Hema Duddukuri, Prasanna Jammula Surya
Department of Periodontics, Panineeya Institute of Dental Sciences and Research Center, Hyderabad, Telangana, India.
J Indian Soc Periodontol. 2021 Jan-Feb;25(1):6-10. doi: 10.4103/jisp.jisp_48_20. Epub 2021 Jan 7.
Radiosurgery (RS) has evolved from electrosurgery and uses ultra-high-frequency radio waves at a frequency ranging from 3 to 4 MHz. It is used to address numerous soft-tissue concerns in dentistry and as well as medicine with excellent and predictable results. A review of the indexed literature disclosed that RS has been employed for various periodontal procedures such as gingivectomy, gingivoplasty, crown lengthening, minimally invasive closed osteotomy, frenectomies, operculectomies, depigmentation, gingival curettage, periodontal flap procedures, mucogingival surgeries, harvesting soft-tissue grafts, and also in implantology. Reduced lateral heat production with minimal tissue damage, faster healing, availability of specialized electrodes, increased perception, and cost-effectiveness are some of the notable advantages of RS. The evidence available implies that RS when used appropriately might be a better and economical alternative to a scalpel, electrosurgery, and laser. Inadequate knowledge on the use of this treatment modality due to short of research conducted in this area could be the reason behind it becoming obsolete. This review is an attempt to reminiscence the uses of this versatile tool in periodontal therapy and reinstate its use in present-day clinical practice.
放射外科（RS）由电外科发展而来，使用频率范围为3至4兆赫兹的超高频无线电波。它被用于解决牙科以及医学领域中众多软组织问题，效果良好且可预测。对索引文献的回顾显示，RS已被用于各种牙周手术，如牙龈切除术、牙龈成形术、牙冠延长术、微创闭合截骨术、系带切除术、龈瓣切除术、色素沉着去除术、牙龈刮治术、牙周瓣手术、黏膜牙龈手术、采集软组织移植物，以及种植学领域。减少侧向产热、最小化组织损伤、更快愈合、专用电极的可用性、更高的感知度和成本效益是RS的一些显著优点。现有证据表明，RS在适当使用时可能是手术刀、电外科和激光的更好且经济的替代方案。由于该领域研究不足，对这种治疗方式的使用缺乏足够了解，可能是其逐渐过时的原因。本综述旨在回顾这种多功能工具在牙周治疗中的应用，并恢复其在当今临床实践中的使用。
