Laser Treatment in oral Cavity Soft Tissue in Pediatrics; Current Knowledge and Future Directions

Authors

  • Hossein Shahoon Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Shahed University, Tehran, Iran
  • Ali Rafighi Department of Orthodontics, Dentistry Faculty, Tabriz University of Medical Sciences, Tabriz, Iran
  • Mehdi Ashrafi Department of Periodontics, Faculty of Dentistry, Shahed University, Tehran, Iran
  • Hossein Ebrahimi Department of Periodontics, Faculty of Dentistry, Shahed University, Tehran, Iran
  • Sedighe Mozafar Department of Pediatric Dentistry, Shahed University, Tehran, Iran

DOI:

https://doi.org/10.31661/gmj.v13iSP1.3683

Keywords:

Laser; Oral; Soft Tissue; Children

Abstract

This review explores the advancements in laser therapy for pediatric oral cavity soft tissue problems, highlighting its therapeutic implications and advantages over conventional treatments. The research began with a comprehensive literature search in December 2023, identifying 159 articles related to laser treatments in pediatric dentistry. After eliminating duplicates, 84 distinct articles were analyzed, leading to the selection of 5 relevant studies. The findings indicate that low-level laser therapy (LLLT) offers significant benefits, including enhanced wound healing, pain relief, and reduced postoperative complications such as bleeding and infection. Various laser types, including Er:YAG, CO2, and diode lasers, have shown effective clinical outcomes in procedures like frenectomy and gingival re-contouring. Notably, LLLT's non-invasive nature minimizes edema and inflammation, making it particularly suitable for young patients who may be anxious about dental procedures. The review emphasizes that lasers can be utilized as either primary or supplementary tools in both surgical and non-surgical interventions, leading to improved patient experiences and outcomes. Furthermore, the paper discusses the importance of understanding the physical principles of laser therapy, as different wavelengths interact uniquely with various tissues, influencing treatment efficacy. Overall, this review advocates for the judicious application of laser technology in pediatric dentistry, aiming to enhance treatment outcomes and patient satisfaction while addressing the challenges associated with traditional methods.

References

Maheshwari S, Jaan A, Vyaasini CVS, et al. Laser and its implications in dentistry: A review article. J Curr Med Res Opin. (2020);3(8):.

https://doi.org/10.15520/jcmro.v3i08.323

Burkey BB, Garrett G. Use of the laser in the oral cavity Otolaryngol. Clin North Am. 1996;29:949-61.

https://doi.org/10.1016/S0030-6665(20)30292-9

Sievert M, Oetter N, Mantsopoulos K, et al. Systematic classification of confocal laser endomicroscopy for the diagnosis of oral cavity carcinoma. Oral Oncol. (2022);132:105978.

https://doi.org/10.1016/j.oraloncology.2022.105978

PMid:35749803

Sharma V, Chib AS, Garg S, et al. Lasers in Pediatric Dentistry. Dent Poster J. (2021);10:1-3.

https://doi.org/10.15713/ins.dpj.091

Silva T, Lunardi AJL, Barros ACSM, et al. Application of Photodynamic Therapy in Pediatric Dentistry: Literature Review. Pharmaceutics . (2023);15:2335.

https://doi.org/10.3390/pharmaceutics15092335

PMid:37765303 PMCid:PMC10537059

Arora D, Yadav G, Tripathi A, et al. Concepts and applications of LASERs in dentistry: an insight. Int J Oral Heal Med Res. (2021);4:75-79.

Rajan JS, Muhammad UN. Evolution and advancement of lasers in dentistry - A literature review. Int J Oral Heal Sci. (2021);11(1):6-14.

https://doi.org/10.4103/ijohs.ijohs_2_21

Ludovichetti FS, Costa G, Signoriello AG, et al. Evaluating high power laser therapy (HPLT) as treatment for chemotherapy-induced oral mucositis in paediatric patients with oncohematological diseases. Int J Paediatr Dent. (2023); 33:269-277.

https://doi.org/10.1111/ipd.13050

PMid:36692188

Sung L, Robinson P, Treister N, et al. Guideline for the prevention of oral and oropharyngeal mucositis in children receiving treatment for cancer or undergoing haematopoietic stem cell transplantation. BMJ Support Palliat Care. (2017);7:7-16.

https://doi.org/10.1136/bmjspcare-2014-000804

PMid:25818385 PMCid:PMC5339548

Genot-Klastersky MT, Klastersky J, Awada F, et al. The use of low-energy laser (LEL) for the prevention of chemotherapy-and/or radiotherapy-induced oral mucositis in cancer patients: results from two prospective studies. Support care cancer. (2008) ;16:1381-1387.

