International Journal of Laser Dentistry

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VOLUME 4 , ISSUE 2 ( 2014 ) > List of Articles

CASE REPORT

Erbium,Chromium:Yttrium-Scandium-Gallium-Garnet Laser-assisted Excision of Peripheral Giant Cell Granuloma

Murali Tuppili, Butchi Babu, Uday Kiran Uppada, Sushma Naagmega, Ramesh Amirisetty

Citation Information : Tuppili M, Babu B, Uppada UK, Naagmega S, Amirisetty R. Erbium,Chromium:Yttrium-Scandium-Gallium-Garnet Laser-assisted Excision of Peripheral Giant Cell Granuloma. Int J Laser Dent 2014; 4 (2):54-58.

DOI: 10.5005/jp-journals-10022-1056

License: CC BY-NC 4.0

Published Online: 01-08-2014

Copyright Statement:  Copyright © 2014; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Peripheral giant cell granuloma (PGCG) is a benign reactive softtissue lesion of the anterior mandible. It is a common giant cell lesion of the oral cavity whose histogenesis still continues to be a topic of debate. Clinically, the lesion is soft in consistency generally not measuring more than 2 cm and rarely causes bone or root resorption unlike central giant cell granuloma (CGCG). The treatment is usually local surgical excision down to underlying bone along with removal of any existing etiological factor to minimize risk of recurrence. Existing literature is sparse on the pros and cons of the use of a surgical laser in the management of such giant cell lesions. With the advent of new technology, lasers have taken the sheen away from scalpel. We preferred the erbium,chromium:yttrium-scandium-galliumgarnet (Er,Cr:YSGG) laser with a wavelength of 2780 nm which is well absorbed by water, hence minimizing any thermal damage to the soft tissues. Probably, this case report might be a first of its kind highlighting the use of an Er,Cr:YSGG laser for the excision of PGCG. Hence, this article is intended to highlight the clinical presentation and differential diagnosis of PGCG with special emphasis on the beneficial aspects of managing such lesions with Er,Cr:YSGG laser.


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  1. Falaschini S, et al. Peripheral giant cell granuloma: immunohistochemical analysis of different markers — study of three cases. Avances en Odontoestomatología 2007;23(4):189-196.
  2. Chaparro Avendano AV, Berini Aytes L, Gay Escoda C. Peripheral giant cell granuloma: a report of five cases and Review of the literature. Med Oral Pathol Oral Cir Bucal 2005;10(1):48-57.
  3. Cloutier, et al. An analysis of peripheral giant cell granuloma associated with dental implant treatment. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007;103(5):618-622.
  4. Sood S, Gulati A, Yadav R, Gupta S. Peripheral giant cell granuloma: a review. Ind J Multidisc Dentist 2012;2(2):435-440.
  5. Adlakha, et al. Peripheral giant cell granul: a case report. J Ind Soc Pedod Preven Dent 2010;28(4):293-296.
  6. Ghimire, et al. Peripheral giant cell granuloma: a case report. J Chitwan Med College 2013;3(3):28-30.
  7. Sahingur SE, Cohen RE, Aguirre A. Esthetic management of peripheral giant cell granuloma. J Periodontal 2004;75(3): 487-492.
  8. Motamedi, et al. Peripheral and central giant cell granulomas of the jaws: a demographic study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007;103(6):39-43.
  9. Nedir R, Lombardi T, Samson J. Recurrent peripheral giant cell granuloma associated with cervical resorption. J Periodontol 1997;68(4):381-384.
  10. Sapp JP. Ultrastructure and histiogenesis of peripheral giant cell granulomas of the jaws. Cancer 1972;30(4):1119-1129.
  11. Lim L, Gibbins JR. Immunohistochemical and ultrastructural evidence of a modified microvasculature in the giant cll granulomas of the jaws. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1995;79(2):190-198.
