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Diode laser in management of vascular malformation of lip 二极管激光治疗唇部血管畸形
Pub Date : 2013-07-01 DOI: 10.4103/0976-2868.124270
Reet Kamal, Parveen Dahiya, R. Gupta, R. Bhardwaj
Vascular anomalies embody a myriad of blood vessels abnormalities that are thought to occur perinatally. They are broadly classified into vascular tumor or hemangioma and vascular malformation. An accurate diagnosis can be made by a detail case history, clinical presentation, ultrasonography, computerized tomography, arteriography, and histopathological examination. Due to complex nature of these vascular lesions a multidisciplinary approach is frequently necessary for their management. Herein, we present a case report of management of a vascular malformation on lower lip with diode laser. This paper also summarizes the etiopathogenesis, classification and treatment modalities of vascular malformations.
血管异常体现了无数的血管异常,被认为发生围产期。它们大致分为血管肿瘤或血管瘤和血管畸形。准确的诊断可通过详细的病史、临床表现、超声检查、计算机断层扫描、动脉造影和组织病理学检查做出。由于这些血管病变的复杂性,往往需要多学科的方法来治疗。在此,我们报告一个用二极管激光治疗下唇血管畸形的病例报告。综述了血管畸形的发病机制、分类及治疗方法。
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引用次数: 1
Eruption Cyst: Can be treated with diode lasers 爆发囊肿:可以用二极管激光治疗
Pub Date : 2012-07-01 DOI: 10.4103/0976-2868.106668
V. Chandel, G. Kochhar
Eruption cysts are benign cysts that appear on the mucosa of a tooth shortly before its eruption. They may disappear by themselves but if they are hurt, bleed, or are infected, they may require surgical treatment to expose the tooth and drain the contents. Here we present a clinical case of a 12-year-old child with an eruption cyst in mandibular right second molar treated using diode laser. No hemorrhage, swelling, infection or postoperative pain was observed. Treatment of eruption cysts with this technique facilitates obtaining a cooperative behavior from pediatric patients and makes behavior management easier.
出疹囊肿是良性的囊肿,出现在牙齿的粘膜上,在出疹前不久。它们可能会自行消失,但如果它们受伤、出血或感染,它们可能需要手术治疗以暴露牙齿并排出内容物。在此,我们报告一个12岁儿童的临床病例,在下颌右第二磨牙爆发囊肿使用二极管激光治疗。无出血、肿胀、感染及术后疼痛。使用这种技术治疗爆发囊肿有助于获得儿科患者的合作行为,并使行为管理更容易。
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引用次数: 3
A case report of pregnancy tumor and its management using the diode laser 二极体激光治疗妊娠肿瘤1例
Pub Date : 2012-07-01 DOI: 10.4103/0976-2868.106666
Namazi Esmaeil, B. Sharmila, M. Sangeeta, K. Rahul
Pyogenic granuloma (PG) is a tumor-like growth in the oral cavity. It is manifested as a painless sessile or pedunculated, erythematous, exophytic and specific papular or nodular with a smooth or lobulated surface, which may have a fibrinous covering. The lesion usually bleeds easily on a slight provocation. PG is considered to be a non-neoplastic in nature. It is a reactive lesion, also classified in pregnancy associated gingival diseases. It occurs due to irritation or physical trauma from calculus or cervical restorations as also some contribution by hormonal factors and usually affects the gingiva, but can be seen in areas of frequent trauma such as lower lip, tongue, oral mucosa, and palate. The growth is typically seen on or after the third month of pregnancy and may grow rapidly to acquire a large size, thus, requiring surgical removal. The diode laser has also been used as an alternative treatment modality. This is a case report of PG in a patient treated with the diode laser.
