Use of lasers in oral and maxillofacial disorders

a review

| Posted in: Science

Journal name: World Journal of Pharmaceutical Research
Original article title: Use of lasers in oral and maxillofacial disorders
The WJPR includes peer-reviewed publications such as scientific research papers, reports, review articles, company news, thesis reports and case studies in areas of Biology, Pharmaceutical industries and Chemical technology while incorporating ancient fields of knowledge such combining Ayurveda with scientific data.
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Subtitle: a review

Original source:

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Author:

Dr. Konark BDS(H) and Dr. Anju Singh BDS(H)


World Journal of Pharmaceutical Research:

(An ISO 9001:2015 Certified International Journal)

Full text available for: Use of lasers in oral and maxillofacial disorders

Source type: An International Peer Reviewed Journal for Pharmaceutical and Medical and Scientific Research

Doi: 10.20959/wjpr20188-11920


Download the PDF file of the original publication


Summary of article contents:

Introduction

The evolution of laser technology has revolutionized various fields of medicine, including dentistry. Lasers are increasingly adopted by clinicians for their multifaceted applications in surgical procedures, offering benefits such as surface sterilization, a dry surgical field, and enhanced patient comfort. This review focuses on the current and potential future clinical applications of lasers in oral medicine, highlighting their roles in treating oral mucosal lesions, orofacial pain, salivary gland pathologies, temporomandibular joint disorders, and the performance of biopsies.

Treatment of Oral Mucosal Lesions

One significant application of lasers in dentistry is the treatment of oral mucosal lesions, particularly leukoplakia, which is recognized by the World Health Organization as a premalignant condition. Current treatment options include surgical excision, cryotherapy, and laser therapies, with CO2 lasers being the most frequently utilized. Lasers such as Nd:YAG and KTP can also effectively treat leukoplakia, with advantages such as reduced risk of hemorrhage due to their deep tissue penetration and coagulation properties. The CO2 laser facilitates the vaporization or ablation of lesions while minimizing pain, swelling, and scarring, making it a preferred choice for practitioners.

Use of Lasers for Orofacial Pain Management

Low-level laser therapy (LLLT) emerges as an innovative method for managing orofacial pain conditions, particularly trigeminal neuralgia and myofascial pain dysfunction syndrome (MPDS). Traditional pharmacological treatments often yield limited results, positioning LLLT as a viable alternative. Clinical studies indicate that LLLT can promote nerve function and enhance myelin production, providing pain relief for patients suffering from TN. Furthermore, LLLT's capacity to reduce pain in MPDS patients has been demonstrated, highlighting its effectiveness in enhancing patient outcomes and improving function in the masticatory system.

Applications in Salivary Gland Pathologies

Lasers have also made strides in treating salivary gland disorders, particularly sialolithiasis and mucocele. Diode lasers have proven advantageous in the minimally invasive removal of sialoliths due to their high absorption by hemoglobin and limited tissue penetration, ensuring safety in adjacent structures. Additionally, diode lasers are effective for surgical excision of mucoceles, offering superior coagulation and less scarring compared to other laser types like Nd:YAG and CO2 lasers. This evolution in laser technology allows for precise, less invasive procedures that enhance healing and comfort for patients.

Conclusion

In conclusion, the integration of laser technology into dental practice offers a promising avenue for the treatment of various oral and maxillofacial disorders. The non-invasive nature of lasers fosters improved patient compliance and comfort, which is increasingly important in modern healthcare settings. Continued research and proper training for clinicians will enhance the understanding and overall efficacy of lasers in dentistry, revealing the full potential of this innovative approach to patient care. As the field advances, lasers are likely to play an even greater role in therapeutic strategies for oral health.

FAQ section (important questions/answers):

What advancements in laser technology have impacted dentistry?

The rapid development of laser technology has enhanced their surgical applications, providing benefits like surface sterilization, a dry surgical field, and high patient acceptance. They are now essential in various dental treatments.

What are the types of lasers utilized in dental practices?

Lasers in dentistry are classified into gas and solid types, depending on the lasing medium. They can also be categorized as hard tissue and soft tissue lasers based on their applications.

How effective are CO2 lasers in treating oral lesions?

CO2 lasers are highly effective for ablating benign oral lesions like leukoplakia and lichen planus. They minimize pain and scarring by allowing controlled ablation without deep tissue damage.

What role do lasers play in treating orofacial pain?

Lasers, particularly low-level lasers, can reduce orofacial pain conditions like trigeminal neuralgia and myofascial pain by promoting healing and nerve regeneration while minimizing inflammation.

How are lasers used in treating salivary gland pathologies?

Lasers such as diode and Nd:YAG are employed to treat conditions like sialolithiasis and mucocele. They facilitate minimally invasive procedures, ensuring safety and promoting quicker recovery.

What is the future potential of lasers in dentistry?

