Utilization of 810 nm Diode Laser Treatment in Periodontitis as an Alternative to Surgical Debridement Approach

Abstract

The efficacy of surgical periodontal may be compromised by inadequate patients' self-performed plaque control or lack of supportive periodontal therapy. This clinical case report aimed to evaluate the effectiveness of 810 nm diode laser-assisted full-mouth sulcular debridement, as a potential treatment modality in the management of chronic periodontitis along with a 12-month follow-up evaluation. Each periodontal pocket was lased within 2 mm of deepest point, using a light contact of "hot tip" of the fiber with tissue [Average power-1W, emission mode-continuous wave, in "contact", beam diameter-400 µm, spot area at tissue-0.0013 cm 2 , fluence-124.9 J cm À2 , power density-796 W cm À2 , total energy-300 J, total treatment duration-300 s (5 min)]. The patient was followed up to 12 months and did not report any immediate or delayed complications such as any sign of photothermal damage, pain, tissue swelling and deformation, bleeding and infection. 810 nm diode laser-assisted sulcular debridement at low-power settings showed overall clinical and radiographic improvements and can be deemed as a potential alternative to surgical debridement approach, in persistent moderate periodontal pockets (4-6 mm).

Utilization of Laser Wavelengths in Periodontitis and Periimplantitis

“…Inside the periodontal pocket for non-surgical therapy, we use a diode near-infrared laser with a wavelength between 800nm-980nm for coagulating gingivae (epithelial ablation inside the pocket) as an adjunct to SRP. Additionally, it results in complete removal of the inflamed epithelium and decreases the amount of pro-inflammatory agents [9,12,[28][29][30][31][32][33][34][35][36]. Appropriate laser wavelengths, with suitable protocols, probably can improve the periodontal status for a more extended period and likely limit the use of antibiotics.…”

“…These wavelengths generate a photothermal phenomenon with ablation and additionally haemostasis due to microvessels construction inside the pocket. Some part of the light is absorbed superficially, but some are reemitted as longer wavelengths with more superficial penetration, which causes the complete removal of the contaminated by intracellular periodontal pathogens gingival epithelium [32,34,37,[45][46][47][48][49].…”

Comparative evaluation of Indocyanine Green and 810nm Diode Laser Assisted Antimicrobial Photodynamic Therapy with 810nm Diode Laser Assisted New Attachment Procedure as adjuncts to Scaling and Root Planning in Supportive Periodontal Therapy: A Randomized Controlled Split-Mouth Clinical Trial

“…which has been shown to reduce the formation of abnormal blood vessels and bleeding, thereby preserving gingival health.The results of the present study illustrated statistically significant positive treatment outcomes in terms of CAL gain and reduction in PPD at 3 and 6 months follow up in both the groups however significantly greater reduction in PPD and CAL were observed in the IG-PDT group. Recent studies reported a significant improvement in periodontal parameters using IG-PDT compared to scaling and root planning[32,35,39,44]. IG-PDT may convey anti-inflammatory properties and is effective in eliminating periodontal pathogens.…”