{"title":"Laser-assisted natural gingival profile creation of an ovate pontic site","authors":"Aparna Venkatasubramanyam, Shradha Sigtia, Ektaa J. Sheth, Rashmi Hegde, Sangeeta Muglikar","doi":"10.4103/JDL.JDL_5_17","DOIUrl":"https://doi.org/10.4103/JDL.JDL_5_17","url":null,"abstract":"Patient's desire for natural-appearing tooth replacements has prompted the development of various techniques designed to achieve a natural appearance of the soft tissues. Specifically, use of the ovate pontic is among the most versatile and effective means for obtaining the desired results. Creating a gingival profile of an ovate pontic site allows the cervical third of the pontic to merge with the surrounding tissues thereby making it appear to have emerged from the alveolar ridge. Use of lasers offer several advantages over conventional procedures for preparation of ovate pontic site by providing sterile area, hemostasis, precise soft tissue contouring, less time consumption, and reduced postoperative pain. This report presents the use of diode laser in creating a gingival profile in a 43-year-old male patient for an ovate pontic design of a fixed partial denture prosthesis.","PeriodicalId":345720,"journal":{"name":"Journal of Dental Lasers","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133586158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Photoactivated disinfection using indocyanine green photosensitizer as an adjunct to regenerative periodontal therapy","authors":"S. Deotale, Sakshi Dubey, D. Gattani","doi":"10.4103/JDL.JDL_2_17","DOIUrl":"https://doi.org/10.4103/JDL.JDL_2_17","url":null,"abstract":"Regenerative periodontal surgical procedures attempt to restore lost periodontal structure and functional attachment through the regeneration of cementum, periodontal ligament, and alveolar bone. Although meticulous debridement using surgical instrumentation reduces the bacterial burden, it fails to kill the periopathogens. To overcome this shortcoming, the development of alternative adjunctive or exclusive antibacterial therapeutic strategies, therefore, becomes important in the evolution of methods to control microbial growth in the oral cavity. The following case report explores the use of antimicrobial photodynamic therapy as an adjunct to regenerative periodontal therapy for the management of intrabony defects which was evaluated over a period of 6 months.","PeriodicalId":345720,"journal":{"name":"Journal of Dental Lasers","volume":"236 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124984925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
G. Oberoi, Sarika Chaudhry, Sudha Yadav, S. Talwar, M. Verma
{"title":"Correction of gummy smile using digital smile designing in conjugation with crown lengthening by soft-tissue diode laser","authors":"G. Oberoi, Sarika Chaudhry, Sudha Yadav, S. Talwar, M. Verma","doi":"10.4103/2321-1385.208947","DOIUrl":"https://doi.org/10.4103/2321-1385.208947","url":null,"abstract":"The digital smile design (DSD) is a software-based system which has been recently introduced in the field of dentistry. It is a precise and efficient method for esthetic rehabilitation as it allows the clinician to visualize and estimate discrepancy of orofacial and dentogingival tissues. This case report presents an interdisciplinary treatment approach for esthetic correction of a 20-year-old female patient who presented with a chief complaint of gummy smile. Through the application of digital smile designing principle, the necessary corrections for achieving a harmonic smile were accurately determined. Wax-up of the master cast was done accordingly. Gingival portion of the master cast was duplicated in clear acrylic resin. This temporary stent guided the gingival contouring which was done using soft-tissue diode laser. Diode laser was found to be safe and useful for soft-tissue management as it ablates soft tissues very precisely, and the wound healing is more favorable. We conclude that the DSD in combination with diode laser seems to be a useful tool to achieve a satisfactory esthetic result, especially in the management of esthetically demanding cases of gummy smile.","PeriodicalId":345720,"journal":{"name":"Journal of Dental Lasers","volume":"10 4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132364755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Laser treatment of a giant squamous papilloma in a pediatric patient","authors":"Gauri Vats, Durgesh Sonare, V. Jain, D. Kachhawa","doi":"10.4103/JDL.JDL_19_16","DOIUrl":"https://doi.org/10.4103/JDL.JDL_19_16","url":null,"abstract":"Oral squamous papilloma is a benign proliferation of the stratified squamous epithelium, which results in a papillary or verrucous exophytic mass induced by human papillomavirus. These oral mucosal lesions are usually symptomless and have little progression. Laser-assisted surgery is rampant nowadays with several bonuses including rapid hemostasis, being free of sutures, wound sterility, and negligible postoperative pain and edema. The objective of this report is to present a giant squamous papilloma over tongue in a pediatric patient. The lesion was excised with the help of a diode laser and the healing was uneventful in follow-up visit after 1 month. Giant squamous papillomas can rarely be found in children's oral cavity and laser can be used by clinicians to treat these kinds of lesions. It should be considered as an alternative to conventional surgery.","PeriodicalId":345720,"journal":{"name":"Journal of Dental Lasers","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124880487","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Khan, A. Agrawal, C. Saimbi, Deepti Chandra, V. Kumar
