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- DOI 10.18231/j.ijohd.v.11.i.2.3
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CrossMark
Emerging horizons: Applications of laser technology in endodontics and periodontics
- Author Details:
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Anupa Gottipati
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Sruthi Kalakota
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Bhumika Patel
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Shilpi Deshpande
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Kiranprasad Chileveru
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Sandeep Singh
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Karen Izquierdo *
Sandeep Singh
The incorporation of laser technology in dentistry has transformed conventional therapeutic approaches, offering distinct clinical advantages over traditional methods. Operating via photothermal, photochemical, and photomechanical interactions, lasers enable precise tissue modification with minimal collateral damage. Their ability to ablate, penetrate, and disinfect has shown promising outcomes in various endodontic procedures, including root canal therapy, vital pulp therapy, management of dentinal hypersensitivity, and control of pulpal and periapical pain. Depending on their wavelength and clinical indication, lasers such as diode, Nd: YAG, Er: YAG, and CO₂ are selectively employed. In periodontics, laser-assisted therapy enhances treatment outcomes through excellent decontamination, reduced bleeding, accelerated healing, and improved patient comfort. This narrative review delves into the underlying mechanisms, current clinical applications, and emerging advancements in laser technology in endodontics and periodontics, highlighting their challenges.
References
- Maiman TH. Stimulated optical radiation in ruby. Nature. 1960;187:493–4.
- Myers TD. The future of lasers in dentistry. Dent Clin North Am. 2000 Oct;44(4):971–80.
- Inchingolo F, Pacifici A, Gargari M, Garcia JIA, Amantea M, Marrelli M, et al. CHARGE syndrome: an overview on dental and maxillofacial features. Eur Rev Med Pharmacol Sci . 2014;18(15):2089–93.
- Al Asmari D, Alenezi A. Laser Technology in Periodontal Treatment: Benefits, Risks, and Future Directions-A Mini Review. J Clin Med. 2025;14(6):1962.
- Huang Q, Li Z, Lyu P, Zhou X, Fan Y. Current Applications and Future Directions of Lasers in Endodontics: A Narrative Review. Bioengineering (Basel). 2023 Feb 26;10(3):296.
- Green J, Weiss A, Stern A. Lasers and radiofrequency devices in dentistry. Dent Clin North Am. 2011 Jul;55(3):585–97
- Sosovicka M. Lasers in oral and maxillofacial surgery. In: Fonseca RJ, editor. Oral and Maxillofacial Surgery. St Louis (MO): Saunders/Elsevier; 2009. p. 237–58.
- Colt HG, Mathur PN. Basic principles of laser-tissue interactions. UpToDate. 2004;14:1–5.
- Boulnois JL. Photophysical processes in recent medical laser developments: A review. Laser Med Sci. 1986;1:47–66. doi:
- 1007/BF02030737.
- Kokuzawa C, Ebihara A, Watanabe S, Anjo T, Bolortuya G, Saegusa H, et al. Shaping of the root canal using Er:YAG laser irradiation. Photomed Laser Surg. 2012;30(7):367–73.
- Wang JH, Yang K, Zhang BZ, Zhou ZF, Wang ZR, Ge X, et al. Effects of Er:YAG laser pre-treatment on dentin structure and bonding strength of primary teeth: an in vitro study. BMC Oral Health. 2020 Nov 10;20(1):316
- Samiei M, Pakdel SMV, Rikhtegaran S, Shakoei S, Ebrahimpour D, Taghavi P. Scanning electron microscopy comparison of the cleaning efficacy of a root canal system by Nd:YAG laser and rotary instruments. Microsc Microanal. 2014;20(4):1240–5.
- Boutsioukis C, Arias-Moliz MT. Present status and future directions—Irrigants and irrigation methods. Int Endod J. 2022;55(Suppl S3):588–612.
- DeGroot SD, Verhaagen B, Versluis M, Wu M-K, Wesselink PR, van der Sluis LWM. Laser-activated irrigation within root canals: Cleaning efficacy and flow visualization. Int Endod J. 2009;42(12):1077–83.
- Zhao J, Wu S, Huang Y, Zhao Y, Liu H, Jiang Q, et al. Comparation of the effectiveness of conventional needle irrigation and photon- induced photoacoustic streaming with sodium hypochorite in the treatment of teeth with apical periodontitis: a randomized clinical trial. BMC Oral Health. 2024;24(1):293
- Tong J, Liu L, Du J, Gao Y, Song D, Huang D. Effect of photon- induced photoacoustic streaming and shock-wave enhanced emission photoacoustic streaming technique on the removal of the smear layer after root canal preparation in curved root canals. J Dent Sci. 2023;18(1):157–164.
- Abduljalil M, Gunal Abduljalil B. Lasers for removing obturation materials and medicaments from the root canal: A review. Cyprus J Med Sci. 2020;5(3):254–9.
