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Low level laser applications in periodontology

Year 2014, Volume: 4 Issue: 1, 43 - 50, 25.04.2014

Abstract

In dentistry, which is a constantly renewing and growing discipline, many new developments can be applied in order to increase the success of treatment and patient comfort. For this purpose, low-level laser (LLL) applications have been widely used in periodontology. Low-level laser therapy (LLLT) are used in clinical practice since 1988. Laser systems have bio-stimulative, regenerative, analgesic and anti-inflammatory effects; and also can activate haematological and immune systems. The use of LLLT in periodontology may be beneficial in the treatment of periodontal diseases and in eliminating the side effects of treatment. It is shown in several studies that inflammatory, hard and soft tissue healing processes; postoperative pain and dentinal hypersensitivity therapies may be affected positively from LLLTs. Especially, the effects of LLLT on the initial periodontal treatment and periodontal surgery practice applications have been the subject of several investigations. Although there are various possibilities for the use of LLLT in periodontology there is no standardization and consensus about LLLT applications. , In this review, benefits, limitations and the use of LLLT in various areas of periodontal therapy are discussed in the light of the literature.

Key words: Low level laser therapy, periodontal treatment

References

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  • Convissar RA. The biologic rationale for the use of lasers in dentistry. Dent Clin North Am. 2004;48(4):771-794.
  • Dilek Uysal ÇG. Diş Hekimliğinde Lazer: Bir Literatür Derlemesi. Atatürk Üniv Diş Hek Fak Derg. 2012;6:44-53.
  • Qadri T, Miranda L, Tuner J, Gustafsson A. The short-term effects of low-level lasers as adjunct therapy in the treatment of periodontal inflammation. J Clin Periodontol. 2005;32(7):714-719.
  • Crespi R, Romanos GE, Barone A, Sculean A, Covani U. Er:YAG laser in defocused mode for scaling of periodontally involved root surfaces: an in vitro pilot study. J Periodontol. 2005;76(5):686-690.
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  • Vescovi P, Merigo E, Meleti M, Fornaini C, Nammour S, Manfredi M. Nd:YAG laser biostimulation of bisphosphonate-associated necrosis of the jawbone with and without surgical treatment. Br J Oral Maxillofac Surg. 2007;45(8):628-632.
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  • Shimizu N, Yamaguchi M, Goseki T, Shibata Y, Takiguchi H, Iwasawa T, Abiko Y. Inhibition of prostaglandin E2 and interleukin 1-beta production by low-power laser irradiation in stretched human periodontal ligament cells. J Dent Res. 1995;74(7):1382-1388.
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  • Grzesik WJ, Narayanan AS. Cementum and periodontal wound healing and regeneration. Crit Rev Oral Biol Med.: an official publication of the American Association of Oral Biologists. 2002;13(6):474-484.
  • Loevschall H, Arenholt-Bindslev D. Effect of low level diode laser irradiation of human oral mucosa fibroblasts in vitro. Lasers Surg Med. 1994;14(4):347-354.
  • Kreisler M, Christoffers AB, Willershausen B, d’Hoedt B. Effect of low-level GaAlAs laser irradiation on the proliferation rate of human periodontal ligament fibroblasts: an in vitro study. J Clin Periodontol. 2003;30(4):353-358.
  • Yu W, Naim JO, Lanzafame RJ. The effect of laser irradiation on the release of bFGF from 3T3 fibroblasts. Photochem Photobiol. 1994;59(2):167-170.
  • Pourzarandian A, Watanabe H, Ruwanpura SM, Aoki A, Ishikawa I. Effect of low-level Er:YAG laser irradiation on cultured human gingival fibroblasts. J Periodontol. 2005;76(2):187-193.
  • Karu TI. Effects of visible radiation on cultured cells. Photochem Photobiol. 1990;52(6):1089-1098.
  • Ozcelik O, Cenk Haytac M, Kunin A, Seydaoglu G. Improved wound healing by low-level laser irradiation after gingivectomy operations: a controlled clinical pilot study. J Clin Periodontol. 2008;35(3):250-254. Amorim JC, de Sousa GR, de Barros Silveira L, Prates RA, Pinotti M, Ribeiro MS. Clinical study of the gingiva healing after gingivectomy and low-level laser therapy. Photomed Laser Surg. 2006;24(5):5885
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Periodontolojide düşük doz lazer uygulamaları