  12. Regezi JA, Zarbo RJ, Lloyd RV. Muramidase, alpha-1 antitrypsin, alpha-1 antichymotrypsin and S-100 protein immunoreactivity in giant cell lesions. Cancer 1987;59(1):64-68.
  13. Rajendran R. Benign and malignant tumors of the oral cavity. In: Shafer's textbook of oral pathology. Rajendran R, Sivapathasundaram B, editors Elsevier; 2012. p. 136-137.
  14. Dayan D, Buchner A, David D. Myofibroblasts in peripheralgiant cell granuloma: light and electron microscopic study. Int J Oral Maxillofac Surg 1989;18(5):258-261.
  15. Giansanti JS, Waldron CA. Peripheral giant cell granuloma: review of 720 cases. J Oral Surg 1969 Oct;27(10):787-791.
  16. Moghe S, Gupta MK, Pillai A, Maheswari A. Peripheral giant cell granuloma: a case report and review of literature. People's Journal of Scientific Research 2013;6(2):55-59.
  17. Agrawal A, Murari A, Singh A, Vutukuri S. Peripheral giant cell granuloma: a case report. Oral Maxillofac Pathol J 2013;4(2):408-412.
  18. Choi, et al. Peripheral giant cell granuloma associated with hyperparathyroidism secondary to end stage renal disease: a case report. J Oral Maxillofac Surg 2008;66:1063-1066.
  19. Arora S, et al. Treatment of tongue fibroma with Er, Cr: YSGG Laser. Clinical Advances in Periodontics 2014;4(1):25-30.
  20. Ibarguren C, et al. Histologic evaluation of thermal damage produced on soft tissues by CO2, Er, Cr: YSGG and diode lasers. Med Oral Pathol Oral Cir Bucal 2010;15(6): 912-918.
  21. Boj JR, Hernandez M, Poirier C, Espasa E. Treatment of pyogenic granuloma with a laser-powered hydrokinetic system: case report. J Oral Laser Appl 2006;6:301-306.
  22. Ishikawa I, Aoki A, Takasaki AA. Potential applications of erbium: YAG laser in periodontics. J Periodontal Res 2004; 39(4):275-285.
  23. Tal H, Oegiesser D, Tal M. Gingival depigmentation by Er: YAG laser: clinical observations and patient responses. J Periodontol 2003;74(11):1660-1667.
  24. Rosa DS, Aranha AC, Eduardo Cde P, Aoki A. Esthetic treatment of gingival melanin hyperpigmentation with Er:YAG laser—short-term clinical observations and patient follow-up. J Periodontol 2007;78(10):2018-2025.
  25. Verma SK, Maheshwari S, Singh RS, Chaudhari PK. Laser in dentistry: an innovative tool in modern dental practice. Natl J Maxillofac Surg 2012;3(2):124-132.
  26. Apfelberg DB, Maser MB, Lash H, Rivers J. The argon laser for cutaneous lesions. JAMA 1981;245:2073-2075.
  27. Arndt KA. Argon laser treatment of lentigo maligna. J Am Acad Dermatol 1984;10:953-957.
  28. Ohshiro T, Maruyama Y. The ruby and argon lasers in the treatment of naevi. Ann Acad Med Singapore 1983;12:388- 395.
  29. Polla LL, Margolis RJ, Dover JS, Whitaker D, Murphy GF, Jacques SL, Anderson RR. Melanosomes are a primary target of Q-switched ruby laser irradiation in guinea pig skin. J Invest Dermatol 1987;89:281-286.
  30. Goldman L, Natb G, Schindler G, Fidler J, Rockwell RJ. Highpower neodymium:YAG laser surgery. Acta Derm Venereol (Stockh) 1973;53:45-49.
  31. Bilik R, Kahanovich S, Rubin M, Rothem A, Geiernter I, Kaplan I. Morbidity and recurrence rates after surgical treatment of malignant melanoma by scalpel versus CO2 laser beam. Surg Gynecol Obstet 1987 Oct;165(4):333-338.
