Electrosurgery in periodontics: a literature review. Azzi R. Alveolar Process/ physiology; Alveolectomy; Animals; Dogs; Electrosurgery*/instrumentation. USE OF ELECTROSURGERY IN PERIODONTICS • Should be limited to superficial procedures such as removal of gingival enlargements. • Gingivoplasty . H.S. Harris, Electrosurgery in dental practice () J.B. Lippincott Co 3- 2. M.J. Oringer, Electrosurgery in dentistry 2 () W. B. Saunders Co 3.

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Footnotes Source of Support: Beyond desiccation, continued application of heat causes disintegration of cellular components into oxygen, nitrogen, hydrogen and other elements psriodontics carbon. How to put internal bevel incision? If the clinician practices ES techniques in the laboratory and applies them clinically according to the principles, clinician will surely find ES to be of immense use in clinical dentistry.

You must be logged in to post a comment. Excision of gingival tissue extending into carious lesion Patient presented with caries on right lower canine 43 and premolar The following formula is applicable elevtrosurgery the amount of lateral heat production.

Therefore, it is not possible to know whether some of the delayed wound healing was reported was the results of the operators’ not having an optimal control of the factors involved in ES or whether ES is actually as damaging as it has been portrayed.

The authors of this study demonstrated a waiting period of minimum 8 seconds between subsequent incisions in the same area to avoid the adverse effects of lateral heat on the tissue. e,ectrosurgery

It has been shown that electrosurgery units with lower frequency produce greater tissue alteration as compared to high-frequency electrosurgery units Removing interproximal tissue for ease of matrix placement and elimination of overhanging margins. Texts on ES[ 4 — 6 ] provide the following outline of events when high-frequency current is applied to soft tissues:. periodonitcs


Electrosurgery in periodontics: a literature review.

But in both kinds of wounds the viability of osteoblasts was the same, and there was no increase in the osteoclasts which would indicate that no bone resorption had occurred. On 2 nd appointment, crown preparation was done in relation to 11 and post and core cementation was done in relation to Bipolar electrosurgery, crown lengthening, electrosurgery, gingivectomy, monopolar electrosurgery.

Active electrodes are used for doing tissue cutting or coagulation. There are two kinds of instruments, bipolar and unipolar. The histological effects of electrosurgery vary depending on the power output 9 and frequency 10 of the electrosurgery unit, the waveform selected 11 and the size and shape of the active electrode ES has been defined as the intentional passage of high-frequency waveforms or currents, through the tissues of the body to achieve a controllable surgical effect.

It is mainly used for……………………………. ES has several applications in almost all branches of dentistry, but this technique is not very widely used. Root canal treatment followed by post and core and crown [ Figure 7 ].

Open in a separate window. The choice of waveform selected during a surgical procedure depends on 1 the required Surgical effect, i. References available in the hard copy of the website.

Electrosurgery in aesthetic and restorative dentistry: A literature review and case reports

A general overview Making a diagnosis in implantology Diagnostic imaging in implantology Dental implants: The physics of waveforms and lateral heat production in electrosurgery Waveforms and their properties: Bipolar instruments have both…………….


Palatal stripping of the hyperplastic Epulis removal and ridge re-contour.

Conclusion The use of electrosurgery in dentistry is increasing as more refined electrosurgical units are being introduced, specifically for dental usage.

These limitations have limited its acceptance by many general dentists and almost a complete avoidance by periodontists and oral surgeons. History The initial application of electricity in dentistry and medicine started with the application of spark gap generators Hyfrecators in 1 and cautery units in 2. The results showed no difference when gingival resection was shallow. Glickman I, Imber I. The faster the active electrode is passed over the tissue, the lesser is the lateral heat produced.

Current frequency Periodontis units typically operate at one fixed frequency predetermined by the electeosurgery for each model. Desensitizing dentin and cementum from cervical erosion. Periodkntics applications for the filtered waveform include the following, Biopsy procedure: It is a pure continuous flow of high-frequency energy where filtration results in a continuous non-pulsating flow of current which provides micro-smooth cutting.

As elecfrosurgery surgical electrode contacts the patient’s oral soft tissues, heat is produced and controlled cutting is achieved. Electrosurgery and wound healing: Advantages and disadvantages of electrosurgery: Dissipation of the current In the bipolar mode, both electrodes are applied concurrently and the current travels from the active electrode through the limited intervening tissue directly to the dispersive electrode.

The active electrode must not remain in contact with tissue for more than 1 to 2 seconds at a time.