New Frontiers in Laser Assisted Oral Surgery

A special issue of Applied Sciences (ISSN 2076-3417). This special issue belongs to the section "Applied Dentistry and Oral Sciences".

Deadline for manuscript submissions: closed (30 October 2023) | Viewed by 2336

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Guest Editor
Department of Clinical, Surgical, Diagnostic and Paediatric Sciences, Unit of Orthodontics and Peadiatric Dentistry University of Pavia, 2, piazzale Golgi, 27100 Pavia, Italy
Interests: laser; oral surgery; photobiomodulation
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Special Issue Information

Dear Colleagues,

In the last 30 years, the evolution of technologies has allowed the daily use of laser device in dentistry. Since the introduction of laser in clinical practice, different wavelengths have been used for oral surgery on the basis of the different characteristics and affinities of each one. 

CO2 lasers, Neodymium-Doped Yttrium–Aluminium–Garnet (Nd:YAG) and diode lasers have mainly been used for periodontal soft-tissue management. With development of Erbium-Doped Yttrium–Aluminium–Garnet (Er:YAG) and Erbium, Chromium-Doped Yttrium–Scandium–Gallium–Garnet (Er,Cr:YSGG) lasers, which can be applied not only on soft tissues but also on dental hard tissues, the application of lasers dramatically expanded from periodontal soft-tissue management to hard-tissue treatment. Nowadays, various periodontal tissues (such as gingiva, tooth roots and bone tissue), as well as titanium implant surfaces, can be treated with lasers, and a variety of dental laser systems are being employed for the management of periodontal and peri-implant diseases.

Laser irradiation has numerous favorable characteristics, such as ablation or vaporization, hemostasis, bio-stimulation (photo-bio-modulation) and microbial inhibition and destruction, which induce various beneficial therapeutic effects and biological responses. 

Therapeutic effects are seen due to its ability to stimulate cell proliferation, revascularization, cell regeneration, local microcirculation and vascular permeability, leading to edema reduction and analgesic effects.

Therefore, the use of lasers is considered effective and suitable for treating a variety of inflammatory and infectious oral conditions, performing a clear oral surgery without bleeding and no sutures, avoiding the necessity of drugs to reduce post-operative side effects (pain and edema)

Prof. Dr. Marina Consuelo Vitale
Guest Editor

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Published Papers (1 paper)

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Research

13 pages, 759 KiB  
Article
Should the Application of Diode Laser Completely Replace Conventional Pulpotomy of Primary Teeth?
by Luka Šimunović, Bruno Špiljak, Lara Vranić, Rebecca Bašić and Dubravka Negovetić Vranić
Appl. Sci. 2022, 12(22), 11667; https://doi.org/10.3390/app122211667 - 17 Nov 2022
Viewed by 1931
Abstract
Nowadays, the use of lasers in dental medicine has become an effective approach for numerous restorative and soft tissue therapeutic procedures. The use of different types of lasers depends on how the tissue interacts with the laser light and the purpose of treatment. [...] Read more.
Nowadays, the use of lasers in dental medicine has become an effective approach for numerous restorative and soft tissue therapeutic procedures. The use of different types of lasers depends on how the tissue interacts with the laser light and the purpose of treatment. Although some studies show the benefits of laser pulpotomy compared to the conventional method of pulpotomy, clinical studies are lacking. Moreover, the material used for a definitive restoration of endodontically treated primary teeth can also affect the outcome of the therapy. Therefore, this prospective study aimed to compare the clinical use of the diode laser and the conventional method of vital pulpotomy, as well as the influence of the material chosen for a definitive restoration for the outcome of the procedure. Patients were divided into two groups: conventional pulpotomy and 980 nm diode laser. Each group was then divided into two subgroups according to the type of material for the final restoration. By comparing the success of the therapy according to clinical parameters depending on the material of the final restoration, the advantage of the composite material compared to the glass ionomer cement was noticed at 6 months checkup (p = 0.045). A strong positive correlation between the quality of the final restoration according to the United States Public Health Service (USPHS) criteria and the success of the clinical parameters was found in all investigated time points. There is no statistically significant difference between the diode laser and the conventional pulpotomy, however, the choice and quality of the final restoration significantly contribute to the outcome of therapy. Full article
(This article belongs to the Special Issue New Frontiers in Laser Assisted Oral Surgery)
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