https://doi.org/10.1007/s00520-008-0439-8

PMid:18458964

Parker SPA. Laser-tissue interaction In: Lasers in Dentistry-Current Concepts. Springer. (2024); 202(2):35-63.

https://doi.org/10.1007/978-3-031-43338-2_3

PMCid:PMC10434306

Carroll L, Humphreys TR. LASER-tissue interactions. Clin Dermatol . 2006;24:2-7.

https://doi.org/10.1016/j.clindermatol.2005.10.019

PMid:16427500

Peavy GM. Lasers and laser–tissue interaction. Vet Clin Small Anim Pract. 2002; 32:517-534.

https://doi.org/10.1016/S0195-5616(02)00003-7

PMid:12064039

Verma SK, Maheshwari S, Singh RK, Chaudhari PK. Laser in dentistry: An innovative tool in modern dental practice. Natl J Maxillofac Surg. 2012; 3:124-132.

https://doi.org/10.4103/0975-5950.111342

PMid:23833485 PMCid:PMC3700144

Yeragi E, Pol K, Gotmare S, et al. LASER Physics& its Application in Dentistry -A Review. IOSR J Dent Med Sci. 2019; 18:33-46.

Luk K, Zhao I, Gutknecht N, Chu CH. Use of carbon dioxide lasers in dentistry. Lasers in Dental Science. 2019;2:6-11.

https://doi.org/10.1007/s41547-018-0047-y

Stabholz A, Zeltser R, Sela M, et al. The use of lasers in dentistry: Principles of operation and clinical applications. Compend Contin Educ Dent. 2004; 24:935-48.

Luk K, Zhao I, Gutknecht N, Chu C-H. Use of carbon dioxide lasers in dentistry. Lasers in Dental Science. 2019; 2:6-11.

https://doi.org/10.1007/s41547-018-0047-y

Abdulsamee N. Soft and hard dental tissues laser Er: YAG laser: from fundamentals to clinical applications Review Article. EC Dent Sci. 2017;11:149-167

Olivi G, Crippa R, Iaria G, et al. (2011) Laser in endodontics (Part II). Roots. 2011; 2:6-12.

El Merini H, Drouri S, Essafi J, et al. Chemical Treatments of Dental Surfaces Prepared with Er: Yag and Er, Cr: YSGG Lasers: A Literature Review. Open Access Libr J. 2023; 10:1-15.

https://doi.org/10.4236/oalib.1110066

Boj JR, Poirier C, Hernandez M, et al. Case series: Laser treatments for soft tissue problems in children. Eur Arch Paediatr Dent. 2011; 12:113-117.

https://doi.org/10.1007/BF03262790

PMid:21473844

Pai J, Padma R, Malagi S, et al. Excision of fibroma with diode laser: A case series. J Dent lasers. (2014); 8:34.

https://doi.org/10.4103/0976-2868.134124

Asnaashari M, Zadsirjan S. Application of laser in oral surgery. J Lasers Med Sci. (2014); 5:97.

Azma E, Safavi N. Diode laser application in soft tissue oral surgery. J lasers Med Sci. (2013); 4:206.

Pick RM, Powell GL. Lasers in dentistry: Soft-tissue procedures. Dent Clin North Am. (1993); 37:281-296.

https://doi.org/10.1016/S0011-8532(22)00281-6

PMid:8477869

Parker S, Cronshaw M, Anagnostaki E, et al. Current concepts of laser-oral tissue interaction. Dent J. (2020); 8:61.

https://doi.org/10.3390/dj8030061

PMid:32605215 PMCid:PMC7558496

Seyyedi SA, Taram S, Heydari M, Valizadeh R (2022) Efficacy of low-level laser therapy in oral mucosal surgical wound healing: a systematic review and meta-analysis. Explor. Med. 3:451-460

https://doi.org/10.37349/emed.2022.00106

Passanezi E, Damante CA, de Rezende MLR, Greghi SLA. Lasers in periodontal therapy. Periodontol 2000. (2015); 67:268-291.

https://doi.org/10.1111/prd.12067

PMid:25494605

Aoki A, Sasaki KM, Watanabe H, Ishikawa I. Lasers in nonsurgical periodontal therapy. Periodontol 2000. (2004); 36:59-97.

https://doi.org/10.1111/j.1600-0757.2004.03679.x

PMid:15330944

Aoki A, Mizutani K, Taniguchi Y, et al. Current status of Er:YAG laser in periodontal surgery. Jpn Dent Sci Rev. (2024); 60:1-14.

