Calculus Removal and Root Surface Roughness When Using the Er:YAG or Er,Cr:YSGG Laser Compared with Conventional Instrumentation Method: A Literature Review

Alfergany, Muftah Agoob; Nasher, Riman; Gutknecht, Norbert

doi:10.1089/photob.2018.4465

Cited by 16 publications

(11 citation statements)

References 67 publications

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“…Recent systematic reviews have thoroughly documented the use of Er:YAG laser in non-surgical periodontal therapy [16]. It was reported that Er:YAG and Er,Cr:YSGG are able to sufficiently remove subgingival calculus.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of laser monotherapy or non-surgical mechanical instrumentation in the management of untreated periodontitis patients. A systematic review and meta-analysis

et al. 2020

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Objective To evaluate and compare the effects of laser monotherapy with non-surgical mechanical instrumentation alone in untreated periodontitis patients. Materials and methods A focused question was formulated based on the Population, Intervention, Comparison, Outcome, and Study design criteria (PICOS): in patients with untreated periodontitis, does laser mono-therapy provide adjunctive effects on pocket probing depth (PPD) changes compared with non-surgical instrumentation alone? Both randomized controlled clinical trials (RCTs) and controlled clinical trials (CCTs) were included. The results of the meta-analyses are expressed as weighted mean differences (WMD) and reported according to the PRISMA guidelines. Results The search yielded 1268 records, out of which 8 articles could be included. With respect to PPD changes, a meta-analysis including 5 articles (n = 148) failed to identify statistically significant differences in favor of laser monotherapy for PPD change (WMD = 0.14 mm; 95% CI: − 0.04/0.32; z = 1.51; p = 0.132) nor for clinical attachment level (CAL) (WMD = 0.04 mm; 95% CI: − 0.35/0.42; z = 0.19; p = 0.850). Data on cost-effectiveness are lacking. One study reported patient-related outcome measures (PROMS). Conclusions In untreated periodontitis patients, laser monotherapy does not yield superior clinical benefits compared with non-surgical mechanical instrumentation alone. Clinical relevance In untreated periodontitis patients, mechanical instrumentation with hand and/or ultrasonic instruments remains the standard of care.

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Section: Introductionmentioning

confidence: 99%

Efficacy of laser monotherapy or non-surgical mechanical instrumentation in the management of untreated periodontitis patients. A systematic review and meta-analysis

et al. 2020

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“…At present, routine practices for treating clinical chronic periodontitis, such as tiding up the root surface, removal of foreign bodies and bacteria in the dental cavity, and cleaning the oral cavity are effective, but over time there is a risk of disease relapse that can cause severe injury to periodontal tissues. Er:YAG laser therapy is an important modality for treating chronic periodontitis that uses a hydrodynamic biologic laser that cuts hard tissue, and at the same time kills periodontal actinomycetes and Porphyromonas gingivalis and decreases the amount of surviving Porphyromonas gingivalis and Aggregatibacter actinomycetemcomitans to achieve therapeutic outcomes[ 3 , 8 - 12 ]. According to some studies[ 13 ], treatment of chronic periodontitis with an Er:YAG laser was effective in promoting patient periodontal status.…”

Section: Discussionmentioning

confidence: 99%

“…Chronic periodontitis is a clinically multiple disease, and its incidence has continued to increase in recent years. It has gradually become an important cause of tooth loss in adults and has a great impact on patients' daily life and facial esthetics[ 1 - 3 ]. Therefore, timely, and effective intervention is essential for patients with chronic periodontitis.…”

Section: Introductionmentioning

confidence: 99%

“…Although basic periodontal treatment can relieve the symptoms to a certain extent, it lacks intervention measures directed toward the host’s functional state and involves treatment of the symptoms rather than the root cause. It is unable to effectively eliminate the factors that promote periodontitis, which prevents the achievement of an ideal therapeutic effect and results in limitations of clinical application[ 3 - 6 ]. In recent years, with advances in laser technology, the use of lasers has become a principal practice in periodontal therapy.…”

Section: Introductionmentioning

confidence: 99%

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Treatment effects and periodontal status of chronic periodontitis after routine Er:YAG laser-assisted therapy

