PMID: 3320098Nov 1, 1987Paper

Electrosurgery--a biological approach

Journal of Clinical Periodontology
R F KrejciU Krause-Hohenstein

Abstract

Electrosurgery has been used in dentistry for more than 50 years. Both opponents and advocates of electrosurgery have presented a variety of clinical studies in favour of their respective opinions, which are discussed in the following review. In some studies, wounds created by electrosurgical techniques were observed through the healing stages, in comparison to those following incision by a surgical blade, with no significant difference being discovered. Other studies reported that the histologic response of oral connective tissue to electrosurgery was adverse in some animal and human models. However, neither of these groups used methods that allowed documentation or control of operating variables. A critical evaluation of controlled clinical studies shows that adverse responses of (connective) tissue, epithelium, bone, cementum, and periodontal attachment are related to an excessive lateral heat production during the procedure. With electrosurgery, the clinician can control the inherent variables. Waveform, frequency, size of the electrode, time of contact and cooling periods are some of those considered to be of importance in the studies. On the basis of the research reports, clinical guidelines have been developed to give pr...Continue Reading

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Citations

Jul 16, 2014·Journal of Indian Society of Periodontology·Nagate Raghavendra ReddySumit Narang
Jan 1, 1990·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·R KaminerJ J Zambon
May 9, 2006·Journal of Clinical Periodontology·M MavrogiannisR A Seymour
Oct 24, 2009·Acta Cirúrgica Brasileira·Belmiro Cavalcanti do Egito VasconcelosGabriela Granja Porto
May 11, 2006·The Journal of Clinical Pediatric Dentistry·Mariana Minatel BragaSérgio Luiz Pinheiro

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