Bone Treatment Laser-navigated Surgery

Overview

Journal Lasers Med Sci

Publisher Springer

Date 2009 Mar 12

PMID 19277821

Citations 1

Authors

Bettina Hohlweg-Majert

Herbert Deppe

Marc C Metzger

Sebstian Stopp

Klaus-Dietrich Wolff

Tim C Lueth

Affiliations

Soon will be listed here.

Abstract

A new concept was developed based on the experience gained in dental rehabilitation with implantation in the oral maxillofacial region. Despite the use of cooling systems, mechanically rotating instruments may damage the surrounding tissue due to the frictional heat generated. An alternative approach for bone removal is laser application. A preoperative plan was prepared. Laser ablation was performed in accordance with the data set on bovine bone using a navigation system. This new concept allows precise bone removal and adjustment of the laser power according to the preoperative plan. The power of the laser automatically decreases as it approaches the border of the planned cavity or important anatomical structures. The advantage of this approach is precise and safe bone removal without damaging the bone by frictional heat.

Citing Articles

Advances in bone surgery: the Er:YAG laser in oral surgery and implant dentistry.

Stubinger S Clin Cosmet Investig Dent. 2013; 2:47-62.

PMID: 23662082 PMC: 3645460.

References

Schwarz F, Olivier W, Herten M, Sager M, Chaker A, Becker J . Influence of implant bed preparation using an Er:YAG laser on the osseointegration of titanium implants: a histomorphometrical study in dogs. J Oral Rehabil. 2007; 34(4):273-81. DOI: 10.1111/j.1365-2842.2006.01704.x. View

Ewers R, Schicho K, Undt G, Wanschitz F, Truppe M, Seemann R . Basic research and 12 years of clinical experience in computer-assisted navigation technology: a review. Int J Oral Maxillofac Surg. 2004; 34(1):1-8. DOI: 10.1016/j.ijom.2004.03.018. View

Stopp S, Deppe H, Lueth T . A new concept for navigated laser surgery. Lasers Med Sci. 2007; 23(3):261-6. DOI: 10.1007/s10103-007-0476-4. View

Metzger M, Rafii A, Holhweg-Majert B, Pham A, Strong B . Comparison of 4 registration strategies for computer-aided maxillofacial surgery. Otolaryngol Head Neck Surg. 2007; 137(1):93-9. DOI: 10.1016/j.otohns.2007.02.015. View

Bornstein E . Proper use of Er:YAG lasers and contact sapphire tips when cutting teeth and bone: scientific principles and clinical application. Dent Today. 2004; 23(8):84, 86-9. View

Kesler G, Romanos G, Koren R . Use of Er:YAG laser to improve osseointegration of titanium alloy implants--a comparison of bone healing. Int J Oral Maxillofac Implants. 2006; 21(3):375-9. View

Stopp S, Svejdar D, Deppe H, Lueth T . A new method for optimized laser treatment by laser focus navigation and distance visualization. Annu Int Conf IEEE Eng Med Biol Soc. 2007; 2007:1738-41. DOI: 10.1109/IEMBS.2007.4352646. View

Meyer U, Wiesmann H, Runte C, Fillies T, Meier N, Lueth T . Evaluation of accuracy of insertion of dental implants and prosthetic treatment by computer-aided navigation in minipigs. Br J Oral Maxillofac Surg. 2003; 41(2):102-8. DOI: 10.1016/s0266-4356(02)00297-8. View

Deppe H, Horch H . Laser applications in oral surgery and implant dentistry. Lasers Med Sci. 2007; 22(4):217-21. DOI: 10.1007/s10103-007-0440-3. View

10.

Devlin H, Dickinson M, Sloan P, Lloyd R . Osseointegration of titanium metal implants in erbium-YAG laser-prepared bone. Implant Dent. 1999; 8(1):79-85. DOI: 10.1097/00008505-199901000-00010. View

11.

Chacon G, Bower D, Larsen P, McGlumphy E, Beck F . Heat production by 3 implant drill systems after repeated drilling and sterilization. J Oral Maxillofac Surg. 2006; 64(2):265-9. DOI: 10.1016/j.joms.2005.10.011. View

12.

Rupprecht S, Tangermann K, Kessler P, Neukam F, Wiltfang J . Er:YAG laser osteotomy directed by sensor controlled systems. J Craniomaxillofac Surg. 2003; 31(6):337-42. DOI: 10.1016/j.jcms.2003.07.007. View

13.

Sasaki K, Aoki A, Ichinose S, Yoshino T, Yamada S, Ishikawa I . Scanning electron microscopy and Fourier transformed infrared spectroscopy analysis of bone removal using Er:YAG and CO2 lasers. J Periodontol. 2002; 73(6):643-52. DOI: 10.1902/jop.2002.73.6.643. View

14.

Fried N, Fried D . Comparison of Er:YAG and 9.6-microm TE CO(2) lasers for ablation of skull tissue. Lasers Surg Med. 2001; 28(4):335-43. DOI: 10.1002/lsm.1059. View

15.

Davidson S, James D . Drilling in bone: modeling heat generation and temperature distribution. J Biomech Eng. 2003; 125(3):305-14. DOI: 10.1115/1.1535190. View

16.

Casap N, Wexler A, Persky N, Schneider A, Lustmann J . Navigation surgery for dental implants: assessment of accuracy of the image guided implantology system. J Oral Maxillofac Surg. 2004; 62(9 Suppl 2):116-9. DOI: 10.1016/j.joms.2004.06.028. View

17.

Apel C, Franzen R, Meister J, Sarrafzadegan H, Thelen S, Gutknecht N . Influence of the pulse duration of an Er:YAG laser system on the ablation threshold of dental enamel. Lasers Med Sci. 2002; 17(4):253-7. DOI: 10.1007/s101030200037. View

18.

Strauss M, Lueders C, Strauss G, Stopp S, Shi J, Lueth T . Model for nerve visualization in preoperative image data based on intraoperatively gained EMG signals. Stud Health Technol Inform. 2008; 132:493-5. View

19.

Keller U, Hibst R . Effects of Er:YAG laser in caries treatment: a clinical pilot study. Lasers Surg Med. 1997; 20(1):32-8. DOI: 10.1002/(sici)1096-9101(1997)20:1<32::aid-lsm5>3.0.co;2-#. View

20.

Verstreken K, van Cleynenbreugel J, Marchal G, Naert I, Suetens P, van Steenberghe D . Computer-assisted planning of oral implant surgery: a three-dimensional approach. Int J Oral Maxillofac Implants. 1996; 11(6):806-10. View