Turkiye Klinikleri Journal of Dental Sciences

.: REVIEW
Çocuk Diş Hekimliğinde Yumuşak Doku Lazer Uygulamaları
Soft Tissue Laser Applications in Paediatric Dentistry
Gamze ARENa, Gülsevim USTAa
aPedodonti AD, İstanbul Üniversitesi Diş Hekimliği Fakültesi, İstanbul, TÜRKİYE
Turkiye Klinikleri J Dental Sci. 2019;25(1):90-7
doi: 10.5336/dentalsci.2017-57033
Article Language: TR
Full Text
ÖZET
 Günümüzde oldukça popüler bir hâle gelmiş olan diş hastalıklarının erken tanı ve tedavisinde mikro-diş hekimliği kavramı; olabildiğince az doku kaybı ile tedavilerin uygulanarak hastalıkların önlenmesi amacına hizmet eden en önemli yaklaşımlardan biri olup, bu yaklaşımda lazer uygulamaları gibi yeni teknolojilerden yararlanılabilmektedir. Lazer teknolojisi de erken tanıda sağladığı kolaylıklarla, yalnızca etkilenen dokuların tedavisine odaklanarak sağlıklı diş yapılarının korumasını sağlaması açısından diş hekimliğinde minimal invaziv yaklaşımı desteklemektedir. Çevre dokuda minimum hasar oluşturması, lokal anestezi ve bazı hastalarda hissedilen ağrıyı azaltması, hemostatik etki sağlaması, doku hasarını azaltması, postoperatif inflamasyon, ödem ve ağrıyı azaltması, iyileşme sürecini hızlandırması gibi avantajları lazer tedavilerinin tercih edilmesinde rol oynamaktadır. Çocuklarda frenektomi, diş eti şekillendirilmesi, jinjival hiperplazilerin tedavisi, operkülektomi, sürmemiş dişlerin açığa çıkarılması ve bazı oral patolojilerin (piyojenik granülomlar, mukoseller, aftöz ülserler, herpes labialisler vs.) tedavisinde lazer cihazları kullanılabilmektedir. Lazer tedavileri minimal invaziv bir yaklaşım olmasından dolayı çocuklar ve ebeveynleri tarafından tercih edilen bir yöntem olmuştur. Lazerlerin minimal invaziv özellikleri, çocuklar tarafından kooperasyonda da olumlu bir etki yaratmaktadır. Bu çalışmada, yumuşak dokuda lazer uygulamalarının çocuk diş hekimliğinde kullanım alanlarının belirlenmesi amaçlanmıştır. Çocuklarda dental işlemlerde güvenli ve etkin bir biçimde lazer uygulamalarına yönelik çalışmaların yapılmasına gereksinim duyulmaktadır.

Anahtar Kelimeler: Çocuk diş hekimliği; lazer tedavisi
ABSTRACT
 Having increasingly gained popularity, micro-dentistry is lately becoming one of the most prominent approaches serving to the purpose of minimally invasive treatments for less tissue loss. Laser application technologies are one of the approaches of the micro-dentistry. Laser technology is preferred due to its many advantages such as minimal tissue damage, faster coagulation, less post-operative discomfort, edema, scarring and rapid healing. It also reduces the need for analgesics and antiinflammatory medication. Laser indications in pediatric dentistry mainly are frenectomies (lingual frenum, maxillary labial frenulum), gingival recontouring, gingival hyperplasia removal, operculectomies, exposure of unerupted teeth and some oral pathology treatments (pyogenic granulomas, mucoceles, aphthous ulcers, herpes labialis etc.). Regarded as minimal invasive technique, laser applications are rather suitable for children and they lead to a better cooperation and post-operative satisfaction. The purpose of this study is to determine the areas of use of soft-tissue laser applications in pediatric dentistry. Studies on laser applications for children are needed to be further practiced for safer and better quality treatments.

Keywords: Pediatric dentistry; laser therapy
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