Utilization of Dental Laser as an Adjunct for Periodontal Surgery

  • Fernando Suárez López del Amo
  • Pimchanok Sutthiboonyapan
  • Hom-Lay WangEmail author


While presenting with numerous indications, the long-term effectiveness of lasers has been repeatedly questioned. As such, laser usage for periodontal applications remains a topic of controversy. These devices can successfully replace and/or serve as an adjunct to conventional instruments in a variety of procedures providing also with certain advantages such as hemostatic and antibacterial effects. This chapter aimed at summarizing the characteristics and current available applications of lasers for periodontal surgical procedures.


Lasers Periodontics Laser therapy Periodontal surgery 


  1. 1.
    Periodontology TAAO. Glossary of periodontal terms. 4th Edition. 2001.Google Scholar
  2. 2.
    Maiman T. Stimulated optical radiation in ruby. Nature. 1960;187:493–4.CrossRefGoogle Scholar
  3. 3.
    Goldman L, Hornby P, Meyer R, Goldman B. Impact of the Laser on Dental Caries. Nature. 1964;203:417.CrossRefGoogle Scholar
  4. 4.
    Stern RH, Sognnaes RF. Laser inhibition of dental caries suggested by first tests in vivo. J Am Dent Assoc. 1972;85(5):1087–90.CrossRefGoogle Scholar
  5. 5.
    Myers TD. What lasers can do for dentistry and you. Dent Manage. 1989;29(4):26–8. 30Google Scholar
  6. 6.
    Cobb CM. Lasers in periodontics: a review of the literature. J Periodontol. 2006;77(4):545–64.CrossRefGoogle Scholar
  7. 7.
    Passanezi E, Damante CA, de Rezende ML, Greghi SL. Lasers in periodontal therapy. Periodontol. 2015;67(1):268–91.CrossRefGoogle Scholar
  8. 8.
    Aoki A, Mizutani K, Schwarz F, Sculean A, Yukna RA, Takasaki AA, Romanos GE, Taniguchi Y, Sasaki KM, Zeredo JL, Koshy G, Coluzzi DJ, White JM, Abiko Y, Ishikawa I, Izumi Y. Periodontal and peri-implant wound healing following laser therapy. Periodontol. 2015;68(1):217–69.CrossRefGoogle Scholar
  9. 9.
    Aoki A, Mizutani K, Schwarz F, Sculean A, Yukna RA, Takasaki AA, et al. Periodontal and peri-implant wound healing following laser therapy. Periodontol. 2015;2000(68):217–69.CrossRefGoogle Scholar
  10. 10.
    Takasaki AA, Aoki A, Mizutani K, Schwarz F, Sculean A, Wang C-Y, et al. Application of antimicrobial photodynamic therapy in periodontal and peri-implant diseases. Periodontol. 2009;2000(51):109–40.CrossRefGoogle Scholar
  11. 11.
    Mizutani K, Aoki A, Coluzzi D, Yukna R, Wang C-Y, Pavlic V, et al. Lasers in minimally invasive periodontal and peri-implant therapy. Periodontol. 2016;2000(71):185–212.CrossRefGoogle Scholar
  12. 12.
    Yukna RA, Carr RL, Evans GH. Histologic evaluation of an Nd:YAG laser-assisted new attachment procedure in humans. Int J Periodontics Restorative Dent. 2007;27:576–87.Google Scholar
  13. 13.
    Nevins M, Kim S-W, Camelo M, Sanz Martin I, Kim D, Nevins M. A prospective 9-month human clinical evaluation of laser-assisted new attachment procedure (LANAP) therapy. Int J Periodontics Restorative Dent. 2014;34:21–7.CrossRefGoogle Scholar
  14. 14.
    Zhao Y, Yin Y, Tao L, Nie P, Tang Y, Zhu M. Er:YAG laser versus scaling and root planing as alternative or adjuvant for chronic periodontitis treatment: a systematic review. J Clin Periodontol. 2014;41:1069–79.CrossRefGoogle Scholar
  15. 15.
    Sanz M, Teughels W, on behalf of group A of the European Workshop on Periodontology. Innovations in non-surgical periodontal therapy: consensus report of the sixth european workshop on periodontology. J Clin Periodontol. 2008;35:3–7.CrossRefGoogle Scholar
  16. 16.
    Cobb CM. Commentary: is there clinical benefit from using a diode or Neodymium:Yttrium-Aluminum-Garnet laser in the treatment of periodontitis? J Periodontol. 2016;87:1117–31.CrossRefGoogle Scholar
  17. 17.
    Raghavendra M, Koregol A, Bhola S. Photodynamic therapy: a targeted therapy in periodontics. Aust Dent J. 2009;54:S102–9.CrossRefGoogle Scholar
  18. 18.