  32. Gholami GA. Er;Cr:YSGG, Nd:YAG, CO2 and diode lasers on dentinal tubules: a scanning electron microscope in vitro study. Photomed Laser Surg 2011 Feb;29(2):115-121.
  33. Yilmaz HG, Cengiz E, Kurtulmus-Yilmaz S, Leblebicioglu B. Effectiveness of Er,Cr:YSGG laser on dentine hypersensiti-vity: a controlled clinical trial. J Clin Periodontol 2011;38(4):341-346.
  34. Garberoglio R, Brannstrom M. A scanning electron microscopic investigation of human dentinal tubules. Archives of Oral Biology 1976;21(6):355-362.
  35. Liu HC, Lan WH. The combined effectiveness of the semiconductor lasers with Duraphat in the treatment of dentin hypersensitivity. Journal of Clinical Laser Medicine and Surgery 1994; 12(6):315-319.
  36. Lan WH, Liu HC, Lin CP. The combined occluding effect of sodium fluoride varnish and Nd: YAG laser irradiation on human dentinal tubules. Journal of Endodontics 1999;25(6):424-426.
  37. Schwarz F, Aoki A, Becker J, Sculean A. Laser application in non-surgical periodontal therapy: a systematic review. J Clin Periodontol 2008;35(58):29-44.
  38. Ohta S, Yamada S, Matsuzaka K, Inoue T. The behavior of stem cells and progenitor cells in the periodontal ligament during wound healing as observed using immunohistochemical methods. J Periodont Res 2008 Dec;43(6):595-603.
  39. Miller RJ. Lasers in oral implantology. Dental Pract 2006 Sept/ Oct;112-14.
  40. Xu Y, Young MJ, Battaglino RA, et al. Endodontic antimicrobial photodynamic therapy: Safety assessment in mammalian cell cultures. J Endod 2009;35:1567-72.
  41. DeRosa MC, Crutchley RJ. Photosensitized singlet oxygen and its applications. Coordination Chemistry Reviews 2002;233- 234:351-71.
  42. Garcez AS, Nunñez SC, Hamblim MR, Suzuki H and Ribeiro MS. Photodynamic therapy associated with conventional endodontic treatment in patients with antibiotic-resistant microflora: A preliminary report. J Endod 2010 Sep;36(9): 1463-69.
  43. Brown SB, Brown EA, Walker I. The present and future role of photodynamic therapy in cancer treatment. Lancet Oncol 2004;5:497-508.
  44. Huang Z. A review of the progress in clinical photodynamic therapy. Technol Cancer Res Treatment 2005;4:283-93.
  45. Zanin ICJ, Maristela ML, Rodrigues LKA, Pimenta LAF, Hofling JF, Goncalves RB. Photosensitization of in vitro Biofilms by toluidine blue O combined with a light emitting diode. Eur J Oral Sci 2006;114; 64-69.
  46. Overman PR. Biofilm: A new view of plaque. J Contemp Dent Pract 2000;1(3):18-29.
  47. Shibli JA, Martins MC, Nociti FH Jr, Garcia VG, Marcantonio E Jr. Treatment of ligature-induced peri-implantitis by lethal photosensitization and guided bone regeneration: A preliminary histologic study in dogs. J Periodontol 2003 Mar;74(3):338-45.
  48. Zitzmann NU, Berglundh T, Ericsson I, Lindhe J. Spontaneous progression of experimentally induced peri-implantitis. J Clin Periodontol 2004;31:845-49.
  49. Rinke S, Ohl S, Ziebolz D, Lange K, Eickholz P. Rinke S, et al. Prevalence of peri-implant disease in partially edentulous patients: A practice-based cross-sectional study. Clin Oral Implants Res 2011;22:826-33.
  50. Renvert S, Persson GR. Periodontitis as a potential risk factor for peri-implantitis. J Clin Periodontol 2009;36:10:9-14.
