Laser application in non‐surgical periodontal therapy: a systematic review

Schwarz, Frank; Aoki, Akira; Becker, Jürgen; Sculean, Anton

doi:10.1111/j.1600-051x.2008.01259.x

Cited by 255 publications

(250 citation statements)

References 46 publications

(183 reference statements)

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“…Evidence of the effectiveness of lasers as an adjunct measure to nonsurgical periodontal treatment in the management of gingival enlargement among patients receiving FOAT remains uncertain. [20][21][22][23] The aim of this randomized controlled clinical trial was to evaluate the effectiveness of diode laser gingivectomy as an adjunct to nonsurgical periodontal treatment in the management of periodontal health among patients receiving FOAT.…”

Section: Introductionmentioning

confidence: 99%

The adjunct effectiveness of diode laser gingivectomy in maintaining periodontal health during orthodontic treatment

Rabie

Wong

et al. 2012

The Angle Orthodontist

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Objective: To evaluate the effectiveness of diode laser gingivectomy as an adjunct to nonsurgical periodontal treatment in the management of periodontal health among patients receiving fixed orthodontic appliance therapy (FOAT). Materials and Methods: Thirty patients undergoing FOAT with gingival enlargement were block randomized into two treatment groups. The test group received diode laser gingivectomy (940-nm diode laser, ezlase, Biolase Technology Inc) as an adjunct to nonsurgical periodontal treatment. The control group received nonsurgical periodontal treatment only. For both groups, five periodontal parameters were assessed at baseline, 1 month, 3 months, and 6 months: Plaque Index, Gingival Index, bleeding on probing, probing pocket depth, and Gingival Overgrowth Index. Intra- and intergroup variations in the periodontal parameters were determined over time. Results: Both groups showed statistically significant improvements in periodontal health over the study period (P < .05). However, significant improvements in periodontal health were evident earlier among the test group subjects (P < .05). The magnitude of improvement in periodontal health compared to baseline was greater in the test group than in the control group for Gingival Overgrowth Index at 1 month (P < .001) and 3 months (P < .05), Gingival Index at 3 months (P < .05) and 6 months (P < .05), and probing pocket depth at 1 month (P < .05). Conclusions: Nonsurgical periodontal management with or without the adjunct use of lasers can be effective in the management of gingival health problems among patients receiving FOAT. The adjunctive use of lasers can produce an earlier and greater improvement in gingival health.

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Section: Introductionmentioning

confidence: 99%

The adjunct effectiveness of diode laser gingivectomy in maintaining periodontal health during orthodontic treatment

Rabie

Wong

et al. 2012

The Angle Orthodontist

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“…Inappropriate use of lasers with high power settings, prolonged exposure times and contact modes could result in high risk of tissue damage, causing thermal damage to the dental tissues and adjacent bone. 37 This brings out the importance of meticulous documentation and follow-up of appropriate choice of laser wavelength and parameters to prove the efficacy of laser treatment in DH.…”

Section: Discussionmentioning

confidence: 99%

In vitro Analysis Comparing Efficacy of Lasers and Desensitizing Agents on Dentin Tubule Occlusion: A Scanning Electron Microscope Study

Iyer¹,

Nandakumar²

2014

International Journal of Laser Dentistry

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Dentinal hypersensitivity (DH), one of the commonest causes of dental pain, arises from exposure of dentinal tubules most commonly in the cervical region of the buccal and facial surfaces of the tooth in response to typically thermal, evaporative, tactile, osmotic or chemical stimulus. This study aims at evaluating the efficacy of Er,Cr:YSGG (dual lasers -hard and soft tissue) and diode lasers (soft tissue lasers) against clinically proven dentifrices prescribed by dentists, easily available over the counter, in treating DH. In 60 recently extracted human teeth, cervical cavities were prepared and etched with 17% EDTA to expose the tubules and eliminate smear layer. The teeth were further divided into groups: Er,Cr:YSGG laser, diode laser and commonly used dentifrices chosen on the basis of previous studies. After treatment, the teeth were subjected for scanning electron microscope (SEM) analysis on the same day for quantitative and qualitative analysis of the specimens. Quantitative analysis of the SEM images was done using image analysis software. Er,Cr:YSGG showed superior results in terms of number of tubules per millimeter square, tubule diameter and tubular area. Laser treatment of exposed dentinal tubules with Er,Cr:YSGG promises a noninvasive, pain free and relatively safe treatment option.

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“…This results in a biostimulatory effect that helps the tissue to heal, and reduces the need for haemotherapeutics. The bactericidal effect of the laser extends 3-4 mm into the tissue [24,25].…”

Section: Laser Therapy For Curettage Of the Soft Tissue Wall Of Thmentioning

confidence: 99%

Modern Approach to the Identification and Elimination of Periodontal Infection

2012

Maced J Med Sci

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In global terms, periodontitis is the leading cause of tooth loss, and causes serious aesthetic and functional problems. There are numerous scientific evidence that power periopathogenic microorganisms may have influence on some systemic conditions and diseases. If we add the fact that periimplantitis are caused by identical periopathogenes, management or effective identification and elimination of periodontal inflammation set as imperative in successful periodontal treatment and possible complications locally or systemic, as well as resistance and lifetime of the implants. As a method for quantifying and classification of bacterial species are recommended monitoring of the bacterial micro flora through PCR (polymerase chain reaction) technique. Laser therapy as a supplementary method to classic treatment is strongly emphasized as a new therapeutic option that uses the photo-thermal effect to fight bacterial infection. Air flow -an original method that uses water, air and powder help to destroy the biofilm and remove plaque. Oral application of LAD (Light activated disinfection) therapy influence nascent oxygen breaks down the interaction in biofilm and makes the microorganisms more sensitive to further damage. Finally, the role and use of probiotics as a link between the beneficial oral bacteria species and inflammation.

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Laser application in non‐surgical periodontal therapy: a systematic review

Cited by 255 publications

References 46 publications

The adjunct effectiveness of diode laser gingivectomy in maintaining periodontal health during orthodontic treatment

The adjunct effectiveness of diode laser gingivectomy in maintaining periodontal health during orthodontic treatment

In vitro Analysis Comparing Efficacy of Lasers and Desensitizing Agents on Dentin Tubule Occlusion: A Scanning Electron Microscope Study

Modern Approach to the Identification and Elimination of Periodontal Infection

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