The Role of Low-Level Laser in Periodontal Surgeries

Treatment protocols with low-level Laser (also called ‘soft laser therapy) have been used in health care systems for more than three decades. Bearing in mind the suitable sub-cellular absorption and the cellular-vascular impacts, low-level laser may be a treatment of choice for soft tissues. Low-level lasers have played crucial and colorful roles in performing periodontal surgeries. Their anti-inflammatory and painless effects have been variously reported in in-vitro studies. In this present review article, searches have been made in Pub Med, Google Scholar, and Science Direct, focusing on the studies which included low-level lasers, flap-periodontal surgeries, gingivectomy, and periodontal graft. The present study has sought to review the cellular impacts of low-level lasers and its role on reducing pain and inflammation following soft tissue surgical treatments.  

Occlusal plane flattening by miniscrew in skeletal open bite:a case report

Introduction: Different factors such as respiratory disorders, genetics, facial growth pattern, tongue malfunction and malposition are associated with anterior open bite. Skeletal open bite is often appeared by increased posterior dentoalveolar height of maxilla and backward rotation of mandible. Many treatment approaches have been developed for treatment of increased facial height problems. Achieving absolute anchorage has been a very efficient device for intrusion of posterior segments. In this article, the treatment of patient with severe skeletal open bite and facial imbalances was explained .researchers of the present study used mini screws for leveling of upper arch by intrusion of premolars .Then, appropriate orthognathic surgery was done

Scanning Electron Microscope Comparative Evaluation of Feldspathic Porcelain Surfaces under Irradiation by Different Powers of Neodymium-Doped Yttrium Aluminium Garnet (Nd:YAG) Laser

Introduction: Recent use of lasers for porcelain surface treatment for adhesion of brackets to restorations has not only showed some promising results, but is also accompanied with less undesirable effects among other advantages. The purpose of this study is the comparative electron microscope evaluation of feldspathic porcelain surfaces under irradiation by Neodymium-Doped Yttrium Aluminium Garnet (Nd:YAG) with different powers (0.75, 1.5 and 2W) via the acid etching with hydrofluoric acid (HF) technique.Methods: The glazed porcelain samples were obtained by duplicating labial surfaces of maxillary central incisor teeth. The specimens were randomly treated by 4 different methods. Group1 was etched with hydrofluoric acid 9.6%. Samples in group 2 to 4 were also irradiated by Nd:YAG laser with different powers: 0.75, 1.5 and 2W. Then the samples were prepared for evaluation by scanning electron microscope (SEM).Results: Etching quality from a porosity point of view was similar for group2 and HF group. Laser with power of 0.75W has little potential to create mechanical porosity.Conclusion: In regard of the results of this study, it is possible to benefit from Nd:YAG laser with appropriate parameters for surface conditioning

Shear Bond Strength of the Metal Bracket to Zirconium Ceramic Restoration Treated by the Nd: YAG Laser and Other Methods: An In Vitro Microscopic Study

Introduction: Providing reliable bonding of the bracket base and the zirconia surface is required to apply orthodontic force. The purpose of this scientific experiment was to evaluate the efficacy of three different methods of surface preparation for Zirconia, including surface roughening, sandblasting and the Nd: YAG laser, in the shear bond strength (SBS) of the orthodontic brackets.Methods: Fifty-four discs of zirconia were divided into three groups of 18: A) Hydrofluoric acid etching, B) sandblasting, and C) Nd: irradiation using the power of 1.5 W for 10 seconds. After bonding the brackets, the samples were slowly thermo-cycled (1000 times) for 24 hours. The SBS test was performed by a universal testing machine at a head speed of 0.5 mm/min. The adhesive remnant index (ARI) was scored at a magnification of 10 in the stereo microscope. All data were collected and analyzed using the variance, Kruskal-Wallis, Tukey, Don, and Weibull tests (α = 0.05).Results: The HF acid etching group (6.11± 0.94 MPa) had the highest SBS, which was followed by the laser group (6 ± 0.61 MPa) and the sandblast group (3.1080 ± 0.82 MPa). There was a significant statistical difference between the laser and HF groups and the sandblast group (P < 0.05) and no significant difference between the HF group and the laser group (P = 0.03).Conclusion: Based on the obtained bond strength, the Nd: YAG laser with a power of 1.5 W could be a substitute treatment method for the HF acid-etching

Comparison of Carbon Dioxide Laser With Surgical Blade for Removal of Epulis Fissuratum. A Randomized Clinical Trial

