Skip to main content

Advertisement

SpringerLink
Log in

One-year clinical results of Er,Cr:YSGG laser application in addition to scaling and root planing in patients with early to moderate periodontitis

  • Original Article
  • Published:
Lasers in Medical Science Aims and scope Submit manuscript

Abstract

In 30 patients with periodontitis, a total of 278 teeth exhibiting bleeding on probing, subgingival calculus, and a probing depth between 3–6 mm were examined. For each participant, two treatment types were alternatively applied on the contralateral quadrants: scaling and root planing (SRP) as control, and SRP followed by Er,Cr:YSGG laser application (SRP+laser), as a test method. Five clinical parameters: plaque level, bleeding on probing, probing depth, gingival recession and clinical attachment level were examined at baseline and at 2, 3, 6, 12 months after treatment. Of the total of 1,668 sites examined in all patients, 1,088 sites were found with a probing depth of 3–6 mm. In these sites, differences in clinical parameters between SRP and SRP+laser-treated quadrants were analyzed, assuming the level of p < 0.05 as significant. After 2 months from baseline, the mean probing depth reduction and the clinical attachment level gain were significantly greater in SRP+laser than in SRP quadrants, and remained so throughout the study (p < 0.001). A marked reduction of the bleeding scores occurred in all examined sites, irrespective of the treatment method. However, after 12 months, significantly less teeth exhibited bleeding on probing in SRP+laser quadrants than in SRP quadrants (p < 0.001). The mean plaque and gingival recession levels did not differ between the SRP and SRP+laser quadrants neither before nor after the treatment. The periodontal procedures either using Er,Cr:YSGG laser after SRP or SRP alone, lead to significant improvements in all clinical parameters investigated. However, laser application, as an adjunct to SRP, appeared to be more advantageous.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. O’Leary TJ (1986) The impact of research on scaling and root planing. J Periodontol 57(2):69–75

    PubMed  Google Scholar 

  2. Kepic TJ, O’Leary TJ, Kafrawy AH (1986) Total calculus removal: an attainable objective? J Periodontol 57:69–75

    Google Scholar 

  3. Nyman S, Lindhe J, Karring T (1992) Reattachment–New attachment. In: Lindhe J (ed) Textbook of clinical periodontology. Munksgaard, Copenhagen

    Google Scholar 

  4. Adrians PA, Edwards CA, De Boever IA et al (1988) Ultrastructural observations on bacterial invasion in cementum and radicular dentin of periodontally diseased human teeth. J Periodontol 59:493–503

    Google Scholar 

  5. Yukna RA, Scott JB, Aichelmann-Reidy ME et al (1997) Clinical evaluation of the speed and effectiveness of subgingival calculus removal on single-rooted teeth with diamond-coated ultrasonic tips. J Periodontol 68(5):436–442

    PubMed  CAS  Google Scholar 

  6. Polson AM, Frederic GT, Ladenheim S et al (1984) The production of a root surface smear layer by instrumentation and its removal by citric acid. J Periodontol 55:443–446

    PubMed  CAS  Google Scholar 

  7. Moritz A, Schoop U, Goharkhay K et al (1998) Treatment of periodontal pockets with a diode laser. Lasers Surg Med 22:302–311

    Article  PubMed  CAS  Google Scholar 

  8. Rossman JA, Cobb M (1995) Lasers in periodontal therapy. Periodontol 2000(9):150–164

    Article  Google Scholar 

  9. Watanabe H, Ishikawa I, Suzuki M (1996) Clinical assessments of the erbium:YAG laser for soft tissue surgery and scaling. J Clin Laser Med Surg 14(2):67–75

    PubMed  CAS  Google Scholar 

  10. Folwaczny M, Mehl A, Haffner C et al (2003) Root substance removal with Er:YAG laser radiation at different parameters using a new delivery system. J Periodontol 74(2):147–155

    Google Scholar 

  11. Ando Y, Aoki A, Watanabe H et al (1996) Bactericidal effect of erbium YAG laser on periodontopathic bacteria. Lasers Surg Med 19:190–200

    Article  PubMed  CAS  Google Scholar 

  12. Folwaczny M, Mehl A, Aggstaller H et al (2002) Antimicrobial effects of 2.94 micron Er:YAG laser radiation on root surfaces: an in vitro study. J Clin Periodontol 29:73–78

    Article  PubMed  Google Scholar 

  13. Yamaguchi H, Kobayashi K, Osada R et al (1997) Effects of irradiation of an erbium:YAG laser radiation on root surfaces. J Periodontol 68:1151–1155

    PubMed  CAS  Google Scholar 

  14. Theodoro LH, Haaypek P, Bachmann L et al (2003) Effect of Er:YAG and diode laser irradiation on the root surfaces: morphological and thermal analysis. J Periodontol 74:838–843

    Article  PubMed  Google Scholar 

  15. Caton J, Zander HA (1976) Osseous repair of an intrabony pocket without new attachment of connective tissue. J Clin Periodontol 3:54–58

    Article  PubMed  CAS  Google Scholar 

  16. Listgarten MA, Rosenberg MM (1979) Histological study of repair following new attachment procedures in human periodontal lesions. J Periodontol 50:333–344

    Article  PubMed  CAS  Google Scholar 

  17. Centry IG, Blank LW, Levy BA et al (1997) Carbon dioxide laser for de-epithelization of periodontal flaps. J Periodontol 68(8):763–768

    Google Scholar 

  18. Israel M, Rossmann JA, Froum SJ (1995) Use of the carbon dioxide laser in retarding epithelial migration: a pilot histological study utilizing case reports. J Periodontol 66:197–203

