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Review: Laser soft tissue treatments for paediatric dental patients

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Abstract

BACKGROUND: Many soft tissue pathologies in children can be treated by paediatric dentists. New technologies such as laser surgery enable simpler treatments to be carried out than with conventional techniques. REVIEW: This paper reviews soft tissue lasers and discusses their use in paediatric patients. The laser is a good tool for soft tissue management in children and is well accepted by patients and their relatives. Laser treatment involves a reduction in the use of medication (anaesthetics, analgesics and antibiotics) and in intra-operative and post-operative bleeding. It eliminates the need sutures and produces faster wound healing and less scarring. CONCLUSION: It is essential to have a good knowledge of laser operation and of which type of laser is most appropriate for each lesion.

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References

  • Akyol A, Anadolu R, Anadolu Y, et al. Multifocal papillomavirus epithelial hyperplasia: Successful treatment with CO2 laser therapy combined with interferon alpha-2b. Int J Dermatol 2003;42:733–734.

    Article  PubMed  Google Scholar 

  • Asgari A, Jacobson BL, Mehta M, Pfail JL. Laser exposure of unerupted teeth. NY State Dent J 2007;73:38–41.

    Google Scholar 

  • Basford JR. Low intensity laser therapy. Still not an established clinical tool. Laser Surg Med 1995;16:331–342.

    Article  Google Scholar 

  • Boj J, Galofre N, España A, Espasa E. Pain perception in pediatric patients undergoing laser treatments. J Oral Laser Appl 2005a;5:85–89.

    Google Scholar 

  • Boj JR. The future of laser pediatric dentistry. J Oral Laser Appl 2005b;5:173–177.

    Google Scholar 

  • Boj JR, Hernández M, Poirier C, Espasa E. Treatment of pyogenic granuloma with a laser-powered hydrokinetic system: case report. J Oral Laser Appl 2006a;6:301–306.

    Google Scholar 

  • Boj JR, Poirier C, Espasa E, Hernandez M, Jacobson B. Eruption cyst treated with a laser powered hydrokinetic system. J Clin Pediatr Dent 2006b;30:199–202.

    PubMed  Google Scholar 

  • Boj JR, Hernandez M, Espasa E, Poirier C. Laser treatment of an oral papilloma in the pediatric dental office: a case report. Quintessence Int 2007a:38:307–312.

    PubMed  Google Scholar 

  • Boj JR, Poirier C, Hernandez M, Espasa E. Laser-assisted treatment of a dentigerous cyst: case report. Pediatr Dent 2007b;29:521–524.

    PubMed  Google Scholar 

  • Boj JR, Hernández M, Espasa E, Poirier C, Espanya A. Erbium laser treatment of an impacted first mandibular premolar: a case report. J Clin Pediatr Dent 2008;33:9–12.

    PubMed  Google Scholar 

  • Boj JR, Poirier C, Espasa E, Hernandez M, Espanya A. Lower lip mucocele treated with an erbium laser: a case report. Pediatr Dent 2009;31:249–252.

    PubMed  Google Scholar 

  • Bradley P. A review of the use of Nd: YAG laser in oral and maxillofacial surgery. Br J Oral Maxillofac Surg 1997;35:26–35.

    Article  PubMed  Google Scholar 

  • Braggett FJ, Mackie IC, Blinkhorn AS. The clinical use of the Nd: YAG laser in paediatric dentistry for the removal of oral soft tissue. Br Dent J 1999;187:528–530.

    Google Scholar 

  • Brugnera A, Jr. Zanin F, Barbin EL, Spano JC, Santana R, Pecora JD. Effects of Er:YAG and Nd:YAG laser irradiation on radicular dentine permeability using different irrigating solutions. Lasers Surg Med 2003;33:256–259.

    Article  PubMed  Google Scholar 

  • Brugnera A, Garrini AEC, Donnamaria E, Pinheiro. TCCG: Atlas of laser therapy applied to clinical dentistry. Quintessence editora itda. Chicago, 2006.

  • Cauwels RGEC, Martens LC. Low level laser therapy in oral mucositis: a pilot study. EuropArchs Paediatr Dent 2011; 12:118–123

    Google Scholar 

  • Coluzzi DJ. An overview of laser wavelenghts used in dentistry. Dent Clin North Am 2000;44:753–765.

