Hard Laser Systems Used In Oral and Maxillofacial Surcigal Practice

Yıl 2019, Cilt: 5 Sayı: 3, 54 - 61, 29.12.2019

Serkan Yıldız Mehmet Kemal Tümer

Öz

For centuries light has been considered as a healing agent. In ancient Greece, sunlight had been used as heliotherapy method, and health-impaired individuals had been exposed to sunlight. Therapeutical effects of light have reached nowadays, and laser has found a place in modern medical practice with diagnosis and therapeutic modalities.
Lasers have been used in the oral and maxillofacial field since the 1960s and from now on are being used routinely. Laser-assisted surgical techniques are widely applied in diseases like; obstructive sleep apnea, temporomandibular joint disorders, dental implants, premaling lesions, therapy of posttraumatic scars, hard tissue osteotomy, soft tissue surgery.
Rather than conventional techniques, laser implementation has pros like efficiently directing the laser beam and being able to focus the high energy on relatively small sites. In this review we aim to present pros and cons of laser implementation, indications, efficiency and types of laser systems like argon, diode, nd yag, ho yag, er yag, carbon dioxide systems.

Anahtar Kelimeler

Laser, Surgery, Oral, Maxillofacial

Oral Ve Maksillofasiyal Cerrahi Pratiğinde Kullanılan Sert Lazer Sistemleri

Öz

Işık yüzyıllardır iyileştirici bir ajan olarak kullanılmaktadır. Antik Yunanda güneş ışınları helioterapi amaçlı kullanılmış ve sağlığı bozulan insanlar güneş ışığına maruz bırakılmışlardır. Işığın bu iyileştirici etkisi günümüze değin gelmiş ve lazerler ile güneşten bağımsız tanı ve tedavi amaçlı kullanılmaya başlanmıştır.
1960’lı yıllardan beri oral ve maksillofasiyal cerrahi pratiğinde kullanılan lazerler artık rutin hale gelmiştir. Uyku apnesi, temporamandibular eklem bozuklukları, dental implantlar, premalign lezyonlar, posttravmatik skarların tedavisi, sert doku osteotomisi, yumuşak doku cerrahisi lazer cerrahisinin ortaya çıkmasıyla birlikte oldukça gelişmiştir.
Diğer geleneksel yöntemlere göre lazer uygulaması, lazer ışınının kolaylıkla yönlendirilebilmesi ve yüksek miktarda enerjinin küçük noktalara odaklanabilmesi nedeniyle oldukça ileri bir tedavi yöntemidir. Lazer teknolojisinin sağladığı yararların yanı sıra birtakım zararları da bulunmaktadır. Bu derlemede ağız diş ve çene cerrahisinde kullanılan argon, diyot, nd yag, ho yag, er yag, karbondioksit (co2), gibi sert lazer çeşitleri, kullanım alanları, etkinlikleri, lazer uygulamasının avantaj ve dezavantajları geniş bir derleme ile sunulmuştur.

Anahtar Kelimeler

Lazer, Cerrahi, Oral, Maksillofasiyal

Kaynakça

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