This document reviews the use of lasers in non-surgical periodontal therapy. It discusses how lasers can be used to decontaminate and coagulate periodontal pockets to remove bacterial biofilms and support healing. Different types of lasers including diode, Nd:YAG, CO2, and erbium lasers are described. Treatment protocols involve using lasers for sulcular debridement and repeated decontamination of pockets over multiple appointments to thoroughly reduce the bacterial load and support tissue maturation. Lasers are shown to be bactericidal and improve periodontal health outcomes when used as an adjunct to conventional root debridement and as part of expanded infection therapy protocols.
Lasers convert electrical or chemical energy into light energy. There are several types of dental lasers including CO2 lasers (wavelength 10.6 μm) used for soft tissue procedures. Nd:YAG lasers (wavelength 1.06 μm) are similar to CO2 lasers but can penetrate deeper, risking collateral damage. Er:YAG lasers (wavelength 2.94 μm) are used for caries removal and cavity preparation while protecting the pulp due to low penetration. Argon lasers (wavelength 457-502 nm) are used for resin curing, bleaching, and soft tissue procedures. The wavelength determines tissue absorption and penetration depth, affecting the thermal effects on tissues.
This document discusses the use of lasers in pediatric dentistry. It begins with an introduction to lasers and their history and classifications. The main advantages of lasers are reduced pain and bleeding. Applications discussed include caries removal and prevention, frenectomy for ankyloglossia, and pulpotomy. Lasers allow these procedures to be performed in a less stressful manner for children. However, high costs and need for additional training are limitations to their use in pediatric dentistry.
Lasers have various applications in operative dentistry including cavity preparation, caries detection, bleaching, and composite resin polymerization. Different types of lasers such as Er:YAG, CO2, and diode lasers can be used to ablate dental hard tissues with little pulp damage. Lasers also increase the resistance of enamel and dentin to caries, aid in caries diagnosis, and accelerate tooth whitening. Their precision and ability to coagulate tissues make lasers beneficial for various dental procedures with advantages such reduced pain and scarring.
This document provides information on lasers used in dentistry and periodontal therapy. It begins with biographical information on Frank Licht and his credentials. It then covers the history of lasers, key laser types used in dentistry, how lasers work, laser settings and tissue interactions. Application of lasers for procedures like LAPT and benefits like reduced inflammation and increased patient comfort are discussed. Requirements for certification and potential off-label uses of lasers are also mentioned. The document concludes with references.
This document discusses the use of lasers in prosthodontics. It describes how lasers are used for soft and hard tissue procedures like crown lengthening, gingival retraction, and implant uncovering. Lasers provide benefits like less pain, bleeding, and faster healing compared to traditional techniques. The document also outlines how lasers are used in areas like removable prosthetics, implantology, and maxillofacial prosthetics for procedures like torus reduction, peri-implantitis treatment, and prosthesis fabrication.
RECENT ADVANCES IN PEDIATRIC DENTISTRYShaik Gousia
1. Recent advances in pediatric dentistry include the use of silver diamine fluoride to arrest dental caries, zirconia crowns for their esthetics, and lasers which provide benefits for both patients and clinicians.
2. Silver diamine fluoride is effective at arresting existing dental caries and helps prevent new caries from forming or spreading. It provides an alternative to traditional restorative treatments.
3. Zirconia crowns offer superior esthetics compared to other crown materials used in pediatric dentistry. However, they require more chair time and cooperation from patients.
4. Lasers can be used for both soft tissue and hard tissue procedures in pediatric dentistry. They provide less fear
This document discusses several laser dentistry systems and their applications. It provides information on the Philips ZoomWhiteSpeed light-activated whitening system, which can whiten teeth up to 8 shades in under an hour. It also discusses the Waterlase laser system which uses water and air to cut tissue without heat, vibration or pressure. Finally, it summarizes several other dental laser systems including models from Dentmat, CAO Group, Sirona, AMD, and Epic by Biolase.
Lasers convert electrical or chemical energy into light energy. There are several types of dental lasers including CO2 lasers (wavelength 10.6 μm) used for soft tissue procedures. Nd:YAG lasers (wavelength 1.06 μm) are similar to CO2 lasers but can penetrate deeper, risking collateral damage. Er:YAG lasers (wavelength 2.94 μm) are used for caries removal and cavity preparation while protecting the pulp due to low penetration. Argon lasers (wavelength 457-502 nm) are used for resin curing, bleaching, and soft tissue procedures. The wavelength determines tissue absorption and penetration depth, affecting the thermal effects on tissues.
This document discusses the use of lasers in pediatric dentistry. It begins with an introduction to lasers and their history and classifications. The main advantages of lasers are reduced pain and bleeding. Applications discussed include caries removal and prevention, frenectomy for ankyloglossia, and pulpotomy. Lasers allow these procedures to be performed in a less stressful manner for children. However, high costs and need for additional training are limitations to their use in pediatric dentistry.
Lasers have various applications in operative dentistry including cavity preparation, caries detection, bleaching, and composite resin polymerization. Different types of lasers such as Er:YAG, CO2, and diode lasers can be used to ablate dental hard tissues with little pulp damage. Lasers also increase the resistance of enamel and dentin to caries, aid in caries diagnosis, and accelerate tooth whitening. Their precision and ability to coagulate tissues make lasers beneficial for various dental procedures with advantages such reduced pain and scarring.
This document provides information on lasers used in dentistry and periodontal therapy. It begins with biographical information on Frank Licht and his credentials. It then covers the history of lasers, key laser types used in dentistry, how lasers work, laser settings and tissue interactions. Application of lasers for procedures like LAPT and benefits like reduced inflammation and increased patient comfort are discussed. Requirements for certification and potential off-label uses of lasers are also mentioned. The document concludes with references.
This document discusses the use of lasers in prosthodontics. It describes how lasers are used for soft and hard tissue procedures like crown lengthening, gingival retraction, and implant uncovering. Lasers provide benefits like less pain, bleeding, and faster healing compared to traditional techniques. The document also outlines how lasers are used in areas like removable prosthetics, implantology, and maxillofacial prosthetics for procedures like torus reduction, peri-implantitis treatment, and prosthesis fabrication.
RECENT ADVANCES IN PEDIATRIC DENTISTRYShaik Gousia
1. Recent advances in pediatric dentistry include the use of silver diamine fluoride to arrest dental caries, zirconia crowns for their esthetics, and lasers which provide benefits for both patients and clinicians.
