Er:YAG Laser Scaling of Diseased Root Surfaces

Frentzen, Matthias; Braun, Andreas; Aniol, D.

doi:10.1902/jop.2002.73.5.524

Cited by 69 publications

(71 citation statements)

References 16 publications

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“…Melting of peritubular dentin may cause closure of dentinal tubules and reduce dentinal hypersensitivity. 29 Frentzen et al 30 also reported the melting of superficial layers of tooth after irradiation with Er:YAG laser at 14.2 J/cm 2 per pulse and frequency of 10 Hz under water irrigation. In contrast, Aoki et al 31 reported that Er;YAG laser treated surface exhibits a micro-irregular appearance without melting.…”

mentioning

confidence: 98%

Evaluation of the Effects of Er,Cr:YSGG Laser, Ultrasonic Scaler and Curette on Root Surface Profile Using Surface Analyser and Scanning Electron Microscope: An In Vitro Study

et al. 2016

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mentioning

confidence: 98%

Evaluation of the Effects of Er,Cr:YSGG Laser, Ultrasonic Scaler and Curette on Root Surface Profile Using Surface Analyser and Scanning Electron Microscope: An In Vitro Study

et al. 2016

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“…23 Frentzen et al reported increased loss of cementum and dentin and high surface roughness due to Er:YAG laser irradiation and questioned its clinical application. 24 On the other hand, de Mendonca et al in 2008 reported that SRP with manual curettes caused rougher surfaces than Er:YAG laser irradiation and ultrasonic scaler, and added that all methods increased root surface roughness after treatment. 4 Crespi et al in 2006 indicated that Er:YAG laser irradiation in the clinical setting resulted in plaque and calculus removal and yielded a rough surface morphology.…”

Section: Discussionmentioning

confidence: 99%

Effects of Root Debridement With Hand Curettes and Er:YAG Laser on Chemical Properties and Ultrastructure of Periodontally-Diseased Root Surfaces Using Spectroscopy and Scanning Electron Microscopy

et al. 2017

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Please cite this article as follows: Amid R, Gholami GA, Mojahedi M, Aghalou A, Gholami M, Mirakhori M. Effects of root debridement with hand curettes and Er:YAG laser on chemical properties and ultrastructure of periodontally-diseased root surfaces using spectroscopy and scanning electron microscopy. J Lasers Med Sci. 2017;8(2):66-71. doi:10.15171/jlms.2017.12. IntroductionPeriodontal diseases are among the most common infectious diseases caused by the accumulation of bacterial plaque on tooth surfaces. Periodontitis can result in soft and hard tissue destruction and eventual tooth loss. Scaling and root planning with hand instruments, sonic and ultrasonic devices and air abrasion are performed for treatment of periodontal diseases.1 Nonsurgical periodontal debridement is performed aiming to efficiently eliminate plaque and calculus without damaging root surfaces. Manual instruments and ultrasonic devices have long been used for scaling and root planing (SRP) with successful results. 2Dental lasers were recently introduced to increase the efficacy of conventional SRP, and many studies have evaluated their efficacy in enhancing the biocompatibility and attachment of fibroblasts to root surfaces. 3 The efficacy of erbium-doped yttrium aluminum garnet (Er:YAG) laser The efficacy of erbium-doped yttrium aluminum garnet (Er:YAG) laser for root debridement in comparison with curettes has been the subject of many recent investigations. Considering the possibility of chemical and ultra-structural changes in root surfaces following laser irradiation, this study sought to assess the effects of scaling and root planing (SRP) with curettes and Er:YAG laser on chemical properties and ultrastructure of root surfaces using spectroscopy and scanning electron microscopy (SEM). Methods: In this in vitro experimental study, extracted sound human single-rooted teeth (n = 50) were randomly scaled using manual curettes alone or in conjunction with Er:YAG laser at 100 and 150 mJ/pulse output energies. The weight percentages of carbon, oxygen, phosphorous and calcium remaining on the root surfaces were calculated using spectroscopy and the surface morphology of specimens was assessed under SEM. Data were analyzed using one-way analysis of variance (ANOVA). Results: No significant differences (P > 0.05) were noted in the mean carbon, oxygen, phosphorous and calcium weight percentages on root surfaces following SRP using manual curettes with and without laser irradiation at both output energies. Laser irradiation after SRP with curettes yielded rougher surfaces compared to the use of curettes alone. Conclusion: Although laser irradiation yielded rougher surfaces, root surfaces were not significantly different in terms of chemical composition following SRP using manual curettes with and without Er:YAG laser irradiation. Er:YAG laser can be safely used as an adjunct to curettes for SRP.

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“…The ability of Er:YAG laser to remove subgingival dental calculus has already been shown in in vitro studies (Aoki et al, 1994;Folcwaczny et al,2000;Frentzen et al, 2002). In 1994 Aoki et al first documented the capacity of Er:YAG laser to remove dental calculus in an in vitro study, using a pulsed mode under irrigation.…”

Section: Periodontal Applications Of Er:yag Lasermentioning

confidence: 99%

“…Since then, many researchers investigated the effects of various laser types on dental hard tissue and caries. However, previous laser systems where basically not indicated for hard tissue procedures due to major thermal damage (Frentzen et al, 2002).…”

Section: Pathogenesis and Treatment Of Periodontitis 186mentioning

confidence: 99%

Alternative Treatment Approaches in Chronic Periodontitis: Laser Applications

Nastri¹,

Caruso²

2012

Pathogenesis and Treatment of Periodontitis

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Er:YAG Laser Scaling of Diseased Root Surfaces

Abstract: Laser scaling results in an increased loss of cementum and dentin, which should be taken into account in clinical situations.

Cited by 69 publications

References 16 publications

Evaluation of the Effects of Er,Cr:YSGG Laser, Ultrasonic Scaler and Curette on Root Surface Profile Using Surface Analyser and Scanning Electron Microscope: An In Vitro Study

Evaluation of the Effects of Er,Cr:YSGG Laser, Ultrasonic Scaler and Curette on Root Surface Profile Using Surface Analyser and Scanning Electron Microscope: An In Vitro Study

Effects of Root Debridement With Hand Curettes and Er:YAG Laser on Chemical Properties and Ultrastructure of Periodontally-Diseased Root Surfaces Using Spectroscopy and Scanning Electron Microscopy

Alternative Treatment Approaches in Chronic Periodontitis: Laser Applications

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