{"title":"Diode laser: A novel approach for the treatment of pericoronitis","authors":"M. Khan, A. Agrawal, C. Saimbi, Deepti Chandra, V. Kumar","doi":"10.4103/2321-1385.208941","DOIUrl":"https://doi.org/10.4103/2321-1385.208941","url":null,"abstract":"The laser is a less-invasive method compared with the conventional techniques because it produces little cell destruction and less bleeding due to its hemostatic properties and requires the patient a reduced number of sessions and less chairside time for the most applications.","PeriodicalId":345720,"journal":{"name":"Journal of Dental Lasers","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127595480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Anuradha Bhatsange, Ekta Meshram, A. Waghamare, Lalitha B. Shiggaon, Vijay Mehetre, Alkesh Shende
{"title":"A clinical and histological comparison of mucosal incisions produced by scalpel, electrocautery, and diode laser: A pilot study","authors":"Anuradha Bhatsange, Ekta Meshram, A. Waghamare, Lalitha B. Shiggaon, Vijay Mehetre, Alkesh Shende","doi":"10.4103/2321-1385.196962","DOIUrl":"https://doi.org/10.4103/2321-1385.196962","url":null,"abstract":"Aim: The aim of this study was to clinically and histologically compare mucosal incisions of oral tissues after surgical procedures with scalpel, electrocautery, and diode laser. Materials and Methods: Nine standardized incisions were performed in oral mucosa by scalpel, electrocautery, and diode laser. Specimens were classified into three groups according to tool used for surgical excision. Group A: Three specimens excised through a Bard-Parker (BP) scalpel blade no. 15c; Groups B and C included three specimens each excised through electrocautery and diode laser, respectively. Cut margins of biopsy specimens, adjacent peripheral mucosa were evaluated using light microscopy and histologic zones were identified, assessed: For epithelial changes, incision morphology, lateral tissue damage. Intra- and post-operative parameters assessed were the duration of surgery, bleeding, postoperative pain and healing. Results: Immediate hemostasis was seen with electrocautery and laser compared to scalpel (P < 0.011), mean time taken by electrocautery and laser was less compared to scalpel (P < 0.001). The analysis of regularity of incision and postoperative pain experienced by patients revealed a statistically significant difference (P < 0.01). Histologic damage was least with scalpel. The extent of degeneration was lowest with scalpel followed by laser or electrocautery (P < 0.05). Conclusion: Laser and electrocautery have upper hand over scalpel in relation to hemostasis, but have demerits such as lateral heat damage, tissue necrosis, delayed wound healing, and high cost. Even with advanced treatment modality, conventional scalpel treatment is better option in terms of precise incision, lower cost and faster reepithelization than laser and electrosurgery. Heat generating devices may not allow reliable histologic interpretations, particularly assessing margins of small biopsy specimens or malignant conditions.","PeriodicalId":345720,"journal":{"name":"Journal of Dental Lasers","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122707585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Khan, M. Farooqui, C. Saimbi, S. Yadav, Anurag Saxena
{"title":"Untangle the lingual aberrant frenum by diode laser: A case report with review of literature","authors":"M. Khan, M. Farooqui, C. Saimbi, S. Yadav, Anurag Saxena","doi":"10.4103/2321-1385.196953","DOIUrl":"https://doi.org/10.4103/2321-1385.196953","url":null,"abstract":"A frenum is an anatomic structure formed by a fold of mucous membrane, connective tissue, and sometimes muscle fibers connecting the lips, cheek, or tongue to the jawbone. Tongue-tie or ankyloglossia is a rare congenital anomaly. In this condition, the tongue is attached to the floor of the mouth and the patient is unable to protrude his tongue properly, difficulty in speech, suction, feeding, and also difficulty in maintaining the oral hygiene has been reported. We report a case of partial ankyloglossia in a 7-year-old male child which was treated with diode laser and followed up by without having any complication.","PeriodicalId":345720,"journal":{"name":"Journal of Dental Lasers","volume":"131 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132695727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Lymphangioma of lip treated with carbon dioxide laser","authors":"Reenesh Mechery, M. Kumar, P. Arora, N. Dinakar","doi":"10.4103/2321-1385.196996","DOIUrl":"https://doi.org/10.4103/2321-1385.196996","url":null,"abstract":"Lymphangiomas are benign hamartomas of lymphatic channels mostly present as developmental malformations arising due to sequestration of lymphatic tissues not communicating with patented lymph channel. They are generally congenital and