化脓性肉芽肿(PG)是口腔内的一种肿瘤样生长。它表现为无痛,无梗或有梗,红斑,外生和特异性丘疹或结节,表面光滑或分叶,可有纤维质覆盖。这种损伤在轻微的刺激下通常很容易出血。PG被认为是非肿瘤性的。它是一种反应性病变,也属于妊娠相关的牙龈疾病。它的发生是由于结石或颈椎修复引起的刺激或物理创伤,也有激素因素的影响,通常影响牙龈,但可以在经常受到创伤的区域,如下唇、舌头、口腔黏膜和上颚看到。这种生长通常在怀孕第三个月或之后出现,可能会迅速生长到较大的尺寸,因此需要手术切除。二极管激光也被用作另一种治疗方式。这是一个用二极管激光治疗的病人的PG病例报告。
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引用次数: 8
Histopathological examination of oral mucosal incisions welded by 980 nm Diode Laser in vivo 980 nm二极管激光焊接口腔粘膜切口的组织病理学观察
Pub Date : 2012-07-01 DOI: 10.4103/0976-2868.106639
B. Mirdan
Continuous mode of operation (CW)980 nm Laser tissue welding has been studied for full thickness incisions on the oral cavity of the rabbit in vivo. Materials and Methods: Surgical incisions were done on the hard palate of the rabbits; the incisions were irradiated with 980 nm diode laser, 0.63 W as an output power and 27 s as an exposure time. Results: The immediate clinical results have shown a hemostasis of the bleeding, while the histopathological examination showed comparable results though it revealed a fastened healing pattern in comparison with the sutured incisions. Discussion: The immediately laser welded tissues was as a result of the denaturation and coagulation of the tissue proteins via the increase of the tissue temperature due to the laser-tissue photothermal interaction. Conclusion: The use of 980 nm diode laser in soft tissue welding is a successful method of wound closure in oral mucosa with the minimum side effects.
采用连续操作模式(CW)980 nm激光组织焊接法在家兔口腔全层切口上进行了实验研究。材料与方法:在家兔硬腭处进行手术切口;用980 nm二极管激光照射切口,输出功率0.63 W,曝光时间27 s。结果:直接的临床结果显示出血止血,而组织病理学检查显示类似的结果,尽管它显示一个固定的愈合模式与缝合的切口相比。讨论:立即激光焊接组织是由于激光与组织光热相互作用使组织温度升高而使组织蛋白变性凝固的结果。结论:980 nm二极管激光用于口腔粘膜软组织焊接是一种成功的口腔粘膜伤口愈合方法,其副作用最小。
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引用次数: 3
A comparative analysis between Nd:YAG and CO2 lasers for their sealing ability of dentinal tubules with and without fluoride varnish: An in vitro study Nd:YAG激光和CO2激光在加氟和不加氟清漆时牙本质小管封闭能力的比较研究
Pub Date : 2012-07-01 DOI: 10.4103/0976-2868.106653
S. Ahamed, N. Gurucharan, R. Meyappan, Arun Kulandaivelu, Deepak Kumar, B. Sreenadh
Background: Application of laser energy onto exposed dentinal tubules provides instantaneous relief from dentin hypersensitivity. The aim of the present study was to compare between CO 2 and Nd:YAG laser irradiation for their sealing ability on human dentinal tubules when treated with and without fluoride varnish, using Scanning Electron Microscopy. Materials and Methods: Twenty extracted human intact third molar teeth were selected. A total of six samples were obtained from each tooth. One hundred and twenty dentin samples from 20 teeth were then divided into six groups with 20 samples in each group. These slabs were treated with 17% ethylenediaminetetraacetic acid (EDTA) for 5 min and with 5% NaOCl for the next 2 min for removal of the smear layer. Each of the samples from a single tooth was then subjected to six different treatment protocols according to the groups given below. Group 1 (n = 20) : CO 2 laser Group 2 (n = 20) : Nd:YAG laser Group 3 (n = 20) : Varnished with fluoride and lased with CO 2 laser Group 4 (n = 20) : Varnished with fluoride and lased with Nd:YAG laser Group 5 (n = 20) : Varnished with fluoride Group 6 (n = 20) (control) : Not subjected to lasing and fluoride application All samples were examined under scanning electron microscope. Results were subjected to statistical analysis using one-way analysis of variance (ANOVA) and the multiple comparisons among groups were carried out by Student's t-test. Results: Compared to conventional fluoridation or laser irradiation, in the treatment of dentin hypersensitivity, CO 2 lasers in combination with fluoride varnish appear to show better efficacy than either treatment modality alone.
