Resumen de Er:YAG Laser Osteotomy for Intraoral Bone Grafting Procedures: A Case Series With a Fiber-Optic Delivery System
Oliver Seitz, Stefan Stübinger, Robert Sader
Er:YAG Laser Osteotomy for Intraoral Bone Grafting Procedures: A Case Series With a Fiber-Optic Delivery System Stefan Stübinger,* Constantin Landes,* Oliver Seitz,* and Robert Sader* *Department of Maxillofacial and Facial Plastic Surgery, Johann Wolfgang Goethe-University Medical School, Frankfurt am Main, Germany.
Correspondence: Dr. Stefan Stübinger, Department of Maxillofacial and Facial Plastic Surgery, Johann Wolfgang Goethe-University Medical School, Theodor-Stein-Kai 7, 60596 Frankfurt am Main, Germany. Fax: 49-0-6963015644; e-mail: sstuebinger@uhbs.ch.
Background: With a wavelength of 2.94 μm, the erbium-doped:yttrium, aluminum, and garnet (Er:YAG) laser is suitable for cutting vital osseous tissue. To analyze the benefit of laser osteotomy in implant dentistry, a fiber-guided Er:YAG laser was used for harvesting intraoral bone grafts.
Methods: In 10 consecutive patients (six males and four females), 12 block grafts were obtained from the ramus (nine cases), chin (two cases), and tuberosity (one case) region. For the osteotomies, the laser settings included a pulse energy of 500 mJ, a pulse duration of 250 microseconds, and a pulse frequency of 12 Hz. During osteotomy, the laser fiber tip was kept 1 to 2 mm away from the bone surface.
Results: Cut efficiency was satisfactory with almost no constraint on the positioning of the laser tip. Laser osteotomy was precise and allowed the blocks to be prepared with minimal waste of bone. The risk for accidentally injuring adjacent soft tissues was minimal. The postoperative wound-healing process was not impaired, and there were no signs of carbonization; however, the surgical procedures were time consuming.
Conclusions: Using the Er:YAG laser with the aforementioned settings, successful laser osteotomy was achieved without any complications. However, because laser osteotomy was time-intensive and offered no depth control, it demonstrated only slight advantages for intraoral bone-grafting procedures. If the ablation process could be accelerated, the Er:YAG laser would be a promising alternative to conventional instruments for this surgical technique.
KEYWORDS: Alveolar ridge augmentation, Er:YAG laser, osteotomy Cited by Dragana Gabric Panduric, Ivona Bago Juric, Svetozar Music, Krešimir Molčanov, Mato Sušic and Ivica Anic. (2014) Morphological and Ultrastructural Comparative Analysis of Bone Tissue After Er:YAG Laser and Surgical Drill Osteotomy. Photomedicine and Laser Surgery 32, 401-408.
Online publication date: 1-Jul-2014.
CrossRef Li Ma, Nikos Mattheos, Yan Sun, Xi Ling Liu, Ying Yip Chui and Niklaus Peter Lang. (2014) Wound healing of osteotomy defects prepared with piezo or conventional surgical instruments: a pilot study in rabbits. Journal of Investigative and Clinical Dentistry, n/a-n/a.
Online publication date: 1-May-2014.
CrossRef Dragana Gabrić Pandurić, Ivona Bago, Davor Katanec, Janez Žabkar, Ivana Miletić and Ivica Anić. (2012) Comparison of Er:YAG Laser and Surgical Drill for Osteotomy in Oral Surgery: An Experimental Study. Journal of Oral and Maxillofacial Surgery 70, 2515-2521.
Online publication date: 1-Nov-2012.
CrossRef Bobby Butler. 2012. Recent Advances in Surgical Therapy. Carranza's Clinical Periodontology, 607.e16-607.e23.
CrossRef D. Quest, C. Gayer and P. Hering. (2012) Depth measurements of drilled holes in bone by laser triangulation for the field of oral implantology. Journal of Applied Physics 111, 013106.
Online publication date: 1-Jan-2012.
CrossRef Linhua Ge, Rong Shu, Yiming Li, Chaolun Li, Lijun Luo, Zhongchen Song, Yufeng Xie and Dali Liu. (2011) Adjunctive Effect of Photodynamic Therapy to Scaling and Root Planing in the Treatment of Chronic Periodontitis. Photomedicine and Laser Surgery 29, 33-37.
Online publication date: 1-Jan-2011.
CrossRef J. Burgner, M. Müller, J. Raczkowsky and H. Wörn. (2010) Ex vivo accuracy evaluation for robot assisted laser bone ablation. The International Journal of Medical Robotics and Computer Assisted Surgery 6:10.1002/rcs.v6:4, 489-500.
Online publication date: 1-Dec-2010.
CrossRef Utkan Akyol and Metin Güngörmüş. (2010) Er:YAG Laser Ablation of Bone in Experimental Diabetics. Photomedicine and Laser Surgery 28, 477-482.
Online publication date: 1-Aug-2010.
CrossRef Toru Eguro, Akira Aoki, Toru Maeda, Aristeo Atsushi Takasaki, Mitsuru Hasegawa, Masaaki Ogawa, Takanori Suzuki, Kazuaki Yonemoto, Isao Ishikawa, Yuichi Izumi and Ichiroh Katsuumi. (2009) Energy output reduction and surface alteration of quartz and sapphire tips following Er:YAG laser contact irradiation for tooth enamel ablation. Lasers in Surgery and Medicine 41:10.1002/lsm.v41:8, 595-604.
Online publication date: 1-Oct-2009.
CrossRef Isao Ishikawa, Akira Aoki, Aristeo A. Takasaki, Koji Mizutani, Katia M. Sasaki and Yuichi Izumi. (2009) Application of lasers in periodontics: true innovation or myth?. Periodontology 2000 50:10.1111/prd.2009.50.issue-1, 90-126.
Online publication date: 1-Jun-2009.
CrossRef Toshiaki Yoshino, Akira Aoki, Shigeru Oda, Aristeo Atsushi Takasaki, Koji Mizutani, Katia Miyuki Sasaki, Atsuhiro Kinoshita, Hisashi Watanabe, Isao Ishikawa and Yuichi Izumi. (2008) Long-Term Histologic Analysis of Bone Tissue Alteration and Healing Following Er:YAG Laser Irradiation Compared to Electrosurgery. Journal of Periodontology 80:1, 82-92.
Online publication date: 1-Jan-2009.
Abstract | Full Text | PDF (2744 KB) | PDF Plus (982 KB) Stefan Stübinger, Katja Nuss, Constantin Landes, Brigitte von Rechenberg and Robert Sader. (2008) Harvesting of intraoral autogenous block grafts from the chin and ramus region: Preliminary results with a variable square pulse Er:YAG laser. Lasers in Surgery and Medicine 40:10.1002/lsm.v40:5, 312-318.
Online publication date: 1-Jul-2008.
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