Clinical and Microbiologic Follow‐Up Evaluations After Non‐Surgical Periodontal Treatment With Erbium:YAG Laser and Scaling and Root Planing

Lopes, Beatriz Maria Valério; Theodoro, Letícia Helena; Melo, Rafaela Fernanda; Thompson, Glória M.; Marcantonio, Rosemary Adriana Chiérici

doi:10.1902/jop.2010.090300

Cited by 92 publications

(101 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Regarding adjunctive local (SRPloc) therapy, irrigation of the pockets with disinfectants, application of local drug delivering devices [17][18][19][20][21][22] or local laser treatment [23][24][25][26] were identified. Pocket irrigation and mouth rinses in most of the studies were performed with chlorhexidine [27][28][29]66].…”

Section: Resultsmentioning

confidence: 99%

Improving Scaling And Root Planing Over The Past 40 Years: A Meta-Analysis

M¹

2014

Dentistry

View full text Add to dashboard Cite

Aim: To screen whether or not classical non-surgical periodontal therapy improved over the last four decades and how adjunctive local or systemic measures influenced its clinical outcome. Methodology:Starting from the year 1970, the entire annual sets of publications of every 5th year of the "Journal of Clinical Periodontology" and the "Journal of Periodontology" were hand searched for articles dealing with nonsurgical periodontal therapy, i.e. scaling and root planing either alone (SRP) or in combination with adjunctive local (SRPloc) or systemic (SRPsyst) treatment. Mean pocket reduction was computed for each of the three treatment modalities. Where applicable, a meta-analysis and a meta-regression as well as linear regression were performed.Results: A total of 52 articles were found. Twenty-six thereof were randomized clinical trials. The meta-analysis revealed a standardized mean difference of pocket reduction of 0.77 mm (95% CI=0.283; 1.255) and 0.90 mm (95% CI 0.210; 1.593 for SRPloc-SRP and SRPsyst-SRP, respectively (P<0.0001). Meta regression showed significantly more mean pocket reduction for SRPloc (p=0.011) and SRPsyst (p=0.001) than for SRP. In addition, a negative correlation between time to re-evaluation and mean pocket reduction could be found (p=0.015). None of the treatment modalities improved over the past 40 years. Conclusion:Adjunctive local or systemic measures seem to improve the classic non-surgical periodontitis therapy, i.e. scaling and root planing. None of the three analyzed treatment modalities improved over the past 40 years.

show abstract

Section: Resultsmentioning

confidence: 99%

Improving Scaling And Root Planing Over The Past 40 Years: A Meta-Analysis

M¹

2014

Dentistry

View full text Add to dashboard Cite

show abstract

“…2010 [7] Split-mouth design -19 patients with pockets from 5 to 9 mm -G-1) SRPL = SRP and Conventional instrument -20 ml/min irrigation -Ultra-sonic scaler -The laser irradiation produced an ablation spot on the P. gingivalis.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, it involves less thermal risk for mineralized surfaces [20,21]. Lopes et al (2010) determined that in non-surgical periodontal treatment, Er:YAG laser may be an alternative treatment for reduction and control of the proliferation of microorganisms in persistent periodontitis [7]. Domínguez et al (2010) have also demonstrated that the use of the Er:YAG laser radiation as a coadjutant of scaling and root planing (SRP + ERL) allowed a decrease in the levels of pro-inflammatory cytokines and prevented a fast process of recolonization.…”

Section: Antibacterial Effect Of Er:yag Lasermentioning

confidence: 99%

“…According to the current findings that shown that Er:YAG lasers possess bactericidal potential, their antibacterial effectiveness has been demonstrated in connection with caries lesions, root canals, and periodontal pockets [7,25]. also talk about how to evaluate the bactericidal effectiveness of using a fiberless Er:YAG laser (in which the energy is generated in the handpiece and delivered directly to the working tip) in the first stage of therapy for moderate chronic periodontitis and compared it with conventional treatment.…”

Section: Antibacterial Effect Of the Conventional Instrumentsmentioning

confidence: 99%

“…This thin, initial biofilm has been almost always present on the tooth surface as it forms immediately after cleaning [2]. An initial few layers (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20) of the biofilm consist mostly gram-positive cocci bacteria, followed by some gram-positive rods and filaments, and a very small amount of gram-negative cocci. The gram-positive cocci species involved in this conditioning layer include, but are not limited to, S t re p t o c o c c u s m u t a n s , S t r e p t o c o c c u s m i t i s , Streptococcus sanguis, Streptococcus oralis, Rothia dentocariosa, and Staphylococcus epidermidis.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Antibacterial effect of using the Er:YAG laser or Er,Cr:YSGG laser compared to conventional instrumentation method—a literature review

2017

View full text Add to dashboard Cite

Background data Although many studies have evaluated the effectiveness of the Er:YAG laser or Er,Cr:YSGG laser as an adjunct to initial periodontal therapy, there was no literature review after 2007 on the antibacterial effect of erbium lasers and conventional periodontal instruments. Purpose The aim of this review was to evaluate the effectiveness of using Er:YAG laser or Er,Cr:YSGG laser on the reduction of bacteria causing the periodontal disease in comparison to that with the hand, sonic, or ultrasonic scaling devices. Material and methods This is a review based on the literature search in PubMed and Google Scholar. The search is limited to publications in the period between January 2007 and April 2017, in the English language. Results Fourteen publications were found to be appropriate to the inclusion criteria of this review and screened according to the research question: is there a difference in the effect on the bacteria causing the periodontal disease by using Er:YAG laser or Er,Cr:YSGG laser in comparison to that with the hand, sonic, and ultrasonic scaling devices? Conclusion The beneficial effects of the erbium lasers as an adjunct to SRP have been established. By using the erbium lasers as an adjunctive therapy to the SRP, the users can have better antibacterial effects than conventional methods.

show abstract