Abstract
The interaction of laser light and tissue causes measurable phenomenons. These phenomenons can be quantified and used to control the laser drilling within a feedback system. Ten halves of dissected minipig jaws were treated with an Er:YAG laser system controlled via a feedback system. Sensor outputs were recorded and analyzed while osteotomy was done. The relative depth of laser ablation was calculated by 3D computed tomography and evaluated histologically. The detected signals caused by the laser–tissue interaction changed their character in a dramatic way after passing the cortical bone layer. The radiological evaluation of 98 laser-ablated holes in the ten halves showed no deeper ablation beyond the cortical layer (mean values: 97.8%). Histologically, no physical damage to the alveolar nerve bundle was proved. The feedback system to control the laser drilling was working exactly for cortical ablation of the bone based on the evaluation of detected and quantified phenomenon related to the laser–tissue interaction.
Similar content being viewed by others
References
Keller U, Hibst R (1994) Lasersysteme für die orale Hart- und Weichgewebschirurgie—Gewebewirkungen und Indikationen. Lasermedizin. Gustav Fischer Verlag Stuttgart 10:208–214
Horch HH (1993) Laser in der Zahnärztlichen- und Mund-Kiefer-Gesichtschirurgie. In: Berlien H-P, Müller GJ (eds) Angewandte Lasermedizin. Springer Berlin Heidelberg New York, pp 1–20
Biyikli S, Modest MF (1987) Energy requirements for osteotomy of femora and tibiae with a moving cw CO2 laser. Laser Surg Med 7:512–519
Bhatta N, Isaacson K, Bhatta K, Anderson R, Schiff I (1994) Comparative study of different laser systems. Fertility and sterility 61:581–591
Friesen LR, Cobb CM, Rapley JW, Forgas-Brockmann L, Spencer P (1999) Laser irradiation of bone: II. Healing response following treatment by CO2 and Nd:YAG lasers. J Periodontol 70:75–83
Nyquist RA, Kagel RO (1971) Infrared spectra of inorganic compounds, vol IX. Academic, New York, pp 162–163, 492–493
Ertl T, Romanos G (1999) Laseranwendungen am Knochen. In: Romanos G (ed) Atlas der chirurgischen Laserzahnheilkunde. Urban and Fischer Verlag, München Jena, pp 191–196
Lewandrowski K-U, Lorente C, Schomacker KT, Flotte TJ, Wilkes JW, Deutsch TF (1996) Use of the Er:YAG laser for improved plating in maxillofacial surgery: comparison of bone healing in laser and drill osteotomies. Laser Surg Med 19:40–45
Peavy GM, Reinisch L, Payne JT, Venugopalan V (1999) Comparison of cortical bone ablations by using infrared laser wavelengths 2.9 to 9.2 μm. Laser Surg Med 26:421–434
Struve B, Duczynski EW, Jahn R, Jungbluth KH (1994) Comparative Measurements of Erbium-, Holmium- and Thulium-Lasers in Meniscus and Bone Tissue. In: Waidelich W, Waidelich R, Hofstetter A (eds) Laser in der Medizin, 9. Tagung der Deutschen Gesellschaft für lasermedizin. Springer, Berlin Heidelberg New York, pp 315–317
Walsh JT, Deutsch TF (1989) Er:YAG Laser ablation of tissue: measurement of ablation rates. Laser Surg Med 9:327–337
Jahn R (1994) Thermische nebeneffekte nach anwendung gepulster IR-Laser am meniskus- und knochengewebe. Unfallchirurgie 20:1–10
Scholz C, Grothves-Spork M (1992) Die Bearbeitung von Knochen mit dem Landsberg Laser. In: Berlien H-P, Müller G (eds) Angewandte Lasermedizin III –3.11.1, Ecomed-Verlagsgesellschaft
Tangermann K, Uller J (2001) Einsatz eines Er:YAG-Lasers in der Mund-, Kiefer-, Gesichtschirurgie. LaserOpto 33:40–45
Rupprecht S, Tangermann K, Neukam FW, Wiltfang J (2003) Er:YAG laser osteotomy directed by sensor controlled systems. J Craniomaxillofac Surg 31:337–342
Donath K (1988) Die Trenn-Dünnschlifftechnik zur Herstellung histologischer Präparate von nicht schneidbaren Geweben und Materialien. Der Präparator 34:197–206
Welch AJ, van Gemert MJC (1995) Optical-thermal response of laser-irradiated tissue. Plenum Press, New York
Lenfert K, Fröhlich T, Geiger M (1999) Gewebeerkennung bei der Laserosteotomie in der Mund-, Kiefer- und Gesichtschirurgie. In 1st Symposium Neue Technologien für die Medizin, Bochum. Herbert Utz Verlag, München, pp 69–80
Meier T (1998) Laseranwendungen in der Medizin—Physikalische Grundlagen. In: Wäsche W (ed) Bewertung von Abbrandprodukten bei der medizinischen Laseranwendung. In: Wäsche W (ed) VDI-Technologiezentrum Physikalische Technologien. Ulm, pp 5–20
Jääskeläinen SK, Teerijoki-Oksa T, Forssell K, Vähätalo K, Peltola JK, Forssell H (2000) Intraoperative monitoring of the inferior alveolar nerve during mandibular sagittal-split osteotomy. Muscle Nerve 23:368–375
Utley DS, Koch RJ, Egbert B (1999) Histologic analysis of the thermal effect on epidermal and dermal structures following treatment with the superpulsed CO2 laser and the erbium: YAG laser: an in vivo study. Laser Surg Med 24:93–102
Acknowledgements
The sensor-controlled laser is an interdisciplinary project funded by the VW-Stiftung (AZ: I/73 770, 773-775).
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Rupprecht, S., Tangermann-Gerk, K., Wiltfang, J. et al. Sensor-based laser ablation for tissue specific cutting: an experimental study. Lasers Med Sci 19, 81–88 (2004). https://doi.org/10.1007/s10103-004-0301-2
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10103-004-0301-2