Application of lasers in periodontics: true innovation or myth?

Ishikawa, Isao; Aoki, Akira; Takasaki, Aristeo Atsushi; Mizutani, Koji; Sasaki, Katia M.; Izumi, Yuichi

doi:10.1111/j.1600-0757.2008.00283.x

Cited by 198 publications

(206 citation statements)

References 171 publications

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“…The clinical and microbiological improvements may be a combination of a beneficial conditioning of the root surface, mechanical disorganization of the biofilm, and reduction in viable bacteria as well as inactivating bacterial toxins [19].…”

Section: Discussionmentioning

confidence: 99%

“…This thin, initial biofilm has been almost always present on the tooth surface as it forms immediately after cleaning [2]. An initial few layers (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20) of the biofilm consist mostly gram-positive cocci bacteria, followed by some gram-positive rods and filaments, and a very small amount of gram-negative cocci. The gram-positive cocci species involved in this conditioning layer include, but are not limited to, S t re p t o c o c c u s m u t a n s , S t r e p t o c o c c u s m i t i s , Streptococcus sanguis, Streptococcus oralis, Rothia dentocariosa, and Staphylococcus epidermidis.…”

Section: Introductionmentioning

confidence: 99%

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Antibacterial effect of using the Er:YAG laser or Er,Cr:YSGG laser compared to conventional instrumentation method—a literature review

2017

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Background data Although many studies have evaluated the effectiveness of the Er:YAG laser or Er,Cr:YSGG laser as an adjunct to initial periodontal therapy, there was no literature review after 2007 on the antibacterial effect of erbium lasers and conventional periodontal instruments. Purpose The aim of this review was to evaluate the effectiveness of using Er:YAG laser or Er,Cr:YSGG laser on the reduction of bacteria causing the periodontal disease in comparison to that with the hand, sonic, or ultrasonic scaling devices. Material and methods This is a review based on the literature search in PubMed and Google Scholar. The search is limited to publications in the period between January 2007 and April 2017, in the English language. Results Fourteen publications were found to be appropriate to the inclusion criteria of this review and screened according to the research question: is there a difference in the effect on the bacteria causing the periodontal disease by using Er:YAG laser or Er,Cr:YSGG laser in comparison to that with the hand, sonic, and ultrasonic scaling devices? Conclusion The beneficial effects of the erbium lasers as an adjunct to SRP have been established. By using the erbium lasers as an adjunctive therapy to the SRP, the users can have better antibacterial effects than conventional methods.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Antibacterial effect of using the Er:YAG laser or Er,Cr:YSGG laser compared to conventional instrumentation method—a literature review

2017

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“…The potential risk of thermal damage to the underlying bone and consequently incidence of bone necrosis and delayed wound healing is the major concern related to electrocautery. 20 Over the last few years, a number of studies demonstrat- ed the positive effects of low-level laser therapy (LLLT) on reduction of postoperative discomfort. 10,12 Ozturan et al used Neodymium-Doped Yttrium Aluminium Garnet (Nd:YAG) laser (1064 nm, 0.5 W, 8 J/cm 2 , and 60 seconds, immediately after surgery) for LLLT after maxillary sinus lift procedure.…”

Section: Discussionmentioning

confidence: 99%

“…22 Other beneficial properties of diode lasers include relative ease of soft tissue ablation, bactericidal effects, minimal wound contraction, and little postoperative pain. 20 At the 940 nm wavelength, the diode laser is strongly absorbed in hemoglobin and water. Therefore, it could cut or ablate soft tissue and achieve sufficient hemostasis with minimum carbonization.…”

Section: Discussionmentioning

confidence: 99%

Periosteal Releasing Incision With Diode Laser in Guided Bone Regeneration Procedure: A Case Series

et al. 2016

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Introduction: Periosteal releasing incision (PRI) is nearly always essential to advance the flap sufficiently for a tension-free flap closure in bone augmentation procedures. However, hematoma, swelling, and pain are recognized as the main consequences of PRI with scalpel. The aim of this case series was to investigate the effectiveness of laser-assisted PRI in guided bone regeneration (GBR) procedure. In addition, postoperative hematoma, swelling, and pain and implant success were assessed. Methods: Seventeen patients needed GBR were included in this study. Diode laser (940 nm, 2 W, pulse interval: 1 ms, pulse length: 1 ms, contact mode, 400-μm fiber tip) was used in a contact mode to cut the periosteum to create a tension-free flap. Facial hematoma, swelling, pain, and the number of consumed nonsteroidal anti-inflammatory drugs (NSAIDs) were measured for the six postoperative days. Six months after implant loading, implant success was evaluated. Results: Minimal bleeding was encountered during the procedure. A tension-free primary closure of the flap was achieved in all cases. The clinical healing of the surgical area was uneventful. None of the patients experienced hematoma, ecchymosis, or intense swelling after surgery. The mean value of maximum pain (visual analogue scale -VAS) was 20.59 ± 12.10 mm (mild pain). Patients did not need to use NSAID after four postoperative days. All implants were successful and functional and none of them failed after 6 months of implant loading. Conclusion: This study revealed the effectiveness of laser-assisted PRI in GBR procedure. This technique was accompanied with minimal sequelae at the first postoperative week. All implants were successful and no complication was noted during the course of this study.

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“…A significant suppression of Actinomycete mcomitans, an invasive bacterium that is associated with aggressive forms of periodontal disease that are not readily treated with conventional SRP. It's also invades the adjacent soft tissues, making it difficult to be removed by mechanical periodontal instrument alone [23] . Sub gingival DL therapy, that relatively low numbers of highly pathogenic anaerobic MOs, make it difficult to totally eradicate.…”

Section: Introductionmentioning

confidence: 99%

A Study of the Diode Laser Phototherapy for Enhancing Healing and Reduction of Microbial Count in Periodontal Pockets in A Saudi Population within Al-Taif

Mostafa¹,

Sabra²

2014

IOSRJAVS

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(6.6, 5.6, 4.5, 4.0, 3.6 and 3.1mm) and (6.6, 5.8. 4.8, 4.2, 3.9 and 3.5mm), PI were (2.7, 1.7, 1.2, 0.8, 0.4 and 0.2) and (2.7, 1.9, 1.4, 1.1, 0.9 ad 0.6), and BOP were (95, 66.7, 40,25, 11.7 and 1.6%) and (96.7, 75, 63,3, 45, 31.7 and 25%) for SG and CG respectively. The mean prevalence of Colony Forming Units (CFUs)/ml were (500, 430, 335, 205, 80 and 15) and (500, 455, 400, 325, 255 and 165) for SG and CG respectively. DL irradiation had revealed antimicrobial effects and reduction of inflammation, which supported healing periodontal pockets through microbial elimination than old methods.

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Application of lasers in periodontics: true innovation or myth?

Cited by 198 publications

References 171 publications

Antibacterial effect of using the Er:YAG laser or Er,Cr:YSGG laser compared to conventional instrumentation method—a literature review

Antibacterial effect of using the Er:YAG laser or Er,Cr:YSGG laser compared to conventional instrumentation method—a literature review

Periosteal Releasing Incision With Diode Laser in Guided Bone Regeneration Procedure: A Case Series

A Study of the Diode Laser Phototherapy for Enhancing Healing and Reduction of Microbial Count in Periodontal Pockets in A Saudi Population within Al-Taif

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