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Laser Gum Surgery: 8 Guaranteed Benefits You Must Know

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Dr. Andreas

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Q.F. Nayibe Cubillos Morales

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Dr. Gustavo Assatourians D.D.S

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Among these advancements, laser gum surgery has emerged as a remarkable development. In the modern era, the laser has earned the moniker “the light of our time,” bringing about revolutionary changes in numerous medical domains, including dentistry. The World Health Organization reports that approximately 10% of the global population experiences gum disease, but fortunately, cutting-edge treatments like laser therapy have been devised to halt its progression effectively.

 

How does laser dentistry work?

laser gum treatment

Lasers have been used to support oral health care since the 1960s. It is light with very special characteristics, which can be applied in two ways to provide additional benefits to general oral health treatments:

1. High-power laser: It generates heat in the tissues, enabling precise cuts, which is why it is widely used in the field of oral surgery. It is also used in periodontics to remove tartar.

2. Low-power laser: It uses less energy, so it does not produce heat or cuts. Through a process called photobiomodulation, it helps reduce inflammation and stimulate tissue regeneration and healing processes. It is also used to inactivate and kill bacteria found on the surface of the tooth root or inside root canals.

 

What causes gum disease?  

When bacteria and tartar build up on the surface of the dental roots, the gums become inflamed to the point that they can be destroyed and therefore damage the underlying bone. This produces bags deep between the gum and the teeth, which are filled with bacteria. This condition is known as periodontal disease; it can cause tooth loss by weakening the bone structure that supports the teeth.

Signs and Symptoms of Gum Disease can mostly arise from inadequate oral hygiene; however, certain individuals might be more prone to this condition due to genetic factors. Additionally, habits like tobacco use can exacerbate its progression.

 

What is the treatment for laser gum surgery?

removing tartar

Periodontal disease is treated by removing tartar, disinfecting the gum pockets, and removing inflamed tissue, which helps control and stop the progression of the disease. For this, traditionally cutting instruments and ultrasound devices are used.

Depending upon the severity, an examination may or may not be required, surgery to lift the gum, discover the affected roots, and reach the most difficult areas, in addition to performing procedures to regenerate the damaged tissue. In these cases, laser gum treatment is highly useful and can yield improved results.

 

How does laser gum treatment work?

Laser gum treatment can in many cases avoid more complex surgical procedures, or make them less invasive. This beam of light is used to:

Eliminate bacteria in deep areas where the instruments do not reach.

Inflamed tissue.

Cauterize blood vessels and promote coagulation.

Soften tartar.

During the procedure, the support of traditional descaling instruments such as ultrasound waves and scaling and smoothing with curettes may be required.

 

What are the pros and cons of laser gum surgery?

laser gum surgery

Benefits:

Less painful.

Eliminates inflamed tissue and preserves healthy gums.

Reduces the risk of infection, thanks to its disinfectant action.

It cauterizes blood vessels and promotes coagulation, generating less bleeding.

It is a safe procedure that can also be used in people with coagulation problems.

Less disability time since it enables faster healing and recovery.

Reduces tooth sensitivity.

Improved results.

Disadvantages:

It requires properly trained dentists and specialists.

There are not many professionals trained in the use of lasers or dental clinics that offer the service.

Some procedures may still require local anesthesia or the use of conventional tools.

The use of inadequate intensities could cause damage to the pulp of the tooth.

 

What is gummy smile laser surgery?

laser equipment

Gummy smile laser surgery is an aesthetic procedure performed on people who feel uncomfortable because when they smile, they reveal a large part of the gums, showing short teeth. Sometimes this happens in healthy gums, while other times it is caused by severe inflammation that causes them to increase in size and cover part of the crowns of the teeth.

Procedure:

1. The dentist performs an exam and takes measurements to determine if surgery is possible. For this, X-rays will likely be required.

2. Some professionals take photos to show the changes after the procedure.

3. A design is made where the amount of gum to be removed is specified.

4. Some marks are made to delimit the area to be treated.

5. A precise cut is made using laser light, which removes excess gum and improves the appearance of the smile.

 

How do I know if I need laser gum treatment? 

The following may be signs that you need gum treatment, and laser-assisted treatment may be a good option:

1. Moving teeth.

2. Teeth that look very elongated or have exposed roots.

3. Receding gums

4. Black triangles between the teeth.

5. Bad breath.

6. A smile with short teeth or that shows a lot of gums, generates discomfort or aesthetic problems.

If you notice any signs of Recession of the gums mentioned above, it’s essential to get in touch with a dentist. Following a comprehensive examination, the dentist will be able to identify the most suitable treatment for your specific case.

Frequently Asked Questions

How long does it take to heal a gum clipping?

As with all dental procedures, gingivectomy provides patients with optimal results and has a short healing period of approximately one week.

No, gingivectomy does not cause pain. To avoid any discomfort during the procedure, local anesthesia is used to numb the area to be worked on. Therefore, there is no need to worry about pain during surgery.

During the first 24 hours after surgery, it is recommended not to drive, consume alcohol, smoke, or do similar activities. Also, it is recommended to apply cold compresses for 10 minutes to help reduce swelling.

After laser gum surgery, it is recommended to follow a liquid diet or consume foods that do not require chewing on the day of the procedure. Subsequently, it is recommended to opt for soft foods with a high content of vitamins and proteins during the following days. It is important to increase fluid intake. Gradually, a normal diet can be resumed as soon as possible.

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References

1. Dds, G. A. (May 11, 2023). Gum Diseases: Signs And Symptoms. Channel Islands Family Dental Office. Available from: https://cidentist.com/es/enfermedades-de-las-encias-signos-y-sintomas/

2. Mills, M. P., Rosen, P. S., Chambrone, L., Greenwell, H., Kao, R. T., Klokkevold, P. R., McAllister, B. S., Reynolds, M. A., Romanos, G. E., & Wang, H.-L. (2018). American Academy of Periodontology’s best evidence consensus statement on the efficacy of laser therapy used alone or as an adjunct to non-surgical and surgical treatment of periodontitis and peri-implant diseases. Journal of Periodontology, 89(7), 737–742. Available from: https://aap.onlinelibrary.wiley.com/doi/10.1002/JPER.17-0356

3. StackPath. (Jul 1, 2020). Rdhmag.com. Available from: https://www.rdhmag.com/patient-care/lasers/article/14179001/reasons-to-consider-a-laser-for-adjunctive-therapy-an-overview

4. Whelan, C. (Jun 23, 2021). Laser gum surgery: Cost, procedure, and aftercare. Healthline. Available from: https://www.healthline.com/health/dental-and-oral-health/laser-gum-surgery

5. Jose, K. A., Ambooken, M., Mathew, J. J., Issac, A. V., Kunju, A. P., & Parameshwaran, R. A. (2016). Management of Chronic Periodontitis Using Chlorhexidine Chip and Diode Laser-A Clinical Study. Journal of Clinical and diagnostic research: JCDR, 10(4), ZC76–ZC80. https://doi.org/10.7860/JCDR/2016/13241.7669

6. Everett, J. D., Rossmann, J. A., Kerns, D. G., & Al-Hashimi, I. (2017). Laser Assisted Non-surgical Periodontal Therapy: A Double-Blind, Randomized Clinical Trial. The open dentistry journal, 11, 79–90. https://doi.org/10.2174/1874210601711010079

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