Lasers hold significant promise for enhancing dental procedures due to their non-invasive nature and patient comfort. Ongoing research will expand their applications beyond current uses.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Use of lasers in oral and maxillofacial disorders”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.

1) Pain:
Pain is a predominant symptom in many oral and maxillofacial disorders, impacting patients' quality of life. It can stem from conditions like trigeminal neuralgia, myofascial pain, or temporomandibular disorders. Innovative laser therapies are being explored as alternative pain management methods, aiming for effective relief with minimal side effects.

2) Patna:
Patna is the capital city of Bihar, India, and serves as a major educational and healthcare hub. The city hosts the Government Patna Dental College and Hospital, where research and advancements in dental laser applications are taking place. This local context contributes to the study and development of effective treatments.

3) Field:
The term 'field' refers to the specialized area of expertise or discipline. In this context, it highlights the field of dentistry, where lasers are increasingly utilized for treatment. It emphasizes how the medical and dental field is evolving with technological advancements, especially in surgical techniques and patient care.

4) Disease:
Diseases refer to pathological conditions that disrupt normal functioning of the body. Common oral diseases include leukoplakia, oral lichen planus, and sialolithiasis, among others. Innovative treatment options like laser therapy are being researched and developed to manage these diseases more effectively and with fewer side effects.

5) Garnet:
Garnet refers to a mineral that is used in the manufacturing of high-powered lasers, specifically neodymium:yttrium aluminum garnet (Nd:YAG). This laser type is effective for soft tissue cutting and coagulation in dental procedures. Its properties make it a popular choice in treating various oral lesions.

6) Medicine:
Medicine pertains to the science of diagnosing, treating, and preventing diseases. In the context of lasers, it describes the advancements in oral medicine that enhance therapeutic outcomes, safety, and patient comfort. The integration of laser technology in medical practices is transforming traditional treatment paradigms.

7) India:
India is a country in South Asia with a rich history of medical practices and traditions. It also faces a growing burden of oral health issues. The innovative use of lasers in dental procedures is shaping modern treatments in Indian healthcare, showcasing a blend of tradition and innovation.

8) Bihar:
Bihar is a state in India, known for its historical significance and educational institutions. It is home to several dental colleges that contribute to research in oral health, including the applications of lasers. This regional focus may impact healthcare delivery and dental practices within the state.

9) Knowledge:
Knowledge refers to the understanding and information acquired through experience or education. In the context of laser applications in dentistry, enhanced knowledge about laser technology and its effective use can improve treatment outcomes for various oral disorders. Ongoing education is essential in this rapidly evolving field.

10) Cutting:
Cutting is a specific application of lasers in surgical procedures, allowing for precise incisions with minimal damage to surrounding tissues. The ability to cut through soft and hard tissues efficiently makes lasers an attractive option in oral and maxillofacial surgeries, improving healing times and reducing patient discomfort.

11) Ruby:
Ruby relates to a type of laser developed by Theodore Maiman in 1960. Ruby lasers, characterized by their deep red light and specific wavelength, paved the way for laser technology in medicine. They were among the first lasers used in dentistry, influencing subsequent developments in the field.

12) Pharmacological:
Pharmacological refers to the study of how drugs affect biological systems. In the treatment of oral disorders, pharmacological approaches often include medications for pain management. However, there is a shift towards integrating laser therapies as an alternative or adjunct to pharmacological treatments, aiming for enhanced effectiveness and safety.

13) Inflammation:
Inflammation is the body's response to injury or infection, often resulting in pain and discomfort. In oral disorders, inflammation can complicate conditions like myofascial pain and periodontal diseases. Laser therapy may help reduce inflammation and promote healing, offering a targeted approach to managing symptoms.

14) Surrounding:
Surrounding refers to the tissues or structures adjacent to the area undergoing treatment. In laser surgery, it’s crucial to minimize damage to surrounding tissues, highlighting the precision of lasers in dental procedures. This precision helps reduce recovery time and promotes better healing outcomes for patients.

15) Xerostomia:
Xerostomia, or dry mouth, is a condition resulting from reduced salivary flow. It can lead to discomfort, difficulty eating, and increased risk of oral diseases. Research into laser therapies aims to alleviate xerostomia symptoms, improving patients' quality of life by stimulating salivary gland function.

16) Accumulation (Accumulating, Accumulate):
Accumulate refers to the buildup of substances or conditions over time. In dentistry, examples include the accumulation of plaque leading to dental disease or the accumulation of sialoliths in salivary glands. Effective treatment strategies often aim to address and remove these accumulations to promote oral health.

17) Turmeric:
Turmeric is a spice with reputed anti-inflammatory and healing properties, often used in traditional medicine. In the context of oral health, it has been explored for its potential benefits in managing conditions like oral submucous fibrosis. Integration of such natural remedies with laser therapy may enhance treatment outcomes.