2. Silver diamine fluoride is effective at arresting existing dental caries and helps prevent new caries from forming or spreading. It provides an alternative to traditional restorative treatments.
3. Zirconia crowns offer superior esthetics compared to other crown materials used in pediatric dentistry. However, they require more chair time and cooperation from patients.
4. Lasers can be used for both soft tissue and hard tissue procedures in pediatric dentistry. They provide less fear
This document discusses several laser dentistry systems and their applications. It provides information on the Philips ZoomWhiteSpeed light-activated whitening system, which can whiten teeth up to 8 shades in under an hour. It also discusses the Waterlase laser system which uses water and air to cut tissue without heat, vibration or pressure. Finally, it summarizes several other dental laser systems including models from Dentmat, CAO Group, Sirona, AMD, and Epic by Biolase.
This document discusses the use of lasers in dental hygiene and periodontal treatment. It provides an overview of the history and types of lasers used, as well as their advantages like reduced bleeding and increased healing. Studies show the Erbium lasers (Er:YAG and Er,Cr:YSGG) may lead to greater reductions in pocket depths and attachment gains when used with scaling and root planing compared to scaling and root planing alone. Both lasers and conventional treatment significantly improved clinical parameters in the short term, but lasers have additional benefits like bacteria removal and tissue regeneration.
This document discusses the various applications of lasers in endodontics. It outlines 10 main uses of lasers including analgesia, pulp diagnosis, pulpotomy, pulpectomy, root canal treatment, apical surgery, bleaching, dentinal hypersensitivity, sterilization of dental instruments, and treatment of incomplete tooth fractures. For each use, it provides details on the specific lasers used (such as Nd:YAG, Er:YAG), how they work, and their advantages over traditional methods. It also lists some contraindications and references several textbooks and studies on the topic.
The document discusses the history and applications of lasers in dentistry. It notes that the first laser was invented in 1960 and they began being used in dentistry in 1964. It describes different types of lasers like CO2 and Nd:YAG lasers and their uses for procedures like biopsies, frenectomies, and removing lesions. It also summarizes various laser applications in orthodontics such as bonding/debonding brackets, accelerating tooth movement, and preventing cavities during treatment.
Nanotechnology offers several potential applications in orthodontics. Nanocoatings applied to archwires can reduce friction between the wire and bracket, enabling more efficient tooth movement. Shape memory polymer wires and hollow nickel-titanium wires under development may provide esthetic, lighter force options. Nanocomposite orthodontic adhesives have advantages over traditional adhesives like reduced shrinkage and improved mechanical properties. The antibacterial properties of nanosilver and nanocalcium phosphate additions to materials may also help prevent decalcification during treatment. Overall, nanotechnology shows promise for improving esthetics, efficiency, and oral health outcomes in orthodontic treatment.
This document discusses the use of lasers in dentistry. It provides a brief history of lasers, describing their development from theoretical concepts in the early 20th century to practical applications starting in the 1960s. It then covers various types of lasers used in dentistry and their wavelengths and interactions with tissue. The main applications of lasers described include uses in diagnostics, endodontics, periodontics, orthodontics, oral surgery, and treatment of conditions like cancers and snoring. Safety measures for laser use are also mentioned.
New development in careis removal and restorationNUHA ELKADIKI
This document discusses new developments in caries removal and restoration techniques. It describes several laser, air abrasion, polymer bur, micropreparation bur, and chemo-mechanical methods that have been introduced to remove only infected dentin and preserve healthy tooth structure. These include lasers, air abrasion, polymer burs, photoactivated disinfection using dye and lasers, and Carisolv gel. The document also discusses caries detector dyes that help distinguish between infected and healthy dentin to guide conservative caries removal. Overall, the goal of new methods is to remove infected material while minimizing removal of healthy tooth structure.
This document discusses newer methods for removing dental caries. It begins by classifying techniques as mechanical, chemomechanical, or thermal. Mechanical techniques include non-rotary methods like air abrasion and air polishing, as well as sonic and ultrasonic instrumentation. Chemomechanical caries removal uses chemical agents like carisolv or enzymes to dissolve carious dentin which is then removed. Thermal techniques include lasers. The document then discusses several methods in more detail, including controlled rotary excavation techniques like the endostepper and smart prep burs, as well as air abrasion, air polishing, sonoabrasion, and chemomechanical caries removal.
Lasers have many applications in operative dentistry including caries detection, cavity preparation, prevention of dental caries, bleaching, and photopolymerization of composite resin. Different types of lasers like Er:YAG, CO2, and diode lasers can be used safely for hard and soft tissue procedures with benefits like minimal damage, hemostasis, reduced post-operative pain and inflammation, and sterilization of wounds. While lasers provide advantages, training is required for their safe use and they can be costly to obtain.
NANO TECHNOLOGY IS THE FUTURE, THIS PRESENTATION IS ABOUT USE OF NANO TECHNO LOGY IN RESTORATIVE DENTISTRY. NANO TECHNOLOGY CAN BE USED IN SEVERAL MATERIALS,PROCEDURES.
This document discusses the role of nanotechnology in dentistry. It begins with definitions of nanotechnology and describes some of the early history and development of the field. Key techniques in nanotechnology include top-down and bottom-up approaches. The document outlines several applications of nanotechnology in dentistry, including nanomaterials, nanorobotics, nanodiagnostics, and others. It provides examples of how various nanomaterials and structures like nanoparticles, nanotubes, and quantum dots are being used and developed for applications in areas like restorations, coatings, bone grafts and more. In conclusion, the document discusses the potential for nanotechnology to transform dental care and treatment through highly precise manipulation and engineering at the nanoscale level
Nanodentistry: Recent Advances and Their Applications in ProsthodonticsTata Steel
This presentation will tell you about nanodentistry, recent advances and their applications in Prosthodontics. After listening this presentation, a dentist will be enlightened about nanodentistry and its role in Prosthodontics.
Lasers have become an important advancement in endodontics, allowing for procedures like pulp vitality testing, capping, amputation, access cavity preparation, root canal shaping, debris removal, sterilization, and closure of openings. Lasers provide advantages like reduced need for anesthesia, greater patient comfort, hemostasis, reduced risk of infection, high patient acceptance, and less stress on practitioners. However, lasers require specialized training and safety precautions, and cannot perform all dental applications as quickly as traditional methods. For lasers to be used properly in endodontics, practitioners must understand their characteristics and limitations to avoid misuse.
