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980纳米二极管激光在口腔颌面外科手术中的应用:基于临床应用的临床观察

Diode laser (980 nm) in oral and maxillofacial surgical procedures: clinical observations based on clinical applications.

作者信息

Romanos G, Nentwig G H

机构信息

Department of Oral Surgery, Dental School (Carolinum), Johann Wolfgang Goethe-University Frankfurt, Frankfurt a.M., Germany.

出版信息

J Clin Laser Med Surg. 1999 Oct;17(5):193-7. doi: 10.1089/clm.1999.17.193.

Abstract

OBJECTIVE

The aim of this study was to examine the wound healing of soft tissue after the application of a diode laser (980 nm) in oral surgical procedures.

SUMMARY BACKGROUND DATA

Like the CO2 laser, the diode laser can be used for soft tissue surgery without extensive experience in the field of oral surgical.

METHODS

A diode laser was used to treat a variety of oral soft tissue lesions in 22 patients. The oral surgical procedures included removal of soft tissue tumors, frenectomies, excision of gingival hyperplasias, vestibuloplasties, hemangioma removal, and periimplant soft tissue surgery. The laser was used in both pulsed and continuous modes, with and without contact to the tissue. Intraoperative and postoperative clinical observations are reported.

RESULTS

Our preliminary clinical findings include sufficient hemostasis and precise incision margin with all of the surgical procedures. The coagulation properties, associated with the use of a diode laser, were particularly beneficial during removal of vascular lesions. The postoperative advantages, i.e., lack of swelling, bleeding, pain or, scar tissue formation, and the good wound healing were observed in all of the clinical applications and were dependent only on the laser physical parameters used.

CONCLUSIONS

The clinical application of the diode (980 nm) laser in oral and maxillofacial surgical procedures seems to be of beneficial effect for daily practice.

摘要

目的

本研究旨在探讨二极管激光(980纳米)在口腔外科手术中应用后软组织的伤口愈合情况。

总结背景资料

与二氧化碳激光一样,二极管激光可用于软组织手术,无需在口腔外科领域有丰富经验。

方法

使用二极管激光治疗22例患者的各种口腔软组织病变。口腔外科手术包括切除软组织肿瘤、唇系带切除术、牙龈增生切除术、前庭成形术、血管瘤切除术和种植体周围软组织手术。激光以脉冲和连续模式使用,与组织接触或不接触。报告了术中及术后的临床观察结果。

结果

我们的初步临床发现包括所有手术过程中充分的止血和精确的切口边缘。与使用二极管激光相关的凝血特性在切除血管病变时特别有益。在所有临床应用中均观察到术后优势,即无肿胀、出血、疼痛或瘢痕组织形成,且伤口愈合良好,这仅取决于所使用的激光物理参数。

结论

二极管(980纳米)激光在口腔颌面外科手术中的临床应用似乎对日常实践有益。

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