背景:将激光能量应用于暴露在外的牙本质小管上,可以瞬间缓解牙本质过敏。本研究的目的是利用扫描电子显微镜比较co2和Nd:YAG激光照射在加氟和不加氟清漆时对人牙本质小管的密封能力。材料与方法:选择20颗拔除的人完整第三磨牙。每颗牙齿总共采集了6个样本。选取20颗牙齿的120份牙本质样本分为6组,每组20份。这些平板用17%乙二胺四乙酸(EDTA)处理5分钟,然后用5% NaOCl处理2分钟,以去除涂抹层。然后,根据下面给出的分组,每个牙齿样本都接受了六种不同的治疗方案。第1组(n = 20): co2激光第2组(n = 20): Nd:YAG激光第3组(n = 20):氟化物清漆和co2激光激光第4组(n = 20):氟化物清漆和Nd:YAG激光激光第5组(n = 20):氟化物清漆第6组(n = 20)(对照):不进行激光和氟化物应用所有样品在扫描电子显微镜下检查。结果采用单因素方差分析(ANOVA)进行统计分析,组间多重比较采用Student’st检验。结果:与常规氟化或激光照射相比,co2激光联合氟化清漆治疗牙本质过敏的疗效明显优于单独治疗。
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引用次数: 0
Treatment of peri-implantitis around orthodontic miniscrew using Er,Cr: YSGG Laser Er,Cr: YSGG激光治疗正畸微型支架周围种植周炎
Pub Date : 2012-07-01 DOI: 10.4103/0976-2868.106665
Kirti Chawla, A. Lamba, M. Gupta, Neha Khanna
Miniscrews have proven to be a useful addition to the orthodontist's armamentarium for control of skeletal anchorage in less compliant or noncompliant patients, but the risks involved with miniscrew placement must be clearly understood by both the clinician and the patient. Complications can arise during miniscrew placement and after orthodontic loading in regard to stability and patient safety. This article presents a case report of peri-implantitis around an orthodontic miniscrew implant treated with Erbium, chromium, yttrium, scandium, gallium, garnet (Er,Cr: YSGG) laser.
对于依从性较低或不依从的患者,微型支架已被证明是正畸医生控制骨骼锚定的有用补充,但临床医生和患者必须清楚地了解微型支架放置的风险。并发症可出现在微型安置和正畸负荷后的稳定性和患者的安全。本文报告一用铒、铬、钇、钪、镓、石榴石(Er,Cr: YSGG)激光治疗正畸微型种植体周围种植周炎的病例。
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引用次数: 1
Effect on apical intracanal dentin after laser irradiation: A microleakage and scanning electron microscopic evaluation 激光照射对根尖牙本质的影响:微渗漏及扫描电镜评价
Pub Date : 2012-07-01 DOI: 10.4103/0976-2868.106664
Shachi Goenka, V. Hegde
Aim: The purpose of this in vitro study was to evaluate the effect of neodymium:Yttrium aluminum garnet (Nd:YAG) laser and diode laser irradiation on intracanal dentin surface by scanning electron microscopic (SEM) analysis, and its interference in the apical seal of filled canals. Materials and Methods: After endodontic treatment procedures, 60 single-rooted teeth were randomly assigned to four groups. In the negative control group (n = 15), no additional treatment was performed and teeth were filled with laterally condensed gutta-percha; in the Nd:YAG laser-treated group (n = 15) and in the diode laser-treated groups (n = 15), the root canals were irradiated with Nd:YAG laser -1.5 W/Diode laser 810 nm - 2 W /Diode laser 980 nm - 2 W } using 200 micron fiber before filling, as described for the control group. Two specimens of each group were prepared for SEM analysis to evaluate the presence and extent of morphological changes and removal of debris; the other specimens were immersed in 2% rhodamine B for 72 h at 37°C for evaluation of the linear dye leakage at the apical third. Results: Laser groups showed significantly less linear leakage as compared to the control group.
