EFFECTS OF THE LASER AND ITS APPLICATION IN ORAL SURGERY

  • Maja Popovska Gjorovska University Dental Clinic St Panteleimon Skopje
  • Marina Kacarska University Dental Clinic St Panteleimon Skopje

Abstract

The rapid advancement of technology enables the invention of highly sophisticated  light scalpel lasers with the use of which in oral surgery has achieved better results. It was a challenge and     a purpose to emphasize the effects and advantages of laser surgery unlike the conventional scalpel technique. The wider application of the laser in dentistry is due to the effects of the laser beam on organic tissue.


 


1.Photo-stimulating effect - restoring the cell's function to its normal and stimulating its activity.


 


2.Photo-thermal effect - the laser energy in contact with tissue transforms into thermal energy and causes coagulation of the blood vessels, thus providing a dry working field.


 



  1. Photomechanical effect - ablative effect, vaporization (evaporation of water from tissues), i.e. cutting and remodeling the soft tissue.


 


4.Photodynamic effect-is used to remove tumor cells sensitized by chromophore. After               intravenously administering haemoporphyrin, which cleans healthy cells of chromophore for 1-2 days, while in tumor cells, it is retained for 12 days. The laser is absorbed in the chromophore and destroys the marked cells.


 


The effects of the laser beam, the positive experiences from its application confirmed by scientific evidence are challenging a large number of surgical indications in dentistry to be treated with its application.


At the Clinic for оral surgery the following clinical cases were treated: removal of the labial frenulum, hyperplasia of the mucous membrane (epulis fissuratum), deepening of the vestibular fornix, gingivectomy and chemical scar.


 


Key words: laser, labial frenulum, frenulectomy, fibrous hyperplasia, gingivectomy, chemical scar.

References

1. Parker S. Lasers and soft tissue: Periodontal therapy. Br Dent J 2007; 202 (6): 309-315.

2. Ishikawa I, Aoki A, Takasaki AA. Clinical application of erbium: YAG laser and periodontology. J Int Acad Periodontol 2008; 10 (1): 22-30.

3. Bornstein E. A laser technique for frenum removal. Dentistry IQ Network.

4. Litwak E. Diastema closure and frenectomy with Er . Yag . laser. Clinical Bulletin 34/10, Published by the Laser and Health Academy.

5. Neev J, Links JS, Calderon N, et al. Thermo-optical Skin Conditioning: A new method for thermally modifying skin conditions. Lasers in Surgery: Advanced Characterization, Therapeutics, and Systems XII, SPIE 2002; Vol 4609.

6. Walkinski C. Dental lasers: Possibilities and benefits. Journal of Massachusetts Dental Society 2004; Vol. 53, No 3.

7. Pudzan N. Usage laser in modern medicine. Vrsac 2005.

8. Peshevks S, Nakova M, Gjorgoski I : Inhibitory Effects of Biostimulating Laser Therapy on GE 2 Tissue Concentrations in Treatment of Periodontal Disease. Current achievements. Faculty of Dentistry, Skopje 2009.

9. Stevanovic M. Evaluation of the effects of the therapeutic application of Er: Yag laser in hard tooth tissue and pulp. Macedonian Dental Survey 2005 ; 29 (1-2) 106-138.
Published
2018-12-28
How to Cite
GJOROVSKA, Maja Popovska; KACARSKA, Marina. EFFECTS OF THE LASER AND ITS APPLICATION IN ORAL SURGERY. Journal of Morphological Sciences, [S.l.], v. 1, n. 2, p. 69-75, dec. 2018. ISSN 2545-4706. Available at: <http://jms.mk/jms/article/view/39>. Date accessed: 23 may 2019.
Section
Articles