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Published on: June 6, 2025
[The Er:YAG laser in dentoalveolar surgery]
Stefan Stübinger1, Oliver Seitz, Constantin Landes
1Universitätsklinik für Wiederherstellende Chirurgie, Abteilung für Kiefer- und Gesichtschirurgie, Kantonsspital/Universitätskliniken - Universität Basel, Spitalstr. 21, CH-4031 Basel/Schweiz. sstuebinger@uhbs.ch
Summary
Short-pulsed laser osteotomy using the Er:YAG laser offers non-contact, vibration-free bone cutting in oral surgery. Preliminary findings show good cut efficiency and healing, though procedures were time-consuming.
Area of Science:
- Biomedical Engineering
- Oral and Maxillofacial Surgery
- Laser Medicine
Context:
- Traditional osteotomy methods (saws, drills) can cause vibrations and require physical contact.
- The Er:YAG laser, with its 2.94 micrometer wavelength, exhibits high water absorption, making it suitable for precise bone ablation.
- Evaluating novel laser-based techniques for surgical bone cutting is crucial for advancing minimally invasive procedures.
Purpose:
- To investigate the efficacy and safety of short-pulsed Er:YAG laser osteotomy in various oral surgical procedures.
- To compare laser osteotomy with conventional methods in terms of precision, patient outcomes, and complications.
- To assess the preliminary clinical benefits and limitations of laser technology in bone surgery.
Summary:
- Short-pulsed Er:YAG laser was utilized for osteotomy in 30 patients undergoing oral surgery.
- The laser demonstrated satisfactory cutting efficiency without causing bone carbonization.
- No significant postoperative complications were observed, indicating a favorable healing process.
Impact:
- Laser osteotomy presents a promising non-contact, vibration-free alternative for bone cutting in oral surgery.
- The technique shows potential for improved surgical precision and reduced patient trauma.
- Further research and optimization are needed to address the time-consuming nature of the procedure for broader clinical adoption.