Application of laser in cosmetic dentistry / Dr.Sarah alkhateeb / Supervised ...Dr.Sarah Al-khateeb
Laser become an important part in cosmetic dentistry it provide predictable healing and reduce postoperative pain and swelling
All information also in my youtube account
https://www.youtube.com/watch?v=YqbWfA9jhWE&t=428s
This document discusses the use of lasers in oral medicine. It begins with definitions of lasers and a brief history of laser development. It describes the main types of lasers used in dentistry and their characteristics and applications. The document then discusses specific treatments using lasers for various oral conditions like aphthous ulcers, herpes labialis, pericoronitis, hemangiomas, fibromas, mucoceles, and leukoplakia. It concludes that lasers provide advantages like less bleeding, selective tissue removal, shorter procedures and reduced pain compared to conventional treatments.
Valuable clinical guide for soft tissue diode laser users with pre & post operative pics , useful , fully informative with tips helps my beloved coleagues to enjoy & profession the use of soft tissue dental laser #clinical_dental_laser #dental_laser #soft_tissue_laser
Newer techniques in caries removal /certified fixed orthodontic courses by ...Indian dental academy
Welcome to Indian Dental Academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy has a unique training program & curriculum that provides students with exceptional clinical skills and enabling them to return to their office with high level confidence and start treating patients
State of the art comprehensive training-Faculty of world wide repute &Very affordable.
This document discusses the use of lasers in dentistry. It begins with an introduction and history of lasers, then covers the fundamentals of laser operation and classification of lasers. The main uses of lasers in dentistry include soft tissue procedures like biopsy and surgery. Techniques for ablation, vaporization, and low level laser therapy are described. Benefits are reduced pain and bleeding, while risks include hazards to patients and staff if not used properly. Proper safety protocols and sterilization of laser equipment are emphasized.
“Bringing Nanodentistry into Periodontics”- Guest lecture as a part of Dr NTRUHS Zonal CDE programme at Army College of Dental Sciences, Hyderabad, India on 1/8/2013.
This document discusses the use of lasers in endodontics. It begins with a brief history of lasers, describing their development from Einstein's work in the early 1900s to their first use in dentistry in the 1970s. It then covers laser physics and components, different types of lasers including wavelengths used in dentistry, and laser tissue interactions. The main body discusses several clinical applications of lasers in endodontics such as pulp testing, pulp capping, pulpotomy, root canal disinfection and shaping, and endosurgery. Lasers can provide benefits like reduced need for anesthesia, hemostasis, and less collateral damage compared to other tools. Training is required and no single laser can perform all
LASERS – IT’S ROLE IN PERIODONTAL REGENERATIONhiij
The use of lasers has evolved as clinical experience along with scientific investigation. The dental
lasers of today have benefited from decades of laser research and have their basis in certain
theories from the field of quantum mechanics. When used efficaciously and ethically, lasers are an
exceptional modality of treatment for many clinical conditions that dental specialists treat on a
daily basis. The concept of using lasers for the treatment of periodontal disease elicits very strong
reactions from all sides of spectrum. Evidence suggests that lasers are useful as an adjunct or
alternative to traditional approaches in periodontal therapy. Future direction of lasers would be
towards a minimally invasive regenerative procedures along with laser assisted calculus detection
systems using laser fluorescence that is optical coherence tomography and a laser system which
selectively and completely removes the plaque and calculus that is under development. With recent
advances and development of wide range of laser wavelengths, different instrument designs and
different delivery systems, the purpose of this review is to determine the application and current
concept of lasers in the regeneration of periodontal tissues.
LASERS – IT’S ROLE IN PERIODONTAL REGENERATIONhiij
The use of lasers has evolved as clinical experience along with scientific investigation. The dental
lasers of today have benefited from decades of laser research and have their basis in certain
theories from the field of quantum mechanics. When used efficaciously and ethically, lasers are an
exceptional modality of treatment for many clinical conditions that dental specialists treat on a
daily basis. The concept of using lasers for the treatment of periodontal disease elicits very strong
reactions from all sides of spectrum. Evidence suggests that lasers are useful as an adjunct or
alternative to traditional approaches in periodontal therapy. Future direction of lasers would be
towards a minimally invasive regenerative procedures along with laser assisted calculus detection
systems using laser fluorescence that is optical coherence tomography and a laser system which
selectively and completely removes the plaque and calculus that is under development. With recent
advances and development of wide range of laser wavelengths, different instrument designs and
different delivery systems, the purpose of this review is to determine the application and current
concept of lasers in the regeneration of periodontal tissues.
This document discusses the use of lasers in dental hygiene and periodontal treatment. It provides an overview of the history and types of lasers used, as well as their advantages like reduced bleeding and increased healing. Studies show the Erbium lasers (Er:YAG and Er,Cr:YSGG) may lead to greater reductions in pocket depths and attachment gains when used with scaling and root planing compared to scaling and root planing alone. Both lasers and conventional treatment significantly improved clinical parameters in the short term, but lasers have additional benefits like bacteria removal and tissue regeneration.
This document discusses the various applications of lasers in endodontics. It outlines 10 main uses of lasers including analgesia, pulp diagnosis, pulpotomy, pulpectomy, root canal treatment, apical surgery, bleaching, dentinal hypersensitivity, sterilization of dental instruments, and treatment of incomplete tooth fractures. For each use, it provides details on the specific lasers used (such as Nd:YAG, Er:YAG), how they work, and their advantages over traditional methods. It also lists some contraindications and references several textbooks and studies on the topic.
The document discusses the history and applications of lasers in dentistry. It notes that the first laser was invented in 1960 and they began being used in dentistry in 1964. It describes different types of lasers like CO2 and Nd:YAG lasers and their uses for procedures like biopsies, frenectomies, and removing lesions. It also summarizes various laser applications in orthodontics such as bonding/debonding brackets, accelerating tooth movement, and preventing cavities during treatment.
Nanotechnology offers several potential applications in orthodontics. Nanocoatings applied to archwires can reduce friction between the wire and bracket, enabling more efficient tooth movement. Shape memory polymer wires and hollow nickel-titanium wires under development may provide esthetic, lighter force options. Nanocomposite orthodontic adhesives have advantages over traditional adhesives like reduced shrinkage and improved mechanical properties. The antibacterial properties of nanosilver and nanocalcium phosphate additions to materials may also help prevent decalcification during treatment. Overall, nanotechnology shows promise for improving esthetics, efficiency, and oral health outcomes in orthodontic treatment.