  51. Cho-Yan Lee J, Mattheos N, Nixon KC, Ivanovski S. Residual periodontal pockets are a risk indicator for peri-implantitis in patients treated for periodontitis. Clin Oral Implants Res 2012; 23:323-33.
  52. Ferreira SD, Silva GL, Cortelli JR, Costa JE, Costa FO. Prevalence and risk variables for peri-implant disease in Brazilian subjects. J Clin Periodontol 2006;33:929-35.
  53. Turkyilmaz I. One-year clinical outcome of dental implants placed in patients with type 2 diabetes mellitus: A case series. Implant Dent 2010;19:323-29.
  54. Laine ML, Leonhardt A, Roos-Jansåker AM, Peña AS, van Winkelhoff AJ, Winkel EG, Renvert S. IL-1RN gene polymorphism is associated with peri-implantitis. Clin Oral Implants Res 2006;17:380-85.
  55. Albrektsson T, Wennerberg A. Oral implant surfaces: Part 1— review focusing on topographic and chemical properties of different surfaces and in vivo responses to them. Int J Prosthodont 2004;17:536-43.
  56. Wennerberg A, Albrektsson T. On implant surfaces: A review of current knowledge and opinions. Oral Maxillofac Implants 2010;25:63-74.
  57. Teughels W, Van Assche N, Sliepen I, Quirynen M. Effect of material characteristics and/or surface topography on biofilm development. Clin Oral Implants Res 2006;17(Suppl 2):68-81.
  58. Karoussis IK, Bragger U, Salvi GE, Burgin W, Lang NP. Effect of implant design on survival and success rates of titanium oral implants: A 10-year prospective cohort study of the ITI Dental Implant System. Clin Oral Implants Res 2004;15:8-17.
  59. Renvert S, Polyzois I, Claffey N. How do implant surface characteristics influence peri-implant disease? J Clin Periodontol 2011;38(Suppl 11):214-22.
  60. Lang NP, Tonetti M. Peri-implantitis: Etiology, pathogenesis, prevention and therapy, In: Dental implant complications etiology, prevention, and treatment: Forum SJ (Ed). Blackwell Publishing, West Sussex, United Kingdom 2010.
  61. Esposito M, Grusovin MG, Maghaireh H, Coulthard P, Worthington HV. Interventions for replacing missing teeth: Management of soft-tissues for dental implants. Cochrane Database Syst Rev 2007;18.
  62. Bouri A Jr, Bissada N, Al-Zahrani MS, Faddoul F, Nouneh I. Width of keratinized gingiva and the health status of the supporting tissues around dental implants. Int J Oral Maxillofac Implants 2008;23:323-26.
  63. Miyata T, Kobayashi Y, Araki H, Ohto T, Shin K. The influence of controlled occlusal overload on peri-implant tissue. Part 3: A histologic study in monkeys. Int J Oral Maxillofac Implants 2000;15:425-31.
  64. Baron M, Haas R, Baron W, Mailath-Pokorny G. Peri-implant bone loss as a function of tooth-implant distance. Int J Prosthodont 2005;18:427-33.
  65. Dvorak G, Arnhart C, Heuberer S, Huber CD, Watzek G, Gruber R. Peri-implantitis and late implant failures in postmenopausal women: A cross-sectional study. J Clin Periodontol 2011;38: 950-55.
  66. Shabestari GO, Shayesteh YS, Khojasteh A, Alikhasi M, Moslemi N, Aminian A, et al. Implant placement in patients with oral bisphosphonate therapy: A case series. Clin Implant Dent Relat Res 2010; 12:175-80.
  67. Serino G, Turri A. Extent and location of bone loss at dental implants in patients with peri-implantitis. J Biomech 2011; 11:267-71.
  68. Renvert S, Polyzois I, Maguire R. Reosseointegration on previously contaminated surfaces: A systematic review. Clin Oral Implants Res Sep 2009;20(Suppl 4):216-27.
  69. Niemz MH. Laser-tissue interactions-fundamentals and applications. Auage, Springer Verlag, Berlin-New York, 2003;45-149.
