The Journal of the American Dental Association
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J Am Dent Assoc, Vol 139, No 10, 1303.
© 2008 American Dental Association

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LETTERS

ELECTROSURGERY

In Dr. Gordon Christensen’s July JADA observations, "Soft-Tissue Cutting With Laser Versus Electrosurgery" ( JADA 2008;139[7]:981–984[Free Full Text] ), he states that "electrosurgery is a controlled, precise application of heat." However, this is a misstatement that might confuse clinicians and patients alike.

Electrocautery, such as the System B Heat Source (SybronEndo, Orange, Calif.) or Touch n’ Heat (SybronEndo) units, do use a heated electrode tip. However, in contrast, radiosurgery is the application of high, radiofrequency energy by way of the electrode tip. When activated, this radiofrequency energy causes volatilization of the water molecules, not unlike a microwave oven, and thus volatilization of tissue cells surrounding the tip. Heat is merely a byproduct of the volatilization process. Thus there is a need to "rest" between short application strokes when using monopolar electrosurgery, in order for the body’s circulatory system to dissipate the heat.



Frank Lipsinic, DDS

Oklahoma City, Okla.



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