The use of laser in the reality of periodontics and implantology
Keywords:
dental biofilm; immediate loading in oral implantology; diode lasers; peri-implantitis; periodontics; photodynamic therapyAbstract
Introduction: Laser technology has been used in periodontics and implantology for diagnostic and therapeutic purposes.
Objective: To critically analyze the use of lasers in periodontal and peri-implant surgery, and to expose new guidelines for this technology in daily practice.
Methods: A literature review was conducted on the use of lasers in periodontics and implantology; its current status worldwide, recent scientific evidence, and future prospects were evaluated. The search was carried out in the PubMed/Medline, Web of Science, and Scopus databases, using the English terms: “laser,” “dental,” “periodontology,” and “implantology.” Articles published in English during the last five years were included.
Results: The reviewed literature describes different applications of laser in dentistry. A division is made of the four lasers that perform most adequately in dentistry.
Conclusions: Lasers are an innovative therapeutic alternative in periodontics and implantology. However, more controlled clinical studies are needed to validate their efficacy and safety, thus ensuring their predictable application in the treatment of periodontal and peri-implant diseases.
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References
1. Hamada Y, Ricker A, Chiou LL, et al. Dental laser training and education in postgraduate periodontics programs in North America. J Dent Educ. 2022;86(5):517-25. DOI: 10.1002/jdd.12844.
2. Afkhami F, Rostami G, Xu C, et al. The application of lasers in vital pulp therapy: a review of histological effects. Lasers Med Sci. 2023;38(1):215. DOI: 10.1007/s10103-023-03854-7.
3. Paes Batista da Silva A, Irfan UM, Furman E, et al. Status of North American Graduate Programs in Periodontics Providing Laser Education and Clinical Training: A Cross-Sectional Survey. Dent J (Basel). 2022;10(7):119. DOI: 10.3390/dj10070119.
4. Khoshbin E, Ghasemi L, Behroozi R, et al. Effect of 810 nm Diode Laser Irradiation on the Time of Initiation and Depth of Anesthesia for Endodontic Treatment of Mandibular First Molars with Symptomatic Irreversible Pulpitis: A Clinical Trial. Photobiomodul Photomed Laser Surg. 2023;41(9):475-82. DOI: 10.1089/photob.2023.0068.
5. Munteanu IR, Luca RE, Mateas M, et al. The Efficiency of Photodynamic Therapy in the Bacterial Decontamination of Periodontal Pockets and Its Impact on the Patient. Diagnostics (Basel). 2022;12(12):3026. DOI: 10.3390/diagnostics12123026.
6. Sobouti F, Chiniforush N, Saravani HJ, et al. Efficacy of compound topical anesthesia combined with photobiomodulation therapy in pain control for placement of orthodontic miniscrew: a double-blind, randomized clinical trial. Lasers Med Sci. 2022;37(1):589-94. DOI: 10.1007/s10103-021-03307-z.
7. Bozkaya S, Uraz A, Guler B, et al. The stability of implants and microbiological effects following photobiomodulation therapy with one-stage placement: A randomized, controlled, single-blinded, and split-mouth clinical study. Clin Implant Dent Relat Res. 2021;23(3):329-40. DOI: 10.1111/cid.12999.
8. Toshi, Mayuri S, Prasad M, et al. Immediate Response of Diode Laser on the Microbial Load in Subjects with Chronic Periodontitis. J Pharm Bioallied Sci. 2023;15(Supl 2):S1195-200. DOI: 10.4103/jpbs.jpbs_164_23.
9. Abdullah LA, Hashim N, Rehman MM, et al. Effectiveness of Diode (810 nm) Laser in Periodontal Parameters and Reduction of Subgingival Bacterial Load in Periodontitis Patients. J Contemp Dent Pract. 2023;24(12):1008-15. DOI: 10.5005/jp-journals-10024-3603.
10. Elmeligy SMA, Saleh W, Elewa GM, et al. The efficacy of diode laser and subgingival air polishing with erythritol in treatment of periodontitis (clinical and microbiological study). BMC Oral Health. 2024;24(1):763. DOI: 10.1186/s12903-024-04481-6.
11. Chala M, Anagnostaki E, Mylona V, et al. Adjunctive Use of Lasers in Peri-Implant Mucositis and Peri-Implantitis Treatment: A Systematic Review. Dent J. 2020;8(3):68. DOI: 10.3390/dj8030068.
