Serkan YILDIZ, Mehmet Kemal TÜMER

7022

Oral Ve Maksillofasiyal Cerrahi Pratiğinde Kullanılan Sert Lazer Sistemleri

Işık yüzyıllardır iyileştirici bir ajan olarak kullanılmaktadır. Antik Yunanda güneş ışınları helioterapi amaçlı kullanılmış ve sağlığı bozulan insanlar güneş ışığına maruz bırakılmışlardır. Işığın bu iyileştirici etkisi günümüze değin gelmiş ve lazerler ile güneşten bağımsız tanı ve tedavi amaçlı kullanılmaya başlanmıştır. 1960’lı yıllardan beri oral ve maksillofasiyal cerrahi pratiğinde kullanılan lazerler artık rutin hale gelmiştir. Uyku apnesi, temporamandibular eklem bozuklukları, dental implantlar, premalign lezyonlar, posttravmatik skarların tedavisi, sert doku osteotomisi, yumuşak doku cerrahisi lazer cerrahisinin ortaya çıkmasıyla birlikte oldukça gelişmiştir. Diğer geleneksel yöntemlere göre lazer uygulaması, lazer ışınının kolaylıkla yönlendirilebilmesi ve yüksek miktarda enerjinin küçük noktalara odaklanabilmesi nedeniyle oldukça ileri bir tedavi yöntemidir. Lazer teknolojisinin sağladığı yararların yanı sıra birtakım zararları da bulunmaktadır. Bu derlemede ağız diş ve çene cerrahisinde kullanılan argon, diyot, nd yag, ho yag, er yag, karbondioksit (co2), gibi sert lazer çeşitleri, kullanım alanları, etkinlikleri, lazer uygulamasının avantaj ve dezavantajları geniş bir derleme ile sunulmuştur.
Anahtar Kelimeler:

Lazer, Cerrahi, Oral, Maksillofasiyal

Hard Laser Systems Used In Oral and Maxillofacial Surcigal Practice

For centuries light has been considered as a healing agent. In ancient Greece, sunlight had been used as heliotherapy method, and health-impaired individuals had been exposed to sunlight. Therapeutical effects of light have reached nowadays, and laser has found a place in modern medical practice with diagnosis and therapeutic modalities. Lasers have been used in the oral and maxillofacial field since the 1960s and from now on are being used routinely. Laser-assisted surgical techniques are widely applied in diseases like; obstructive sleep apnea, temporomandibular joint disorders, dental implants, premaling lesions, therapy of posttraumatic scars, hard tissue osteotomy, soft tissue surgery. Rather than conventional techniques, laser implementation has pros like efficiently directing the laser beam and being able to focus the high energy on relatively small sites. In this review we aim to present pros and cons of laser implementation, indications, efficiency and types of laser systems like argon, diode, nd yag, ho yag, er yag, carbon dioxide systems.
Keywords:

Laser, Surgery, Oral, Maxillofacial,

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  • 1. Strauss RA, Fallon SD. Lasers in contemporary oral and maxillofacial surgery. Dent Clin North Am. 2004;48(4):861-888.
  • 2. Coluzzi DJ. An overview of laser wavelengths used in dentistry. Dent Clin North Am. 2000;44(4):753-765.
  • 3. Coluzzi DJ, Convissar RA. Atlas of Laser Applications in Dentistry. Quintessence Publishing Company; 2007.
  • 4. Sulewski JG. Historical survey of laser dentistry. Dent Clin North Am. 2000;44(4):717-752.
  • 5. Convissar RA. The biologic rationale for the use of lasers in dentistry. Dent Clin North Am. 2004;48(4):771-794.
  • 6. Coluzzi DJ. Fundamentals of dental lasers: science and instruments. Dent Clin North Am. 2004;48(4):751-770.
  • 7. Murray A, Mitchell DC, Wood RFM. Lasers in surgery. Br J Surg. 1992;79(1):21-26.
  • 8. Horch H-H, Deppe H. New aspects of lasers in oral and craniomaxillofacial surgery. Med Laser Appl. 2005;20(1):7-11.
  • 9. Deppe H, Horch H-H. Current status of laser applications in oral and cranio-maxillofacial surgery. Med Laser Appl. 2007;22(1):39-42.
  • 10. Saleh HM, Saafan AM. Excision biopsy of tongue lesions by diode laser. Photomed Laser Ther. 2007;25(1):45-49.
  • 11. Capodiferro S, Loiudice AM, Pilolli G, et al. Diode laser excision of chondroid lipoma of the tongue with microscopic (conventional and confocal laser scanning) analysis. Photomed Laser Surg. 2009;27(4):683-687.
  • 12. Clayman L, Kuo P. Lasers in Maxillofacial Surgery and Dentistry. Thieme Medical Publishers; 1997.
  • 13. Del Corso G, Gissi DB, Tarsitano A, et al. Laser evaporation versus laser excision of oral leukoplakia: A retrospective study with long-term follow-up. J Cranio-Maxillofacial Surg. 2015;43(6):763-768. doi:10.1016/j.jcms.2015.04.009.
  • 14. Miserendino L, Pick RM. Lasers in Dentistry. Quintessence Pub Co; 1995.
  • 15. Papadaki M, Doukas A, Farinelli WA, Kaban L, Troulis M. Vertical ramus osteotomy with Er: YAG laser: a feasibility study. Int J Oral Maxillofac Surg. 2007;36(12):1193-1197.
  • 16. Finkbeiner RL. The results of 1328 periodontal pockets treated with the argon laser: Selective pocket thermolysis. J Clin Laser Med Surg. 1995;13(4):273-281.
  • 17. Medeiros Júnior R, Gueiros LA lcino, Silva IH enrique, de Albuquerque Carvalho A, Leão JC arneiro. Labial frenectomy with Nd:YAG laser and conventional surgery: a comparative study. Lasers Med Sci. 2015;30(2):851-856. doi:10.1007/s10103-013-1461-8.
  • 18. Kaneyama K, Segami N, Sato J, Murakami K-I, Iizuka T. Outcomes of 152 temporomandibular joints following arthroscopic anterolateral capsular release by holmium: YAG laser or electrocautery. Oral Surgery, Oral Med Oral Pathol Oral Radiol Endodontology. 2004;97(5):546-551.
  • 19. Fornaini C, Merigo E, Selleri S, Cucinotta A. Blue diode laser: A new approach in oral surgery? Prog Biomed Opt Imaging - Proc SPIE. 2016;9692:1-9. doi:10.1117/12.2211012.
  • 20. D’Arcangelo C, Di Maio FDN, Prosperi GD, Conte E, Baldi M, Caputi S. A preliminary study of healing of diode laser versus scalpel incisions in rat oral tissue: a comparison of clinical, histological, and immunohistochemical results. Oral Surgery, Oral Med Oral Pathol Oral Radiol Endodontology. 2007;103(6):764-773.
  • 21. Tanyeri H. Diş Hekimliği Pratiğinde Yumuşak Dokuda Lazer Uygulamaları. http://www.quintessence.com.tr/Dis-Hekimligi-Pratiginde-Yumusak-Dokuda-Lazer-Uygulamalari,PR-9.html. Accessed June 23, 2017.
