DOI:

10.37988/1811-153X_2022_4_137

A comparative assessment of the results of the biological response of the oral mucosa on the effect of laser radiation with a wavelength of 445 nm and 810 nm

Authors

  • N.V. Romanenko 1, PhD in Medical Sciences, associate professor of the Surgical dentistry Department
    ORCID: 0000-0002-5846-5578
  • S.V. Tarasenko 1, PhD in Medical Sciences, full professor of the Maxillofacial surgery Department
    ORCID: 0000-0001-8595-8864
  • N.B. Serezhnikova 1, PhD in Biology, senior researcher at the BioBank of the Institute for Regenerative Medicine
    ORCID: 0000-0002-4097-1552
  • A.B. Shekhter 1, PhD in Biology, full professor, chief researcher of the BioBank of the Institute for Regenerative Medicine
    ORCID: 0000-0003-2914-318X
  • A.Y. Suvorov 1, PhD in Medical Sciences, chief medical statistician
    ORCID: 0000-0002-2224-0019
  • S.V. Djidjavadze 1, clinical resident of the Surgical dentistry Department
    ORCID: 0000-0002-5220-6049
  • A.A. Derevyankin 1, clinical resident of the Surgical dentistry Department
    ORCID: 0000-0003-0408-0936
  • 1 Sechenov University, 119435, Moscow, Russia

Abstract

Currently, russian and foreign manufacturers of medical equipment present an innovative laser technology involving preparation of soft tissues by non-contact method. Laser radiation with a wavelength of 445 nm is generated by a diode semiconductor and corresponds to the blue color of the visible light spectrum. The scientific justification of the effectiveness of blue laser as an alteration tool in surgical dentistry is relevant. The aim of the study is to study morphological changes of intact oral mucosa when exposed to laser radiation of 445 nm wavelength. >. Peculiarities of the biological response of the oral mucosa to alteration formed by laser radiation with a wavelength of 445±40 nm were studied. The objects of the study were 24 sexually mature laboratory rats weighing from 180 to 250 grams. In the main group (12 rats), a linear incision of the mucous membrane was made using a 445 nm laser in a non-contact mode at the 0.7 W emission power in a continuous mode using uninitiated fiber. The comparison group was the samples of the oral mucous membrane with the defect formed by exposure to 810 nm laser by contact method at the power of 0.7 W in the pulsed mode and using initiated fiber. >. According to the histological picture, the preparation of the oral mucosa of laboratory animals by non-contact method and 445 nm laser emission caused less tissue damage in comparison to the contact method and 810 nm laser. >. The results of histological study indicate the safety of blue laser emission and its advantage over the infrared laser.

Key words:

diode laser, laser radiation, 445 nm, histological examination, blue laser

For Citation

[1]
Romanenko N.V., Tarasenko S.V., Serezhnikova N.B., Shekhter A.B., Suvorov A.Y., Djidjavadze S.V., Derevyankin A.A. A comparative assessment of the results of the biological response of the oral mucosa on the effect of laser radiation with a wavelength of 445 nm and 810 nm. Clinical Dentistry (Russia).  2022; 25 (4): 137—143. DOI: 10.37988/1811-153X_2022_4_137