Gao¹,

Li²,

Chen³

et al. 2021

WJCC

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BACKGROUND Routine preclinical interventions for patients with chronic periodontitis such as supragingival cleaning and subgingival curettage, establishing a balanced occlusal relationship, and irrigation with 3% hydrogen peroxide can relieve the symptoms to some extent. However, there is room for improvement in the overall effect. For example, Er:YAG lasers can quickly increase the temperature of the irradiated tissue, effectively eliminate dental plaque and calculus, reduce periodontal pockets, adjust periodontal microecology, and reduce the gingival sulcus. The content of factors in the liquid, and then achieve the purpose of treatment. AIM The aim was evaluate the effect of Er:YAG laser-assisted routine therapy on the periodontal status in chronic periodontitis. METHODS Between October 2018 and January 2020, 106 patients with chronic periodontitis in our hospital were randomly assigned to either the study or control group, with 53 patients in each group. The control group underwent routine therapy, and the study group underwent Er:YAG laser therapy in addition to routine therapy. We evaluated the treatment outcome in both groups. Periodontal status was determined by clinical attachment loss (CAL), gingival index (GI), periodontal probing depth (PD), dental plaque index (PLI), and sulcular bleeding index (SBI), inflammatory factors in the gingival crevicular fluid, tumor necrosis factor-α (TNF-α), interleukin-6 (IL-6), IL-8], and colony forming units (CFUs). RESULTS Total effectiveness in the study group (94.34%) was higher than that in the control group (79.25%, P < 0.05). The clinical parameters in the study group (PD, 5.28 ± 1.08 mm; CAL, 4.81 ± 0.79 mm; SBI, 3.37 ± 0.59; GI, 1.38 ± 0.40; PLI, 2.05 ± 0.65) were not significantly different from those in the control group (PD, 5.51 ± 1.14 mm; CAL, 5.09 ± 0.83 mm; SBI, 3.51 ± 0.62; GI, (1.41 ± 0.37; PLI, 1.98 ± 0.70) before treatment ( P > 0.05). However, after treatment, the parameters in the study group (PD, 2.97 ± 0.38 mm; CAL, 2.71 ± 0.64 mm; SBI, 2.07 ± 0.32; GI, 0.51 ± 0.11; PLI, 1.29 ± 0.34) were lower than those in the control group (PD, 3.71 ± 0.42 mm; CAL, 3.60 ± 0.71 mm; SBI, 2.80 ± 0.44; GI, 0.78 ± 0.23; PLI, 1.70 ± 0.51) ( P < 0.05). Differences in crevicular TNF-α, IL-6, and IL-8 levels in the study (TNF-α, 7.82 ± 3.43 ng/mL; IL-6, 11.67 ± 2.59 ng/mL; IL-8, 12.12 ± 3.19 pg/mL) and control groups (TNF-α, 9.06 ± 3.89 ng/ml, IL-6, 12.13 ± 2.97 ng/mL, IL-8, 10.99 ± 3.30 pg/mL) before therapy ( P > 0.05) were not significant. Following treatment, the parameters were significantly lower in the study group (TNF-α, 2.04 ± 0.89 ng/mL; IL-6, 4.60 ± 1.26 ng/mL; IL-8, 3.15 ± 1.08 pg/mL) than in the control group (TNF-α, 3.11 ± 1.07 ng/mL; IL-6, 6.25 ± 1.41 ng/mL; IL-8, 4.64 ± 1.23 pg/mL, P < 0.05). The difference in the CF...

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“…Autofluorescence‐based technology can differentiate calculus from the healthy tooth surface owing to several distinct fluorescence bands from calculus specimens with high accuracy but only under in vitro condition [22]. In addition to the detection‐only systems, laser‐based technology further combines the calculus‐removal ability; nonetheless the use of photoablation in calculus removal is still on the debate among clinicians due to its cause of loss of root substance [23, 24]. According to Sherman's research [25], even after currently the most efficient method, ultrasonic scaling, subgingival curettage and root planning performed by clinically‐experienced dentists, 57% of the surface of the extracted teeth were still identified with residual dental calculus.…”

Section: Introductionmentioning

confidence: 99%

Disease activation maps for subgingival dental calculus identification based on intelligent dental optical coherence tomography

Hsiao

Chen

et al. 2021

Transl Biophotonics

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During the treatment of periodontitis, removal of dental calculus is essential but still tricky despite developments of several imaging modalities. In this research, we propose a novel approach to provide an intuitive guidance, to automatically detect the present of subgingival calculus, and to identify the site of the lesion in optical coherence tomography images based on convolutional neural network model and the class activation maps technique. Our result shows good visualizations of dental calculus both in B‐scan and in volumetric view. We believe the improvement can break down the technical barrier and finally facilitate the prevalence of dental optical coherence tomography.

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Calculus Removal and Root Surface Roughness When Using the Er:YAG or Er,Cr:YSGG Laser Compared with Conventional Instrumentation Method: A Literature Review

Cited by 16 publications

References 67 publications

Efficacy of laser monotherapy or non-surgical mechanical instrumentation in the management of untreated periodontitis patients. A systematic review and meta-analysis

Efficacy of laser monotherapy or non-surgical mechanical instrumentation in the management of untreated periodontitis patients. A systematic review and meta-analysis

Treatment effects and periodontal status of chronic periodontitis after routine Er:YAG laser-assisted therapy

Disease activation maps for subgingival dental calculus identification based on intelligent dental optical coherence tomography

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