  70. Walsh LJ. The current status of laser applications in dentistry. Aust Dent J, 2003;48:146-55.
  71. Welch AJ. The thermal response of laser irradiated tissue. IEEE J Quant Electron 1984;20:1471-81.
  72. Gutknecht N, et al. Proceedings of the 1st International Workshop of Evidence Based Dentistry on Lasers in Dentistry. Quintessence Publishing Co. Ltd. 2007.
  73. Duck FA. Physical properties of tissue. Academic Press London- Toronto, 1990.
  74. Ishii J, Fujita K, Komori T. Laser surgery as a treatment for oral leukoplakia. Oral Oncol 2003;39(8):759-69.
  75. Katzir A. Lasers and optical fibers in medicine. Academic Press, Inc, San Diego-Boston 1993.
  76. Nathan MI, Dumke WP, Burns G, Dill Jr FH, Lasher G. Stimulated emission of radiation from GaAs p-n junctions. Appl Phys Lett 1962;1(3):62-64.
  77. Prahl SA. Optical absorption of hemoglobin. Oregon Medical Laser Center: http://omlc.ogi.edu/spectra/hemoglobin/ index.html
  78. Strassl M, Kassenbacher A, Wintner E. Ultrashort laser pulses in dentistry. J Oral Laser Appl 2002;2(4):213-22.
  79. Stabholz A, Zeltzser R, Sela M, Peretz B, Moshonov J, Ziskind D. The use of lasers in dentistry: Principles of operation and clinical applications. Compend 2003;24:811-24.
  80. Kreisler M, Daublander M, Willershausen-Zonnchen B, d‘Hoedt B. Effect of diode laser irradiation on the survival rate of gingival fibroblast cell cultures. Laser Surg Med 2001a;28(5):445-50.
  81. Rastegar S, Jacques SL, Motamedi M, Kim BM. Theoretical analysis of equivalency of high- power diode laser and Nd:YAG laser for coagulation. Lasers in Dentistry, SPIE 1646:150-60, 1992.
  82. Theodoro LH, Haypek P, Bachmann L, Garcia VG, Sampaio JE, Zezell DM, Eduardo C de P. Effect of Er:YAG and diode laser irradiation on the root surface: Morphological and thermal analysis. J Periodontol 2003;74(6):838-43.
  83. White JM, Gekelman D, Shin K, Park X, Swenson T, Rouse B, Tran K, Bullard S, Scott- Beckles B, Oto MJSB, Yamamoto A. Laser interaction with dental soft tissues: What do we know from our years of applied scientific research? Lasers in Dentistry, SPIE 2002;4610:39-48.
  84. Adams TC, Pang PK. Lasers in Aesthetic Dentistry. Dent Clin North Am 2004;48:833-60.
  85. Bach G, Neckel C, Mall C, Krekeler G. Conventional versus laser- assisted therapy of peri-implantitis: A five year comparative study. Implant Dent 2000;9:247-51.
  86. Clayman L, Kuo PC. Soft tissue excision techniques. In Clayman L, Kuo P. Lasers in Maxillofacial Surgery and Dentistry. Thieme Publ, Stuttgart 1997;63-83.
  87. Convissar RA, Diamond LB, Fazekas CD. Laser treatment of orthodontically induced gingival hyperplasia. Gen Dent 1996;44(1):47-51.
  88. Goharkay K, Moritz A, Wilder-Smith P, Schoop U, Kluger W, Jakolitsch S, Sperr W. Effects on oral soft tissue produced by a diode laser in vitro. J Oral Surg 1978;36:932-37.
  89. Olbricht SM, Stern RS, Tang SV, Noe JM, Arndt KA. Complications of cutaneous laser surgery: A survey. Arch Dermatol 1987;123(3):345-49.