  • 22. Tewari M, Rai P, Singh GB, Kumar M, Shukla HS. Long‐term follow‐up results of Nd: YAG laser treatment of premalignant and malignant (Stage I) squamous cell carcinoma of the oral cavity. J Surg Oncol. 2007;95(4):281-285.
  • 23. Ishikawa I, Frame JW, Aoki A. Lasers in Dentistry: Revolution of Dental Treatment in the New Millenium: Proceedings of the 8th International Congress on Lasers in Dentistry, Held in Yokohama, Japan, Between 31 July and 2 August 2002. Vol 1248. Elsevier Science Health Science Division; 2003.
  • 24. Kurita K, Ogita M, Yajima T, Shimizu M. O. 664 TMJ single puncture arthroscopic surgery with a Ho-YAG laser. J Cranio-Maxillofacial Surg. 2008;36:S166.
  • 25. Cetinkaya EA, Turker M, Kiraz K, Gulkesen HK. Er: Yag laser treatment of simple snorers in an outpatient setting. Orl. 2016;78(2):70-76. doi:10.1159/000443510.
  • 26. Scarano A, Nardi G, Murmura G, Rapani M, Mortellaro C. Evaluation of the removal bacteria on failed titanium implants after irradiation with erbium-doped yttrium aluminium garnet laser. J Craniofac Surg. 2016;27(5):1202-1204. doi:10.1097/SCS.0000000000002735.
  • 27. Sohn DS, Lee JS, An KM, Romanos GE. Erbium, chromium:yttrium-scandium-gallium-garnet laser-assisted sinus graft procedure. Lasers Med Sci. 2009;24(4):673-677. doi:10.1007/s10103-009-0645-8.
  • 28. Romeo U, Vecchio ADEL, Palaia G, Visca P, Maggiore C. Bone damage. 2009;20:162-168.
  • 29. Ivanenko M, Sader R, Afilal S, et al. In vivo animal trials with a scanning CO2 laser osteotome. Lasers Surg Med. 2005;37(2):144-148.
  • 30. Stübinger S, Nuss K, Sebesteny T, Saldamli B, Sader R, von Rechenberg B. Erbium-doped yttrium aluminium garnet laser–assisted access osteotomy for maxillary sinus elevation: a human and animal cadaver study. Photomed Laser Surg. 2010;28(1):39-44.
  • 31. Hajji M, Franzen R, Grümer S, et al. Removal of Dental Implants Using the Erbium,Chromium:Yttrium-Scandium-Gallium-Garnet Laser and the Conventional Trephine Bur: An in Vitro Comparative Study. Photomed Laser Surg. 2016;34(2):61-67. doi:10.1089/pho.2015.3981.
  • 32. Panduric DG, Juric IB, Music S, Molčanov K, Sušic M, Anic I. Morphological and Ultrastructural Comparative Analysis of Bone Tissue After Er:YAG Laser and Surgical Drill Osteotomy. Photomed Laser Surg. 2014;32(7):401-408. doi:10.1089/pho.2014.3711.
  • 33. Matys J, Flieger RB, Dominiak M. Assessment of Temperature Rise and Time of Alveolar Ridge Splitting by Means of Er : YAG Laser , Piezosurgery , and Surgical Saw : An Ex Vivo Study. 2016;2016.
  • 34. Mogedas-vegara A, Hueto-madrid J, Chimenos-küstner E, Barcelona D, De P, Hebron VD. Oral leukoplakia treatment with the carbon dioxide laser : A systematic review of the literature Coro Besc o. 2016;44(June 2015):1-6. doi:10.1016/j.jcms.2016.01.026.
  • 35. Serel S, Kaya B, Sara Y, Heper AO, Can Z. Histopathological and Electrophysiological Study of CO2, Er: YAG, and CO2+ Er: YAG Laser Effect on Peripheral Nerve. Aesthetic Plast Surg. 2010;34(2):193-199.
  • 36. Glade RS, Buckmiller LM. CO 2 laser resurfacing of intraoral lymphatic malformations: a 10-year experience. Int J Pediatr Otorhinolaryngol. 2009;73(10):1358-1361.
  • 37. Kuttenberger JJ, Waibel A, Stübinger S, et al. Bone healing of the sheep tibia shaft after carbon dioxide laser osteotomy: histological results. Lasers Med Sci. 2010;25(2):239-249.
Uluslararası Diş Hekimliği Bilimleri Dergisi-Cover
  • ISSN: 2149-8628
  • Yayın Aralığı: Yılda 3 Sayı
  • Yayıncı: Zonguldak Bülent Ecevit Üniversitesi
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