Introduction: Epulis fissuratum is often formed as a result of a poor fitting denture. The conventional treatment for this fibrous hyperplastic tissue is to excise it using a scalpel and to close the wound by a continuous or an interrupted suture. The increased utilization of lasers in dentistry also includes the utilization of carbon dioxide (CO2) lasers in place of surgical scalpels in soft tissue surgeries. The objective of this study is to assess the feasibility of utilizing CO2 laser in place of scalpel in surgical treatment of epulis fissuratum.Methods:In this clinical trial research (IRCT code: IRCT2016071124969N2), 19 patients were selected with nearly symmetrical epulis fissuratums in the anterior part of the jaws. The hyperplastic tissue was evenly divided into two sections in each patient. One section was randomly selected and cut by CO2 laser and the other section by a surgical scalpel. The wound created by the scalpel was closed by appropriate number of interrupted sutures. Surgery duration and bleeding as well as vestibular depth, re-epithelialization and edema in both sections were noted and recorded after 7 and 14 days postoperatively.Results:The time of surgery and the amount of bleeding during surgery in the laser section was less and the vestibular depth was more than surgical scalpel section (P < 0.05). Surgical scalpel wound at day seventh healed significantly better than the section treated by the CO2 laser (P< 0.05). Wound in both sections healed similarly on day 14 and no statistical difference was observed. Edema presence was also equal in both sides after 7th and 14th following the surgery.Conclusion:According to the results it could be concluded that the use of CO2 laser may result in less surgery time, less bleeding during surgery, more vestibular depth, better re-epithelialization of the wound and less need for suturing. CO2 laser may be a clinically preferred method for surgical treatment of epulis fissuratum

Comparison of shear bond strength of rebonded brackets prepared with different methods of resin removal: an invitro study

Aim: Clinicians and researchers have always made every effort to achieve proper bonding between the surface of the tooth and the rebonded orthodontic brackets in order to prevent the re-fracture failure of orthodontic pressures throughout treatment. The aim of this study was to determine the bond strength of rebonded brackets by four adhesive removal methods.Materials and methods: Seventy-five orthodontic brackets were bonded to the extracted first premolar teeth and then debonded. Fifteen of these teeth were rebonded to new brackets after adhesive removal and were named as the control group. Sixty debonded brackets were divided into four groups by means of resin-removal: laser, burr, sandblast, and direct flame. These recycled brackets were re-bonded to the teeth with the same basic bonding methods. The shear bond strength (SBS) was measured at the speed of 0.5 mm/min and the data were analyzed using ANOVA and post hoc tests (α=0.05).Results: SBS was significantly different in all four groups compared to the control group (p<0.05). The burr and sandblast groups had the lowest levels of SBS. Although the laser and flame groups had the highest levels of SBS, they did not show a significant difference (p=0.99).Conclusions: 5W Er:YAG irradiation and direct flame due to relatively good bond strength can be recommended as proposed methods for orthodontic brackets recycling

New Constraints for the On‐Shore Makran Subduction Zone Crustal Structure

Funder: Institute for Advanced Studies in Basic Sciences; Id: http://dx.doi.org/10.13039/501100007513Abstract: The Makran Subduction Zone is the primary seismic/tsunami hazard of the northwestern Indian Ocean, but little is known of its on‐shore seismic structure. We derived a shear wave velocity model extending to > $>$ 100 km depth beneath a ∼400 km‐long seismic profile oriented parallel to the convergence vector of the Arabian Sea Plate. Receiver function/surface wave analysis shows that the average structure in the coastal region comprises a ∼22–28 km‐thick low wavespeed sedimentary cover and a 6–8 km‐thick gradient zone overlying > $>$ 100 km‐thick high wavespeed upper mantle. The ocean‐basement interface dips gently northward, remaining a positive impedance contrast to ∼50 km depth at ∼250 km north of the coast where it disappears as the basaltic/gabbroic oceanic crust has probably transformed to eclogite. Further north, a weak arrival at ∼5 s in the receiver functions appears, grading northward into the Moho arrival of the continental Iranian Plateau. This disruption in the seismic signature of the Moho occurs in the forearc region where the dip of the subducting oceanic plate steepens. The southern Iranian Plateau's continental crust has an average V s of 3.55 ± 0.05 km s−1, an almost flat Moho 40–45 km deep, and a sub‐Moho mantle V s of 3.75 ± 0.05 km s−1 in the 50–80 km depth range. Weak Moho conversions probably result from ∼20% serpentinization of peridotite in the mantle wedge. Receiver functions indicate a flat continental Moho – no crustal root beneath the high topography region of the volcanic belt, which therefore must be compensated by low upper mantle densities. The high V p /V s ratio observed for the mantle wedge suggests ∼1%–2% partial melt