Surgical and Non-surgical Laser Applications in Dentistry: An Update

A special issue of Healthcare (ISSN 2227-9032).

Deadline for manuscript submissions: closed (15 December 2022) | Viewed by 6699

Special Issue Editors


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Guest Editor

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Guest Editor
Department of Periodontology and Oral Diseases, Faculty of Dental Medicine, Medical University of Plovdiv, 4002 Plovdiv, Bulgaria
Interests: laser dentistry; oral medicine; oral laser surgery; laser-tissue interaction; mini-invasiveness

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Guest Editor
1. Department of Prosthetic Dentistry, Faculty of Dental Medicine, Medical University, 4000 Plovdiv, Bulgaria
2. CAD/CAM Center of Dental Medicine, Research Institute, Medical University—Plovdiv, 4000 Plovdiv, Bulgaria
Interests: laser dentistry; laser teeth whitening; prosthetic dentistry; esthetic dentistry; CAD/CAM; 3D printing
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Special Issue Information

Dear Colleagues,

Laser use in dentistry and oral surgery is nowadays a well-recognized and constantly improving alternative to conventional techniques. Laser use has entered all areas of contemporary dentistry and can be applied with great success for numerous surgical and non-surgical procedures. The main advantages of lasers (diode, KTP, Neodimio:YAG) are: excellent hemostasis during cuts, bactericidal effects, biostimulation, transmucosal coagulations of vascular lesions. Surgical lasers change tissues now only by means of ablation, coagulation, and evaporation, but also by stimulating the natural healing processes in cells. Other lasers and laser-emitting diodes (LED), applied with lower power than surgical ones, also play the role of ‘biostimulators’, while Erbium:YAG and Erbium:YSGG provide atraumatic bone resection. Additionally, there is an increasing interest in combining different dyes with therapeutic lasers.

This Special Issue proposes to provide a meeting point between the various methods and types of lasers in dentistry and oral surgery and thus evaluate the current state of the art and provide information as standardized as possible on which laser is most suitable for a specific dental/oral mucosa therapy/treatment. Reviews of the literature are welcome, as well as case reports or case series on specific topics. Potential topics include, but are not limited to: standardized laser technique and parameters for oral mucosa disease treatments, standardized laser technique and parameters for tongue and labial frenectomy, laser use in the surgical management of potentially malignant and malignant lesions of the oral mucosa, the state of the art in laser application in periodontology, laser-assisted smile design, soft- and hard-tissue laser crown lengthening and fcrown lengthening, laser treatment of periimplantitis, histological assessment of oral tissue–laser interaction, laser teeth whitening, laser applications in endodontics, laser photobiomodulation (LLLT), and photodynamic laser therapy.

Dr. Saverio Capodiferro
Dr. Georgi Tomov
Dr. Rada Kazakova
Guest Editors

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Keywords

  • laser
  • laser oral mucosa diseases treatments
  • surgical lasers
  • oral laser surgical pathology
  • laser-assisted crown lengthening
  • low-level laser therapy
  • photodynamic therapy
  • laser teeth whitening

Published Papers (3 papers)