  90. Pinheiro AL, Limeira Jr FA, Gerbi MEM, Ramalho LMP. Effect of 830 nm laser light on the repair of bone defects grafted with inorganic bovine bone and decalciûed cortical osseous membrane. J Clin Laser Med Surg 2003;21(6):383-88.
  91. Romanos GE. Atlas der chirurgischen Laserzahnheilkunde. Urban und Fischer Verlag, München 1999.
  92. Romanos GE, Nentwig GH. Present and future of lasers in oral soft tissue surgery: Clinical applications. J Clin Laser Med Surg 1996;14(4):179-84.
  93. Strauss RA. Laser management of discrete lesions. In : Laser applications in oral maxillofacial surgery. (Eds) Catone G A, Alling C C, Saunders, Philadelphia, 1997
  94. White JM, Goodis HE, Horton J, Gold S. Current status of lasers in soft tissue dental surgery. J Periodontol 1994;65(7):733-35.
  95. Yousuf A, Hossain M, Nakamura Y, Yamada Y, Kinoshita J, Matsumoto K. Removal of gingival melanin pigmentation with the semiconductor diode laser: A case report. J Clin Laser Med Surg 2000;18:263-66.
  96. Zeinoun T, Nammour S, Dourov N, Aftimos G, Luomanen M. Myofibroblasts in healing laser excision wounds. Lasers Surg Med 2001;28:74-79.
  97. Al-Watban FA, Zhang XY. The comparison of effects between pulsed and CW lasers on wound healing. J Clin Laser Med Surg 2004;22(1):15-18.
  98. Gutknecht N, Gogswaardt D, Conrads G, Apel C, Schubert C, Lampert F. Diode laser radiation and its bactericidal effect in root canal wall dentin. J Clin Las Med Surg 2000;57:57-60.
  99. Parkins F. Lasers in pediatric and adolescent dentistry. Dent Clin N Amer 2000;44:821-30.
  100. Santaella MR, Braun A, Matson E, Frentzen M. Effect of diode laser and fluoride varnish on initial surface demineralisation of primary dentition enamel: An in vitro study. Int J Paed Dent 2004;14:199-203.
  101. Tuner J, Hode L. The laser therapy handbook. Grängesberg 2004;231.
  102. Gherlone EF, Maiorana C, Grassi RF, Ciancaglini R, Cattoni F. The use of 980 nm diode and 1064 nm Nd: YAG laser for gingival retraction in fixed prostheses. J Oral Laser Applications 2004;4:183-90.
  103. Glauche CE, de Freitas PM, Vieira ND, Marques JL. Qualitative microanalysis of ions and ultrastructuralchanges in dentin exposed to laser irradiation. Lasers Surg Med 2005;36(4): 334-39.
  104. Gutknecht N, Zimmermann R, Lampert F. Lasers in periodontology: State of the art. J Oral Laser Applications 2001a;1:169-79.
  105. Kreisler M, Haj HA, d‘Hoedt B. Clinical efficacy of semiconductor laser application as an adjunct to conventional scaling and root planning. Lasers Surg Med 2005;37:350-55.
  106. Mester E, Spiry T, Szende B, Tota JG. Effect of laser rays on wound healing. Am J Surg 1971;22:532-35.
  107. Patruta S, Franz A, Beer F, Goharkhay K, Sperr W, Moritz A. In vitro stimulatory effect of diode laser on the secretion of tissue inhibitor of matrix mealloproteinases 1(TIMP-1) in human gingival fibroblast: A preliminary report. J Oral Laser Applications 2004;4(3):167-70.
  108. Silveira LB, Silveira JB, Ribeiro MS, Garrocho AA, Novelli MD, Marigo H, Growth EB, et al. In vivo study on mast cells behavior following low intensity visible and near infrared laser radiation (abstract 304). Lasers Surg Med 2002;82.
  109. Bach G, Koch HK, Hellerich U, Venzke T. Konventionelle Diodenlaser versus Hochpulstechnik. Laser Journal 1/2008:18-20.