    PubMed  Google Scholar 

  • Cruz LB, Ribeiro AS, Rech A, et al. Influence of low-energy laser in the prevention of oral mucositis in children with cancer receiving chemotherapy. Pediatr Blood Cancer 2007;48:435–440.

    Article  PubMed  Google Scholar 

  • Fornaini C, Rocca JP, Bertrand MF, et al. Nd:YAG and Diode laser in the surgical management of soft tissues related to orthodontic treatment. Photomed Laser Surg 2007;25:381–392.

    Article  PubMed  Google Scholar 

  • Genovese MD, Olivi G. Laser in paediatric dentistry: patient acceptance of hard and soft tissue therapy. Eur J Paediatr Dent 2008;9:13–17.

    PubMed  Google Scholar 

  • Gontijo I, Navarro R, Haypek P, Ciamponi AL, Haddad AE. The applications of Diode and Er:YAG lasers in labial frenectomy in infants patients. J Dent Child 2005;72:10–15.

    Google Scholar 

  • Hadley J, Young D, Eversole L, Gornbein J. A laser-powered hydrokinetic system for caries removal and cavity preparation. J Amer Dent Assoc 2000;131:777–785.

    Google Scholar 

  • Haytac MC, Ozcelik O. Evaluation of patient perceptions after frenectomy operations: a comparison of carbon dioxide laser and scalpel techniques. J Periodontol, 2006;77:1815–1819.

    Article  PubMed  Google Scholar 

  • Hildebrand NKS, Raboud DW, Heo G, Nelson AE, Major PW. Argon laser vs conventional visible light-cured orthodontic bracket bonding: An in-vivo and in-vitro study. Am J Orthod Dentofac Orthop 2007;131:530–536.

    Article  Google Scholar 

  • Huang IY, Chen CM, Kao YH, Worthington P. Treatment of mucocele of the lower lip with Carbon Dioxide laser. J Oral Maxillofac Surg 2007;65:855–858.

    Article  PubMed  Google Scholar 

  • Ishida CE, Ramos-Silva M. Cryosurgery in oral lesions. Int J Dermatol 1998;37:283.

    Article  PubMed  Google Scholar 

  • Jacobson B, Berger J, Kravitz R, Patel P. Laser pediatric crowns performed without anesthesia: a contemporary technique. J Clin Pediatr Dent 2003;28:11–12.

    Google Scholar 

  • Jacobson B, Berger J, Kravitz R, Patel P. Laser pediatric class II composite utilizing no anesthesia. J Clin Pediatr Dent 2004;28:99–102.

    Google Scholar 

  • Jones AH, Diaz-Arnold AM, Vargas MA, Cobb DS. Colorimetric assesment of laser and home bleaching techniques. J Esthet Dent 1999;11:11–12.

    Article  Google Scholar 

  • Kara C. Evaluation of patient perceptions of frenectomy: A comparison of Nd:YAG laser and conventional techniques. Photomed Laser Surg 2008;26:147–152.

    Article  PubMed  Google Scholar 

  • Kato J, Moriya K, Jayawardeena JA, Wijeyeweera RL, Awazu K. Prevention of dental caries in partially erupted permanent teeth with a CO2 laser. J Clinic Laser Med Surg 2003;21:369–374.

    Article  Google Scholar 

  • Kato J, Wijeyeweera RL. The effect of CO2 laser irradiation on oral soft tissue problems in children in Sri Lanka. Photomed Laser Surg 2007;25:264–268.

    Article  PubMed  Google Scholar 

  • Keisler MB, Haj HA, Noroozi N, Willershausen B. Efficacy of low level laser therapy in reducing post-operative pain after endodontic surgery: A randomized double blind clinical study. Int J Oral Maxillofac Surg 2004;33:38–41.

    Article  Google Scholar 

  • Keller U, Hibst R, Geurtsen W, et al. Erbium:YAG laser application in caries therapy. Evaluation of patient perception and acceptance. J Dent 1998;26:649–656.

    Article  PubMed  Google Scholar 

  • Kimura Y, Wilder-Smith P, Matsumoto K. Lasers in endodontics. Int Endod J 2000;33:173–185.

    Article  PubMed  Google Scholar 

  • Kopp WK, St Hilaire H. Mucosal preservation in the treatment of mucocele with CO2 laser. J Oral Maxillofac Surg 2004;62:1559–1561.

    Article  PubMed  Google Scholar 

  • Kotlow LA. Lasers in pediatric dentistry. Dent Clin North Am 2004;48:889–922.

