The use of Er:YAG laser in Dentistry: integrative review
Keywords:Er:YAG laser; Dentistry; Laser therapy.
Lasers (acronym for light amplification by stimulated emission of radiation) have numerous applications in health field. They have several effects depending on the energy emitted and absorption by the target tissue. The objective of this work was to carry out an integrative review of the current literature on the uses of the Er:YAG laser in dentistry, highlighting its techniques, indications, advantages and disadvantages. A research of articles had been done on the electronic databases CAPES, PubMed and MEDLINE, using the descriptors: dentistry, laser therapy e Er:YAG laser, indexed in the period from 2015 to 2020 that dealt with systematic reviews, case reports, clinical trials, in vivo studies, integrative reviews and simple blind randomized clinical trials. After the eligibility criteria, 18 articles published in English were analyzed. Studies have shown that the Er:YAG laser has several applications in dentistry, such as in pediatric dentistry, in endodontics, in orthodontics, in preventive dentistry, in the management of patients with special needs and in the acquisition of better aesthetic effects, although more research is still needed to reach more significant conclusions. It is important to highlight that in many procedures it is not needed anesthesia, the technique is much less invasive, dispensing sutures and, thus, allowing a more peaceful postoperative when compared with traditional techniques. The limitations include the high cost and it requires more time for professional to adapt to the new work process and to follow the protocols, yet it is necessary clinical studies to establish universal protocols for some clinical situations.
Abbaszadeh, H. A., Peyvandi, A. A., Sadeghi, Y., Safaei, A., Zamanian-Azodi, M., Khoramgah, M. S., & Rezaei-Tavirani, M. (2017). Er:YAG Laser and Cyclosporin A Effect on Cell Cycle Regulation of Human Gingival Fibroblast Cells. Journal of lasers in medical sciences, 8(3), 143–149. 0.15171/jlms.2017.26
Al-Jundi, A., Sakka, S., Riba, H., Ward, T., & Hanna, R. (2018). Efficiency of Er:YAG utilization in accelerating deep bite orthodontic treatment. Laser Ther. 2018 Sep 30; 27(3):193-202. 10.5978/islsm.27_18-OR-15. PMID: 32158065; PMCID: PMC7034248
Birang, R., Yaghini, J., Nasri, N., Noordeh, N., Iranmanesh, P., Saeidi, A., & Naghsh, N. (2017). Comparison of Er:YAG Laser and Ultrasonic Scaler in the Treatment of Moderate Chronic Periodontitis: A Randomized Clinical Trial. Journal of lasers in medical sciences, 8(1), 51–55. 10.15171/jlms.2017.10
Capodiferro, S., Tempesta, A., Limongelli, L., Maiorano, E., Benedicenti, S., & Favia, G. (2019). Nonsurgical Periodontal Treatment by Erbium:YAG Laser Promotes Regression of Gingival Overgrowth in Patient Taking Cyclosporine A: A Case Report. Photobiomodulation, photomedicine, and laser surgery, 37(1), 53–56. 10.1089/photob.2018.4478
Fornaini, C., Cella, L., Oppici, A., Parlatore, A., Clini, F., Fontana, M., Lagori, G., & Merigo, E. (2017). Laser and Platelet-Rich Plasma to treat Medication-Related Osteonecrosis of the Jaws (MRONJ): a case report. Laser therapy, 26(3), 223–227. 10.5978/islsm.17-CR-04
Fornaini, C., Rocca, J. P., Xu, N., & Merigo, E. (2019). Er:YAG laser for the aesthetic treatment of developmental enamel defects in frontal teeth: a case report. Laser therapy, 28(3), 199–202. 10.5978/islsm.28_19-CR-02
Grzech-Leśniak, K., Matys, J., & Dominiak, M. (2018). Comparison of the clinical and microbiological effects of antibiotic therapy in periodontal pockets following laser treatment: An in vivo study. Advances in clinical and experimental medicine: official organ Wroclaw Medical University, 27(9), 1263–1270. 10.17219/acem/70413
