Electro surgery: A Review on its application and Biocompatibility on Periodontium

Electro surgery is an application of electrically generated heat energy to tissue to alter it for therapeutic Purposes. Electrosurgery has been used in dentistry for more than 75 years in dentistry since it was first used in 1847 to destroy a neoplasm by Cusen, a Russian scientist. 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. A critical evaluation of controlled clinical studies shows that adverse responses of epithelium, connective tissue, bone, and cementum are related to an excessive lateral heat production during the procedure. On the basis of the research reports, clinical guidelines have been developed to give practical advice to the clinician using electrosurgery. Providing that these safeguards are adhered to, scientific evidence supports the biological compatibility of electrosurgery for intraoral surgical procedures.