This document discusses the use of lasers in dentistry. It provides a brief history of lasers, describing their development from theoretical concepts in the early 20th century to practical applications starting in the 1960s. It then covers various types of lasers used in dentistry and their wavelengths and interactions with tissue. The main applications of lasers described include uses in diagnostics, endodontics, periodontics, orthodontics, oral surgery, and treatment of conditions like cancers and snoring. Safety measures for laser use are also mentioned.
New development in careis removal and restorationNUHA ELKADIKI
This document discusses new developments in caries removal and restoration techniques. It describes several laser, air abrasion, polymer bur, micropreparation bur, and chemo-mechanical methods that have been introduced to remove only infected dentin and preserve healthy tooth structure. These include lasers, air abrasion, polymer burs, photoactivated disinfection using dye and lasers, and Carisolv gel. The document also discusses caries detector dyes that help distinguish between infected and healthy dentin to guide conservative caries removal. Overall, the goal of new methods is to remove infected material while minimizing removal of healthy tooth structure.
This document discusses newer methods for removing dental caries. It begins by classifying techniques as mechanical, chemomechanical, or thermal. Mechanical techniques include non-rotary methods like air abrasion and air polishing, as well as sonic and ultrasonic instrumentation. Chemomechanical caries removal uses chemical agents like carisolv or enzymes to dissolve carious dentin which is then removed. Thermal techniques include lasers. The document then discusses several methods in more detail, including controlled rotary excavation techniques like the endostepper and smart prep burs, as well as air abrasion, air polishing, sonoabrasion, and chemomechanical caries removal.
Lasers have many applications in operative dentistry including caries detection, cavity preparation, prevention of dental caries, bleaching, and photopolymerization of composite resin. Different types of lasers like Er:YAG, CO2, and diode lasers can be used safely for hard and soft tissue procedures with benefits like minimal damage, hemostasis, reduced post-operative pain and inflammation, and sterilization of wounds. While lasers provide advantages, training is required for their safe use and they can be costly to obtain.
NANO TECHNOLOGY IS THE FUTURE, THIS PRESENTATION IS ABOUT USE OF NANO TECHNO LOGY IN RESTORATIVE DENTISTRY. NANO TECHNOLOGY CAN BE USED IN SEVERAL MATERIALS,PROCEDURES.
This document discusses the role of nanotechnology in dentistry. It begins with definitions of nanotechnology and describes some of the early history and development of the field. Key techniques in nanotechnology include top-down and bottom-up approaches. The document outlines several applications of nanotechnology in dentistry, including nanomaterials, nanorobotics, nanodiagnostics, and others. It provides examples of how various nanomaterials and structures like nanoparticles, nanotubes, and quantum dots are being used and developed for applications in areas like restorations, coatings, bone grafts and more. In conclusion, the document discusses the potential for nanotechnology to transform dental care and treatment through highly precise manipulation and engineering at the nanoscale level
Nanodentistry: Recent Advances and Their Applications in ProsthodonticsTata Steel
This presentation will tell you about nanodentistry, recent advances and their applications in Prosthodontics. After listening this presentation, a dentist will be enlightened about nanodentistry and its role in Prosthodontics.
Lasers have become an important advancement in endodontics, allowing for procedures like pulp vitality testing, capping, amputation, access cavity preparation, root canal shaping, debris removal, sterilization, and closure of openings. Lasers provide advantages like reduced need for anesthesia, greater patient comfort, hemostasis, reduced risk of infection, high patient acceptance, and less stress on practitioners. However, lasers require specialized training and safety precautions, and cannot perform all dental applications as quickly as traditional methods. For lasers to be used properly in endodontics, practitioners must understand their characteristics and limitations to avoid misuse.
Application of laser in cosmetic dentistry / Dr.Sarah alkhateeb / Supervised ...Dr.Sarah Al-khateeb
Laser become an important part in cosmetic dentistry it provide predictable healing and reduce postoperative pain and swelling
All information also in my youtube account
https://www.youtube.com/watch?v=YqbWfA9jhWE&t=428s
This document discusses the use of lasers in oral medicine. It begins with definitions of lasers and a brief history of laser development. It describes the main types of lasers used in dentistry and their characteristics and applications. The document then discusses specific treatments using lasers for various oral conditions like aphthous ulcers, herpes labialis, pericoronitis, hemangiomas, fibromas, mucoceles, and leukoplakia. It concludes that lasers provide advantages like less bleeding, selective tissue removal, shorter procedures and reduced pain compared to conventional treatments.
Valuable clinical guide for soft tissue diode laser users with pre & post operative pics , useful , fully informative with tips helps my beloved coleagues to enjoy & profession the use of soft tissue dental laser #clinical_dental_laser #dental_laser #soft_tissue_laser
Newer techniques in caries removal /certified fixed orthodontic courses by ...Indian dental academy
Welcome to Indian Dental Academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy has a unique training program & curriculum that provides students with exceptional clinical skills and enabling them to return to their office with high level confidence and start treating patients
State of the art comprehensive training-Faculty of world wide repute &Very affordable.
This document discusses the use of lasers in dentistry. It begins with an introduction and history of lasers, then covers the fundamentals of laser operation and classification of lasers. The main uses of lasers in dentistry include soft tissue procedures like biopsy and surgery. Techniques for ablation, vaporization, and low level laser therapy are described. Benefits are reduced pain and bleeding, while risks include hazards to patients and staff if not used properly. Proper safety protocols and sterilization of laser equipment are emphasized.
“Bringing Nanodentistry into Periodontics”- Guest lecture as a part of Dr NTRUHS Zonal CDE programme at Army College of Dental Sciences, Hyderabad, India on 1/8/2013.