    PubMed  CAS  Google Scholar 

  19. Kelbauskiene S, Maciulskiene V (2007) A pilot study of Er,Cr:YSGG laser therapy used as an adjunct to scaling and root planing in patients with early and moderate periodontitis. Stomatologija 9(1):21–26

    PubMed  Google Scholar 

  20. Nyman S, Gottlow J, Karring T et al (1982) The regenerative potential of the periodontal ligament: an experimental study in monkeys. J Clin Periodontol 9:257

    Article  PubMed  CAS  Google Scholar 

  21. Nyman S, Lindhe J, Karring T et al (1982) New attachment following surgical treatment of human periodontal disease. J Clin Periodontol 9:290

    Article  PubMed  CAS  Google Scholar 

  22. Loe H, Silness J (1963) Periodontal disease in pregnancy. Prevalence and severity. Acta Odontol Scand 21:553–551

    Article  Google Scholar 

  23. Melcher AH (1976) On the repair potential of periodontal tissues. J Periodontol 47(5):256–260

    Article  PubMed  CAS  Google Scholar 

  24. Melcher AH, Mcculloch CAG, Cheong T et al (1987) Cells from bone synthesize cementum-like and bone-like tissue in vitro and may migrate into periodontal ligament in vivo. J Periodontal Res 22:246–247

    Article  PubMed  CAS  Google Scholar 

  25. Shulean A, Schwarz F, Berakdar M et al (2004) Periodontal treatment with an Er:YAG laser compared to ultrasonic instrumentation: a pilot study. J Periodontol 75:966–973

    Article  Google Scholar 

  26. Schwarrz F, Berakdar M, Georg T et al (2003) Clinical evaluation of an Er:YAG laser combined with scaling and root planing for non-surgical periodontal treatment. J Clin Periodontol 30:26–34

    Article  Google Scholar 

  27. Crespi R, Cappare P, Toscanelli I, Gherlone E et al (2007) Effects of Er:YAG laser compared to ultrasonic scaler in periodontal treatment: a 2-year follow-up split mouth clinical study. J Periodontol 78:1195–1200

    Article  PubMed  Google Scholar 

  28. Schwarz F, Berakdar M, Georg T, Reich E et al (2003) Clinical evaluation of an Er:YAG laser combined with scaling and root planing for non-surgical periodontal treatment. J Clin Periodontol 30:26–34

    Article  PubMed  Google Scholar 

  29. Blomlof JP, Blomlof LB, Lindskog SF (1996) Smear removal and collagen exposure after non-surgical root planing followed by etching with an EDTA gel preparation. J Periodontol 67(9):841–845

    PubMed  CAS  Google Scholar 

  30. Polson AM, Frederich GT, Ladenheim S, Hanes PJ (1984) The production of a root surface smear layer by instrumentation and its removal by citric acid. J Periodontol 55:443–446

    PubMed  CAS  Google Scholar 

  31. Crespi R, Romanos GE, Cassinelli C, Gherlone E (2006) Effects of Er:YAG laser and ultrasonic system on fibroblast attachment to root surfaces: in vitro study. J Periodontol 77:1217–1222

    Article  PubMed  Google Scholar 

  32. Schwarz F, Shulean A, Georg T, Reich E (2001) Periodontal treatment with an Er:YAG laser compared to scaling and root planing. A controlled clinical study. J Periodontol 72:361–368

    Article  PubMed  CAS  Google Scholar 

  33. Folwaczny M, Aggsataller H, Mehl A, Hickel R (2003) Removal of bacterial endotoxin from root surface with Er:YAG laser. Am J Dent 16:3–5

    PubMed  Google Scholar 

  34. Renvert S, Wikstrom M, Dahlen G, Slots J et al (1990) Effect of root debridement on the elimination of Actinobacillus actinomycetemcomitans. J Clin Periodontol 17:345–350

    Article  PubMed  CAS  Google Scholar 

  35. Takamatsu N, Yano K, He T, Umeda M et al (1999) Effect of initial periodontal therapy on the frequency of detecting Bacteroides forsythus, Porphyromonas gingivalis and Actinobacillus actinomycetemcomitans. J Periodontol 70:574–580

    Article  PubMed  CAS  Google Scholar 

  36. Centty I, Blank L, Levy B et al (1997) Carbon dioxide laser for de-epithelization of periodontal flaps. J Periodontol 763–768

Download references

Author information

Authors and Affiliations

  1. Clinic of Dental and Oral Pathology, Faculty of Odontology, Kaunas University of Medicine, Eiveniu 2, Kaunas, Lithuania

    Solveiga Kelbauskiene, Nomeda Baseviciene & Vita Machiulskiene

  2. Department of Conservative Dentistry, Bernhard Gottlieb University Clinic of Dentistry, Medical University of Vienna, Vienna, Austria

    Kawe Goharkhay & Andreas Moritz

Authors
  1. Solveiga Kelbauskiene
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Nomeda Baseviciene
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Kawe Goharkhay
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Andreas Moritz
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Vita Machiulskiene
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Solveiga Kelbauskiene.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Kelbauskiene, S., Baseviciene, N., Goharkhay, K. et al. One-year clinical results of Er,Cr:YSGG laser application in addition to scaling and root planing in patients with early to moderate periodontitis. Lasers Med Sci 26, 445–452 (2011). https://doi.org/10.1007/s10103-010-0799-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10103-010-0799-4

Keywords

Search

Navigation