    Crespi R, Capparè P, Gherlone E, Romanos GE. Comparison of modified Widman and Coronally advanced flap surgery combined with Co2 laser root irradiation in periodontal therapy: a 15-year follow-up. Int J Periodontics Restorative Dent. 2011;31:640–51.Google Scholar
  19. 19.
    Dilsiz A, Canakci V, Aydin T. The combined use of Nd:YAG laser and enamel matrix proteins in the treatment of periodontal infrabony defects. J Periodontol. 2010;81:1411–8.CrossRefGoogle Scholar
  20. 20.
    Behdin S, Monje A, Lin G-H, Edwards B, Othman A, Wang H-L. Effectiveness of laser application for periodontal surgical therapy: systematic review and meta-analysis. J Periodontol. 2015;86:1352–63.CrossRefGoogle Scholar
  21. 21.
    Cochran DL, Cobb CM, Bashutski JD, Chun Y-HP, Lin Z, Mandelaris GA, et al. Emerging regenerative approaches for periodontal reconstruction: a consensus report from the AAP regeneration workshop. J Periodontol. 2014;86:S153–6.CrossRefGoogle Scholar
  22. 22.
    Atsawasuwan P, Greethong K, Nimmanon V. Treatment of gingival hyperpigmentation for esthetic purposes by Nd:YAG laser: report of 4 cases. J Periodontol. 2000;71:315–21.CrossRefGoogle Scholar
  23. 23.
    Dilsiz A, Aydin T, Yavuz MS. Root surface biomodification with an Er:YAG laser for the treatment of gingival recession with subepithelial connective tissue grafts. Photomed Laser Surg. 2010;28:511–7.CrossRefGoogle Scholar
  24. 24.
    Dilsiz A, Aydin T, Canakci V, Cicek Y. Root surface biomodification with Nd:YAG laser for the treatment of gingival recession with subepithelial connective tissue grafts. Photomed Laser Surg. 2010;28:337–43.CrossRefGoogle Scholar
  25. 25.
    Fernandes-Dias SB, de Marco AC, Santamaria M, Kerbauy WD, Jardini MAN, Santamaria MP. Connective tissue graft associated or not with low laser therapy to treat gingival recession: randomized clinical trial. J Clin Periodontol. 2015;42:54–61.CrossRefGoogle Scholar
  26. 26.
    Karam PSBH, Sant’Ana ACP, de Rezende MLR, Greghi SLA, Damante CA, Zangrando MSR. Root surface modifiers and subepithelial connective tissue graft for treatment of gingival recessions: a systematic review. J Periodontal Res. 2016;51:175–85.CrossRefGoogle Scholar
  27. 27.
    Sculean A, Schwarz F, Berakdar M, Windisch P, Arweiler NB, Romanos GE. Healing of intrabony defects following surgical treatment with or without an Er:YAG laser. J Clin Periodontol. 2004;31:604–8.CrossRefGoogle Scholar
  28. 28.
    Yoshino T, Aoki A, Oda S, Takasaki AA, Mizutani K, Sasaki KM, et al. Long-term histologic analysis of bone tissue alteration and healing following Er:YAG laser irradiation compared to electrosurgery. J Periodontol. 2008;80:82–92.CrossRefGoogle Scholar
  29. 29.
    Nelson JS, Orenstein A, Liaw L-HL, Berns MW. Mid-infrared erbium:YAG laser ablation of bone: The effect of laser osteotomy on bone healing. Lasers Surg Med. 1989;9:362–74.CrossRefGoogle Scholar
  30. 30.
    Doshi S, Jain S, Hegde R. Effect of low-level laser therapy in reducing dentinal hypersensitivity and pain following periodontal flap surgery. Photomed Laser Surg. 2014;32:700–6.CrossRefGoogle Scholar
  31. 31.
    Yaghini J, Mogharehabed A, Safavi N, Mohamadi M, Ashtiju F. Evaluation of the effect of low level laser therapy toothbrush in treatment of dentin hypersensitivity. J Lasers Med Sci. 2015;6:85–91.PubMedPubMedCentralGoogle Scholar
  32. 32.
    American Academy of Periodontology Statement. Efficacy of lasers in the non-surgical treatment of inflammatory periodontal disease. J Periodontol. 2011;82:513–4.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Fernando Suárez López del Amo
    • 1
  • Pimchanok Sutthiboonyapan
    • 2
  • Hom-Lay Wang
    • 3
    Email author
  1. 1.Private practiceTacomaUnited States
  2. 2.Department of Periodontology, Faculty of DentistryChulalongkorn UniversityBangkokThailand
  3. 3.Graduate Periodontics, Department of Periodontics and Oral MedicineUniversity of Michigan School of DentistryAnn ArborUSA

Personalised recommendations