Mathur Ena, Sareen Mohit, Dhaka Payal, Baghla Pallavi
Department of Oral Medicine and Radiology, Rajasthan Dental College, Jaipur, Rajasthan, India.
Senior Lecturer, Department of Oral Medicine and Radiology, Rajasthan Dental College, Jaipur, Rajasthan, India.
J Lasers Med Sci. 2015 Summer;6(3):129-32. doi: 10.15171/jlms.2015.07. Epub 2015 Jun 28.
Lasers have made tremendous progress in the field of dentistry and have turned out to be crucial in oral surgery as collateral approach for soft tissue surgery. This rapid progress can be attributed to the fact that lasers allow efficient execution of soft tissue procedures with excellent hemostasis and field visibility. When matched to scalpel, electrocautery or high frequency devices, lasers offer maximum postoperative patient comfort.
Four patients agreed to undergo surgical removal of benign lesions of the oral cavity. 810 nm diode lasers were used in continuous wave mode for excisional biopsy. The specimens were sent for histopathological examination and patients were assessed on intraoperative and postoperative complications.
Diode laser surgery was rapid, bloodless and well accepted by patients and led to complete resolution of the lesions. The excised specimen proved adequate for histopathological examination. Hemostasis was achieved immediately after the procedure with minimal postoperative problems, discomfort and scarring.
We conclude that diode lasers are rapidly becoming the standard of care in contemporary dental practice and can be employed in procedures requiring excisional biopsy of oral soft tissue lesions with minimal problems in histopathological diagnosis.
激光在牙科领域取得了巨大进展，并且在口腔外科手术中已成为软组织手术的重要辅助手段。这一快速进展可归因于激光能够高效地进行软组织手术，同时具有出色的止血效果和视野清晰度。与手术刀、电灼器或高频设备相比，激光能为术后患者带来最大程度的舒适感。
四名患者同意接受口腔良性病变的手术切除。采用连续波模式的810纳米二极管激光进行切除活检。将标本送去做组织病理学检查，并对患者的术中及术后并发症进行评估。
二极管激光手术速度快、无出血，患者接受度良好，病变得到完全消除。切除的标本经证实足以进行组织病理学检查。术后立即实现止血，术后问题、不适和瘢痕形成极少。
我们得出结论，二极管激光正迅速成为当代牙科实践的标准治疗方法，可用于需要对口腔软组织病变进行切除活检的手术，且在组织病理学诊断中问题极少。
