Diode Laser Applications for Muco-Gingival Surgical Orthodontics; A Case Series

BackgroundDiode lasers are highly effective adjuncts in surgical orthodontics. This paper highlights the in-office use of diode lasers for common muco-gingival surgical orthodontic procedures. This paper demonstrates four common soft tissue orthodontic applications of the diode laser that orthodontists can master to reduce the need for lengthy referrals and minimize delays in orthodontic treatment.MethodsA retrospective series of case reports were presented, demonstrating the use of a 940-nm (InGaAsP) diode laser in contact cutting mode. Procedures included: Laser gingivectomy to improve oral hygiene or facilitate bracket positioning; esthetic gingival recontouring following the removal of fixed braces and laser exposure of superficially impacted teeth. Additionally, an interesting case of a maxillary impacted canine in a 39 year-old female patient-fully covered by bone-was presented. The treatment combined diode laser soft tissue exposure to control the bleeding along with surgical bur ostectomy to remove covering alveolar bone, expose the impacted canine crown, and facilitate simultanious bonding.ResultsThe use of diode lasers resulted in enhanced healing following minor oral surgeries; bloodless surgical sites, improving patient comfort, and improved visibility during bracket bonding procedures.ConclusionThis paper underscores the advantages of diode lasers, including their popularity, compact size, and cost-effectiveness. The combined use of diode laser soft tissue exposure and surgical bur ostectomy for tooth exposure shows promise and warrants further investigation.