References

  1. Bonatto G.O., Silva A.P.M., Buchala C.A.C.N. Major approaches to minimally traumatic surgery in dentistry: a systematic review. Journal of Medical and Health Sciences. 2021; 2 (5): 1—6. DOI: 10.54448/mdnt21517.
  2. Frencken J.E. Atraumatic restorative treatment and minimal intervention dentistry. Br Dent J. 2017; 223 (3): 183—189. PMID: 28798450
  3. Sultan N., Jafri Z., Sawai M., Bhardwaj A. Minimally invasive periodontal therapy. J Oral Biol Craniofac Res. 2020; 10 (2): 161—165. PMID: 32489815
  4. Karakov K.G., Vlasova T.N., Oganyan A.V., Majarov V.N., Karakova S.N., Khachaturyan E.E., Khachaturyan A.E., Em A.V. The efficiency of application of oil-balsamic antiseptics in patients with erosic and ulcerent damages of the mucosa of the oral cavity. Glavnyi Vrach Uga Russia. 2019; 6 (70): 16—20 (In Russ.). eLIBRARY ID: 41747107
  5. Pavlenko O., Boiko M., Savitskaya I., Geylenko O. Histotopographic and morphometric characteristics of the oral mucosa postoperative wounds healing, depending on the method of connecting the wound edges. EUREKA: Health Sciences. 2021; 3: 69—78. DOI: 10.21303/2504-5679.2021.001845.
  6. Politis C., Schoenaers J., Jacobs R., Agbaje J.O. Wound Healing Problems in the Mouth. Front Physiol. 2016; 7: 507. PMID: 27853435
  7. Guntorova A.M. Comparative analysis of reparative processes depending on the method of surgical treatment: master’s thesis. Moscow: Sechenov University, 2019. 147 p. (In Russ.).
  8. Trunin D.A., Vyrmaskin S.I., Afanasev V.V. Experience of using lasers for vestibuloplasty in pery-impant area. Medical and pharmaceutical journal Pulse. 2021; 6: 87—92 (In Russ.). eLIBRARY ID: 46113079
  9. Kaur M., Sharma Y.P.D., Singh P., Sharma S., Wahi A. Comparative evaluation of efficacy and soft tissue wound healing using diode laser (810 nm) versus conventional scalpel technique for second-stage implant surgery. J Indian Soc Periodontol. 2018; 22 (3): 228—234. PMID: 29962702
  10. Merigo E., Clini F., Fornaini C., Oppici A., Paties C., Zangrandi A., Fontana M., Rocca J.P., Meleti M., Manfredi M., Cella L., Vescovi P. Laser-assisted surgery with different wavelengths: a preliminary ex vivo study on thermal increase and histological evaluation. Lasers Med Sci. 2013; 28 (2): 497—504. PMID: 22526970
  11. Convissar R.A. Principles and Practice of Laser Dentistry. Mosby, 2015. 328 p.
  12. Theodoro L.H., Garcia V.G. Surgical and non-surgical treatment of periodontal diseases. In: Freitas P.M., Simões A. Lasers in Dentistry: Guide for clinical practice. Wiley-Blackwell, 2015. Pp. 153—158.
  13. Zhuravlev A.N., Peshkov V.A., Grishunova Zh.A., Koptelova A.S., Ermakova A.A. Advantages of diode laser light at dental surgical procedures. Laser Medicine. 2021; S3: 73—74 (In Russ.). eLIBRARY ID: 47114289
  14. Sant’Anna E.F., Araújo M.T.S., Nojima L.I., Cunha A.C.D., Silveira B.L.D., Marquezan M. High-intensity laser application in Orthodontics. Dental Press J Orthod. 2017; 22 (6): 99—109. PMID: 29364385
  15. Pal M., Saokar A., Gopalkrishna P., Rajeshwari H.R., Kumar S. Diode laser-assisted management of intraoral soft tissue overgrowth: a case series. Gen Dent. 2020; 68 (4): 28—31. PMID: 32597774
  16. Pisano M., Sammartino P., Di Vittorio L., Iandolo A., Caggiano M., Roghi M., Bizzoca M.E., Lo Muzio L. Use of diode laser for surgical removal of pyogenic granuloma of the lower lip in a pediatric patient: A case report. Am J Case Rep. 2021; 22: e929690. PMID: 34146391
  17. Azma E., Safavi N. Diode laser application in soft tissue oral surgery. J Lasers Med Sci. 2013; 4 (4): 206—11. PMID: 25606331
  18. Campos F.H.O., Ferreira L.B., Romano M.M., Moreira M.S., Eduardo C.P., Ramalho K.M. Immediate laser-induced hemostasis in anticoagulated rats subjected to oral soft tissue surgery: a double-blind study. Braz Oral Res. 2018; 32: e56. PMID: 29898023
  19. Katta N., Santos D., McElroy A.B., Estrada A.D., Das G., Mohsin M., Donovan M., Milner T.E. Laser coagulation and hemostasis of large diameter blood vessels: effect of shear stress and flow velocity. Sci Rep. 2022; 12 (1): 8375. PMID: 35589781
  20. Żywicka B., Bujok J., Janeczek M., Czerski A., Szymonowicz M., Dobrzyński M., Świderski J., Rybak Z. Usefulness of thulium-doped fiber laser and diode laser in zero ischemia kidney surgery-comparative study in pig model. Materials (Basel). 2021; 14 (8): 2000. PMID: 33923581
  21. Hanke A., Fimmers R., Frentzen M., Meister J. Quantitative determination of cut efficiency during soft tissue surgery using diode lasers in the wavelength range between 400 and 1500 nm. Lasers Med Sci. 2021; 36 (8): 1633—1647. PMID: 33496905
  22. Derikvand N., Chinipardaz Z., Ghasemi S., Chiniforush N. The versatility of 980 nm diode laser in dentistry: A case series. J Lasers Med Sci. 2016; 7 (3): 205—208. PMID: 28144444
  23. Aytugar E., Unver T., Aytugar T.B., Celikten M., Selvi F., Alatli F.C., Usumez A. Healing of surgical wounds treated with 810nm, 940nm, and 980nm diode lasers in different operation modes. Annals of Medical Research. 2019; 26 (8): 1647—1654. DOI: 10.5455/annalsmedres.2019.05.290
  24. Fornaini C., Merigo E., Sozzi M., Rocca J.P., Poli F., Selleri S., Cucinotta A. Four different diode lasers comparison on soft tissues surgery: a preliminary ex vivo study. Laser Ther. 2016; 25 (2): 105—114. PMID: 27721562
  25. Stubinger S., Etter C., Miskiewicz M., Homann F., Saldamli B., Wieland M., Sader R. Surface alterations of polished and sandblasted and acid-etched titanium implants after Er:YAG, carbon dioxide, and diode laser irradiation. Int J Oral Maxillofac Implants. 2010; 25 (1): 104—11. PMID: 20209192
  26. Leja C., Geminiani A., Caton J., Romanos G.E. Thermodynamic effects of laser irradiation of implants placed in bone: an in vitro study. Lasers Med Sci. 2013; 28 (6): 1435—40. PMID: 23053251
  27. Gorbatova N.E., Zolotov S.A., Simanovsky Ya.O., Nikiforov S.M., Golubev S.V., Alimpiyev S.S., Geynits A.V., Eliseenko V.I., Stankova N.V. Experimental assessment of efficiency of modes of an ablyation impulses of CO₂ lasers of various duration of integuments of mini-pigs for a laser dermabraziya. Biomedicine. 2013; 4: 90—106 (In Russ.). eLIBRARY ID: 21097747
  28. Borchers R. Comparison of diode lasers in soft tissue surgery using CW and superpulsed mode: An in vivo study. International Journal of Laser Dentistry. 2011; 1 (1): 17—27. DOI: 10.5005/jp-journals-10022-1003
  29. Whitehead A.L., Julious S.A., Cooper C.L., Campbell M.J. Estimating the sample size for a pilot randomised trial to minimise the overall trial sample size for the external pilot and main trial for a continuous outcome variable. Stat Methods Med Res. 2016; 25 (3): 1057—73. PMID: 26092476

Received

August 21, 2022

Accepted

October 22, 2022

Published on

December 21, 2022