  110. Deppe H, Horch HH. Laseranwendungen in der chirurgischen Zahn-,Mund-und Kieferheilkunde. Laser Zahnheilkunde 2007;4:219-22.
  111. Horch HH, Deppe H. Laser anwendungen im Mund-Kiefer- Gesichtsbereich. In Horch HH: Mund-Kiefer-Gesichtschirurgie. München: Elsevier 2007;797-820.
  112. Roodenburg JL, Witjes MJ, deVeld DC; Tan IB, Nauta JM: Lasers in dentistry. Use of lasers in oral and maxillofacial surgery. Ned Tijdschr Tandheelkd 2002;109:470.
  113. Maiorana C, Salina S. Oral soft tissue pathologies: Long-term evaluation after laser treatment. J Oral Laser Appl 2001;1:20.
  114. Crippa R. Report on 103 cases of precancerous and other oral lesions treated with a diode laser. J Oral Laser Appl 2001;1:26.
  115. Bach G. Er:YAG versus Diode-Zwei Wellenlängen made in Baden-Württemberg. Laser Zahnheilkunde 2007;4:283-87.
  116. Andersen K. Laser technology- a surgical tool of the past, present and future. Aorn J 2003;78:794-802.
  117. Eichler J, Schneeweiss-Wolter C. Wirkung von Laserstrahlung auf Gewebe. MTA 1999;14:255.
  118. McKenzie AL. Physics of thermal processes in laser- tissue interaction. Phys Med Biol 1990;35:1175-209.
  119. Sullins KE. Diode laser and endoscopic laser surgery. Vet Clin North Am Small Anim Pract 2002;32:639-648.
  120. Svaasand LO, Boerslid T, Oeveraasen M. Thermal and optical properties of living tissue: Application to laser-induced hyperthermia. Lasers Surg Med 1985;5:589-602.
  121. Welch AJ, Motamedi M, Rastegar S, LeCarpentier GL, Jansen D. Laser thermal ablation. Photochem. Photobiol 1991;53: 815-23.
  122. Lippert BM, et al. Wound healing after laser treatment of oral and oropharyngeal cancer. Lasers Med Sci. 2003;18(1):36-42.
  123. Grossenbacher R. Laser surgery in the oral cavity. J Clin Laser Med Surg 1992;10(1):19-21.
  124. Guttenberg SA, Emery RW. Laser resurfacing and oral and maxillofacial surgeons. Dermatol. Surg 1999;25(6):519.
  125. Coleton S. Laser treatment of atypical oral pigmentation. A case report. NY State Dent J 2006;72(2):22-23.
  126. Damante CA, et al. Histomorphometric study of the healing of human oral mucosa after gingivoplasty and low-level laser therapy. Lasers Surg Med 2004;35(5):377-84.
  127. Eichler J, Eichler HJ. Laser. Springer Verlag, Berlin- Heidelberg- New York 1991.
  128. Manni J. Surgical diode lasers. J Clin Laser Med Surg 1992;10: 377-80.
  129. Pick RM, Powel GL. Lasers in dentistry, soft tissue procedures. Dent Clin North Am 1993;37:281-97.
  130. Scherer H, Fuhere A, Hopf J. Current status of laser surgery of benign diseases in the area of soft palate. Laryngol Rhinol Otol 1994;73:14-18.
  131. Morita T, Okamura Y, Ookub K, et al. A new instrument for hemostatic vascular management in endoscopic surgery: Diode laser(STATLaser-SDL) and it‘s hand piece (Dual Hook). J Clin Laser Med Surg 1999;17:57-61.
  132. Claus PN. Comparative study on CW mode versus pulsed mode in AlGaAs diode lasers. SPIE Proc 2001;4249:44-49.
  133. Krause F, Frentzen M. Dioden- Laser in der zahnmedizinischen Anwendung. DGL Zeitschrift für Laserzahnheilkunde 2007;3/ 07:151-58.
