A REVIEW OF THE

USE OF LASER IN
PERIODONTAL
THERAPY
Dr. Rana T. Jameel
M.Sc. Laser dentistry
 LASER TYPES

Argon laser (488 nm, 514 nm)

 LASER TYPES

Diode laser ( 980 nm,

810 nm,940 nm, 976 nm)
 CO₂ laser
Nd:YAG laser
(10.6 µm)
(1064 nm)

LASER TYPES
Er:YAG laser Er,Cr:YSGG laser
(2.97 µm) ( 2.72 µm)

LASER TYPES
 Periodontal disease:
Periodontitis
Is a polymicrobial infection caused by
multiple types of bacteria harmfully
interacting with the body’s immune
system.
In response to this invasion of bacteria,
gum tissues become inflamed and
ulcerated.
 Treatment techniques for initial
therapy ( phase I)
• Mechanical debridement of the biofilm
(scaling and root planing) (root debridement)
• Non surgical therapy (curettage)
The lining of inflamed pocket was
removed from the tooth or tissue.
this technique is sensitive and time
consuming
Current literature suggests if
bacteria are affectively removed,
tissue repair can occur without the
need for surgical intervention.
 OJECTIVES OF USING LASER IN
PERIODONTAL THERAPY
• Arresting the disease process

• Cleaning and disinfecting the affected

root surface

• Helps in regeneration of healthy

periodontal attachment to the tooth
surface
Any laser device can be used for
periodontal therapy as:
the periodontal tissues have
varying water and mineral
contents, pigments and tissue
dentistry which allows them to
absorb beams from different
laser devices
Periodontal
pocket
Treatment protocol
Preprocedural decontamination
Conventional scaling
Conventional root planning
 Laser debridement and
disinfection of the periodontal
pocket
Postoperative instructions
1. Do not eat until numbness is gone.
2. [Patients who smoke] Smoking compromises
the
healing processes; refrain from smoking as
as long
possible .
3. Avoid spicy, sharp, crunchy foods for 24
hours.
5. Avoid seeds or husks for 3 to 5 days (or as
directed).
6. Rinse with saltwater (1 tsp in 8 oz of warm
water)
three times daily until tissues are comfortable..
7. Any over-the-counter pain reliever may be taken as
directed to manage mild discomfort

8. More severe pain should be evaluated by the

dentist.
9. Thorough but gentle cleaning is essential to the
healing process. In areas treated, use an extra soft
toothbrush for 1 or 2 days, and floss gently. Regular
brushing and flossing may be done in all other
areas.
10. Oral irrigation may begin after 24 hours..
Sub gingival irrigation is contraindicated until further
evaluation.
 LASER ASSISSTED NEW ATTACHMENT
PROCEDURE

It is a new treatment option that helps remove

plaque and calculus while limiting bacterial
infection to help fight Periodontitis by
regenerating rather than resecting tissues

LANAP promotes epithelial and periodontal

attachments in the affected areas
LASER OF CHOICE
Nd:YAG laser with a wavelength of
1064 nm
 The Nd:YAG laser’s benefits are based on:

 its ability to remove subgingival diseased connective

tissues and pocket lining

 its ability to kill pathogenic bacteria creates

environment where normal flora survives

 Its precision to remove diseased tissue close to the

margins of where it meets healthy tissue without
damaging the latter
THE ADVANTAGES OF USING LASER IN
PHASE I OF PERIODONTAL THERAPY
 Control the spread of harmful bacteria and
limits tooth loss
 Elimination of cutting, bleeding, soreness,
and discomfort of the gum
 Isolation of deep periodontal pockets
 Regeneration of bone and ligmament tissues
 Increases the chance of the success of
periodontal treatment
 The need for anasthesia is minimized or is
avoided in less invasive procedures
 Other uses of laser in periodontics

Frenectomy
Gingivectomy
Crown lengthening
Excision of epulis
 Advantages of using laser in
surgical periodontal treatment

 Atraumatic
 No need for suturing
 No need for any periodontal dressing
 Minimal amount of anesthesia is
needed