This document discusses the use of lasers in endodontics. It begins with a brief history of lasers, describing their development from Einstein's work in the early 1900s to their first use in dentistry in the 1970s. It then covers laser physics and components, different types of lasers including wavelengths used in dentistry, and laser tissue interactions. The main body discusses several clinical applications of lasers in endodontics such as pulp testing, pulp capping, pulpotomy, root canal disinfection and shaping, and endosurgery. Lasers can provide benefits like reduced need for anesthesia, hemostasis, and less collateral damage compared to other tools. Training is required and no single laser can perform all
LASERS – IT’S ROLE IN PERIODONTAL REGENERATIONhiij
The use of lasers has evolved as clinical experience along with scientific investigation. The dental
lasers of today have benefited from decades of laser research and have their basis in certain
theories from the field of quantum mechanics. When used efficaciously and ethically, lasers are an
exceptional modality of treatment for many clinical conditions that dental specialists treat on a
daily basis. The concept of using lasers for the treatment of periodontal disease elicits very strong
reactions from all sides of spectrum. Evidence suggests that lasers are useful as an adjunct or
alternative to traditional approaches in periodontal therapy. Future direction of lasers would be
towards a minimally invasive regenerative procedures along with laser assisted calculus detection
systems using laser fluorescence that is optical coherence tomography and a laser system which
selectively and completely removes the plaque and calculus that is under development. With recent
advances and development of wide range of laser wavelengths, different instrument designs and
different delivery systems, the purpose of this review is to determine the application and current
concept of lasers in the regeneration of periodontal tissues.
LASERS – IT’S ROLE IN PERIODONTAL REGENERATIONhiij
The use of lasers has evolved as clinical experience along with scientific investigation. The dental
lasers of today have benefited from decades of laser research and have their basis in certain
theories from the field of quantum mechanics. When used efficaciously and ethically, lasers are an
exceptional modality of treatment for many clinical conditions that dental specialists treat on a
daily basis. The concept of using lasers for the treatment of periodontal disease elicits very strong
reactions from all sides of spectrum. Evidence suggests that lasers are useful as an adjunct or
alternative to traditional approaches in periodontal therapy. Future direction of lasers would be
towards a minimally invasive regenerative procedures along with laser assisted calculus detection
systems using laser fluorescence that is optical coherence tomography and a laser system which
selectively and completely removes the plaque and calculus that is under development. With recent
advances and development of wide range of laser wavelengths, different instrument designs and
different delivery systems, the purpose of this review is to determine the application and current
concept of lasers in the regeneration of periodontal tissues.
LASERS – IT’S ROLE IN PERIODONTAL REGENERATIONhiij
The use of lasers has evolved as clinical experience along with scientific investigation. The dental lasers of today have benefited from decades of laser research and have their basis in certain theories from the field of quantum mechanics. When used efficaciously and ethically, lasers are an exceptional modality of treatment for many clinical conditions that dental specialists treat on a daily basis. The concept of using lasers for the treatment of periodontal disease elicits very strong reactions from all sides of spectrum. Evidence suggests that lasers are useful as an adjunct or alternative to traditional approaches in periodontal therapy. Future direction of lasers would be towards a minimally invasive regenerative procedures along with laser assisted calculus detection systems using laser fluorescence that is optical coherence tomography and a laser system which selectively and completely removes the plaque and calculus that is under development. With recent advances and development of wide range of laser wavelengths, different instrument designs and different delivery systems, the purpose of this review is to determine the application and current concept of lasers in the regeneration of periodontal tissues.
1) Lasers have various applications in periodontal and implant dentistry including calculus removal, soft tissue excision and ablation, root decontamination, biostimulation, and bacteria reduction.
2) Studies show lasers may provide benefits like less swelling and pain compared to conventional methods.
3) Different laser wavelengths penetrate tissues to varying depths depending on characteristics, and care must be taken to avoid overheating implants which could damage surfaces.
The use of lasers in dentistry, particularly in periodontics and peri-implant diseases, is becoming
increasingly common nowadays. Since their introduction in the late 20th century, they have revolutionized the
treatment options available for the management of periodontal disease. They allow the clinician to reach inside the
deeper pockets and help in reducing the bacterial load. They offer various advantages and have variations according
to their clinical use. This review presents an overview of their applications in periodontics.
The document discusses the uses of lasers in dentistry. Lasers emit light through stimulated emission and can treat small, targeted areas without damaging surrounding tissues. They are used for hard tissue procedures like caries removal and bone contouring, as well as soft tissue procedures like biopsy, lesion removal, and gum surgery. Lasers can also reduce pain, minimize bleeding and swelling, and sterilize the treatment area. While lasers have advantages, traditional drills are still sometimes needed and lasers do not eliminate the need for anesthesia.
The term LASER is an acronym for ‘Light Amplification by the Stimulated Emission of Radiation’. As its first application in dentistry by Miaman, in 1960, the laser has seen various hard and soft tissue applications. In the last two decades, there has been an explosion of research studies in laser application. In hard tissue application, the laser is used for caries prevention, bleaching, restorative removal and curing, cavity preparation, dentinal hypersensitivity, growth modulation and for diagnostic purposes, whereas soft tissue application includes wound healing, removal of hyperplastic tissue to uncovering of impacted or partially erupted tooth, photodynamic therapy for malignancies, photostimulation of herpetic lesion. Use of the laser proved to be an effective tool to increase efficiency, specificity, ease, and cost and comfort of the dental treatment.
Lasers have various applications in oral and maxillofacial surgery. The CO2 laser is commonly used due to its ability to coagulate, vaporize, or incise tissue with good hemostasis and minimal trauma. Other lasers like Nd:YAG, argon, and pulsed dye are used for specific conditions. Lasers can remove lesions, tumors, vascular abnormalities and assist with procedures like implant surgery. Precise wavelengths allow for selective targeting of tissues. Lasers promote sterile sites, less pain, and scarring. Risks include burns and eye damage if not used properly.
The document discusses the history and applications of lasers in orthodontics. It begins with the history of lasers, describing their development in the 1960s. It then covers the various types of lasers used in dentistry and orthodontics, including CO2, Nd:YAG, and diode lasers. Applications of lasers in orthodontics discussed include polymerizing adhesives, preventing enamel scars, increasing bracket bond strength, reducing pain, debonding brackets, facial analysis, digital models, gingival contouring, and measuring pulpal blood flow. Potential harmful effects like fires, eye damage, and laser plume are also reviewed. In conclusion, lasers are now an accepted treatment mod
This document discusses the use of lasers in various medical fields such as dermatology, ophthalmology, dentistry, and gastroenterology. It explains that lasers can be used through four types of tissue interactions: photochemical, photothermal, photoablative, and photomechanical. Specific laser types and their applications in procedures like photocoagulation, photodisruption, and photorefractive keratectomy are outlined. The laser delivery systems of articulated arms, fiber optics, and waveguides are also summarized.
