Laser Treatment for Upper Jaw Scar Tissue: FAQs and Options - Dentistry

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Consultation for laser treatment of maxillary hypertrophic scars?


Hello Doctor: Previously, I underwent a gum graft surgery due to gum recession.
After recovery, I developed a raised, hard scar in the surgical area on the right maxilla, which has been causing a persistent foreign body sensation and discomfort.
I later underwent laser surgery in the oral surgery department, which improved the situation, but I still feel that part of the scar was not adequately addressed, and the foreign body sensation persists.
I have a few questions for you: 1.
Is it possible to perform laser surgery on that area again? (I am concerned about whether excessive laser treatment might affect the growth of the gum tissue.) 2.
If a second laser treatment is possible, how long should I wait before undergoing it again, or are there other recommended therapies? 3.
Additionally, I found online that lasers are categorized into three types: diode laser, carbon dioxide laser, and water laser.
Which type would be most suitable for my condition? 4.
Is this type of treatment typically handled as an out-of-pocket expense? Thank you very much for taking the time to respond!

Mei, 30~39 year old female. Ask Date: 2023/04/03

Dr. Lin Jiayong reply Dentistry


Hello: 1.
It is recommended to first discuss the scar issue with the original surgeon who performed the gum grafting.
You should inquire about the potential outcomes for the scar, how it may affect the results of the grafting procedure, and what the scar might look like after healing.
2.
Repeated laser treatments are not advisable, as soft tissue healing requires time.
Excessive stimulation may have adverse effects, so patience is necessary.
3.
It is suggested to consult a specialist in periodontology at a medical center.
The management of soft tissue falls under the expertise of periodontics.
In addition to laser treatment, you might consider medication injections or even redoing the flap surgery to reposition the scar.

Reply Date: 2023/04/03

More Info


Laser treatment for scar tissue, especially in sensitive areas like the upper jaw, can be a complex decision that requires careful consideration of various factors. Here’s a comprehensive response to your questions based on the information provided and general medical knowledge.

1. Can I undergo laser treatment again on the same area?
Yes, it is generally possible to undergo laser treatment again on the same area, especially if the initial treatment did not fully address the scar tissue. However, it is crucial to consult with your healthcare provider or a specialist in laser treatments to assess the condition of the tissue and determine the appropriateness of further intervention. Over-treatment can potentially lead to complications, such as damage to the surrounding healthy tissue or interference with the healing process of the gum tissue. Therefore, a thorough evaluation is necessary before proceeding.

2. What is the recommended interval between laser treatments?
The recommended interval between laser treatments can vary depending on the type of laser used, the severity of the scar, and the individual’s healing response. Typically, a waiting period of 4 to 6 weeks is suggested to allow the tissue to heal adequately before undergoing another treatment. However, your healthcare provider will give you the best advice based on your specific situation and how your tissue has responded to the previous treatment.

3. Which type of laser should be used for my condition?
There are several types of lasers, including diode lasers, carbon dioxide (CO2) lasers, and water lasers, each with unique properties and applications.
- Diode lasers are often used for soft tissue procedures and can be effective for treating scars due to their precision and ability to minimize damage to surrounding tissues.
- CO2 lasers are more aggressive and are typically used for deeper skin resurfacing and scar revision. They can effectively remove layers of scar tissue but may require more downtime for recovery.
- Water lasers (such as Er:YAG lasers) are less invasive and can be beneficial for superficial scars, promoting healing with less thermal damage to surrounding tissues.
Given your situation, a consultation with a dermatologist or a plastic surgeon specializing in laser treatments will help determine the most suitable option for your scar tissue.

4. Is this treatment typically covered by insurance?
Laser treatments for cosmetic purposes, such as scar revision, are often considered elective procedures and may not be covered by insurance. However, if the treatment is deemed medically necessary, such as for functional issues related to the scar (like discomfort or pain), there may be a possibility for partial coverage. It is essential to check with your insurance provider and discuss the financial aspects with your healthcare provider before proceeding.

In addition to laser treatments, other options may be available for managing scar tissue, such as silicone gel sheets, steroid injections, or even surgical revision if the scar is particularly bothersome. Each treatment option has its own set of benefits and risks, and a multidisciplinary approach involving dermatologists, oral surgeons, or plastic surgeons may provide the best outcome.

In conclusion, while laser treatment can be effective for scar tissue, it is essential to have a thorough evaluation and discussion with your healthcare provider to determine the best course of action tailored to your specific needs. Always prioritize safety and informed decision-making when considering further treatments.

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