Year 2014, Volume: 4 Issue: 1, 43 - 50, 25.04.2014

Abstract

Sürekli yenilenen ve gelişen bir bilim dalı olan diş hekimliğinde, tedavi başarısını ve hasta konforunu artırmak amacıyla birçok yeni gelişme uygulama alanı bulmaktadır. Bu amaçla düşük doz lazer tedavisi (DDLT) uygulamaları da periodontolojide yaygın olarak yer alabilmektedir. DDLT 1988’den beri klinik uygulamalarda kullanılmaktadır. Dokuları uyarıcı, rejeneratif, analjezik ve antiinflamatuar etkiye sahip olan lazer sistemleri; immün ve hematolojik sistemleri de aktive etmektedir. Periodontolojide DDLT’nin kullanımı periodontal hastalıkların tedavisinde ve tedavilerin yan etkilerinin giderilmesinde faydalı olabilmektedir. Çeşitli çalışmalarda inflamasyon ile sert ve yumuşak doku iyileşme sürecinin, operasyon sonrası ağrı ve dentin hassasiyeti tedavisinin DDLT’ den olumlu olarak etkilendiği gösterilmiştir. Özellikle, periodontal baslangıç tedavisi ile periodontal cerrahi sonrası uygulaması üzerine etkileri birçok araştırmaya konu olmuştur. DDLT’nin periodontolojide kullanımı için çeşitli olasılıklar olsa da DDLT uygulamaları hakkında bir standardizasyon ve fikir birliği bulunmamaktadır. Bu derlemede DDLT’ nin farklı periodontal tedavilerde kullanım alanları, faydaları ve sınırları literatürler ışığında ele alınmaktadır.

