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J Am Dent Assoc, Vol 128, No 5, 583-588.
© 1997 American Dental Association
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Journal of the American Dental Association, Vol 128, Issue 5, 583-588
Copyright © 1997 by American Dental Association

RESEARCH

Investigating the range of surgical effects on soft tissue produced by a carbon dioxide laser



P Wilder-Smith, J Dang, and T Kurosaki
Beckman laser Institute and Medical Clinic, University of California, Irvine 91715, USA.

The authors investigated the surgical and collateral effects on soft tissue of a carbon dioxide laser emitting at 9.3 micrometers. Specifically, incision widths and depths as well as effectiveness were studied. Three different laser modes were investigated: gated continuous wave, or Cw, Superpulse and OptiPulse (Medical Optics). Incision depths correlated positively with average power; higher powers produced deeper incisions. The gated Cw mode quickly produced wide, deep incisions; Superpulse achieved narrower, deep incisions; OptiPulse caused very narrow, shallow incisions. Collateral damage to adjacent tissues was reduced by a factor of about 2 using Superpulse, and by a factor of 10 using OptiPulse. A wide range of effects is achieved in soft tissue, depending on the laser parameter combination used.




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