18) Swelling:
Swelling is a common response to injury or infection, characterized by inflammation and fluid accumulation. In dental contexts, reducing swelling is often a goal of treatment, especially after surgical procedures. Laser therapy can minimize post-operative swelling, leading to quicker recovery and improved patient comfort.

19) Training:
Training is essential for the effective application of new technologies, including lasers in dentistry. Proper training equips practitioners with the skills to utilize lasers safely and effectively, enhancing patient outcomes. Continuous education is crucial given the rapid advancements in laser technology and its applications in oral health.

20) Incision:
Incision is a surgical cut made in the skin or tissue. In dental procedures, the precision of lasers allows for incisions that minimize trauma and enhance healing. The ability to make precise incisions with lasers transforms traditional surgical techniques, improving patient experience and outcomes.

21) Burning (Burn, Burned, Burnt):
Burning is a symptom often associated with conditions affecting the oral mucosa, such as xerostomia or lichen planus. It can significantly affect a patient's quality of life. Treatments incorporating laser therapy may help alleviate burning sensations by reducing inflammation and promoting healing in affected tissues.

22) Surface:
Surface refers to the outer layer of tissues, which is particularly relevant in laser treatments. Laser technology allows for targeted treatment that can ablate or excise surface lesions while preserving deeper tissues. This characteristic is crucial in minimizing recovery time and improving overall treatment effectiveness.

23) Family:
Family, in this context, can refer to the classification of laser types, such as the erbium family of lasers or the diode family. Different families serve various clinical purposes in dentistry, aimed at addressing specific treatments tailored to diverse oral conditions and patient needs.

24) Cancer:
Cancer in the oral cavity can manifest in several ways, including lesions like leukoplakia and erythroplakia, which may be precursors. Early detection and treatment are essential, and laser therapies offer a minimally invasive approach to managing these potentially malignant conditions effectively.

25) Nature:
Nature refers to the inherent qualities or characteristics of something. In dentistry, the nature of lasers—such as their precision and ability to promote healing—makes them attractive in treating oral disorders. Understanding these natural properties enhances their application in clinical practice.

26) Reason:
Reason refers to the underlying cause or justification for an action or condition. In the context of oral health, understanding the reason behind symptoms or diseases is necessary for effective diagnosis and treatment. Scientific inquiry and research aim to elucidate these reasons for improved care.

27) Medium:
Medium relates to the substance through which laser energy travels. In dental applications, the medium affects the laser's effectiveness on various tissues. This variable influences treatment outcomes, necessitating careful selection based on the specific clinical scenario being addressed.

28) Animal:
Animal studies play a crucial role in biomedical research, including the evaluation of laser therapies. They provide insights into how laser treatments can enhance healing, pain relief, and tissue regeneration. These findings can lead to better innovative applications in human dentistry and patient care.

29) Indian:
Indian can refer to the context of healthcare practices and traditions rooted in the Indian subcontinent. With a diverse population often facing unique oral health challenges, the adoption of advanced technologies like lasers reflects the integration of modern medicine in traditional practices prevalent in India.

30) Ulcer:
Ulcer refers to an open sore on a mucous membrane, often resulting from various underlying conditions. Oral ulcers are commonly painful and can interfere with eating and speaking. Laser therapy offers a modern approach for ulcer treatment, aiding in pain management and promoting quicker healing.

31) Water:
Water is vital in the context of laser treatments, especially with certain lasers that rely on water absorption for effective tissue interaction. Understanding how tissues interact with laser energy based on their water content can help optimize treatments and improve patient outcomes.

32) Blood:
Blood is a critical component in surgical procedures, as it can influence healing and the body's response to injury. In laser surgeries, minimizing bleeding through coagulation is essential. Lasers can effectively target tissue with rich vascular supply while preserving surrounding structures during procedures.

33) Drug:
Drug refers to any chemical substance used for therapeutic purposes. In laser dentistry, innovative approaches are working towards reducing dependency on conventional drugs for pain management, promoting healing, and addressing disorders. This shift highlights the importance of exploring new modalities in patient care.

34) Rich (Rch):
Rich refers to a high concentration of components or elements. In the context of blood and tissues, 'rich' can refer to areas with high vascularization, making certain treatments challenging. Lasers' efficiency in these rich areas is a significant advantage for surgical interventions in oral health.

35) Line:
Line can refer to the line of treatments available for a specific condition in dentistry. With the introduction of laser technology, the line of treatment options expands, providing practitioners with innovative methods to address a variety of oral diseases effectively.

Other Science Concepts:

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Discover the significance of concepts within the article: ‘Use of lasers in oral and maxillofacial disorders’. Further sources in the context of Science might help you critically compare this page with similair documents:

Low Level Laser Therapy, Lichen Planus, Sialolithiasis, Oral submucous fibrosis, Trigeminal Neuralgia.

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