https://doi.org/10.1016/j.jdsr.2023.11.002

PMid:38148873 PMCid:PMC10750110

Uraz Çörekci A, Çetiner D, Cula S, et al. Patient Perceptions and Clinical Efficacy of Labial Frenectomies using Diode Laser versus Conventional Techniques. J Stomatol oral Maxillofac Surg. (2018); 119:.

https://doi.org/10.1016/j.jormas.2018.01.004

PMid:29410192

Abdelfattah M, Abdelhay A, Aboellil M. Er: YAG laser regarding its tissue interactions and future in dentistry. J Dent Lasers. (2018); 12:2.

https://doi.org/10.4103/jdl.jdl_4_17

Romeo U, Palaia G, Tenore G, Del Vecchio A, Nammour S. Excision of oral mucocele by different wavelength lasers. Indian J Dent Res. 2013;24:211-5.

https://doi.org/10.4103/0970-9290.116685

PMid:23965448

Chinta M, Saisankar AJ, Birra C, Kanumuri PK. Successful management of recurrent mucocele by diode laser and thermoplasticised splint as an adjunctive therapy. Case Reports. 2016;2016:216354.

https://doi.org/10.1136/bcr-2016-216354

PMid:27566211 PMCid:PMC5015140

Romeo U, Palaia G, Tenore G, et al. Excision of oral mucocele by different wavelength lasers. Indian J Dent Res. (2013) ; 24:211-215.

https://doi.org/10.4103/0970-9290.116685

PMid:23965448

Khosraviani F, Ehsani S, Fathi M, Saberi-Demneh A. Therapeutic effect of laser on pediatric oral soft tissue problems: a systematic literature review. Lasers Med Sci. (2019); 34:1735-1746.

https://doi.org/10.1007/s10103-019-02834-0

PMid:31309364

Wu CW, Kao Y-H, Chen C-M, et al. Mucoceles of the oral cavity in pediatric patients. Kaohsiung J Med Sci. (2011); 27:276-279.

https://doi.org/10.1016/j.kjms.2010.09.006

PMid:21757145 PMCid:PMC11916124

Andrade et al. Scholar (6) Inst Univ Educ. Física y Deport. (2011) ; 9:43-56.

Kato J, Wijeyeweera RL. The effect of CO2 laser irradiation on oral soft tissue problems in children in Sri Lanka. Photomed Laser Surg. (2007);25:264-268

https://doi.org/10.1089/pho.2007.2082

PMid:17803382

Stein S, Schauseil M, Hellak A, et al. Influence of photobiomodulation therapy on gingivitis induced by multi-bracket appliances: a split-mouth randomized controlled trial. Photomed Laser Surg. (2018); 36:399-405.

https://doi.org/10.1089/pho.2017.4404

PMid:29775553

Kazakova R, Tomov G, Vlahova A, et al. Assessment of healing after diode laser gingivectomy prior to prosthetic procedures. Appl Sci. (2023); 13:5527.

https://doi.org/10.3390/app13095527

Bhagat M, Tapashetti R, Fatima G, Bhutani N. Lasers in Periodontal Therapy. Surgery. 2020;6:7.

Hegde MN, Attavar SH, Hegde ND. Gallium Arsenide Aluminium Laser in Esthetic Dentistry. Int J Dent Oral Heal. 2015;1:.

https://doi.org/10.16966/2378-7090.160

Badran Z, Boutigny H, Struillou X, et al. Clinical outcomes after nonsurgical periodontal therapy with an Er: YAG laser device: a randomized controlled pilot study. Photomed Laser Surg. (2012); 30:347-353.

https://doi.org/10.1089/pho.2011.3215

PMid:22554048

Bhagat M, Tapashetti R, Fatima G, Bhutani N. Lasers in Periodontal Therapy. Surgery. (2020); 6:7.

Hegde MN, Attavar SH, Hegde ND. Gallium Arsenide Aluminium Laser in Esthetic Dentistry. Int J Dent Oral Heal. (2015); 1(6): .

https://doi.org/10.16966/2378-7090.160

Cuevas I, Carbonero A, Cano D, et al. First outbreak of bovine haemorrhagic septicaemia caused by Pasteurella multocida type B in Spain - Short communication. Acta Vet Hung. (2020); 68:8-11.

https://doi.org/10.1556/004.2020.00014

PMid:32384069

Kotlow LA . Oral diagnosis of abnormal frenum attachments in neonates and infants: evaluation and treatment of the maxillary and lingual frenum using the Erbium: YAG laser. J Pediatr Dent Care. (2004); 10:11-14.