  134. Coluzzi DJ. Lasers and soft tissue curettage: An update. Compend Contin Educ Dent 2002;23:1104-111.
  135. Dederich DN. Laser curettage: An overview. Compend Contin Educ Dent 2002;23:1097-103.
  136. Schwarz F, Sculean A, Berakdar M, Szathmari L, Geoerg T, Becker J. In vivo and in vitro effects of an Er:YAG laser, a diode laser, and scaling and root-planning on periodontally diseased root surfaces: A comparative histologic study. Lasers Surg Med 2003;32:359-66.
  137. Fontana CR, Kurachi C, Mendonca CR, Bagnato VS. Temperature variation at soft periodontal and rat bone tissue during a medium- power diode laser exposure. Photomed Lasres Surg 2004;22:519-22.
  138. Gold SJ, Vilardi MA. Pulsed laser beam effect on gingiva. J Clin Periodontol 1994;21(6):391-96.
  139. Borrajo JL, Varela LG, Castro LG, Rodriguez-Nunez I, Torreira MG: Diode laser (980 nm) as an adjunct to scaling and root planning. Photomed Laser Surg 2004;22:509-12.
  140. Kreisler M, Al Haj H, Daublander M, Gotz H, Duschner H, Willershausen B, D‘Hoedt B. Effect of diode laser irradiation on root surface in vitro. J Clin Laser Med Surg 2002;20:63-69.
  141. Meister J, Franzen R. Dentale Lasersysteme Teil II: Der Dioden- Laser. DGL Zeitschrift für Laserzahnheilkunde 2007;3/07: 185-89.
  142. Alam T, Dawasaz AA, Thukral N, Jangam D. Surgical diode laser excision for peripheral cemento-ossifying fibroma: A case report and literature review. J Oral Laser Applications 2008;8:43- 49.
  143. Convissar RA. An overview of laser wavelength used in dentistry. Dent Clin North Am 2000;44:753-765.
  144. Kreisler M, Meier C, Stender E, Daubländer M, Willershausen- Zönnchen B, de Hoedt B. Effect of diode laser irradiation on the attachment rate of periodontal ligament cells: An in vitro study. J Periodontol Oct 2001;72(10):1312-17.
  145. Black P. Der Dentallaser in der oralen Chirurgie-Masterthese- Teil2 Laser Journal 1/2007: 16-21, 2007 146. Van Hillegersberg R: Fundamentals of Laser Surgery Eur J Surg Jan 1997;163(1): 3-12.
  146. Haina D, Landthaler M, Braun-Falco O, Waidelich W. Comparison of the maximum coagulation depth in human skin for different types of medical lasers. Lasers Surg Med 1987;7(4): 355-62.
  147. Sullins KE. Diode laser and endoscopic laser surgery. Vet Clin North Am Small Anim Pract May 2002;32(3):639-48.
  148. McKenzie AL. Physics of thermal processes in laser-tissue interaction. Phys Med Biol Sep 1990;35(9):1175-209.
  149. Reinisch L. Laser physics and tissue interaction. Otolaryngol Clin North Am Dec 1996;29(6):893-914.
  150. Coluzzi DJ. Fundamentals of dental lasers: Science and instruments. Dent Clin North Am 2004;48:751-70.
  151. Maiorana C, Salina S. Versatility of superpulsed diode laser in oral surgery: A clinical report. J Oral Laser Appl 2006;6: 193-99.
  152. Gold SI, Villardi MA. Pulsed laser beam effects on gingiva. J Clin Periodontol 1994;21:391-96.
  153. Kamp M Halbleiterlaser. Vorlesung WS 2006, Technische Physik, Uni Würzburg 2006.
  154. Schäfer O. Die Entwicklung des Diodenlasers bis zur Digitalpulstechnik. Laser Journal 2/2008:6-7.
  155. Nanami T, Shiba H, Ikeuchi S, Nagai T, Asanami S, Shibata T. Clinical applications and basic studies of laser in dentistry and oral surgery. Keio J Med Dec.1993;42(4):199-201.
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