Komatsu, Y., Kubota, T., Yasuda, T., Takahashi, T., Yamamoto, A., Kono, T., Tabata, H., Nohno, K., Shibutani, T., Umeda, M., & Yoshie, H. (2018). Effectiveness of an erbium-doped: yttrium, aluminum and garnet laser for treatment of peri-implant disease: Clinical, microbiological, and biochemical marker analyses. Journal of clinical and experimental dentistry, 10(10), e970–e978. 10.4317/jced.55016
Lin, G.-H., López del Amo, F. S., & Wang, H.-L. (2018). Laser therapy for treatment of peri-implant mucositis and peri-implantitis: An American Academy of Periodontology best evidence review. J Periodontol. 2018; 89:766–782. 10.1902/jop.2017. 160483
Lin, T., Taniguchi, Y., Aoki, A., & Chang, Y. C. (2019). Clinical evaluation of multiple peri-implant bony defect management by Er:YAG laser-assisted bone regenerative therapy. Journal of dental sciences, 14(4), 430–432. 10.1016/j.jds.2019.07.001
Merigo, E., Fornaini, C., Clini, F., Fontana, M., Cella, L., & Oppici, A. (2015). Er:YAG laser dentistry in special needs patients. Laser therapy, 24(3), 189–193. 10.5978/islsm.15-CR-02
Milne, T. J., Coates, D. E., Leichter, J. W., Soo, L., Williams, S. M., Seymour, G. J., & Cullinan, M. P. (2016). Periodontopathogen levels following the use of an Er:YAG laser in the treatment of chronic periodontitis. Australian dental journal, 61(1), 35–44. 10.1111/adj.12306
Monteiro, L., Barbieri, C., Warnakulasuriya, S., Martins, M., Salazar, F., Pacheco, J. J., Vescovi, P., & Meleti, M. (2017). Type of surgical treatment and recurrence of oral leukoplakia: A retrospective clinical study. Medicina oral, patologia oral y cirugia bucal, 22(5), e520–e526. 10.4317/medoral.21645
Monteiro, L., Delgado, M. L., Garcês, F., Machado, M., Ferreira, F., Martins, M., Salazar, F., & Pacheco, J. J. (2019). A histological evaluation of the surgical margins from human oral fibrous-epithelial lesions excised with CO2 laser, Diode laser, Er:YAG laser, Nd:YAG laser, electrosurgical scalpel and cold scalpel. Medicina oral, patologia oral y cirugia bucal, 24(2), e271–e280. 10.4317/medoral.22819
Muhammad, O. H., Rocca, J. P., Fornaini, C., & Medioni, E. (2015). Evolution of the role of phototherapy during endodontic decontamination. Laser therapy, 24(4), 291–302. 10.5978/islsm.15-OR-18
Olivi, G., Caprioglio, C., Olivi, M., & Genovese, M. D. (2017). Paediatric laser dentistry. Part 2: Hard tissue laser applications. European journal of paediatric dentistry, 18(2), 163–166. 10.23804/ejpd.2017.18.02.14
Olivi, M., Genovese, M. D., & Olivi, G. (2018). Laser labial frenectomy: a simplified and predictable technique. Retrospective clinical study. European journal of paediatric dentistry, 19(1), 56–60. 10.23804/ejpd.2018.19.01.10
Pereira, A. S., Shitsuka, D. M., Parreira, F. J., & Shitsuka, R. (2018). Metodologia da pesquisa científica. https://repositorio.ufsm.br/bitstream/handle/1/15824/ Lic_Computacao_Metodologia-Pesquisa-Cientifica.pdf?sequence=1
Wang, Y., Li, W., Shi, L., Zhang, F., & Zheng, S. (2017). Comparison of clinical parameters, microbiological effects and calprotectin counts in gingival crevicular fluid between Er: YAG laser and conventional periodontal therapies: A split-mouth, single-blinded, randomized controlled trial. Medicine, 96(51), e9367. 10.1097/MD.0000000000009367
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Copyright (c) 2021 Geovana Bezerra Brum Lima; Isis Samara de Melo Queiroga; Esdras Gabriel Alves-Silva; Eloiza Leonardo de Melo; Marleny Elizabeth Márquez de Martínez Gerbi; Mávio Eduardo Azevedo Bispo; Renata Araújo Gomes de Sá; Maria Regina Almeida de Menezes
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