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Research

10 pages, 976 KiB  
Article
Effects of Low-Level Laser Therapy and Bracket Systems on Root Resorption during Orthodontic Treatment: A Randomized Clinical Trial
by Fazal Shahid, Shifat A Nowrin, Mohammad Khursheed Alam, Mohd Fadhli Khamis, Adam Husein and Norma Ab Rahman
Healthcare 2023, 11(6), 864; https://doi.org/10.3390/healthcare11060864 - 15 Mar 2023
Cited by 2 | Viewed by 1335
Abstract
This study aimed to assess the outcomes of low-level laser therapy (LLLT) with the conventional bracket (CB) and self-ligating (SL) bracket systems on root resorption (RR) during orthodontic treatment. A total of 32 patients were included in this randomized clinical trial. All the [...] Read more.
This study aimed to assess the outcomes of low-level laser therapy (LLLT) with the conventional bracket (CB) and self-ligating (SL) bracket systems on root resorption (RR) during orthodontic treatment. A total of 32 patients were included in this randomized clinical trial. All the patients were randomly divided into four individual groups (SLL: self-ligating laser, CBL: conventional bracket laser, SLNL: self-ligating non-laser, CBNL: conventional bracket non-laser). RR was measured from the cone-beam computed tomography (CBCT) radiographs which were taken at two stages of the orthodontic treatment: pre-treatment (T1) and after leveling and alignment stage (T2). Wilcoxon rank test for the comparison was conducted to compare the RR at T1 and T2 stages within each group and showed a significant difference (p < 0.05) for various variables. Mann Whitney test compared the RR in laser and non-laser groups irrespective of the bracket systems and exhibited no significant differences except the left lateral incisor. Moreover, CB and SL groups showed no significant difference in RR among any tooth. Kruskal Wallis test was performed to compare the RR among all groups which presented no significant differences. LLLT and bracket systems have no consequences on RR until the leveling and alignment stage of orthodontic treatment. Full article
(This article belongs to the Special Issue Surgical and Non-surgical Laser Applications in Dentistry: An Update)
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11 pages, 2813 KiB  
Article
The Efficacy of Low-Level Laser Therapy Combined with Single Flap Periodontal Surgery in the Management of Intrabony Periodontal Defects: A Randomized Controlled Trial
by S. Silviya, Anitha C.M., P.S.G. Prakash, Sarah Ahmed Bahammam, Maha A. Bahammam, Ammar Almarghlani, Mohammad Assaggaf, Mona Awad Kamil, Sangeetha Subramanian, Thodur Madapusi Balaji and Shankargouda Patil
Healthcare 2022, 10(7), 1301; https://doi.org/10.3390/healthcare10071301 - 13 Jul 2022
Cited by 3 | Viewed by 2235
Abstract
This study aimed at assessing the clinical outcomes of the Single Flap Approach (SFA) with the additional use of Low-level laser therapy (LLLT). The defects were treated as per the principles of SFA, whereby 20 defects received only SFA (control group) and 20 [...] Read more.
This study aimed at assessing the clinical outcomes of the Single Flap Approach (SFA) with the additional use of Low-level laser therapy (LLLT). The defects were treated as per the principles of SFA, whereby 20 defects received only SFA (control group) and 20 defects received additional LLLT for bio stimulation/bio modulation (test group). Stable primary closure of the flaps was obtained with vertical internal mattress sutures. Plaque indices (FMPS), clinical attachment levels (CAL), probing pocket depth (PPD), and gingival bleeding scores (FMBS) were calculated at baseline, and at the 3rd and 6th months in both groups. An EHI score of 1 was observed at all sites except for two, where a score of 2 in the control group at week 2 was observed. In the test group, the PPD reduction at 6 months was 3.60 ± 0.95 and in the control group it was 3.75 ± 0.91 mm. CAL gain at 6 months was 2.70 ± 1.36 mm and 3.45 ± 1.2 mm in the test group and showed no statistical significance. These data suggested the positive effect of LLLT over CAL gain; thus, LLLT may be combined with SFA to potentially enhance the early wound healing and higher clinical outcomes in terms of increase in CAL and decrease in PPD. Full article
(This article belongs to the Special Issue Surgical and Non-surgical Laser Applications in Dentistry: An Update)
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12 pages, 2981 KiB  
Article
Ectopic Eye Tooth Management: Photobiomodulation/Low-Level Laser Emission Role in Root Resorption after Fixed Orthodontic Treatment
by Mohammad Khursheed Alam, Kiran Kumar Ganji, Ahmed Ali Alfawzan, Srinivas Munisekhar Manay, Kumar Chandan Srivastava, Prabhat Kumar Chaudhari, Hala A. Hosni, Haytham Jamil Alswairki and Reem Ahmed Alansari
Healthcare 2022, 10(4), 610; https://doi.org/10.3390/healthcare10040610 - 24 Mar 2022
Cited by 2 | Viewed by 2287
Abstract
Aim: This study evaluates the role of low-level laser emission/photobiomodulation (LE/P) in quantitative measurements of root resorption (QRR). The application of LE/P performed after each orthodontic activation with four types of treatment intervention (TI) on the root resorption (RR) after fixed orthodontic treatment [...] Read more.
Aim: This study evaluates the role of low-level laser emission/photobiomodulation (LE/P) in quantitative measurements of root resorption (QRR). The application of LE/P performed after each orthodontic activation with four types of treatment intervention (TI) on the root resorption (RR) after fixed orthodontic treatment (FOT) of the upper arch with ectopic eye tooth/teeth [EET] was investigated. Materials and Methods: Thirty-two orthodontic patients scheduled for FOT were selected and assigned to the four groups. These were LE/P + Self ligating bracket (SLB), LE/P + Conventional bracket (CB), non-photobiomodulation (non-LE/P) + SLB and non-LE/P + CB. Standard management stages of FOT were followed in the maxilla. Each patient received a single application of LE/P labially/buccally and palatally, a total of five different points were used during each activation or appointment. The main outcome measure was QRR in maxillary anteriors before and after FOT, assessed via cone-beam computed tomography (CBCT) using 3D OnDemand software. Results: Insignificant QRR was found between before and after FOT in SLB, CLB, and LE/P, non-LE/P groups (p > 0.05). QRR in the SLB vs. CB and LE/P vs. non-LE/P group was significantly different in 11, 13, and 23 (p < 0.05). QRR in the LE/P + SLB group (p < 0.05) was significantly different in 11, 13, and 23 than that in the other groups. The most severe QRR was found on 13 (0.88 ± 0.28 mm and 0.87 ± 0.27 mm) and 23 (1.19 ± 0.14 mm and 1.16±0.13 mm) in the CB and non-LE/P group (p < 0.001). LE/P + SLB showed a highly significant superior outcome (p < 0.001) in relation to non-LE/P + CB, the QRR of 23 were 0.813 ± 0.114 mm and 1.156 ± 0.166 mm, respectively. Conclusion: Significantly higher amounts of QRR were found in EET patients after FOT treated with the CB, non-LE/P, and non-LE/P + CB system and warrant further investigation to explore potential specific causes. Full article
(This article belongs to the Special Issue Surgical and Non-surgical Laser Applications in Dentistry: An Update)
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