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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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This limits the use of monopolar surgery near and around critical structures.

Electrosurgery in periodontal therapy –

On 2 nd appointment, crown preparation was done in relation to 11 and post and core electrosuregry was done in relation to electrsurgery The therapeutic objectives desired in restorative dentistry include incision or excision and coagulation of tissue. During the past three decades, a substantial increase in minimally invasive surgery and microvascular surgery prompted greater use of electrosurgery.

ES can never completely replace the scalpel but although ES requires more knowledge and skill, the advantages out number and outweighs its disadvantages.

The first use of the electrosurgical generator in an operating room was on October 1,at Peter Bent, Brigham Hospital in Boston, Massachusetts. Both types of electrosurgical units achieve their intended purposes well, but monopolar electrosurgery is used more often than is bipolar electrosurgery.

Vitality test showed negative response with all the three teeth. The resistance of the tissue to electrical wave produces a certain amount of heat. How to do research?

The electrosurgical units are frequently used during surgical periodontal therapy. The histological effects of electrsurgery 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 Gingival recession with electrosurgery for impression making. The physics of waveforms and lateral heat production in electrosurgery Waveforms and their properties: This high-frequency energy is used to cut or coagulate the tissue.


Needle-like active electrodes are used for the cutting of the tissue, whereas, electrodes with a greater surface area at the tip are used for coagulation.

There is abundant literature on electrosurgery dating back more than a century. The histological effect of ES varies depending on the power output[ 9 ] and frequency[ 10 ] of ES unit, elctrosurgery waveform selected[ 11 ] and size and shape of active electrode. 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.

Electrosurgery is the passage of radio frequency or the high-frequency electrical current through the tissue to create a desired clinical effect on the tissue.

The active electrode must not remain in contact with tissue for more than 1 to 2 seconds at a time. Articles from Journal of Conservative Dentistry: Patient presented with fracture of right 11 electrousrgery left central incisor 21 with gingival overgrowth present interproximally distal to 21 [ Figure 8 ].

Abstract Electrosurgery has been used in dentistry for more than half a century. Another study compared healing after application of electrosurgery and periodontal knives.

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

Esthetics of anterior fixed prosthodontics. It cannot be used near inflammable gasses.

Following is the brief description of the properties and clinical application of different waveforms. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Root canal treatment followed by crown preparation was done in relation 21 and gingival tissue was removed using electrosurgery [ Figure 9 ].

They found electosurgery an activated loop electrode generated more energy during surgery than a needle electrode. Bony sequestration following electrosurgery.


Advantages and disadvantages of electrosurgery: Leave a Reply Click here to cancel reply. It is mainly used for…………………………….

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Gingival recontoring Patient presented with fracture of right central 11lateral 12 and left lateral incisor Each of these methods works. Therefore, it is not used for coagulation in close proximity to the bone or when performing osseous surgery.

According to Krejci et al. Chair time of the surgical procedure, as well as operator fatigue, are reduced. Bipolar instruments have both…………….

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

The desired effect in the tissue is determined by a number of electrical properties as well as factors such as tissue exposure time and the size and shape of the electrsourgery of the electrode near to or in contact with the target tissue. When teeth with cervical amalgam restoration were contacted by active electrode tip to simulate clinical application, it was found that contrary to an earlier periodontisc 16 ] there was no evidence of extensive damage or necrosis of pulp.

Electrosurgery has been used in dentistry for more than half a century. Unlike the monopolar mode, the area of high-current density, the tissue serving as the return path and the tissue involved in the immediate diffusion zone are all virtually the same or within peeiodontics narrow limits. The fully rectified waveform does create shrinkage and additional lateral heat and therefore should not be used in close proximity to the bone.

A histological comparison of effects of electrosurgical resection using different electrodes.


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