Olivi G, Genovese MD, Caprioglio C. Evidence-based dentistry on laser paediatric dentistry: review and outlook. Eur J Paediatr Dent. (2009); 10:29.

Arora R, Sharma RK, Tewari S, Kapoor H. Periodontal surgery in a stage II Parkinson's disease patient: Report of a case with special considerations. World J Neurol. (2017); 7:24-27.

https://doi.org/10.5316/wjn.v7.i2.24

Kuisch VK. Dental caries: a new look at an old disease. Insid Dent. (2009); 5:60-65.

Mesaroș A, Mesaroș M, Buduru S. Orthodontic bracket removal using LASER-technology-a short systematic literature review of the past 30 years. Materials (Basel). (2022); 15:548.

https://doi.org/10.3390/ma15020548

PMid:35057264 PMCid:PMC8780662

Kravitz ND. The application of lasers in orthodontics. Integr Clin Orthod 1st ed West Sussex Wiley: (2012); 422-443.

https://doi.org/10.1002/9781118702901.ch22

Liu JF, Chen LR, Chao SY. Laser pulpotomy of primary teeth. Pediatr Dent. (1999); 21:128-129.

Liu J. Effects of Nd: YAG laser pulpotomy on human primary molars. J Endod. (2006); 32:404-407.

https://doi.org/10.1016/j.joen.2006.01.005

PMid:16631836

Shindova M, Belcheva A. Review of ER: YAG Laser-Assisted Pulpotomy in Primary Dentition. EURAS J Heal . 2021;2(1):87-88.

https://doi.org/10.17932/EJOH.2020.022/ejoh_v02i1007

Afkhami F, Rostami G, Xu C, Peters OA. The application of lasers in vital pulp therapy: clinical and radiographic outcomes. BMC Oral Health. (2024); 24:333.

https://doi.org/10.1186/s12903-024-04026-x

PMid:38486157 PMCid:PMC10938664

Romanos GE. Advanced laser surgery in dentistry. John Wiley & Sons : ; 2021.

https://doi.org/10.1002/9781119583318

Almeida-Lopes L, Rigau J, Zângaro RA, et al. Comparison of the low level laser therapy effects on cultured human gingival fibroblasts proliferation using different irradiance and same fluence. Lasers Surg Med. (2001); 29:179-184.

https://doi.org/10.1002/lsm.1107

PMid:11553908

Matsumoto K, Hossain M. Frenectomy with the Nd: YAG Laser: A Clinical Study. J Oral Laser Appl. (2002); 2: .

Kotlow LA. Lasers in pediatric dentistry. Dent Clin. (2004); 48:889-922.

https://doi.org/10.1016/j.cden.2004.05.005

PMid:15464557

Kumar G, Rehman F, Chaturvedy V. Soft Tissue Applications of Er,Cr:YSGG Laser in Pediatric Dentistry. Int J Clin Pediatr Dent. (2017);10:188-192.

https://doi.org/10.5005/jp-journals-10005-1432

PMid:28890621 PMCid:PMC5571390

Sarkar S, Kailasam S, Iyer VH. Effectiveness of Er, Cr: YSGG laser in the excision of different oral soft tissue lesions. J Indian Acad Oral Med Radiol. (2013) ;25:10-12.

https://doi.org/10.5005/jp-journals-10011-1331

Jafarzadeh H. Laser Doppler flowmetry in endodontics: a review. Int Endod J. (2009); 42:476-490.

https://doi.org/10.1111/j.1365-2591.2009.01548.x

PMid:19459999

Yang K, Guo F, Zhou Z, et al. Laser doppler flowmetry to detect pulp vitality, clinical reference range and coincidence rate for pulpal blood flow in permanent maxillary incisors in Chinese children: a clinical study. BMC Oral Health. (2023); 23:283.

https://doi.org/10.1186/s12903-023-02747-z

PMid:37173683 PMCid:PMC10182670

Galui S, Pal S, Mahata S, et al. Laser and its use in pediatric dentistry: A review of literature and a recent update. Int J Pedod Rehabil. (2019); 4:1.

https://doi.org/10.4103/ijpr.ijpr_17_18

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Published

2024-12-08

How to Cite

Shahoon , H., Rafighi , A., Ashrafi , M., Ebrahimi , H., & Mozafar, S. (2024). Laser Treatment in oral Cavity Soft Tissue in Pediatrics; Current Knowledge and Future Directions. Galen Medical Journal, 13(SP1), e3683. https://doi.org/10.31661/gmj.v13iSP1.3683

Issue

Vol. 13 No. SP1 (2024): Oral and Maxillofacial Disorders

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Review Article

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