THE USE OF ND:YAG LASER IN ORAL SOFT-TISSUE SURGERY (CASE REPORTS)

Abdul M., Delevska T.E, Stojanovska, A.A
Macedonian Dental Review, 2022; 45(1), pp.17–24.

Abstract

Goal: To define the advantages and disadvantages of using the Nd:YAG laser in oral soft-tissue pathology (gingival enlargement, high frenulum attachment, operculectomy) treatment. Materials and methods: Case report of several different cases, where pain perceived by the patient, need of anesthesia, bleeding, duration of procedure, requirement of sutures, the occurrence of inflammation, scars formation were followed. For the procedures, Nd: YAG laser (1064 nm) was used with manufacturer’s instructions for proper interventions. The aforementioned parameters were assessed with a numeric rating scale (NRS), with values of 0-5. Results: In the patients presented in this study, low levels of anxiety before intervention, reduced use of local anesthesia and significant hemostatic effect were detected. Also, the results showed minimum contraction of tissue without scarring, therefore application of sutures was not necessary. Reduction in post-operative pain was observed, with no inflammation. Conclusion: Lasers are effective and useful when it comes to soft-tissue surgery. They show clinical use with satisfying results if manufacturer’s guidelines are strictly followed, and interventions are performed by experts and trained professionals. Key words: Nd: YAG; laser; soft-tissue surgery; gingivectomy; frenectomy; operculectomy.

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