12. Altalhi AM, AlNajdi LN, Al-Harbi SG, et al. Laser Therapy Versus Traditional Scaling and Root Planing: A Comparative Review. Cureus. 2024;16(6):e61997. DOI: 10.7759/cureus.61997.
13. Ishida Y, Kato Y, Iwamoto R, et al. Effects of Irradiation by Carbon Dioxide Laser Equipped With a Water Spray Function on Bone Formation in Rat Tibiae. In Vivo. 2023;37(2):559-64. DOI: 10.21873/invivo.13114.
14. Birang R, Sadeghi SM, Birang E, et al. A Comparative Study of the Use of a 980 nm Diode Laser and 10600nm CO2 in the Treatment of Gingival Melanin Pigmentation. J Lasers Med Sci. 2024;15:e61. DOI: 10.34172/jlms.2024.61.
15. Naghsh N, Birang R, Shafiei F, et al. Comparative Evaluation of the Effects of CO2 and Er:YAG Lasers on Smear Layer Removal and Blood Cell Attachment to Tooth Root Surfaces. J Lasers Med Sci. 2020;11(1):74-80. DOI: 10.15171/jlms.2020.13.
16. Datarkar A, Shah V, Pandilwar P, et al. Is CO2 laser effective in the surgical management of oral potentially malignant disorders? A systematic review and meta-analysis. Lasers Med Sci. 2025;40(1):132. DOI: 10.1007/s10103-025-04396-w.
17. Saneja R, Bhattacharjee B, Bhatnagar A, et al. Efficacy of different lasers of various wavelengths in treatment of peri-implantitis and peri-implant mucositis: A systematic review and meta-analysis. J Indian Prosthodont Soc. 2020;20(4):353-62. DOI: 10.4103/jips.jips_144_20.
18. Marchand L, Cornish D, Mojon P, et al. Laser-Induced Temperature Changes on the Outer Surface of Titanium Dental Implants: An In Vitro Study. Int J Oral Maxillofac Implants. 2024;39(4):121-8. DOI: 10.11607/jomi.10656.
19. Laky M, Müller M, Laky B, et al. Short-term results of the combined application of neodymium-doped yttrium aluminum garnet (Nd:YAG) laser and erbium-doped yttrium aluminum garnet (Er:YAG) laser in the treatment of periodontal disease: a randomized controlled trial. Clin Oral Investig. 2021;25(11):6119-26. DOI: 10.1007/s00784-021-03911-x.
20. Kanazirski N, Vladova D, Neychev D, et al. Effect of Er:YAG Laser Exposure on the Amorphous Smear Layer in the Marginal Zone of the Osteotomy Site for Placement of Dental Screw Implants: A Histomorphological Study. J Funct Biomater. 2023;14(7):376. DOI: 10.3390/jfb14070376.
21. Xie Y, Peng Y, Zhou T, et al. Study on the Mechanism of Nd:YAG Laser-Assisted Therapy on the Changes of Subgingival Flora in Periodontitis. Oral Health Prev Dent. 2024;22:547-56. DOI: 10.3290/j.ohpd.b5795663.
22. Fiegler-Rudol J, Skaba D, Wiench R. Antimicrobial Efficacy of Nd:YAG Laser in Polymicrobial Root Canal Infections: A Systematic Review of In Vitro Studies. Int J Mol Sci. 2025;26(12):5631. DOI: 10.3390/ijms26125631.
23. Aoki A, Mizutani K, Mikami R, et al. Er:YAG laser-assisted comprehensive periodontal pocket therapy for residual periodontal pocket treatment: A randomized controlled clinical trial. J Periodontol. 2023;94(10):1187-99. DOI: 10.1002/JPER.22-0552.
24. Shang J, Han M, Sun J, et al. Comparative Study on the Treatment of Ankyloglossia by Using Er:YAG Laser or Traditional Scalpel. J Craniofac Surg. 2021;32(8):e792-5. DOI: 10.1097/SCS.0000000000007788.
25. Hosseini Mehvar B, Azizi A, Lawaf S, et al. Temperature Rise and Pain Following the Use of 810 and 980 nm Diode Lasers for Second-Stage Dental Implant Surgery: A Clinical Trial. J Lasers Med Sci. 2024;15:e29. DOI: 10.34172/jlms.2024.29.
26. Wehner C, Laky M, Shokoohi-Tabrizi HA, et al. Effects of Er:YAG laser irradiation of different titanium surfaces on osteoblast response. J Mater Sci: Mater Med. 2021;32(3):22. DOI: 10.1007/s10856-021-06493-y.
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