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Reem Hanna

Reem Hanna

King’s College Hospital NHS Foundation Trust, UK

Title: The advantages of carbon dioxide laser applications in paediatric oral surgery: A prospective cohort study

Biography

Biography: Reem Hanna

Abstract

The aim of this study is to evaluate and demonstrate the advantages of the carbon dioxide laser in paediatric oral surgery patients in terms of less post-operative complications, healing without scaring, functional benefits, positive patient perception and acceptance of the treatment. 100 fit and healthy paediatric patients (aged 4–15 years) were recruited to undergo laser surgery for different soft tissue conditions. The outcome of these laser treatments was examined. The Wong-Baker Faces Pain Rating Scale (Fig. 1) was employed to evaluate the pain before, immediately after laser treatment in the clinic and one day after post-operatively at home. Post-operative complications and patients’ perception and satisfaction were self-reported during a review telephone call the day after treatment. The patients were reviewed two weeks after surgery. Laser parameter was 1.62 W, measured by power meter, continuous wave mode with 50% emission cycle. The beam spot size at the target tissue was 0.8 mm. The pain score pre-operative during and immediately after laser treatment was rated 0. While the pain scores one day after surgery were rated between 0 and 2, the healing time was measured over two weeks. None of the patients reported post-operative complications after surgery. Patients’ perception and acceptance were rated very well. Laser dentistry is a promising field in modern minimally invasive dentistry, which enables provision of better care for children and adolescents. In this cohort study, the use of the carbon dioxide laser therapy offers a desirable, acceptable and minimally invasive technique in the surgical management of soft tissues in paediatric oral surgery with minimal post-operative complications.

Recent Publications

  1. Suter V G, Altermatt H J, Sendi P and Mettraux G (2010) CO2 and diode laser for excisional biopsies of oral mucosal lesions. A pilot study evaluating clinical and histopathological parameters. Schweiz Monatsschr Zahnmed 120(8):664–7.
  1. Puthussery T, Shekar K and Gulati K (2011) Use of carbon dioxide 
laser in lingual frenectomy. J Oral Maxillofac Surg 49:580–581.
  1. Pié-Sánchez J, España-Tost A-J, Arnabat-Domínguez J and Gay-Escoda C (2012) Comparative study of upper lip frenectomy with the CO2 laser versus the Er, Cr: YSGG laser. Med Oral Patol Oral Cir Bucal 17(2):228–23.
  1. Vescovi P, Corcione L, Meleti M, Merigo E, Fornaini C, Manfredi M, Bonanini M, Govoni P, Rocca J R and Nammour S (2010) Nd:YAG laser versus traditional scalpel. A preliminary histological analysis of specimens from the human oral mucosa. Lasers Med Sci 25(5):685–91.
  1. Puthussery T, Shekar K and Gulati K (2011) Use of carbon dioxide laser in lingual frenectomy. J Oral Maxillofac Surg 49:580–581.