目的:采用扫描电镜(SEM)分析了钕钇铝石榴石(Nd:YAG)激光和二极管激光照射对牙本质表面的影响及其对充填根管根尖密封的干扰。材料与方法:根管治疗完成后,将60颗单根牙随机分为4组。阴性对照组(n = 15)不进行其他治疗,用侧缩胶填充牙齿;在Nd:YAG激光治疗组(n = 15)和二极管激光治疗组(n = 15)中,根管充填前采用200微米光纤照射Nd:YAG激光-1.5 W/二极管激光810 nm - 2 W/二极管激光980 nm - 2 W},与对照组相同。每组制备2个标本进行扫描电镜分析,以评估形态学变化和碎片去除的存在和程度;其余标本在2%罗丹明B中浸泡72 h, 37°C,评估根尖三分之一处的线性染料泄漏。结果:与对照组相比,激光组的线性渗漏明显减少。
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引用次数: 0
Evaluation of the effectiveness of low power diode laser with different wavelengths in dental caries prevention 不同波长低功率二极管激光预防龋的效果评价
Pub Date : 2011-12-01 DOI: 10.4103/0976-2868.170568
E. Awooda, N. Almuslet
Objectives: To investigate the effectiveness of low power diode lasers, with different wavelengths and different irradiation times in caries prevention an ex vivo study. Materials and Methods: True experimental posttest design on 130 extracted human premolar teeth by measuring caries-like lesions examined by polarized light electron microscope after irradiation by four low power diode lasers 532 nm (4 mW), 671 nm (100 mW), 675 nm (30 mW), and 810 nm (20 mW). A fifth group was added as a control (without irradiation). The specimens were prepared by coating the teeth with acid resistance nail varnish leaving uncovered 2 mm × 2 mm of the enamel surface mesially or distally below the contact area. For each wavelength, samples were divided into three groups for three irradiation time as 4, 8, and 12 min; each group consisted of 10 teeth. Irradiated samples and the control were immersed in lactic acid (4.8 pH) and incubated for 21 days under controlled temperature of 37°C and controlled PH of 4.8. After the incubation period, the teeth were sectioned longitudinally by dissecting the 2 × 2 enamel window and the depth of the lesion was measured microscopically. ANOVA test was used to compare between different wavelengths and different irradiation times with level of significant set at P ≤ 0.05. Results: The depth of the caries-like lesions in 810 nm and 675 nm was more than that in control group (180 μm), while statistical significant difference was found (P = 0.002); when the 671 nm and 532 nm lasers wavelengths revealed depth of 70 μm and 112 μm, respectively. Increasing irradiation time decreases the depth of caries-like lesions. Conclusion: Diode laser of wavelengths 532nm and 671 nm showed less depth than control group, indicating caries prevention effect. Increasing irradiation time to a certain value increases resistance to acid dissolution.
目的:通过离体研究,探讨不同波长、不同照射时间的低功率二极管激光器预防龋病的效果。材料与方法:采用532 nm (4 mW)、671 nm (100 mW)、675 nm (30 mW)和810 nm (20 mW)四种低功率二极管激光器照射后,对130颗拔除的人类前磨牙进行真实实验后测设计,在偏振光电子显微镜下观察龋样病变。加入第五组作为对照(没有照射)。在牙体接触区中或远端,涂上抗酸指甲油,在牙体接触区中近端或远端保留2 mm × 2 mm的牙釉质表面。每个波长将样品分成三组,辐照时间分别为4、8、12 min;每组10颗牙。将辐照后的样品和对照组浸泡在4.8 pH的乳酸中,控制温度37℃,控制pH为4.8,孵育21 d。培养结束后,切开2 × 2牙釉质窗纵向切片,显微镜下观察病变深度。采用方差分析(ANOVA)比较不同波长、不同照射时间间的差异,P≤0.05为显著水平。结果:810 nm和675 nm的龋样病变深度均大于对照组(180 μm),差异有统计学意义(P = 0.002);当波长为671 nm和532 nm时,显示深度分别为70 μm和112 μm。增加照射时间可减少龋样病变的深度。结论:532nm和671nm波长的二极管激光深度较对照组小,具有防龋效果。将辐照时间增加到一定值,可增加抗酸溶性。
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引用次数: 2
Treatment of mucocele with diode laser 二极管激光治疗黏液囊肿
Pub Date : 1900-01-01 DOI: 10.4103/0976-2868.118457
R. Pandey, K. R. Pathakota, P. Koppolu, Vijayalakshmi Bolla
Mucocele is commonly occurring lesion in the oral cavity, mostly involving minor salivary glands, resulting from rupture or obliteration of the ducts leading to their glandular contents (mucinous) being released subepithelially. Etiological factors include trauma, parafunctional habits, lip biting, etc.; and if left untreated may lead to permanent bump in the area of occurrence. Various treatment modalities have been advocated for mucocele among which lasers being the most recent and advanced. In the present case reports, diode laser was used for the excision of mucocele on the lower lip, the advantages being minimal discomfort, bleeding, recurrence, and better compliance among patients.
