Acta Scientific Dental Sciences (ASDS)(ISSN: 2581-4893)

Review Article Volume 8 Issue 4

Advancements in Periodontal Therapy: Harnessing the Power of Lasers - A Narrative Review

Sumalatha Appam*

Periodontist, Private Practitioner Working in Siri Dental Hospital, Hyderabad, Telangana, India

*Corresponding Author: Sumalatha Appam, Periodontist, Private Practitioner Working in Siri Dental Hospital, Hyderabad, Telangana, India.

Received: March 04, 2024; Published: March 19, 2024

Abstract

Laser therapy is a rapidly advancing method in periodontology that enhances accessibility and affordability of basic procedures. It is a monochromatic light generated through the stimulation of synthetic material, exhibiting a single wavelength. Laser devices consist of an active medium, two mirrors, and systems for delivering lasers. The interaction between laser and tissue initiates a photothermal reaction, resulting in an elevation of the tissue's internal temperature and the production of thermal energy. Laser therapy has shown significant efficacy in promoting periodontal healing, offering advantages such as haemostasis, sterilisation of periodontal pockets, bio-stimulation, and decreased morbidity compared to surgical techniques.
Peri-implantitis is a clinical condition characterized by an inflammatory response in the soft and hard tissues of osteo-integrated dental implants. Various clinical procedures have been proposed for managing peri-implant diseases, including non-surgical interventions, surgical interventions, flap elevation, laser disinfection, implantoplasty, resection procedures, and guided tissue and bone regeneration procedures.
Low-level laser therapy, also known as soft or therapeutic lasers, has minimal adverse effects due to the absence of noticeable temperature fluctuations when applied to soft tissues. Photo-biomodulation therapy stimulates and modulates cellular components, enhancing bone healing, periodontal tissue healing, osteointegration of implants, and bone reconstruction.

