A Randomized Comparative Study of Dual-wavelength Laser Combined with Digital Guide Plate in Maxillary Impacted Central Incisor Distraction

doi:10.13701/j.cnki.kqyxyj.2023.08.008

Abstract

Abstract: Objective: To investigate the clinical effect of dual-wavelength laser combined with digital guide plate in the traction of maxillary impacted central incisors. Methods: From June 2020 to June 2022, 20 children with impacted maxillary central incisors, aged 7-10 years old, were collected from the Department of Pediatric Stomatology, West District, Hefei City Stomatological Hospital. The operation time, blood loss, and VAS value were recorded. The VAS value was recorded on the 1st, 3rd, and 7th day after operation. The bracket dropout rate was recorded on the 1st, 2nd, and 3rd month after operation. Results: The blood loss of the laser combined with digital guide group was less than that of the traditional scalpel group. In terms of operation duration, the average operation time in the laser combined with digital guide group was (22.4±5.9) min, and that in the traditional scalpel group was (44.0±16.8) min. The first day and the third day after surgery laser guide group number in the hierarchy of lower VAS score less than traditional scalpel group, and the results were statistically significant (P<0.05). There was no significant difference in VAS values during operation and on the 7th day after operation and in the bracket dropout rate at 1, 2, and 3 months after operation between two groups (P>0.05). Conclusion: It is a more comfortable and time-saving method to treat the maxillary impacted permanent incisors with the combination of dual-wavelength laser and digital guide plate.

Key words: dual-wavelength laser, impacted tooth, maxillary central incisor, guide plate

DING Yue, XIE Ling, REN Lewen, TIAN Wenxian. A Randomized Comparative Study of Dual-wavelength Laser Combined with Digital Guide Plate in Maxillary Impacted Central Incisor Distraction[J]. Journal of Oral Science Research, 2023, 39(8): 701-706.

References

[1] 邱蔚六.口腔颌面外科学[M].第4版.北京:人民卫生出版社,2000. 68-81.
[2] 林久祥,傅民魁.口腔正畸学[M].北京:北京大学医学出版社,2005. 189-190.
[3] Mockut G, Klimait G, Smailien D. The morphology of impacted maxillary central incisors: A systematic review [J]. Medicina (Kaunas), 2022, 58(4): 462.
[4] Al-Zoubi H, Alharbi AA, Ferguson DJ, et al. Frequency of impacted teeth and categorization of impacted canines: A retrospective radiographic study using orthopantomograms [J]. Eur J Dent, 2017,11(1): 117-121.
[5] Moog U, De Die-Smulders CE, Schrander-Stumpel CT, et al. Holoprosencephaly: the maastricht experience [J]. Genet Couns, 2001, 12(3): 287-298.
[6] Batstone MD, Macleod AW. Oral and maxillofacial surgical considerations for a case of Hutchinson-Gilford progeria [J]. Int J Paediatr Dent, 2002, 12(6): 429-432.
[7] Pinho T, Neves M, Alves C. Impacted maxillary central incisor: surgical exposure and orthodontic treatment [J]. Am J Orthod Dentofacial Orthop, 2011, 140(2): 256-265.
[8] 胡莲.手术导萌联合口腔正畸治疗对上颌埋伏阻生牙患者疼痛及美观度的影响[J].临床医学研究与实践,2020,5(27): 113-114.
[9] Bhikoo C, Xu J, Sun H, et al. Factors affecting treatment duration of labial inversely impacted maxillary central incisors [J]. Am J Orthod Dentofacial Orthop, 2018, 153(5): 708-715.
[10] 王镶珊,胡荣党. 上颌埋伏阻生中切牙的治疗[J]. 国际口腔医学杂志,2010,37(2): 240-243.
[11] 李兴军. 埋伏牙的正畸手术治疗探讨[J]. 吉林医学,2010,31(34): 6299.
[12] Kuvvetli SS, Seymen F, Gencay K. Management of an unerupted dilacerated maxillary central incisor: a case report [J]. Dent Traumatol, 2007, 23(4): 257-261.
[13] Kravitz ND, Kusnoto B. Soft-tissue lasers in orthodontics: an overview [J]. Am J Orthod Dentofacial Orthop, 2008, 133(4 Suppl): S110-S114.
[14] Soundarajan S, Rajasekar A. Comparative evaluation of combined efficacy of methylene blue mediated antimicrobial photodynamic therapy (a-PDT) using 660 nm diode laser versus Erbium-chromium-yttrium-scandium-gallium-garnet (Er, Cr: YSGG) laser as an adjunct to scaling and root planing on clinical parameters in supportive periodontal therapy: A randomized split-mouth trial [J]. Photodiagnosis Photodyn Ther, 2022, 39: 102971.
[15] Coachman C, Valavanis K, Silveira FC, et al. The crown lengthening double guide and the digital Perio analysis [J]. J Esthet Restor Dent, 2023, 35(1):215-221.
[16] 白沙草,王朝彦. 传统切除与激光切除在下唇黏液腺囊肿手术中的效果比较[J]. 实用临床医药杂志,2019,23(17): 110-112.
[17] Wang Z, Zhao SY, He WS, et al. Application of digital positioning guide plates for the surgical extraction of multiple impacted supernumerary teeth: A case report and review of literature [J]. World J Clin Cases, 2022, 10(27): 9886-9896.
[18] Tripathi PB, Nelson JS, Wong BJ. Posttraumatic laser treatment of soft tissue injury [J]. Facial Plast Surg Clin North Am, 2017, 25(4): 617-628.
[19] Negosanti F, Silvestri M, Bennardo L, et al. Nd:YAG laser in association with pulsed dye laser for the treatment of PHACES syndrome [J]. Dermatol Reports, 2021, 13(1): 8751.
[20] Sun H, Hu R, Ren M, et al. The treatment timing of labial inversely impacted maxillary central incisors: A prospective study [J]. Angle Orthod, 2016, 86(5): 768-774.
[21] Prabhakar A, Lokeshwari M, Naik SV, et al. Efficacy of caries removal by carie-care and erbium-doped yttrium aluminum garnet laser in primary molars: A scanning electron microscope study [J]. Int J Clin Pediatr Dent, 2018, 11(4): 323-329.
[22] Bianchi N, Lorenzi C, Pinto A, et al. Upper-lip laser frenectomy with a diode laser in a pediatric patient: a case report [J]. J Biol Regul Homeost Agents, 2021, 35(3 Suppl. 1): 29-35.
[23] de Santana-Santos T, de Souza-Santos aA, Martins-Filho PR, et al. Prediction of postoperative facial swelling, pain and trismus following third molar surgery based on preoperative variables [J]. Med Oral Patol Oral Cir Bucal, 2013, 18(1): e65-e70.
[24] Dalaie K, Mir M, Ghaffari S. Laser assisted surgical and orthodontic treatment of a dilacerated impacted maxillary incisor: A case report [J]. Front Dent, 2021, 18: 30.