    Article  PubMed  Google Scholar 

  • Kreisler M, Kohen W, Beck M y cols. Efficacy of NaOCl/h2O2 irrigation and Ga,Al,As laser in decontamination root canals in vitro. Laser Surg Med 2003;32:189–196.

    Article  Google Scholar 

  • Kulekcioglu S, Sivrioglu K, Ozcan O, Parlak M. Effectiveness of low-level laser therapy in temporomandibular disorder. Scand J Rheumatol 2003;32:114–118.

    Article  PubMed  Google Scholar 

  • Lim HM, Lew KK, Tay DK. A clinical investigation of the efficacy of low level laser therapy in reducing orthodontic postadjustment pain. Am J Orthod Dentofacial Orthop 1995;108:614–622.

    Article  PubMed  Google Scholar 

  • Liu CM, Hou LT, Wong MI, La HW. Comparison of Nd:YAG laser versus scaling and root planning in periodontal therapy. J Periodontol 1999;70:1276–1982.

    Article  PubMed  Google Scholar 

  • Marsilio AL, Rodrigues JR, Borges AB. Effect of the clinical application of the Ga,Al,As laser in the treatment of dentine hypersensitivity. J Clin Laser Med Surg 2003;21:291–296.

    Article  PubMed  Google Scholar 

  • Martens LC. Laser-assisted paediatric dentistry: review and outlook. J Oral Laser Applic 2003;3:203–209.

    Google Scholar 

  • Martens LC. Laser physics and a review of laser applications in dentistry for children. Europ Archs Paediatr Dent 2011; 12:61–67

    Google Scholar 

  • Matsumoto K, Hossain M. Frenectomy with the Nd:YAG laser: A clinical study. J Oral Laser Appl 2002;2:25–30.

    Google Scholar 

  • Miserendino LJ, Pick RM. Lasers in dentistry. Quintessence books publishing Co, Inc. Chicago, 1995.

    Google Scholar 

  • Nelson JS, Berns MW. Basic laser physics and tissue interactions. Contemp Dermatol 1988;2:3–15.

    Google Scholar 

  • Olivi G, Genovese MD. Laser restorative dentistry in children and adolescents. Europ Archs Paediatr Dent 2011;12:68–78

    Google Scholar 

  • Odabas ME, Bodur H, Baris E, Denir C. linical, radiographic and histopathologic evaluation of Nd:YAG laser pulpotomy on human primary teeth. J Endod 2007;33:415–421.

    Article  PubMed  Google Scholar 

  • Park D, Lee H, Yoo H, Oh T. Effect of Nd:YAG laser irradiation on the apical leakage of obturated root canals: An electrochemical study. Int Endod J 2001;34:318–321.

    Article  PubMed  Google Scholar 

  • Parkins F. Lasers in pediatric and adolescent dentistry. Dent Clin North Am 2000;44:821–830.

    PubMed  Google Scholar 

  • Pick RM, Colvard MD. Current status of lasers in soft tissue dental surgery. J Periodontol 1993;64:589.

    Article  PubMed  Google Scholar 

  • Pick RM, Powell GL. Lasers in dentistry: Soft-tissue procedures. Dent Clin North Am 1993;31:281–297.

    Google Scholar 

  • Pinheiro AL, Cavalcanti ET, Pinheiro Ti, Miranda ER, De Quevedo AS y cols. Low-level laser therapy is an important tool to treat disorders of the maxillofacial region. J Clin Laser Med surg 1998;16:223–226.

    PubMed  Google Scholar 

  • Raucci-Neto W, De Castro LMS, Corrêa AM, Da Silva RS, Pécora JD, Palma RG. Assessment of termal alteration during class V cavity preparation using the Er: YAG laser. Photomed Laser Surg 2007;25:281–286.

    Article  PubMed  Google Scholar 

  • Rizoiu I, Kohanghdosh F, Kimmel AI, Eversole LR. Pulpal thermal responses to an erbium, chromium: YSGG pulsed laser hydrokinetic system. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1998;86:220–223.

    Article  PubMed  Google Scholar 

  • Romanos GE, Nentwig GH. Diode laser (980nm) in oral and maxillofacial surgical procedures: clinical observations based on clinical applications. J Clin Laser Med Surg 1999;17:193–197.

    PubMed  Google Scholar 

  • Roodenburg JL, Panders AK, Vermey A. Carbon dioxide laser surgery of oral leukoplakia. Oral Surg Oral Med Oral Pathol 1991;71:670–674.