more frequently diagnosed in childhood but rarely do they occur in adults. In head and neck region, they have a high predilection for occurrence in tongue followed by lips . This article describes a case report of lymphangioma of lip in the light of current information with clinical and histological aspect in a young patient, which was successfully treated with carbon dioxide laser.","PeriodicalId":345720,"journal":{"name":"Journal of Dental Lasers","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130067055","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Scanning electron microscope evaluation of morphological changes in dental hard tissue after root resection in apicoectomy by Er,Cr:YSGG laser and #702 TC Bur: Part I","authors":"Prashant Babar, H. Adhikari","doi":"10.4103/2321-1385.196993","DOIUrl":"https://doi.org/10.4103/2321-1385.196993","url":null,"abstract":"Aim: The aim of this study was to compare surface characteristics and morphological changes in Er,Cr:YSGG laser and bur resected root ends in apicoectomy. Settings and Design: 5 W, 20 Hz, 50% air, 100% water, 300 mJ. Materials and Methods: Forty freshly extracted human central incisors treated endodontically. gutta-percha-obturated teeth were resected apically 3 mm with 0° bevel. Twenty samples were resected with #702 TC Bur while rest half were resected with Er,Cr:YSGG laser with 600 μm sapphire tip. Samples were examined for cemental damage, surface roughness, and cracks under surgical operating microscope (SOM) at ×16. Then, samples were fixed, dehydrated, and gold sputtered for observation under scanning electron microscope (SEM). Statistical Analysis Used: Data obtained were subjected to statistical analysis using Chi-square/Fisher′s exact test, Kruskal-Wallis test, whenever required. Results: Under SOM, no cemental damage was detected; while under SEM, 14 bur and 1 laser resected samples exhibited damage (P < 0.001). Under SOM and SEM, bur resected surface showed roughness in 17 and 20 samples, respectively, while laser resected surface appeared to be smoother in 18 and 19 samples, respectively (P < 0.001). Under SOM, cracks seen in only 1 bur resected sample, while in laser resected samples, no cracks revealed. Under SEM, bur root resection revealed cracks in 16 samples; laser root resection revealed cracks in 3 samples (P < 0.001). Conclusions: Er,Cr:YSGG laser resection as compared to #702 TC Bur resection exhibits less damage to cementum, smoother dentinal surface with least or no surface cracks/microcracks.","PeriodicalId":345720,"journal":{"name":"Journal of Dental Lasers","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134234288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Scanning electron microscope evaluation of morphological changes in dental hard tissue after root resection in apicoectomy by erbium, chromium:yttrium-scandium-gallium-garnet laser and #702 TC Bur: Part II","authors":"Prashant Babar, H. Adhikari","doi":"10.4103/2321-1385.197019","DOIUrl":"https://doi.org/10.4103/2321-1385.197019","url":null,"abstract":"Context: In Part I of this in vitro SEM study, we have discussed the effect of root resection tools on root end in terms of Cemental damage, Dentin Surface texture and Dentinal Cracks. This part (Part II) will focus on effect of root resection tools on root end in terms of Debris, smear layer, Dentinal tubules, Intertubular Dentin and Root Dentin - Gutta percha interface. Aims: To compare surface characteristics and morphological changes in erbium, chromium:yttrium-scandium-gallium-garnet (Er;Cr:YSGG) laser and bur-resected root ends in apicoectomy. Settings and Design: 5 W, 20 Hz, 50% air, 100% water, 300 mJ. Subjects and Methods: Forty freshly extracted human central incisors treated endodontically. Gutta-percha (GP) obturated teeth were resected apically 3 mm with 0° bevel. Twenty samples were resected with #702 TC Bur while the rest half were resected with Er,Cr:YSGG laser with 600 µm sapphire tip. All the samples were examined for debris, smear layer dentinal tubules, intertubular dentin and interface of GP, and root dentin on resected root surface under surgical operating microscope at ×16. Then, samples were fixed, dehydrated, and gold sputtered for observation under scanning electron microscope (SEM). Statistical Analysis Used: Data obtained were subjected to statistical analysis using Chi-square/Fischer exact test whenever required. Results: SEM observation revealed the absence of debris and smear layer with clean cut surface and patent dentinal tubules with exposed intertubular collagen, less gap (mean 9.95 µm), and least damage to apical adaptation of GP to root dentin walls in Er,Cr:YSGG-laser-resected root surface; while bur-resected samples revealed irregular, rugged root surface covered with debris, smear layer clogged dentinal tubules more gap (mean 20.98 µm) and damage to interface at GP, and root dentin walls. Conclusions: Er,Cr:YSGG-lased root surface provides better surface morphology, more conducive surface for regeneration of periodontium as compared to bur root resection.","PeriodicalId":345720,"journal":{"name":"Journal of Dental Lasers","volume":"70 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126192524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}