Anahtar Kelimeler : Düşük doz lazer tedavisi, periodontal tedavi

References

  • de Andrade AK, Feist IS, Pannuti CM, Cai S, Zezell DM, De Micheli G. Nd:YAG laser clinical assisted in class II furcation treatment. Lasers Med Sci. 2008;23(4):341-347.
  • Myers TD. Lasers in dentistry. J Am Dent Assoc. 1991;122(1):46-50.
  • Bader HI. Use of lasers in periodontics. Dent Clin North Am. 2000;44(4):779-791.
  • Convissar RA. The biologic rationale for the use of lasers in dentistry. Dent Clin North Am. 2004;48(4):771-794.
  • Dilek Uysal ÇG. Diş Hekimliğinde Lazer: Bir Literatür Derlemesi. Atatürk Üniv Diş Hek Fak Derg. 2012;6:44-53.
  • Qadri T, Miranda L, Tuner J, Gustafsson A. The short-term effects of low-level lasers as adjunct therapy in the treatment of periodontal inflammation. J Clin Periodontol. 2005;32(7):714-719.
  • Crespi R, Romanos GE, Barone A, Sculean A, Covani U. Er:YAG laser in defocused mode for scaling of periodontally involved root surfaces: an in vitro pilot study. J Periodontol. 2005;76(5):686-690.
  • Saygun I, Karacay S, Serdar M, Ural AU, Sencimen M, Kurtis B. Effects of laser irradiation on the release of basic fibroblast growth factor (bFGF), insulin like growth factor-1 (IGF-1), and receptor of IGF-1 (IGFBP3) from gingival fibroblasts. Lasers Med Sci. 2008;23(2):2112
  • Aykol G, Baser U, Maden I, Kazak Z, Onan U, Tanrikulu-Kucuk S, Ademoglu E, Issever H, Yalcın F. The effect of low-level laser therapy as an adjunct to non-surgical periodontal treatment. J Periodontol. 2011;82(3):481-488.
  • Vescovi P, Merigo E, Meleti M, Fornaini C, Nammour S, Manfredi M. Nd:YAG laser biostimulation of bisphosphonate-associated necrosis of the jawbone with and without surgical treatment. Br J Oral Maxillofac Surg. 2007;45(8):628-632.
  • Guzzardella GA, Fini M, Torricelli P, Giavaresi G, Giardino R. Laser stimulation on bone defect healing: an in vitro study. Lasers Med Sci. 2002;17(3):216-220.
  • Vidinsky B, Gal P, Toporcer T, Balogacova M, Hutnanova Z, Kilik R, Bober J, Sabo J, Longauer F. [Effect of laser irradiation of diode laser on healing of surgical wounds in rats]. Rozhl Chir.: mesicnik Ceskoslovenske chirurgicke spolecnosti. 2005;84(8):417-421.
  • Neiburger EJ. Rapid healing of gingival incisions by the helium-neon diode laser. J Mass Dent Soc. 1999;48(1):8-13.
  • Choi BK, Moon SY, Cha JH, Kim KW, Yoo YJ. Prostaglandin E(2) is a main mediator in receptor activator of nuclear factor-kappaB ligand-dependent osteoclastogenesis induced by Porphyromonas gingivalis, Treponema denticola, and Treponema socranskii. J Periodontol. 2005;76(5):813-820.
  • Qadri T, Bohdanecka P, Tuner J, Miranda L, Altamash M, Gustafsson A. The importance of coherence length in laser phototherapy of gingival inflammation: a pilot study. Lasers Med Sci. 2007;22(4):245-251.
  • Sakurai Y, Yamaguchi M, Abiko Y. Inhibitory effect of low-level laser irradiation on LPS-stimulated prostaglandin E2 production and cyclooxygenase-2 in human gingival fibroblasts. Eur J Oral Sci. 2000;108(1):29-34.
  • Shimizu N, Yamaguchi M, Goseki T, Shibata Y, Takiguchi H, Iwasawa T, Abiko Y. Inhibition of prostaglandin E2 and interleukin 1-beta production by low-power laser irradiation in stretched human periodontal ligament cells. J Dent Res. 1995;74(7):1382-1388.
  • Nomura K, Yamaguchi M, Abiko Y. Inhibition of interleukin-1beta production and gene expression in human gingival fibroblasts by low-energy laser irradiation. Lasers Med Sci. 2001;16(3):218-223.
  • Pejcic A, Kojovic D, Kesic L, Obradovic R. The effects of low level laser irradiation on gingival inflammation. Photomed Laser Surg. 2010;28(1):69-74..
  • Safavi SM, Kazemi B, Esmaeili M, Fallah A, Modarresi A, Mir M. Effects of low-level He-Ne laser irradiation on the gene expression of IL-1beta, TNF-alpha, IFN-gamma, TGF-beta, bFGF, and PDGF in rat’s gingiva. Lasers Med Sci. 2008;23(3):331-335.
  • Ozcelik O, Cenk Haytac M, Seydaoglu G. Enamel matrix derivative and low-level laser therapy in the treatment of intra-bony defects: a randomized placebo-controlled clinical trial. J Clin Periodontol. 2008;35(2):147-156.
  • Angelov N, Pesevska S, Nakova M, Gjorgoski I, Ivanovski K, Angelova D, et al. Periodontal treatment with a low-level diode laser: clinical findings. Gen Dent. 2009;57(5):510-513.
  • Grzesik WJ, Narayanan AS. Cementum and periodontal wound healing and regeneration. Crit Rev Oral Biol Med.: an official publication of the American Association of Oral Biologists. 2002;13(6):474-484.
  • Loevschall H, Arenholt-Bindslev D. Effect of low level diode laser irradiation of human oral mucosa fibroblasts in vitro. Lasers Surg Med. 1994;14(4):347-354.
  • Kreisler M, Christoffers AB, Willershausen B, d’Hoedt B. Effect of low-level GaAlAs laser irradiation on the proliferation rate of human periodontal ligament fibroblasts: an in vitro study. J Clin Periodontol. 2003;30(4):353-358.
  • Yu W, Naim JO, Lanzafame RJ. The effect of laser irradiation on the release of bFGF from 3T3 fibroblasts. Photochem Photobiol. 1994;59(2):167-170.
  • Pourzarandian A, Watanabe H, Ruwanpura SM, Aoki A, Ishikawa I. Effect of low-level Er:YAG laser irradiation on cultured human gingival fibroblasts. J Periodontol. 2005;76(2):187-193.
  • Karu TI. Effects of visible radiation on cultured cells. Photochem Photobiol. 1990;52(6):1089-1098.
  • Ozcelik O, Cenk Haytac M, Kunin A, Seydaoglu G. Improved wound healing by low-level laser irradiation after gingivectomy operations: a controlled clinical pilot study. J Clin Periodontol. 2008;35(3):250-254. Amorim JC, de Sousa GR, de Barros Silveira L, Prates RA, Pinotti M, Ribeiro MS. Clinical study of the gingiva healing after gingivectomy and low-level laser therapy. Photomed Laser Surg. 2006;24(5):5885
  • Vieira NM, Brandalise V, Zucconi E, Jazedje T, Secco M, Nunes VA, et al. Human multipotent adipose-derived stem cells restore dystrophin expression of Duchenne skeletal-muscle cells in vitro. Biol Cell. 2008;100(4):231-241.
  • Soares LP, Oliveira MG, Pinheiro AL, Fronza BR, Maciel ME. Effects of laser therapy on experimental wound healing using oxidized regenerated cellulose hemostat. Photomed Laser Surg. 2008;26(1):10-13.
  • Passarella S, Casamassima E, Molinari S, Pastore D, Quagliariello E, Catalano IM, Cingolani A. Increase of proton electrochemical potential and ATP synthesis in rat liver mitochondria irradiated in vitro by helium-neon laser. FEBS letters. 1984;175(1):95-99.
  • Honmura A, Yanase M, Obata J, Haruki E. Therapeutic effect of Ga-AlAs diode laser irradiation on experimentally induced inflammation in rats. Lasers Surg Med. 1992;12(4):441-449. de Paula Eduardo C, de Freitas PM, Esteves-Oliveira M, Aranha AC, Ramalho KM, Simoes A, Bello-Silva MS, Tuner J. Laser phototherapy in the treatment of periodontal disease. A review. Lasers Med Sci. 2010;25(6):781-792.
  • Bjordal JM, Johnson MI, Iversen V, Aimbire F, Lopes-Martins RA. Low-level laser therapy in acute pain: a systematic review of possible mechanisms of action and clinical effects in randomized placebocontrolled trials. Photomed Laser Surg. 2006;24(2):158-168.
  • Sato T, Kawatani M, Takeshige C, Matsumoto I. Ga-Al-As laser irradiation inhibits neuronal activity associated with inflammation. Acupunct Electrother Res. 1994;19(2-3):141-151.
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There are 69 citations in total.