    Article  PubMed  Google Scholar 

  • Silvestri AR, Mirkov MG, Connolly RJ. Prevention of third molar development in dog with long pulse diode laser: a preliminary report. Lasers Surg Med 2007;39:674–677.

    Article  PubMed  Google Scholar 

  • Stabholz A, Zeltser R, Sela M, Peretz B, Mashonov J, Zisking D. The use of lasers in dentistry: principles of preparation and clinical applications. Compend Contin Educ dent 2003;24:935–948.

    PubMed  Google Scholar 

  • Strauss RA. Laser in oral and maxillofacial surgery. Dent Clin North Am 2000;44:851–873.

    PubMed  Google Scholar 

  • Strauss RA, Fallon SD. Lasers in contemporary oral and maxillofacial surgery. Dent Clin North Am 2004;48:861–888.

    Article  PubMed  Google Scholar 

  • Summersgill K, Smith E, Levy B, Allen J, Haugen T, Turek L. Human papillomavirus in the oral cavities of children and adolescents. Oral Surg Oral Med Oral Patol Oral Radiol Endod 2001;91:62–69.

    Article  Google Scholar 

  • Tamarit M, Delgado E, Berini L, Gay C. Removal of hyperplastic lesions of the oral cavity. A retrospective study of 128 cases. Med Oral Patol Oral Cir Bucal 2005;10:151–162. (Spanish).

    Google Scholar 

  • Tinoco J, Furtado da Silva A, Basilio de Oliveira C, et al. Human papillomavirus (HPV) infection and its relation with squamous cell carcinoma of the mouth and oropharinx. Rev Assoc Med Bras 2004;50:252–256.

    Article  PubMed  Google Scholar 

  • Tran TA, Parlette HL. Surgical Pearl: removal of a large labial mucocele. J Am Acad Dermatol 1999;40:760–762.

    Article  PubMed  Google Scholar 

  • Turhani D, Scheriau M, Kapral D, et al. Pain relief by single low-level laser irradiation in orthodontic patients undergoing fixed appliance therapy. Am J Orthod Dentofacial Orthop 2006;130:371–377.

    Article  PubMed  Google Scholar 

  • Türkün M, Türkün LS, Celik EU, Ates M. Bactericidal effect of Er,Cr:YSGG laser on streptococcus mutans. Dent Mater J 2006;25:81–86.

    Article  PubMed  Google Scholar 

  • Twetman S, Isaksson S. Cryosurgical treatment of mucocele in children. Am J Dent 1990;3:175.

    PubMed  Google Scholar 

  • Verco PJW. Case report and clinical technique: Argon beam electrosurgery for tongue ties and maxillary frenectomies in infants and children. Eur Arch Paediatr Dent 2007;8(suppl1):15–19.

    Google Scholar 

  • Vesnaver A, Dovak DA. Treatment of vascular lesions in the head and neck using Nd: YAG laser. J Cranio-Maxillofac Surg 2006;34:17–24.

    Article  Google Scholar 

  • Wang X, Zhang C, Matsumoto K. In vivo study of the healing processes that occur in the jaws of rabbits following perforation by an Er,Cr:YSSG laser. Lasers Med Sci 2005;20:21–27.

    Article  PubMed  Google Scholar 

  • Wan-Hong L, Bor-Shiunn L, Hsin-cheng L, Chun-Pin L. Morphologic study of Nd:YAG laser usage in treatment of dentinal hypersensitivity. J Endod 2004;30:131–134.

    Article  Google Scholar 

  • White J, Chaudry S, Kudler J, et al. Nd: YAG and CO2 laser therapy of oral mucosal lesions. J Clin Laser Med Surg 1998;16:299–304.

    PubMed  Google Scholar 

  • Wilkerson HK, Hill SD, Arcoria CJ. Effects of the argon laser on primary tooth pulpotomies in swine. J Clin Laser Med Surg 1996;14:37–42.

    PubMed  Google Scholar 

  • Wong SF, Wilder-Smith P. Pilot study of laser effects on oral mucositis in patients receiving chemotherapy. Cancer J 2002;8:247–254.

    Article  PubMed  Google Scholar 

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Boj, J.R., Poirier, C., Hernandez, M. et al. Review: Laser soft tissue treatments for paediatric dental patients. Eur Arch Paediatr Dent 12, 100–105 (2011). https://doi.org/10.1007/BF03262788

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