LASER-ASSISTED THERAPY IN PERIODONTICS

Today, in case of periodontal inflammation, the choice of a painless and minimal invasive methods is more affordable and accepted than surgery. Of course, the use of modern and effective instruments are required as also the active collaboration of a patient who should be well motivated to maintain a good oral health.

Several studies and literature highlight how non-surgical periodontal instrumentation leads to greater adhesion and “restitutio in integrum” compared to surgical treatment.

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Non-surgical therapy is a valid and quick option in the treatment of pathologies such as periodontitis, and in all those concerning general periodontal disease. If performed in time, therapeutical approaches allow to block the action of bacterial to damage the gum even preventing tooth’s lost. 

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The most emerging technology in the field of non-surgical periodontology is represented by the laser light in the infrared spectrum (810nm-1064nm). The laser is a light radiation with a monochromatic wavelength capable to interact and deeply penetrate the gum.

The diode laser is a specific device used for soft tissues surgery and therapy. In the most complicated cases of peri-implantitis, through a thin optical tip, laser is applied in direct contact with the implant surfaces.

Promoting regular laser procedures, it’s possible to prevent several oral diseases and provide a less invasive and comfortable approach without surgery. Also in the case of deep bacterial infection which lead to tissue’s loss, the healing features of diode laser allow biological repair.

If the inflammation is not treated, the gingival sulcus recedes until the formation of the periodontal pocket, which become deeper with the pass of time leading to loose of tooth’s stability.

In worst cases, surgery is the way to treat the disease, while laser light is used as assisted protocol for healing processes.

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Typically, after scaling, laser light is applied as analgesic solution following by sub-gingival debridement.
Diode laser is thus associated to hydrogen peroxide (H2O2, 10 volume 3%) which increases the decontamination power inside the pocket.

The effectiveness of periodontal treatment done with laser is connected to the technique and to the experience acquired by the Specialist, especially in evaluating if and when diode laser needs to be applied.

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Scientific literature

Diode laser therapy in the management of chronic periodontitis – A clinico-microbiological study

In vivo investigation of diode laser application on red complex bacteria in non-surgical periodontal therapy: a split-mouth randomised control trial

Impact of Adjunctive Diode Laser Application to Non-Surgical Periodontal Therapy on Clinical

 

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