Details

Primary Language Turkish
Journal Section Articles
Authors

Gülnihal Emrem Doğan

Turgut Demir This is me

Recep Orbak This is me

Publication Date April 25, 2014
Submission Date April 25, 2014
Published in Issue Year 2014 Volume: 4 Issue: 1

Cite

APA Emrem Doğan, G., Demir, T., & Orbak, R. (2014). Periodontolojide düşük doz lazer uygulamaları. Clinical and Experimental Health Sciences, 4(1), 43-50. https://doi.org/10.5455/musbed.20140208014035
AMA Emrem Doğan G, Demir T, Orbak R. Periodontolojide düşük doz lazer uygulamaları. Clinical and Experimental Health Sciences. December 2014;4(1):43-50. doi:10.5455/musbed.20140208014035
Chicago Emrem Doğan, Gülnihal, Turgut Demir, and Recep Orbak. “Periodontolojide düşük Doz Lazer Uygulamaları”. Clinical and Experimental Health Sciences 4, no. 1 (December 2014): 43-50. https://doi.org/10.5455/musbed.20140208014035.
EndNote Emrem Doğan G, Demir T, Orbak R (December 1, 2014) Periodontolojide düşük doz lazer uygulamaları. Clinical and Experimental Health Sciences 4 1 43–50.
IEEE G. Emrem Doğan, T. Demir, and R. Orbak, “Periodontolojide düşük doz lazer uygulamaları”, Clinical and Experimental Health Sciences, vol. 4, no. 1, pp. 43–50, 2014, doi: 10.5455/musbed.20140208014035.
ISNAD Emrem Doğan, Gülnihal et al. “Periodontolojide düşük Doz Lazer Uygulamaları”. Clinical and Experimental Health Sciences 4/1 (December 2014), 43-50. https://doi.org/10.5455/musbed.20140208014035.
JAMA Emrem Doğan G, Demir T, Orbak R. Periodontolojide düşük doz lazer uygulamaları. Clinical and Experimental Health Sciences. 2014;4:43–50.
MLA Emrem Doğan, Gülnihal et al. “Periodontolojide düşük Doz Lazer Uygulamaları”. Clinical and Experimental Health Sciences, vol. 4, no. 1, 2014, pp. 43-50, doi:10.5455/musbed.20140208014035.
Vancouver Emrem Doğan G, Demir T, Orbak R. Periodontolojide düşük doz lazer uygulamaları. Clinical and Experimental Health Sciences. 2014;4(1):43-50.

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