Professional Documents
Culture Documents
Year V, Group16
Renata Šadzevičienė
Gyd. periodontologė
Kaunas, 2017
LITHUANIAN UNIVERSITY OF HEALTH SCIENCES
MEDICAL ACADEMY
FACULTY OF ODONTOLOGY
CLINIC (Periodontics)
..................................................... ........................................................................
(name surname, year, group) (degree, name surname)
Kaunas, 2017
Abstract
Objective: Laser has been introduced to dentistry for decades. Aim of this review is to analyze and
evaluate the efficacy efficacy of laser in Periodontal treatment
Material and Methods: For this review, articles were searched by using PMC, PubMed and google
scholar search. Keywords used for searching is : laser, dental, laser in perio, CO2 laser, Er:YAG, Er,
Cr:YSGG, Low level laser therapy, periodontal laser, laser healing.
Conclusion: Research on laser for periodontal treatment is expected to increase and effective lasers
will be developed, Laser therapy is expected to gradually expand into an additional and alternative
treatment for periodontal treatment.
Keywards: Laser, dental, periodontal treatment.
1 Summary
2 Introduction
3 The Basics of Lasers
3.1 Introduction
3.2 History and use of laser in medicine
3.3 Use of laser in dentistry
3.4 Clinical application after knowing penetration depth
3.5 Factors affecting tissue absorption of laser light
4 Types and characteristics of laser used in periodontics
4.1 Introduction
4.2 Characteristics of the main lasers used in dentistry
4.2.1 CO2 laser
4.2.2 Nd:YAG laser
4.2.3 Er:YAG, Er,Cr:YSGG
4.2.4 Diode laser
4.2.5 Argon laser
5 Uses of laser in periodontal treatment
5.1 Non-surgical periodontal treatment using laser
5.2 Surgical periodontal treatment using laser
5.3 Periodontal surgery using laser
5.4 Implant using laser
6 Low level laser therapy in periodontal disease
6.1 History of low level laser therapy
6.2 Effect of low level laser therapy
6.3 Clinical use of low level laser therapy
6.4 Treatment and management after surgery
6.5 Use of low level laser therapy in periodontal disease
7 Conclusion
8 References
1. SUMMARY
Lasers have long been introduced into dental clinics.[1] In the past, lasers in the dental field have
mainly been mainly used for area of conservation such as polymerization of composite and in-office
bleaching. But recently, Erbium-based lasers such as Er: YAG, Er, Cr: YSGG, which can be used to
incise tissue without causing any thermal damage to the surrounding tissues, have been introduced.
into soft tissues as well as soft tissues.[2] As a result, the laser can be used not only for hard tissue
surgery such as teeth and alveolar bone but also for soft tissue surgery.[1] Therefore, the current
research on laser application in dentistry is proceeding in almost all dental fields including oral
surgery, prosthodontics as well as preservation area such as apical surgery, endo treatment,
treatment of hypersensitivity by fluid movement through dentinal tubules.[2,3,4] In this paper, the
latest papers on the types of lasers used in periodontics and laser applications in periodontics were
searched and sorted by themes, and understanding of them would be especially useful for those
interested in periodontics.
2. INTRODUCTION
It has been only about 30 years since the laser was commonly used in dentistry.[1] The first lasers
used in dentistry were CO2 laser and Nd: YAG laser, which can be applied only to the soft tissues
and low efficiency on hard tissue removal and causes thermal damage to tissue. But nowadays
Erbium series lasers that cans be used on hard tissue of the teeth with little heat damage to the
surrounding tissues, is being produced.[5,6] And also there are ultraviolet lasers that is capable of
selectively removal of only calculus.[5,6] Research on the application of laser in the field of
periodontics will develop with the development of laser technology. Therefore, the usefulness and
necessity of clinical application for this will be also increased. At this point it is very important to
understand the current status of the use of laser in the field of periodontal science.
wave materials
2. Tooth bleaching
3. Elimination of necrotic tissue and
gingival contouring
4.Treatment of oral lesions such as
recurrent aphthous ulcers or herpetic
lesions
5.Frenectomy and gingivectomy
In addition, Low Level Laser Therapy has been reported to increase the synthesis of endorphin and
bradykinin, reduce the activity of C-fibers involved in pain transmission and also induce an increase
in pain thresholds.[52]
doi: 10.5978/islsm.15-RA-01
7. CONCLUSIONS
Since the introduction of dental lasers, lasers have been used for preserving and curing complex
resin in areas, photo activated in office bleaching, and fluoroscopic examination of adjacent caries.
However, the development of Erbium-based lasers capable of removing hard tissues as well as soft
tissues has made it possible to perform soft tissue surgery, alveolar bone formation, gingival
associations, and by irradiating the inside of the periodontal pouch with a laser beam through a thin
optical fiber, it is possible to remove dental plaque and sterilization toxin inside the periodontal
pouch. Since the purchase price of lasers is high and most of the periodontal treatments are
available with mechanical treatments, there is not much use for periodontal treatment. However,
research on the practical effect of periodontal treatment of lasers is expected to increase and
effective lasers will be developed, Laser therapy is expected to gradually expand into an additional
and alternative treatment for periodontal treatment.
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