Treatment of Scars with Er:YAG Laser in Patients with Cleft Lip: A Preliminary Report

2003 ◽  
Vol 40 (5) ◽  
pp. 518-522 ◽  
Author(s):  
Pier Francesco Nocini ◽  
Antonio D'Agostino ◽  
Lorenzo Trevisiol ◽  
Dario Bertossi

Objective Although one goal in cleft lip surgery is to avoid serious scarring, residual scars are often observed after primary surgery. The goal of this preliminary report was to present the standardized application of laser technology to reduce the appearance of residual scars. Design Ten patients with scarring after unilateral and bilateral cleft lip surgery were treated with a Dual Mode erbium yttrium-aluminum-garnet laser. This laser was recently introduced and had been used only for cosmetic applications, skin resurfacing, and correction of acne scars. Results An improvement in the clinical appearance of the laser-treated scars was observed after the first treatment, with continued improvement after the second laser session. The clinically observed improvements were corroborated by the patients’ reports concerning satisfaction with the result. Conclusions The combined mechanisms of ablation/coagulation and shrinking of the skin caused by the laser, in addition to observed patient satisfaction and low risk associated with the procedure, suggest that this treatment approach can be effective in the correction of residual scarring in patients with cleft lip.

2019 ◽  
Vol 77 (10) ◽  
pp. 2125.e1-2125.e10
Author(s):  
Yuhao Wei ◽  
Tianhang Zhong ◽  
Xing Yin ◽  
Bing Shi ◽  
Qian Zheng ◽  
...  

2005 ◽  
Vol 133 (6) ◽  
pp. 923-928 ◽  
Author(s):  
Jacopo Galli ◽  
Claudio Parrilla ◽  
Antonella Fiorita ◽  
Maria Raffaella Marchese ◽  
Gaetano Paludetti

OBJECTIVE: To assess clinical safety and efficacy of the erbium: yttrium-aluminum-garnet (Er:YAG) laser in the stapes surgery; to define and optimize parameters that render the procedure safe for the inner ear. STUDY DESIGN: Retrospective study. MATERIAL AND METHODS: A microscope-integrated Er: YAG laser stapedotomy was performed on 29 patients and a conventional stapedotomy on 41 patients. An early (within 1 to 3 days after stapes surgery) and late (at least 6 weeks) pure-tone bone-conduction threshold audiogram was obtained. RESULTS: No statistically significant differences were found by Student's t test over all measured frequencies between pre- and postoperative bone-conduction thresholds in each group. There was no statistically significant difference for all frequencies between early (3 days) and late postoperative mean bone-conduction thresholds. CONCLUSIONS: The results of our preliminary clinical study showed that erbium laser poses no risk to inner ear function. However, the lack of standardization obliges further investigation to establish safe clinical parameters of the Er:YAG laser. EBM RATING: B-3


2021 ◽  
Vol 1 ◽  
pp. 2-8
Author(s):  
J. Sandeep Reddy ◽  
K. B. Jayalakshmi ◽  
I. Sujatha ◽  
Prasannalatha Nadig ◽  
Nilima Salim Isani ◽  
...  

Objectives: The aim of this study was to evaluate and compare the push-out bond strength of bioceramic sealer and resin-based sealer on Erbium-doped Yttrium Aluminum Garnet (Er:YAG) treated root canals. Material and Methods: Sixty single-rooted teeth were collected, decoronated apical to the cementoenamel junction, maintaining the minimum root length of 14 mm. Samples were instrumented with WaveOne Gold primary file and divided into two experimental groups (n = 30), based on laser irradiation: Group I: No laser and Group II: Er:YAG laser irradiated. Groups I and II were again divided into two subgroups “a” (AH Plus) and “b” (mineral trioxide aggregate [MTA] Fillapex) with 15 samples in each group. As per the grouping, sealers were coated onto the canal walls and obturated. After 24 h of storage in 100% humidity at 37°C, all the samples were sectioned transversely and push-out test was performed using universal testing machine. Stereomicroscope was used to determine the mode of failure. A one-way analysis of variance was employed to compare the mean POBS. Kolmogorov–Smirnov and Shapiro–Wilk parametric tests were done to check the normality. The Games-Howell multiple post hoc test was used for pairwise comparison of the groups at a 95% confidence level. Results: Both AH Plus and MTA Fillapex exhibited higher bond strength in the laser-treated canals. AH plus exhibited superior bond strength compared to MTA Fillapex in both laser and non-laser-treated groups (P < 0.05). AH Plus groups have predominantly presented cohesive failure whereas MTA Fillapex presented mixed failures. Conclusion: Irradiation with Er:YAG laser in the root canal before obturation improves the bond strength significantly. The adhesive properties of MTA Fillapex are comparable to that of AH Plus.


