Limits...
Root Surface Bio-modification with Erbium Lasers- A Myth or a Reality??

Lavu V, Sundaram S, Sabarish R, Rao SR - Open Dent J (2015)

Bottom Line: The objective of this literature review was to critically review the evidence available in the literature regarding the expediency of erbium family of lasers for root bio modification as a part of periodontal therapy.The literature search was performed on the Pubmed using MeSH words such as "lasers/therapeutic use, scaling, dental calculus, tooth root/anatomy and histology, ultrasonic therapy".The studies were screened and were grouped as follows: those evaluating a) efficacy for calculus removal with the Erbium family of laser b) root surface changes following Er YAG and Er Cr YSGG application c) comparative studies of the Er YAG, Er Cr YSGG lasers versus conventional methods of root surface modification d) Bio compatibility of root surface following Erbium laser treatment e) Studies on the combined efficacy of laser root modification with conventional methods towards root surface bio-modification f) Studies on effectiveness of root surface bio-modification prior to root coverage procedures.

View Article: PubMed Central - PubMed

Affiliation: Department of Periodontics, Faculty of Dental Sciences, Sri Ramachandra University, Porur, Tamil Nadu, Chennai, India.

ABSTRACT
The objective of this literature review was to critically review the evidence available in the literature regarding the expediency of erbium family of lasers for root bio modification as a part of periodontal therapy. The literature search was performed on the Pubmed using MeSH words such as "lasers/therapeutic use, scaling, dental calculus, tooth root/anatomy and histology, ultrasonic therapy". The studies were screened and were grouped as follows: those evaluating a) efficacy for calculus removal with the Erbium family of laser b) root surface changes following Er YAG and Er Cr YSGG application c) comparative studies of the Er YAG, Er Cr YSGG lasers versus conventional methods of root surface modification d) Bio compatibility of root surface following Erbium laser treatment e) Studies on the combined efficacy of laser root modification with conventional methods towards root surface bio-modification f) Studies on effectiveness of root surface bio-modification prior to root coverage procedures. In conclusion, the erbium family has a proven anti-bacterial action, predictable calculus removal, minimal root substance removal, and appears to favor cell attachment. The Erbium family of lasers appears to be a useful adjunct for the management of periodontal disease.

No MeSH data available.


Related in: MedlinePlus

Scanning Electron Microscope picture of periodontally diseaseroot surface treated with citric acid (25%, pH 1.5 for 10 seconds)demonstrating a complete removal of smear layer and patentdentinal tubules.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4333616&req=5

Figure 1: Scanning Electron Microscope picture of periodontally diseaseroot surface treated with citric acid (25%, pH 1.5 for 10 seconds)demonstrating a complete removal of smear layer and patentdentinal tubules.

Mentions: The formation of a smear layer consisting of dentinal debris and some bacteria occurs after scaling and root planing [8]. The removal of this smear layer assumes clinical importance due to the fact that the smear layer prevents attachment of connective tissue to the root surface. The hard tissue lasers such as the Erbium lasers have been proposed as an alternative to chemical conditioning of root surface for removal of smear layer. Recent studies [44, 45] compared the efficacy of smear layer removal by chemical root modification agents vs Erbium laser (Figs. (1, 2)). The authors have reported an equivalent and complete smear layer removal by erbium laser.


Root Surface Bio-modification with Erbium Lasers- A Myth or a Reality??

Lavu V, Sundaram S, Sabarish R, Rao SR - Open Dent J (2015)

Scanning Electron Microscope picture of periodontally diseaseroot surface treated with citric acid (25%, pH 1.5 for 10 seconds)demonstrating a complete removal of smear layer and patentdentinal tubules.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4333616&req=5

Figure 1: Scanning Electron Microscope picture of periodontally diseaseroot surface treated with citric acid (25%, pH 1.5 for 10 seconds)demonstrating a complete removal of smear layer and patentdentinal tubules.
Mentions: The formation of a smear layer consisting of dentinal debris and some bacteria occurs after scaling and root planing [8]. The removal of this smear layer assumes clinical importance due to the fact that the smear layer prevents attachment of connective tissue to the root surface. The hard tissue lasers such as the Erbium lasers have been proposed as an alternative to chemical conditioning of root surface for removal of smear layer. Recent studies [44, 45] compared the efficacy of smear layer removal by chemical root modification agents vs Erbium laser (Figs. (1, 2)). The authors have reported an equivalent and complete smear layer removal by erbium laser.

Bottom Line: The objective of this literature review was to critically review the evidence available in the literature regarding the expediency of erbium family of lasers for root bio modification as a part of periodontal therapy.The literature search was performed on the Pubmed using MeSH words such as "lasers/therapeutic use, scaling, dental calculus, tooth root/anatomy and histology, ultrasonic therapy".The studies were screened and were grouped as follows: those evaluating a) efficacy for calculus removal with the Erbium family of laser b) root surface changes following Er YAG and Er Cr YSGG application c) comparative studies of the Er YAG, Er Cr YSGG lasers versus conventional methods of root surface modification d) Bio compatibility of root surface following Erbium laser treatment e) Studies on the combined efficacy of laser root modification with conventional methods towards root surface bio-modification f) Studies on effectiveness of root surface bio-modification prior to root coverage procedures.

View Article: PubMed Central - PubMed

Affiliation: Department of Periodontics, Faculty of Dental Sciences, Sri Ramachandra University, Porur, Tamil Nadu, Chennai, India.

ABSTRACT
The objective of this literature review was to critically review the evidence available in the literature regarding the expediency of erbium family of lasers for root bio modification as a part of periodontal therapy. The literature search was performed on the Pubmed using MeSH words such as "lasers/therapeutic use, scaling, dental calculus, tooth root/anatomy and histology, ultrasonic therapy". The studies were screened and were grouped as follows: those evaluating a) efficacy for calculus removal with the Erbium family of laser b) root surface changes following Er YAG and Er Cr YSGG application c) comparative studies of the Er YAG, Er Cr YSGG lasers versus conventional methods of root surface modification d) Bio compatibility of root surface following Erbium laser treatment e) Studies on the combined efficacy of laser root modification with conventional methods towards root surface bio-modification f) Studies on effectiveness of root surface bio-modification prior to root coverage procedures. In conclusion, the erbium family has a proven anti-bacterial action, predictable calculus removal, minimal root substance removal, and appears to favor cell attachment. The Erbium family of lasers appears to be a useful adjunct for the management of periodontal disease.

No MeSH data available.


Related in: MedlinePlus