testing of new ones is constantly carried out. Nowadays the most commonly used lasers in urology are Nd:YAG, Greenlight, diode, Ho:YAG, Tm:YAG lasers and novel thulium fiber laser (TFL). Laser technology is taking place among the recommended methods for the diagnosis and treatment of various urological diseases, such as benign prostatic hyperplasia, urolithiasis, and bladder tumors. The aim of our review was to talk about laser devices that have already taken a place in the arsenal of urologist and about the most interesting developments in the field of laser surgery.

Utilisation of an 810 nm diode laser for surgical management of oral soft tissues related to orthodontic treatment: A case series

2021 ◽  
pp. 146531252110392
Author(s):  
Snehal Dalvi ◽  
Saurabh Lingala ◽  
Namrata Khetal ◽  
Stefano Benedicenti ◽  
Reem Hanna
Keyword(s):  
Diode Laser ◽  
Surgical Management ◽  
Orthodontic Treatment ◽  
Soft Tissues ◽  
Continuous Wave ◽  
Average Power ◽  
Fibre Diameter ◽  
Case Series ◽  
Spot Size ◽  
Emission Mode

The present case series demonstrates the efficacy of an 810 nm diode laser for the surgical management of oral soft tissues related to orthodontic treatment. Three orthodontic patients aged 16–23 years underwent operculectomy, ablation of soft-tissue overgrowth over orthodontic appliance and gingivectomy along with gingival recontouring procedures, respectively, using the 810 nm diode laser. In each case, an initiated laser fibre tip was utilised to ablate the tissue at the treatment site by making a light contact with the tissue (average power output = 1–1.6 W, continuous wave emission mode, fibre diameter = 400 µm, spot size = 0.0013 cm2, energy density = 124.9–199.9 J/cm2, irradiance = 796–1273 W/cm2, total energy dose = 300–480 J). The maximum total length of treatment was 300 s (5 min). None of the patients reported any instantaneous or delayed postoperative complications over six months. Utilisation of the 810 nm diode laser for surgical management of oral soft tissues related to orthodontic treatments can be considered safe, effective and justifiable over the conventional scalpel technique; however, it must be performed by trained and experienced clinicians only.

Comparison of diode laser in soft tissue surgery using continuous wave and pulsed modes in vitro

2015 ◽  
Vol 8 (2) ◽  
pp. 212-219 ◽  
Author(s):  
Andrey V. Belikov ◽  
Alexei V. Skrypnik ◽  
Ksenia V. Shatilova
Keyword(s):  
Soft Tissue ◽  
Diode Laser ◽  
Continuous Wave ◽  
Soft Tissue Surgery

Imaging Features of Primary Tumors of the Hand

2020 ◽  
Vol 16 ◽  
Author(s):  
Filippo Boriani ◽  
Edoardo Raposio ◽  
Costantino Errani
Keyword(s):  
Soft Tissue ◽  
Soft Tissues ◽  
Epithelioid Sarcoma ◽  
Case Series ◽  
Malignant Neoplasm ◽  
Benign Tumors ◽  
Imaging Features ◽  
Primary Tumors ◽  
Therapeutic Decisions ◽  
Tumors Of The Hand

: Musculoskeletal tumors of the hand are a rare entity and are divided into skeletal and soft tissue tumors. Either category comprises benign and malignant or even intermediate tumors. Basic radiology allows an optimal resolution of bone and related soft tissue areas, ultrasound and more sophisticated radiologic tools such as scintigraphy, CT and MRI allow a more accurate evaluation of tumor extent. Enchondroma is the most common benign tumor affecting bone, whereas chondrosarcoma is the most commonly represented malignant neoplasm localized to hand bones. In the soft tissues ganglions are the most common benign tumors and epithelioid sarcoma is the most frequently represented malignant tumor targeting hand soft tissues. The knowledge regarding diagnostic and therapeutic management of these tumors is often deriving from small case series, retrospective studies or even case reports. Evidences from prospective studies or controlled trials are limited and for this lack of clear and supported evidences data from the medical literature on the topic are controversial, in terms of demographics, clinical presentation, diagnosis prognosis and therapy.The correct recognition of the specific subtype and extension of the tumor through first line and second line radiology is essential for the surgeon, in order to effectively direct the therapeutic decisions.

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