This document reviews the soft tissue applications of lasers in dentistry. It discusses how lasers provide benefits like sterilization of surfaces, a dry surgical field, decreased swelling and pain, and increased patient acceptance. Specific conditions that can be effectively treated with lasers are mentioned, such as peripheral ossifying fibromas, denture-induced fibrous hyperplasia, mucoceles, hemangiomas, and lymphangiomas. Lasers are shown to be useful tools for excising premalignant and malignant oral lesions as well. In summary, this document outlines the various uses of lasers in treating oral soft tissue disorders and conditions.
This document reviews the soft tissue applications of lasers in dentistry. It discusses how lasers provide benefits like surface sterilization, a dry surgical field, and increased patient acceptance for soft tissue procedures. Specific conditions that can be effectively treated with lasers are mentioned, such as peripheral ossifying fibromas, denture-induced fibrous hyperplasia, mucoceles, hemangiomas, and lymphangiomas. Lasers are described as a useful tool for treating premalignant and malignant oral lesions as well.
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Diode laser applications in periodonticsMinkle Gulati
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Laser assisted nonsurgical periodontal therapy a review (autosaved)
1. LASER ASSISTED NONSURGICAL PERIODONTAL THERAPY :- A REVIEW
DR VIRAL I PATEL
MDS [periodontics], DLD [diploma laser dentistry]
Prof & Head
Dept Of Periodontology & Implantology
College Of Dental Sciences & Research Centre, Ahmedabad, Gujarat
ABSRTACT
Lasers fast becoming part of contemporary clinical practice and have since opened up vistas of
unprecedented patient care. Bacteria associated with periodontal disease are associated with an
increased risk of heart disease, diabetes, stroke, premature birth2,3 and respiratory infection in
susceptible individuals.4,5 This article discusses the use and benefits of lasers in treatment
planning and delivery of nonsurgical periodontal procedures.
Keywords: sulcular debridement, active phase I periodontal infection therapy, Laser
decontamination, Laser coagulation
INTRODUCTION
Periodontal disease are biofilm-initiated inflammatory conditions that impact the susceptible
individuals.6 The organization and activity of biofilm are important because biofilm is the first
component of periodontal disease targeted in therapy. Conventional nonsurgical therapies
addresses debriding the area of bacteria, endotoxins & hard deposits from the tooth structure to
restore gingival health.7 The advantages of lasers affect the bacteria directly and support the
body’s healing response. Incorporating lasers into conventional therapies helps accomplish
treatment objectives.
Aoki et al.8 determined that deposits and biofilm are more thoroughly removed and that a more
biocompatible surface is created for reattachment with an erbium [Er] laser versus conventional
methods.9 The Alexandrite laser also has been in development of for selective removal of
calculus from the root structure.10 The carbon dioxide [CO2] laser has been shown to increase
adherence of fibroblasts to root surfaces, and the fibroblast adherence is superior to conventional
techniques both in quantity of fibroblasts attached and in the quality of the attachment.11
Regardless of the instruments used, it is essential that contaminants are thoroughly removed from
the tooth structure in any periodontal therapy. Currant laser-assisted methods address the biofilm
of the tissue wall, supplementing conventional methods that address the tooth structure. It is
critical note that laser treatment is an addition to, not a replacement for, conventional periodontal
therapy.
Both in vitro and in vivo studies show that lasers are bactericidal.12,14 Although not specific to
certain bacteria, the argon [Ar] neodymium-doped yittrium-aliminium-garnet [Nd-YAG], and
diode lasers have strong absorption in darkly pigmented bacteria, causing a direct, increased
effect on the red and orange-complex bacteria associated with periodontitis.15
2. In laser assisted active phase I periodontal therapy, the diseased biofilm-infested tissues of
pocket are debrided. It has been shown that “ the diode laser assisted periodontal therapy
provided a bactericidal effect, reduced inflammation, and supported healing of periodontal
pocket through elimination of bacteria.12 Administering laser energy to the affected tissue at
specific, repeated intervals is key in targeting biofilm during therapy.
Lasers also have the ability to seal capillaries and lymphatics, reducing swelling at the treated
site and minimizing postoperative discomfort.18
Another benefit of laser-assisted procedures is the healing stimulated at the cellular level.19
Medrado et al.20 found that low-level laser treatment depresses the exudative phase while
enhancing the proliferative processes during active and chronic inflammation. Laser
photobiomodulation can activate the local blood circulation and stimulate proliferation of
endothelial cells.21,22 Wound healing is supported with reduced edema, PMN infiltrate, increased
fibroblasts, more and better organized collagen bundles.23
The treatment goal for nonsurgical periodontal therapy is decontamination and coagulation rather
than incising. In laser-assisted procedures, laser energy is absorbed by the chromophore and
transformed into photothermal energy.
TYPES OF LASERS USED IN ACTIVE PHASE I PERIODONTAL INFECTION
THERAPY
Argon
Diode
Nd:YAG
CO2
Erbium
ARGON LASER
514-nm wavelength higly absorbed in hemoglobin and melanin and have bactericidal properties,
particularly for Prevotella and Porphyromonas. 15,24 It uses fiberoptic delivery.
DIODE LASER
810-830 nm
940 nm
980 nm
1064 nm
Both 810-830 and 980 nm wavelength may be used for nonsurgical periodontal therapy. 980-nm
has more absorption in water than the other diode wavelengths, which may be an added benefit
to the laser interaction within the pocket. Diode lasers are bactericidal12,25,26 and aid in
coagulation.
Diode lasers may be operated in continuous-wave mode, with low settings and short application
time, or in a gated-pulse mode, with higher settings and longer application time.
3. NEODYMIUM:YAG [Nd:YAG] LASER
It is a free running pulse laser and also uses a fiberoptic delivery for contact or non-contact
mode. 1064 nm wavelength is most highly absorbed in melanin, less in hemoglobin, and slightly
in water. It is also bactericidal and provides excellent hemostasis.
MICROPULSED CO2 LASER
It is 10,600 nm wavelength and used in non-contact mode. Technique requires same care as any
other laser application for soft tissue: direct the laser energy away from the tooth structure.
