Laser vs. Electrosurgery Application in Surgery Posted on 13 Aug 03:51

The following logical examples for electrosurgery and laser use

  • Tissue management around crown preparations -- The two-cord tissue management technique, styptic pastes, or a combination of the two are most common and are very successful. Laser can be less traumatic and more predictable than electrosurgery for this use.
  • Pericoronitis flap -- Electrosurgery is much faster and easier.
  • Frenectomy -- Electrosurgery is faster, but laser is often less traumatic.
  • Removal of soft tissue coronal to an implant -- Laser is best because of lower heat production and lack of electrical conduction during cutting.
  • Removal of a lesion from the tongue -- I prefer electrosurgery or scalpel because they allow a precise and fast cut. However, laser can certainly be used for this purpose.
  • Gingivectomy -- Based on clinician preference.
  • Removal of a small piece of soft tissue while making impressions for crowns -- An electrosurgery tip sharpened to a pencil point makes a very narrow and precise cut. Many prefer laser but it removes more soft tissue.
  • Removal of soft tissue growth around a metal bar -- Laser or scalpel is best because of lower heat production and lack of electrical conduction.
  • Removal of soft tissue very close to bone -- Laser is less problematic when close to bone.
  • Removal of any large piece of soft tissue -- Electrosurgery is best because of the ease and speed of cutting.

This figure shows cuts in pig oral mucus membrane with representative brands of devices.

All of the diode laser cuts were nearly identical.

Electrosurgery cuts with standard electrode were slightly narrower

(tip sharpened to pencil point makes narrower cut),

and scalpel cuts were very minimal.

From left to right are different brands of diode laser, and far right was electrosurgery.

 

 

 

                                                           by Gordon J. Christensen, DDS, MSD, PhD dentaleconomics