黏液囊肿是一种常见于口腔的病变,主要累及小唾液腺,是由于导管破裂或堵塞导致腺体内容物(粘液)在上皮下释放所致。病因包括创伤、功能习惯、咬唇等;如果不及时治疗,可能会导致永久性肿块的发生。各种治疗方式已提倡粘液囊肿,其中激光是最新和最先进的。在本病例报告中,二极管激光用于下唇黏液囊肿的切除,其优点是最小的不适,出血,复发,患者的依从性更好。
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引用次数: 9
Knowledge and perceived adequacy of information regarding the applications of lasers in dentistry among dental interns in India 在印度的牙科实习生中,关于激光在牙科中的应用的知识和感知信息的充分性
Pub Date : 1900-01-01 DOI: 10.4103/jdl.jdl_20_18
S. Damodar, Rucha J. Shah, Raison Thomas, T. Gowda, D. Mehta
Aim: Laser dentistry is one of the latest, precise, and minimally invasive tools being explored in dentistry. The objective of the study was to determine the knowledge and perceived adequacy of information of lasers in dentistry among the dental interns in Karnataka, India. Materials and Methods: A survey was conducted in Karnataka among the dental students who were in their fifth year of the course. The questionnaire consisted of two main parts: first part included use and applications of dental lasers, and second part included source and need of information regarding the laser. Total of 1000 questionnaires were distributed among the students, and finally, 727 completely filled questionnaires were considered for the study. Results: A majority of the students (79%) were not provided with adequate knowledge during their Bachelor of Dental Surgery (BDS) curriculum and 53% of the students were interested in procuring the additional information about lasers. It was found that the knowledge regarding lasers was satisfactory only regarding the types and benefits of lasers. The knowledge regarding applications of lasers in various fields of dentistry was below satisfactory. Conclusion: The dental interns of Karnataka feel that the laser education provided to them during their BDS course was insufficient. Most of the surveyed interns were found to be having either insufficient knowledge or incorrect notion about lasers.
目的:激光牙科是一种最新的、精确的、微创的牙科治疗工具。该研究的目的是确定在卡纳塔克邦,印度牙科实习生的牙科激光知识和感知信息的充分性。材料和方法:在卡纳塔克邦进行了一项调查,调查对象是五年级的牙科学生。问卷主要由两部分组成:第一部分包括牙科激光的使用和应用,第二部分包括关于激光的信息来源和需求。共向学生发放了1000份问卷,最终有727份完整填写的问卷被考虑用于研究。结果:大多数学生(79%)在口腔外科学士(BDS)课程中没有获得足够的知识,53%的学生有兴趣获得有关激光的额外信息。研究发现,关于激光器的知识仅在激光器的类型和优点方面令人满意。关于激光在牙科各个领域的应用的知识是不令人满意的。结论:卡纳塔克邦牙科实习生认为在BDS课程中对其进行的激光教育不足。调查发现,大多数实习生对激光的认识不足或不正确。
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引用次数: 2
期刊
Journal of Dental Lasers
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