- Anjo T, Ebihara A, Takeda A, Takashina M, Sunakawa M, Suda H. Removal of two types of root canal filling material using pulsed Nd:YAG laser irradiation. Photomed Laser Surg. 2004;22(6):470–
- Yu DG, Kimura Y, Tomita Y, Nakamura Y, Watanabe H, Matsumoto K. Study on removal effects of filling materials and broken files from root canals using pulsed Nd:YAG laser. J Clin Laser Med Surg. 2000;18(1):23–8.
- Ansari G, Safi Aghdam H, Taheri P, Ghazizadeh Ahsaie M. Laser pulpotomy—An effective alternative to conventional techniques— A systematic review of literature and meta-analysis. Lasers Med Sci. 2018;33(8):1621–9.
- Afkhami F, Rostami G, Xu C, Walsh LJ, Peters OA. The application of lasers in vital pulp therapy: a review of histological effects. Lasers Med Sci. 2023;38(1):215.
- Komabayashi T, Ebihara A, Aoki A. The use of lasers for direct pulp capping. J Oral Sci. 2015;57(4):277–86.
- Javed F, Kellesarian SV, Abduljabbar T, Gholamiazizi E, Feng C, Aldosary K, et al. Role of laser irradiation in direct pulp capping procedures: A systematic review and meta-analysis. Lasers Med Sci. 2017;32(2):439–48.
- Fernandes AP, Lourenço Neto N, Teixeira Marques NC, Moretti ABS, Sakai VT, Silva TC, et al. Clinical and radiographic outcomes of the use of low-level laser therapy in vital pulp of primary teeth. Int J Paediatr Dent. 2015;25(2):144–50.
- Asnaashari M, Moeini M. Effectiveness of lasers in the treatment of dentin hypersensitivity. J Lasers Med Sci. 2013;4(1):1–7.
- Longridge NN, Youngson CC. Dental pain: Dentine sensitivity, hypersensitivity and cracked tooth syndrome. Prim Dent J. 2019;8(2):44–51.
- Marinelli G, Inchingolo AM, Carone C, Lauria P, Savastano S, Inchingolo F, et al. Laser technology in periodontics. ORAL & IMPLANTOLOGY. 2024;16(3.2 suppl):743–59.
- Li L, Deng J, Ren S. The clinical efficacy of Er:YAG lasers in the treatment of peri-implantitis: a systematic review and meta-analysis. Ann Palliat Med. 2021;10(8):9002–14.
- Aoki A, Mizutani K, Taniguchi Y, Lin T, Ohsugi Y, Mikami R, et al. Current status of Er:YAG laser in periodontal surgery. Jpn Dent Sci Rev. 2024;60:1–14.
- Salian SS, Dhadse PV, Patil RT. Laser-assisted gingival depigmentation: A case report. Cureus. 2024;16(1):e51670.
- Knappe V, Frank F, Rohde E. Principles of lasers and biophotonic effects. Photomed Laser Surg. 2004;22(5):411–7.
- Bahn SL. Dental lasers: Safe or sorry? Compend Contin Educ Dent. 1994;15(6):812–6.
- Pandarathodiyil AK, Anil S. Lasers and their applications in the dental practice. Int J Dent Oral Sci. 2020;7(11):936–43.
- Azadgoli B, Baker RY. Laser applications in surgery. Ann Transl Med. 2016;4(23):452. Gottipati et al. / International Journal of Oral Health Dentistry 2025;11(2):83–89 89
- Malcangi G, Patano A, Trilli I, Piras F, Ciocia AM, Inchingolo AD, et al. Therapeutic and adverse effects of lasers in dentistry: A systematic review. Photonics. 2023;10(6):650.
- Lazić MC, Puletić M, Radović N, Vuković B, Zarić S, Biočanin V. Clinical applications of lasers in conventional periodontal care. J Laser Appl. 2023;35(1):011201.
- Strakas D, Franzen R. The blue wavelengths in laser dentistry: A review of current literature. Laser Dent Sci. 2023;7(2):97–9.
- Dubey P, Savita A, Khan R, Saxena R, Dubey K, Verma P. Comparative efficacy of conventional versus diode laser assisted root canal treatment in reduction of postoperative pain and healing of periapical lesion: A randomized controlled clinical trial. J Pharm Bioallied Sci. 2024;16(Suppl 5):S4587–S9.
- Attiguppe PR, Tewani KK, Naik SV, Yavagal CM, Nadig B. Comparative evaluation of different modes of laser assisted endodontics in primary teeth: an in vitro study. J Clin Diagn Res. 2017;11(4):ZC124–Z7.
- Divya D, Naik SV, Raju OS, Shivani B, Basappa N, Betur AP. Conceptual combination of disinfection in regenerative endodontics: Conventional versus laser-assisted disinfection. J Conserv Dent. 2021;24(3):252–9.
- Huang Q, Li Z, Lyu P, Zhou X, Fan Y. Current applications and future directions of lasers in endodontics: A narrative review. Bioengineering (Basel). 2023;10(3):296.