Keywords: Periodontics; Laser Therapy; Gum Diseases; Advancements

References

  1. Gross AJ and Herrmann TR. “History of lasers”. World Journal of Urology 25 (2007): 217-220.
  2. Strauss RA., et al. “A Comparison of Postoperative Pain Parameters Between CO2 Laser and Scalpel Biopsies”. Journal of Oral Laser Applications1 (2006).
  3. Frame JW. “Carbon dioxide laser surgery for benign oral lesions”. British Dental Journal4 (1958): 125-128.
  4. Coluzzi DJ. “Lasers in dentistry. Compendium of Continuing Education in Dentistry (Jamesburg, NJ: 1995) 26.6A (2005): 429-435.
  5. Nazemisalman B., et al. “Types of lasers and their applications in pediatric dentistry”. Journal of Lasers in Medical Sciences3 (2015): 96.
  6. Aoki A., et al. “Current status of clinical laser applications in periodontal therapy”. General Dentistry7 (2008): 674-687.
  7. Fasbinder DJ. “Dental laser technology. Compendium of Continuing Education in Dentistry (Jamesburg, NJ: 1995) 29.8 (2008): 452.
  8. Green J., et al. “Lasers and radiofrequency devices in dentistry”. Dental Clinics 3 (2011): 585-597.
  9. Martens LC. “Laser physics and a review of laser applications in dentistry for children”. European Archives of Paediatric Dentistry 12 (2011): 61-67.
  10. Bains VK., et al. “Lasers in periodontics: An overview”. Journal of Oral Health and Community Dentistry 4 (2010): 29-34.
  11. Marwah N. “Textbook of pediatric dentistry”. JP Medical Ltd (2018).
  12. Dang AB and Rallan NS. “Role of lasers in periodontology: A Review”. Annals of Dental Speciality1 (2013): 8-12.
  13. Behdin S., et al. “Effectiveness of laser application for periodontal surgical therapy: systematic review and meta‐analysis”. Journal of Periodontology12 (2015): 1352-1363.
  14. Lazăr AP., et al. “Laser in periodontology: a review of the fields of applicability and therapeutic effects”. Romanian Journal of Oral Rehabilitation1 (2022).
  15. Solomon SM., et al. “AFM comparative study of root surface morphology after three methods of scaling”. Materiale Plastice 53 (2016): 546-569.
  16. Becker W., et al. “A longitudinal study comparing scaling, osseous surgery, and modified Widman procedures: results after 5 years”. Journal of Periodontology12 (2001): 1675-1684.
  17. Schwarz F., et al. “Laser application in non‐surgical periodontal therapy: a systematic review”. Journal of Clinical Periodontology 35 (2008): 29-44.
  18. Sculean A., et al. “Periodontal treatment with an Er: YAG laser compared to ultrasonic Instrumentation: a pilot study”. Journal of Periodontology7 (2004): 966-973.
  19. Centty IG., et al. “Carbon dioxide laser for de‐epithelialization of periodontal flaps”. Journal of Periodontology8 (199): 763-769.
  20. Deppe H and Horch HH. “Laser applications in oral surgery and implant dentistry”. Lasers in Medical Science 22 (2007): 217-221.
  21. Ramanauskaite A., et al. “Surgical non-regenerative treatments for peri-implantitis: a systematic review”. Journal of Oral and Maxillofacial Research3 (2016).
  22. Del Amo FS., et al. “Non-surgical therapy for peri-implant diseases: a systematic review”. Journal of Oral and Maxillofacial Research3 (2016).
  23. Chan HL., et al. “Surgical management of peri‐implantitis: A systematic review and meta‐analysis of treatment outcomes”. Journal of Periodontology8 (2014): 1027-41.
  24. Hussain MW., et al. “Microbial etiology and antimicrobial therapy of peri-implantitis: a comprehensive review”. The Open Dentistry Journal1 (2018).
  25. Romeo E., et al. “Therapy of peri‐implantitis with resective surgery: A 3‐year clinical trial on rough screw‐shaped oral implants. Part I: Clinical outcome”. Clinical Oral Implants Research1 (2005): 9-18.
  26. Liu CM., et al. “Comparison of Nd: YAG laser versus scaling and root planing in periodontal therapy”. Journal of Periodontology11 (2010): 1276-1282.
  27. Schwarz F., et al. “Periodontal treatment with an Er: YAG laser compared to scaling and root planing. A controlled clinical study”. Journal of Periodontology 3 (2001): 361-367.
  28. Ren C., et al. “The effectiveness of low‐level laser therapy as an adjunct to non‐surgical periodontal treatment: a meta‐analysis”. Journal of Periodontal Research1 (2017): 8-20.
  29. Cobb CM., et al. “Diode laser offers minimal benefit for periodontal therapy”. Compendium 4 (2012).
  30. Sun G and Tunér J. “Low-level laser therapy in dentistry”. Dental Clinics4 (2004): 1061-1076.
  31. Cobb CM., et al. “Lasers and the treatment of chronic periodontitis”. Dental Clinics1 (2010): 35-53.
  32. Qadri T., et al. “The short‐term effects of low‐level lasers as adjunct therapy in the treatment of periodontal inflammation”. Journal of Clinical Periodontology 7 (2005): 714-719.
  33. Rosso MP., et al. “Photobiomodulation therapy (PBMT) applied in bone reconstructive surgery using bovine bone grafts: A systematic review”. Materials 24 (2019): 4051.
  34. Cobb CM., et al. “Lasers and the treatment of chronic periodontitis”. Dental Clinics1 (2010): 35-53.
  35. Qadri T., et al. “The short‐term effects of low‐level lasers as adjunct therapy in the treatment of periodontal inflammation”. Journal of Clinical Periodontology7 (2005): 714-719.
  36. Rosso MP., et al. “Photobiomodulation therapy (PBMT) applied in bone reconstructive surgery using bovine bone grafts: A systematic review”. Materials 24 (2019): 4051.
  37. Isola G., et al. “Effectiveness of low-level laser therapy during tooth movement: a randomized clinical trial”. Materials13 (2019): 2187.

Citation

Citation: Sumalatha Appam. “Advancements in Periodontal Therapy: Harnessing the Power of Lasers - A Narrative Review".Acta Scientific Dental Sciences 8.4 (2024): 43-48.

Copyright

Copyright: © 2024 Sumalatha Appam. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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