scholarly journals The Integration of a Dual-Wavelength Super Pulsed Diode Laser for Consistent Tissue Ablation in the Esthetic Zone: A Case Series

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Nur Hafizah Kamar Affendi ◽  
Rohana Ahmad ◽  
Farhad Vahidi ◽  
Mohd Zulkifli Hassan ◽  
Siti Nadia Rahimi

Introduction. A diode laser is one of the universally compact accepted laser systems used fundamentally for soft tissue applications. Most diode laser devices have a single wavelength of either 810 nm for superior coagulation or 980 nm for tissue ablation. In these case series, the use of dual wavelengths (810 nm and 980 nm) in combination with super pulsing has provided a cleaner cut (no charring) with faster healing that eases the placement of the final restoration in the esthetic zone. Case Description. The present case series describe four cases in the esthetic zone that achieved hemostasis ablation without collateral damage to enhance gingival balance of definitive restoration. The gingivoplasty and gingivectomy modes are used to achieve efficient tissue ablation. Although there is no specific mode indicated in the FDA laser requirement for gingival depigmentation, the procedure could be safely performed with the dual-wavelength diode laser Result. All four patients revealed a good esthetic outcome and reported no pain postoperatively. Healing was uneventful, and definitive restoration was delivered within two to four weeks postoperatively. Conclusion. Within the limitation of these case series, the dual-wavelength super pulsed diode laser has the capacity to deliver peak powers resulting in efficient cutting and less tissue charring and also as an alternative tool for removal of gingival pigmentation. Prospective clinical research with larger sample size is needed for conclusive results.

2013 ◽  
Vol 03 (04) ◽  
pp. 132-136
Author(s):  
Sharath K. S. ◽  
Rahul Shah ◽  
Biju Thomas ◽  
Shabeer Mohamed Madani ◽  
Shamila Shetty

AbstractGingival melanin pigmentation occurs in all races in variable amount caused by melanin granules. The degree of pigmentation varies from person to person. Excessive gingival pigmentation may be a major esthetic concern for many patients. Methods of deepithelialization of the pigmented or discolored areas of gingiva using different methods such as scalpel method, bur method or laser method are well documented. The procedure for all three techniques has been described and evaluated here. Following presentation encloses a case series in which depigmentation of upper anterior gingival was carried out. The case presented with moderate to severe pigmented gingival (DOPI score ≥ 3) which were treated with one of the above mentioned techniques. The results of these cases suggested that ablation of the gingiva by a Diode laser, abrasion with a scalpel or rotary round bur is good enough to achieve esthetic satisfaction and fair wound healing without infection or severe pain.


2021 ◽  
pp. 247553032110373
Author(s):  
Eingun James Song ◽  
Audrey Jia Shin Wong

Background: Biologic switching is not uncommon in the treatment of psoriasis and is most often due to inadequate response of adverse events. Staying within or switching out of the class is still based on expert opinion but there are published data on intra-class switching with TNF-alpha and IL-17 inhibitors. Less is known about the IL-23 inhibitors because of their limited time in the market. We would like to present our experience with inadequate responders to tildrakizumab, a selective IL23 inhibitor, who were switched to an alternative IL-23 inhibitor. Case Description: This is a case series of 6 patients at a single institution considered inadequate responders to tildrakizumab, which included primary failures, secondary failures, and intermediate responders, who were subsequently switched to another IL-23 inhibitor. Conclusion: All 6 patients who were inadequate responders to tildrakizumab showed significant improvement after switching to another IL-23 inhibitor, with 5/6 reaching IGA 0/1 after 16 weeks of treatment.


2008 ◽  
Author(s):  
Daniel Bartoschewski ◽  
Jens Meinschien ◽  
Udo Fornahl

2010 ◽  
Author(s):  
Márc T. Kelemen ◽  
Jürgen Gilly ◽  
Rudolf Moritz ◽  
Jeanette Schleife ◽  
Mathias Fatscher ◽  
...  

Author(s):  
Ole Bjarlin Jensen ◽  
Anders Kragh Hansen ◽  
Christian Pedersen ◽  
Peter E. Andersen ◽  
Paul Michael Petersen

2017 ◽  
Vol 5 (2) ◽  
pp. 112
Author(s):  
Gaurav Mahajan ◽  
Aditi Gautam

Pyogenic granuloma is one of the inflammatory hyperplasias seen in the oral cavity. This term is a misnomer because the lesion is unrelated to infection and in reality arises in response to various stimuli such as low- grade local irritation, traumatic injury or hormonal factors. The clinical diagnosis of such lesion can be quite challenging because of its close resemblance to certain malignancies like peripheral giant cell granuloma, kaposi’s sarcoma, non hodgkin’s lymphoma etc. for excisional biopsy, options available are conventional surgical excision, electrocautery or lasers. In this report, we seek to highlight the therapeutic advantages achieved with a soft tissue diode laser in the treatment of pyogenic granuloma.


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