Enhancing Aesthetic Outcomes with Dental Diode Lasers in Crown Lengthening

Feb 24
02:39

2024

jason steve

jason steve

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The aesthetic significance of maxillary incisors is undeniable, often being the first thing parents notice and find concerning. For children, delayed eruption of these teeth can lead to bullying and psychological distress. It is crucial to correct the position of unerupted incisors through careful monitoring and timely surgical orthodontic intervention, avoiding the need for prosthetics. Dental diode lasers offer a modern alternative to traditional scalpel methods, providing numerous advantages in the surgical exposure of unerupted incisors.

Clinical and Radiographic Assessment of Unerupted Incisors

Clinical Evaluation

A comprehensive clinical evaluation is essential to determine if there is a delay in tooth eruption. This includes:

  • Assessing the patient's chronological and dental age.
  • Examining the available space for tooth eruption,Enhancing Aesthetic Outcomes with Dental Diode Lasers in Crown Lengthening Articles space loss, midline shift, position of adjacent teeth, and bone contour.
  • Palpating the labial bulge on the mucosa or using radiographs if not visible.
  • Measuring the distance from the mucogingival junction to ensure an adequate amount of keratinized gingival tissue, which is vital for periodontal health.

Radiographic Evaluation

Radiographic evaluation is crucial for locating the unerupted lateral incisor accurately. Techniques include:

  • Conventional two-dimensional radiographs, supplemented by Clark's rule or the Buccal-object rule for buccolingual position estimation.
  • Cone Beam Computed Tomography (CBCT) to minimize exposure and determine the precise position of the tooth.

In a case study of a 9-year-old patient, the delayed eruption of a lateral incisor was indicated. Palpation and intraoral periapical radiographs revealed no bone on the crown of the unerupted lateral incisor. The surgical exposure window was determined to be 1mm below the mucogingival junction.

The Dental Diode Laser Procedure

The Pioon S1 blue dental laser, with a 450 nm wavelength, was employed for the surgical exposure of the lateral incisor. The procedure involved:

  1. Isolating the area and applying a topical anesthetic.
  2. Marking the exposure window with laser dots at low power settings using a 400-micron tip.
  3. Removing tissue at higher power settings with the same tip in non-contact mode.

Complete safety protocols were observed, including protective eyewear for all staff and avoiding highly reflective instruments during laser use.

Advantages of Using Lasers in Dental Surgery

Laser-assisted surgical procedures offer several benefits:

  • Precise incisions and hemostasis.
  • Reduced pre and post-operative swelling and pain, leading to faster wound healing.
  • Less discomfort and a decreased need for analgesics.

For pediatric patients, the use of lasers can improve cooperation due to the absence of scalpels, reduced bleeding, and the elimination of injections. This also facilitates homecare and orthodontic bracket repositioning.

Conclusion: The Indispensable Role of Lasers in Pediatric Dentistry

When an unerupted tooth is not deeply placed, surgical exposure with the Pioon laser at 450 nm preserves attached gingiva, minimizes bleeding, and reduces the need for postoperative drugs. It also allows for immediate orthodontic bracket placement, reducing the number of dental appointments. Therefore, lasers are an invaluable tool for treating pediatric patients efficiently and comfortably.

References

  • Huber K, Suri, Taneja P. Eruption disturbances of the maxillary incisors: a literature review. J Clin Pediatr Dent 2008; 32: 221-230.
  • Pavoni C, Mucedero M, Laganà G, Paoloni V, Cozza P. Impacted maxillary incisors: diagnosis and predictive measurements. Ann Stom 2012; 3: 100-105.

Interesting statistics and facts about dental diode lasers and their use in pediatric dentistry are not commonly discussed. For instance, the global dental lasers market size was valued at USD 224.7 million in 2021 and is expected to expand at a compound annual growth rate (CAGR) of 11.2% from 2022 to 2030, as reported by Grand View Research. This growth is indicative of the increasing adoption of laser technology in various dental procedures, including crown lengthening.

Furthermore, a study published in the National Library of Medicine suggests that dental anxiety in children can be significantly reduced when using lasers compared to traditional methods, highlighting the psychological benefits of this technology in pediatric dentistry. This is a crucial aspect considering that positive early dental experiences can influence a child's attitude towards dental care throughout their life.

For more information on the benefits of dental lasers, readers can explore resources from the American Academy of Pediatric Dentistry and the Academy of Laser Dentistry.