Laser Application in Periodontics
Journal of Lasers in Medical Sciences,
Vol. 3 No. 1 (2012),
14 March 2012
,
Page 26-32
Abstract
INTRODUCTION: The use of lasers for treatment has become a common phenomenon in the medical field. Currently, numerous laser systems are available for dental use. The use of lasers for periodontal treatment becomes more complicated because the periodontium consists of both hard and soft tissues.
METHODS: Related articles were gathered and selected carefully and reviewed. Among the many lasers available, high power lasers such as Carbon Dioxide Laser (CO2),Neodymium-Doped Yttrium Aluminium Garnet (Nd:YAG) and diode lasers can be used in periodontics. The use of these lasers is limited to gingivectomy, frenectomy and similar soft tissue procedures including the removal of melanin pigmentation of gingiva. Recently, Erbium: Yttrium Aluminium Garnet(Er:YAG) and Erbium, Chromium doped Yttrium Scandium Gallium Garnet (Er,Cr:YSGG) lasers are used for scaling, root debridement, cutting, shaving, contouring and resection of oral osseous tissues.
RESULTS: In addition to their surgical applications, low-level lasers such as Er:YAG laser irradiation promotes osteoblast proliferation showing higher and favorable bone tissue regeneration. These findings suggest faster bone tissue healing following periodontal and peri-implant low level laser therapy.
CONCLUSION: Advantages of laser treatment in periodontics are effective and efficient soft and hard tissue ablation with a greater hemostasis, bactericidal effect, minimal wound contraction, faster bone tissue healing, minimal collateral damages along with reduced use of local analgesia.
- laser
- periodontitis
- implant
How to Cite
References
Maiman TH. Stimulated optical radiation in ruby. Nature 1960;187: 493-4.
Goldman L, Hornby P, Meyer R, Goldman B. Impact of the laser on dental caries. Nature 1964; 203: 417.
Stern RH, Sognnaes RF. Laser beam effect on dental hard tissues. J South Calif Dent Assoc. 1965 Jan;33:17-9.
Cobb CM. Lasers in periodontics: a review of literature. J Periodontol 2006;77(4):545-564.
Ishikawa I, Aoki A, Takasaki AA. Potential applications of Erbium:YAG laser in periodontics. Periodont Res 2004;39(4):275-285.
Russell AD. Lethal effects of heat on bacterial physiology and structure. Sci Prog 2003;86(Pt 1-2):115-37.
Knappe V, Frank F, Rohde E. Principles of lasers and biophotonic effects. Photomed Laser Surg 2004; 22(5):411-7.
Wigdor H, Walsh JT Jr, Featherstone JDB, Virsuri S, Fried D, Waldvogel JL. Lasers in dentistry. Lasers Surg Med 1995;16(2):103-133.
Luomanen M, Meurman JH, Lehto VP. Extracellular matrix in healing CO2 laser incision wound. J Oral Pathol 1987;16(6):322-331.
Finkbeiner RL. The results of 1328 periodontal pockets treated with the argon laser: selective pocket thermolysis. J Clin Laser Med Surg 1995;13(4):237-281.
Moritz A, Schoop U, Goharkhay K, Schauer P, Doertbudak O, Wernisch J. Treatment of periodontal pockets with a diode laser. Lasers Surg Med 1998;22(5):302-311.
Neil ME, Mellonig JT. Clinical efficacy of the Nd:YAG laser for combination periodontitis therapy. Pract Periodontics Aesthet Dent 1997;9(6 Suppl):1-5.
Liu CM, Hou LT, Wong MY, Lan WH. Comparison of Nd: YAG laser versus scaling and root planing in periodontal therapy. J Periodontol 1999;70(11):1276-1282.
Raffetto N, Gutierrez T. Lasers in periodontal therapy, a five-year retrospective. J Calif Dent Hyg Assoc 2001; 16:17-20.
Schwarz F, Sculean A, Georg T, Reich E. Periodontal treatment with an Er:YAG laser compare to scaling and root planing. A controlled clinical study. J Periodontol 2001; 72(3): 361-7.
Aoki A, Sasaki K, Watanabe H, Ishikawa I. Lasers in non-surgical periodontal therapy. Periodontology 2000 2004;36:59-97.
Ando Y, Aoki A, Watanabe H, Ishikawa I. Bactericidal effect of erbium YAG laser on periodontopathic bacteria. Lasers Surg Med 1996;19(2):190-200.
Rechmann P, Henning TH. Selective ablation of suband supragingival calculus with a frequency-doubled Alexandrite laser. Proc SPIE 1995;2394: 203-210.
Crespi R, Barone A, Covani U. Histologic evaluation of three methods of periodontal root surface treatment in humans. J Periodontol 2005:76(3):476-81.
Sasaki KM, Aoki A, Masuno H, Ichinose S, Yamada S, Ishikawa I. Compositional analysis of root cementum and dentine after ER:YAG laser irradiation compared with CO2 laser and intact roots using Fourier transformed infrared spectroscopy. J Periodontal Res 2002;37(1):50-59.
Ishikawa I, Aoki A, Takasaki AA, Mizutani K, Sasaki KM, Izumi Y. Application of lasers in periodontics: true innovation or myth? Periodontol 2000 2009;50:90-126.
Sasaki KM, Aoki A, Ichinose S, Yoshino T, Yamada S, Ishikawa I. Scanning electron microscopy and Fourier transformed infrared spectroscopy analysis of bone removal using Er:YAG and CO2 lasers. J Periodontol 2002;73(6):643-652.
White JM, Goodis HE, Rose CL. Use of pulsed Nd;YAG laser for intraoral soft tissue surgery. Lasers Surg Med 1991;11(5):455-461.
Finkbeiner RL. Free autogenous soft tissue graft with argon laser. J Clin Laser Med Surg. 1995 Feb;13(1):1-5.
Schwarz F, Aoki A, Sculean A, Becker J. The impact of laser application on periodontal and peri-implant wound healing. Periodontol 2000 2009;51:79-108.
Romanos G, Crepi R, Barone A, Covani U. Osteoblast attachment on titanium disks after laser irradiation. Int J Oral Maxillofac Implants 2006;21(2):232-6
El Montaser MA, Devlin H, Sloan P, Dickinson MR. Pattern of healing of calvarial bone in the rat following application of the erbium-YAG laser. Lasers Surg Med 1997;21(3):255-261.
Kesler G, Romanos G, Koren R. Use of Er:YAG laser to improve osseointegration of titanium alloy implants—a comparison of bone healing. Int J Oral Maxillofac Implants 2006;21(3):375-9.
Schwarz F, Olivier W, Herten M, Sager M, Chaker A, Becker J. Influence of implant bed preparation using an Er:YAG laser on the osseointegration of titanium implants: a histomorphometrical study in dogs. J Oral Rehabil 2007;34(4):273-281.
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