ERBIUM FAMILY OF LASERS
Er-YAG 2940 nm
Er,Cr-YSGG [erbium-doped yittrium-scandium-gallium-garnet] 2780 nm
They are used for both hard and soft tissue applications. Quicker healing also is an advantage of
these wavelength.9 Studies have demonstrated significant population reduction of the periodontal
pathogens Porphyromonas Gingivalis and Actinobacillus [Aggregatibacter]
actinomycetemcomitans, as well as positive long term clinical results in attachment gain.9,13,16
TREATMENT PROTOCOLS FOR SOFT TISSUE LASERS IN ACTIVE PHASE I
PERIODONTAL INFECTION THERAPY
The objective of active phase I periodontal infection therapy is to remove biofilm and deposits
found above the gumline and within the pocket, whether on the tooth structure, on the tissue
wall, or in the crevicular fluids. These is accomplished through conventional SRP as well as
laser-assisted sulcular debridement. Sulcular debridement addresses the pocket wall for profound
decontamination and seals the capillaries and lymphatics through coagulation.
[A] SULCULAR DEBRIDEMENT WITH FIBEROPTIC LASER DELIVERY
Preprocedural Decontamination
It is a laser application done before any instrumentation even before probing, to affect the
bacteria within the sulcus, reducing the risk of bacterimia caused from instrumentation, and to
lower the microcount in aerosols created during ultrasonic instrumentation.27
The fiber is placed within the sulcus and is swept vertically and horizontally against the tissue
wall, away from the tooth with a smooth, flowing motion.
Decontamination
Laser decontamination removes the biofilm within the necrotic tissue of the periodontal pocket
wall. The laser energy interacts strongly with inflamed tissue components [from preferential
absorption by chromophores, which are more abundant in diseased tissue] and less strongly with
healthy tissue. This nonsurgical therapy uses very low settings and decontaminates rather than
cuts the tissue.10
Laser therapy should address sites presenting with inflammation and/or pocketing of 4 mm or
greater. Completion of laser decontamination is determined by laser parameters used, delivery
time, and clinical signs. Decontamination is accomplished with less mJ and more Hz than for
coagulation. A more inflamed pocket may require less average power because of increased
concentration of the laser’s preferred chromophores.
4. Coagulation
When biofilm has been removed, the second objective in active phase I periodontal infection
therapy is coagulation, sealing the capillaries and lymphatics of the healthy tissue. Coagulation
may inhibit the biofilm’s progression and it also counteracts the swelling that occurs with the
inflammatory process.
Coagulation is accomplished with increased mJ and decreased Hz compared with
decontamination. It also requires less time within the pocket and does not address every mm of
tissue.
After coagulation, firm digital pressure applied to areas with deep pockets will support the re-
adaptation of the tissue to the tooth and further enhance reattachment.
[B] SULCULAR DEBRIDEMENT WITH CO2 LASER
When the argon, diode, and Nd:YAG lasers employ a contact technique, the micorpulsed 10,600-
nm CO2 laser uses a defocused, noncontact technique. Marginal dehydration and pocket
decontamination are two steps applied in CO2 laser therapy.
Marginal dehydration will improve entry of the tip by drawing the tissue slightly away from the
tooth structure and the epithelium will be inhibited by this application.
The technique for decontamination involves placement of the laser’s defocusing tip 1 to 2 mm
only into pocket. Coagulation occurs simultaneously with decontamination.
EXPANDED PERIODONTAL INFECTION THERAPY
The expanded-therapy design for periodontal infection takes into consideration the severity of
the disease to be treated. This is structured with more appointments with shorter treatment times.
Advantages
Repeated reduction of microbial load within the pocket
Less patient fatigue
Decreased postoperative discomfort because smaller areas are treated
Repeated biofilm removal at the cervical portion of the tooth
Supports the healing process by retarding epithelium and allowing connective tissue growth
Disadvantages
More visits
Not practical for sedation appointments
Expanded infection therapy consists of following appointments
SEDATION APPOINTMENT
DEBRIDEMENT APPOINTMENT
LASER DECONTAMINATION APPOINTMENT
REINFECTION ASSESSMENT AND REEVALUATION
5. TABLE : SuggestedLaser Parameters for Nonsurgical Periodontal Therapy 5,28
LASER
TYPE
FIBER
DIAMETE
R
PREPROCEDURAL
DECONTAMINATIO
N
DEBRIDEMEN
T
COAGULATIO
N
Argon 300 microns No suggested parameters 05 watt, 0.05-
second pulse
duration, 0.2 sec
between pulses
0.7-0.8 W, 0.05-
sec pulse duration,
0.2 sec between
pulses
Diode 810
nm
300 micron
initiated
1.0 W, uninitiated fiber,
gated 50% duty cycle,
15 sec per tooth
0.4 W continuous
wave, 20 sec per
site
0.8 W,
continuous, 10 sec
per site
Nd:YAG
1064nm
300 micron No suggested parameters 30 mJ and 60 Hz,
1.8 W, 40 sec per
site
100 mJ & 20 Hz,
2.0 W, 20 sec per
site
Diode 980
nm
300 micron No suggested parameters 2.0 W pulsed 25
msec on/50 msec
off for avg power
of 0.7 W applied
20 sec/site or 0.4-
0.6 W, continuous
for 20 sec/site
0.8 W continuous
applied 10 sec/site
Micropulse
d CO2
Periotip
aperture: 0.5
mm
No suggested parameters 80 mJ [level 4],
50 Hz, 1.8-2.0 W,
avg of 24
sec/tooth
28 mJ, 30 Hz, 1
W, 350-microsec
pulse width, 0.31
msec off; avg of
24 sec/tooth
N/A
Er:YAG Tip diameter
0.6 mm
No suggested parameters 80 mJ, 30 Hz, 2.4
W avg power
with spray
N/A
Er,Cr:
YSGG
Tip diameter
0.6 mm
No suggested parameters 1.0 W [50
mJ/pulse]
N/A
6. SEDATION APPOINTMENT
It focuses only on definitive debridement of the teeth and decontamination of the tissues.
DEBRIDEMENT APPOINTMENT
It includes definitive removal of calculus and endotoxins on the tooth surfaces along with the
first application of laser decontamination of the diseased pocket walls.
LASER DECONTAMINATION APPOINTMENT
It is provided after thorough debridement of tooth structure, when continued decontamination of
the tissue wall, impairment of epithelium, and maturation of connective tissue are required.
The sessions are scheduled approximately 10 days apart after the last debridement plus lasing
session.
At the completion of the last laser decontamination appointment, the definitive therapy
appointment should be scheduled for 6, 8, or 12 weeks [longer interval allows attachment to
mature].
