Current status of Er:YAG laser in periodontal surgery

Lasers have numerous advantageous tissue interactions such as ablation or vaporization, hemostasis, bacterial killing, as well as biological effects, which induce various beneficial therapeutic effects and biological responses in the tissues. Thus, lasers are considered an effective and suitable dev...

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Main Authors: Akira Aoki, Koji Mizutani, Yoichi Taniguchi, Taichen Lin, Yujin Ohsugi, Risako Mikami, Sayaka Katagiri, Walter Meinzer, Takanori Iwata
Format: Article
Language:English
Published: Elsevier 2024-12-01
Series:Japanese Dental Science Review
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1882761623000388
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author Akira Aoki
Koji Mizutani
Yoichi Taniguchi
Taichen Lin
Yujin Ohsugi
Risako Mikami
Sayaka Katagiri
Walter Meinzer
Takanori Iwata
author_facet Akira Aoki
Koji Mizutani
Yoichi Taniguchi
Taichen Lin
Yujin Ohsugi
Risako Mikami
Sayaka Katagiri
Walter Meinzer
Takanori Iwata
author_sort Akira Aoki
collection DOAJ
description Lasers have numerous advantageous tissue interactions such as ablation or vaporization, hemostasis, bacterial killing, as well as biological effects, which induce various beneficial therapeutic effects and biological responses in the tissues. Thus, lasers are considered an effective and suitable device for treating a variety of inflammatory and infectious conditions of periodontal disease. Among various laser systems, the Er:YAG laser, which can be effectively and safely used in both soft and hard tissues with minimal thermal side effects, has been attracting much attention in periodontal therapy. This laser can effectively and precisely debride the diseased root surface including calculus removal, ablate diseased connective tissues within the bone defects, and stimulate the irradiated surrounding periodontal tissues during surgery, resulting in favorable wound healing as well as regeneration of periodontal tissues. The safe and effective performance of Er:YAG laser-assisted periodontal surgery has been reported with comparable and occasionally superior clinical outcomes compared to conventional surgery. This article explains the characteristics of the Er:YAG laser and introduces its applications in periodontal surgery including conventional flap surgery, regenerative surgery, and flapless surgery, based on scientific evidence from currently available basic and clinical studies as well as cases reports.
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spelling doaj.art-9bfb3c719235459993312821c3db8d3a2023-12-11T04:16:19ZengElsevierJapanese Dental Science Review1882-76162024-12-0160114Current status of Er:YAG laser in periodontal surgeryAkira Aoki0Koji Mizutani1Yoichi Taniguchi2Taichen Lin3Yujin Ohsugi4Risako Mikami5Sayaka Katagiri6Walter Meinzer7Takanori Iwata8Department of Periodontology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), 1-5-45, Yushima, Bunkyo-ku, Tokyo 113-8549, Japan; Correspondence to: Photoperiodontics, Department of Periodontology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8549, Japan.Department of Periodontology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), 1-5-45, Yushima, Bunkyo-ku, Tokyo 113-8549, JapanDepartment of Periodontology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), 1-5-45, Yushima, Bunkyo-ku, Tokyo 113-8549, Japan; Taniguchi Dental Clinic, Kita 7−17, 18-chome, Nango-dori, Shiroishi-ku, Sapporo, Hokkaido, JapanSchool of Dentistry, Chung Shan Medical University (CSMU), No.110, Section 1, Jianguo N. Rd., South Dist, Taichung 402, Taiwan; Department of Dentistry, Chung Shan Medical University Hospital, No.110, Section 1, Jianguo N. Rd., South Dist, Taichung 402, TaiwanDepartment of Periodontology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), 1-5-45, Yushima, Bunkyo-ku, Tokyo 113-8549, JapanDepartment of Periodontology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), 1-5-45, Yushima, Bunkyo-ku, Tokyo 113-8549, JapanDepartment of Periodontology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), 1-5-45, Yushima, Bunkyo-ku, Tokyo 113-8549, JapanDepartment of Periodontology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), 1-5-45, Yushima, Bunkyo-ku, Tokyo 113-8549, JapanDepartment of Periodontology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), 1-5-45, Yushima, Bunkyo-ku, Tokyo 113-8549, JapanLasers have numerous advantageous tissue interactions such as ablation or vaporization, hemostasis, bacterial killing, as well as biological effects, which induce various beneficial therapeutic effects and biological responses in the tissues. Thus, lasers are considered an effective and suitable device for treating a variety of inflammatory and infectious conditions of periodontal disease. Among various laser systems, the Er:YAG laser, which can be effectively and safely used in both soft and hard tissues with minimal thermal side effects, has been attracting much attention in periodontal therapy. This laser can effectively and precisely debride the diseased root surface including calculus removal, ablate diseased connective tissues within the bone defects, and stimulate the irradiated surrounding periodontal tissues during surgery, resulting in favorable wound healing as well as regeneration of periodontal tissues. The safe and effective performance of Er:YAG laser-assisted periodontal surgery has been reported with comparable and occasionally superior clinical outcomes compared to conventional surgery. This article explains the characteristics of the Er:YAG laser and introduces its applications in periodontal surgery including conventional flap surgery, regenerative surgery, and flapless surgery, based on scientific evidence from currently available basic and clinical studies as well as cases reports.http://www.sciencedirect.com/science/article/pii/S1882761623000388LasersPeriodontitisPeriodontal surgeryPeriodontal debridementWound healingRegeneration
spellingShingle Akira Aoki
Koji Mizutani
Yoichi Taniguchi
Taichen Lin
Yujin Ohsugi
Risako Mikami
Sayaka Katagiri
Walter Meinzer
Takanori Iwata
Current status of Er:YAG laser in periodontal surgery
Japanese Dental Science Review
Lasers
Periodontitis
Periodontal surgery
Periodontal debridement
Wound healing
Regeneration
title Current status of Er:YAG laser in periodontal surgery
title_full Current status of Er:YAG laser in periodontal surgery
title_fullStr Current status of Er:YAG laser in periodontal surgery
title_full_unstemmed Current status of Er:YAG laser in periodontal surgery
title_short Current status of Er:YAG laser in periodontal surgery
title_sort current status of er yag laser in periodontal surgery
topic Lasers
Periodontitis
Periodontal surgery
Periodontal debridement
Wound healing
Regeneration
url http://www.sciencedirect.com/science/article/pii/S1882761623000388
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