2006 ◽  
Vol 76 (6) ◽  
pp. 1052-1056 ◽  
Author(s):  
Jung-Ho Kim ◽  
Oh-Won Kwon ◽  
Hyung-Il Kim ◽  
Yong Hoon Kwon

Abstract Objective: To compare the effects of erbium-doped yttrium aluminum garnet (Er:YAG) laser ablation and of phosphoric acid etching on the in vitro acid resistance of bovine enamel. Materials and Methods: Teeth were polished to make the surface flat. The polished enamel was either etched with 37% phosphoric acid for 30 seconds or ablated with a single 33 J/cm2 pulse from an Er:YAG laser. The control specimens were free from acid etching and laser ablation. Changes in crystal structure, dissolved mineral (calcium [Ca] and phosphorus [P]) contents, and calcium distribution in the enamel subsurface after a pH-cycling process were evaluated. Results: After laser treatment, poor crystal structures improved without forming any new phases, such as tricalcium phosphates. Among the tested enamels, dissolved mineral contents were significantly different (P &lt; .05). Er:YAG laser–treated enamels had the lowest mineral dissolution (Ca, 13.78 ppm; P, 6.33 ppm), whereas phosphoric acid–etched enamels had the highest (Ca, 15.90 ppm; P, 7.33 ppm). The reduction rate and reduced depth of calcium content along the subsurface were lowest in Er:YAG laser–treated enamels. Conclusion: The Er:YAG laser–treated enamels are more acid resistant to acid attack than phosphoric acid–etched enamels.


2015 ◽  
Vol 26 (3) ◽  
pp. 297-302 ◽  
Author(s):  
Viviane Mendes Fernandes ◽  
Paula Karine Jorge ◽  
Cleide Felício Carvalho Carrara ◽  
Márcia Ribeiro Gomide ◽  
Maria Aparecida Andrade Moreira Machado ◽  
...  

The aim of this study was to measure and compare the dimensions of the dental arches on three-dimensional digital study models in children with and without cleft lip and palate before the primary surgery. The sample consisted of 223 digital models of children aged 3-9 months, divided into 5 groups: without craniofacial deformities, unilateral and bilateral incomplete cleft lip and alveolus, unilateral and bilateral complete cleft lip and alveolus, unilateral cleft lip and palate, and bilateral cleft lip and palate. Dental casts of the maxillary dental arches of the children were used. The dental casts underwent a process of scanning through 3D scanner and the measurements used for the correlation among groups were made on the scanned images. Statistical analysis was performed by t test and ANOVA followed by Tukey test. The results showed that the intercanine distance and anterior cleft width was wider in children with unilateral cleft lip and palate. The intertuberosity distances and posterior cleft width was wider in children with bilateral cleft lip and palate among the groups. Children with cleft lip and palate before the primary surgery had wider maxillary arch dimensions than the children without cleft lip and palate.


2003 ◽  
Vol 40 (5) ◽  
pp. 518-522 ◽  
Author(s):  
Pier Francesco Nocini ◽  
Antonio D'Agostino ◽  
Lorenzo Trevisiol ◽  
Dario Bertossi

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