REINFECTION ASSESSMENT AND REEVALUATION
This appointment marks the completion of the active phase I periodontal infection therapy and
provides evaluative and therapeutic services. This appointment follows the last laser
decontamination appointment by 6 to 12 weeks and includes continued evaluation of daily care.
Laser decontamination in areas of inflammation and persistent pocketing completes the process
for the definitive therapy [reevaluation] appointment.
SUPPORTIVE PERIODONTAL THERAPY
This appointments maintain the body’s stabilization in oral health by eliminating or reducing
local microbial factors. Clinically, these involves preserving clinical attachment level,
maintaining alveolar bone height, eliminating inflammation, and ensuring comfortable function.
CONCLUSION
There are very few contraindications to laser treatment. Lasers may be used on children,
pregnant women, and immunocompromised patients. When used within parameters, lasers
provide gentle, yet profound decontamination at the target site and promote healing. Lasers are
bactericidal and improve indices related to periodontal health. They are excellent adjunct to
thorough root debridement and tissue rehabilitation.
Understanding applications and safe techniques of laser-assisted therapy provides a higher
standard of care.
It is critical note that laser treatment is an addition to, not a replacement for, conventional
periodontal therapy.
7. REFERENCES:-
1. American Academy of Periodontology: Epidemiology of periodontal diseases [AAP position
paper], J periodontal 76:1406-1419, 2005.
2. Lin D, Moss K, Beck JD, et al: Persistently high levels of periodontal pathogens associated
with preterm pregnancy outcome, J Periodontol 78[5]:833-841, 2007.
3. Zambon JJ: Periodontal diseases: microbial factors, Ann Periodontol 1:879-925, 1996.
4. Paju S, Scannapieco FA: Oral biofilms, periodontitis, and pulmonary infections, Oral Dis
13[6]:508-512, 2007
5. Robert A Convisaar: Principles And Practice of Laser Dentistry, textbook, Mosby, Elsevier
2011
6. Hujoel PP, Bergstrom J, del Aguilla MA, DeRounen TA: A hidden periodontitis epidemic
during the 20th century? Community Dent Oral Epidemiol 31:1-6, 2003.
7. Perry D, Beemsterboer P, Taggart E: Periodontology for the dental hygienist, ed 2,
Philadelphia, 2001, Saunders.
8. Aoki a, Sasaki KM, Watanabe H, Ishikawa I: Lasers in nonsurgical periodontal therapy,
Periodontol 2000 36:59-97, 2004
9. Schwarz F, Sculean A, Berakdar M et al: In vivo and in vitro effects of an Er:YAG laser, a
GaAlAs diode laser and scaling and root planning on periodontally diseased root surfaces: a
comparative histologic study, Lasers Surg Med 32:359-366, 2003.
10. Rechmann P, Henning T:Slective ablation of subgingival calculus . In Loh HS, editor: 4th
International Congress on lasers in dentistry, Bologna, 1995, Monduzzi Editore, pp 159-162
11. Crespi R, Barone A, Covanin U, et al: Effects of CO2 laser treatment on fibroblast
attachment to root surfaces: an SEM analysis, J Periodontol 73:1308-1312, 2002.
12. Moritz A, Schoop U, Goharkhay K, et al: Treatment of periodontal pockets with diode laser.
Department of Conservative dentistry, Dental School of the university of Vienna, Austria, Lasers
Surg Med 22[5]:302-311,1998.
13. Ando Y, aoki A, Watanabe H, Ishikawa I: Bactericidal effects of erbium YAG Laser on
periodontopathic bacteria, Lasers Surg Med 19:190-200, 1996.
14. Walsh LJ: Utilization of a carbon dioxide laser for periodontal surgery: a three-year
longitudinal study, Periodontol 2000 16:3-7,1995.
8. 15. Finkbeiner RL: The results of 1328 periodontal pockets treated with argon laser: selective
pocket thermolysis, J Clin Laser Med Surg 13:273-281. 1995.
16. Kreisler M, Kohnen W, Marinello C, et al: Bactericidal effect of the Er:YAG laser radiation
on dental implant surfaces: an in vitor study, J Periodontol 73[11]:1292-1298, 2002.
17. Coluzzi DJ, Covissar RA: Atlas of laser applications in dentistry, Chicago, 2007,
Quintessence.
18. Gans SL, Austin E: The use of lasers in pediatric surgery, J Pediatr Surg 23[8]:695-704, 1988
19. Jia YL, Guo ZY: Effect of low power He-Ne laser irradiation on rabbit articular
chondrocytes in vitro, Lasers Surg Med 34[4]:323-328, 2004.
20. Medrado AP, Soares AP, Santos ET, et al: Influence of laser photobiomodulation upon
connective tissue remodeling during wound healing, J Photochem Photobiol Biol 92:144-152,
2008.
21. Schindl A, Schindl M, Schindl L, et al: Increased dermal angiogenesis after low-intensity
laser therapy for a chronic radiation ulcer determined by a video measuring system, J AmAcad
Dermatol 40[3]:481-484, 1999.
22. Garavello I, Baranauskas V, da Cruz-Hofling MA: The effects of low laser irradiation on
angiogenesis in injured rat tibiae, Histol Histopathol 19[1]:43-48, 2004.
23. Reis SR, Medrado AP, Marchionni AM, et al: Effect of 670-nm laser therapy and
dexamethasone on tissue repair: a histological and ultrastructural study, Photomed Laser Surg
26[4]:305-311, 2008.
24. Henry CA, Judy M, Dyer B, et al: Sensitivity of porphyaromonas and prevotella species in
liquid media to argon laser, Photochem Photobiol 61:410-413, 1995.
25. Gutknecht N, Franzen R, Schippers M, Lampert F: Bactericidal effect of a 980-nm diode
laser in the root canal wall dentin of bovine teeth, J Clin Laser Med Surg 22[1]:9-13,2004.
26. Sennhenn-Kirchner S, Klaue S, Wolff N, et al: Decontamination of rough titanium surfaces
with diode lasers: microsurgical findings on in vivo grown bofilms, Clin Oral Implants Res
18[1]:126-132, 2007.
27. Assaf M, Yilmaz S, Kuru B, et al: Effect of the diode laser on the bacteremia associated with
dental ultrasonic scaling: a clinical and microbiological study, Photomed Laser Surg 25[4]:250-
256, 2007.
28. Robert A Convisaar: Principles And Practice of Laser Dentistry, textbook, page 38, Mosby,
Elsevier 2011