Root Surface Roughness After Scaling and Root Planing with Er:YAG Laser Compared to Hand and Ultrasonic Instruments by Profilometry

Jaber Yaghini, Narges Naghsh, Elaheh Attaei, Reza Birang, Ehsan Birang, Jaber Yaghini, Narges Naghsh, Elaheh Attaei, Reza Birang, Ehsan Birang

Abstract

Objectives: Scaling and root planing (SRP) is one of the most commonly used procedures during periodontal treatment. The aim of this study was to evaluate the root surface roughness after SRP with erbium: yttrium aluminum garnet (Er:YAG) laser compared to ultrasonic and hand instruments.

Materials and methods: In this experimental study, 56 extracted sound single-rooted teeth with moderate level of calculus were selected and randomly divided into four groups: SRP was performed with Er:YAG laser (100 mJ pulse, 1W, 10Hz, VSP and contact mode, with 50% water and air) in group one, hand instrument in group two and ultrasonic tool in group three. Group four was considered as the control group. After SRP, all samples were cut by Servocut cutting machine into pieces with 3×3×2mm dimensions. The samples were mounted in acrylic resin. The surface roughness of the samples was evaluated with profilometry, and the data were analyzed using one-way ANOVA and Tukey's test in SPSS software.

Results: Surface roughness was higher in laser and lower in ultrasonic group compared to other groups. There was a significant difference in surface roughness between laser and ultrasonic groups (P=0.043), but there was no significant difference in surface roughness among other groups (P>0.05).

Conclusion: The results of this study showed that surface roughness after SRP with Er:YAG laser was not higher than that after manual SRP, but the former value was higher than that after SRP with ultrasonic instrument.

Keywords: Dental Cementum; Lasers, Solid-State; Root Planing.

Figures

Fig. 1.
Fig. 1.
Laser handpiece (R14) with chisel tip

References

    1. Badersten A, Nilveus R, Egelberg J. Effect of nonsurgical periodontal therapy. II. Severely advanced periodontitis. J Clin Periodontol. 1984. January; 11( 1): 63– 76.
    1. Research, Science and Therapy Committee of the American Academy of Periodontology Treatment of plaque-induced gingivitis, chronic periodontitis, and other clinical conditions. J Periodontol. 2001. December; 72 (12): 1790– 800.
    1. Crespi R, Barone A, Covani U. Effect of Er:YAG laser on diseased root surfaces: an in vivo study. J Periodontol. 2005. August; 76 (8): 1386– 90.
    1. Yukna RA, Scott JB, Aichelmann-Reidy ME, LeBlanc DM, Mayer ET. Clinical evaluation of the speed and effectiveness of subgingival calculus removal on single-rooted teeth with diamond-coated ultrasonic tips. J Periodontol. 1997. May; 68 (5): 436– 42.
    1. Crespi R, Capparè P, Toscanelli I, Gherlone E, Romanos GE. Effects of Er:YAG laser compared to ultrasonic scaler in periodontal treatment: a 2-year follow-up split-mouth clinical study. J Periodontol. 2007. July; 78 (7): 1195– 200.
    1. Moghare Abed A, Tawakkoli M, Dehchenari MA, Gutknecht N, Mir M. A comparative SEM study between hand instrument and Er:YAG laser scaling and root planing. Lasers Med Sci. 2007. March; 22 (1): 25– 9.
    1. Oda S, Nitta H, Setoguchi T, Izumi Y, Ishikawa I. Current concepts and advances in manual and power-driven instrumentation. Periodontol 2000. 2004; 3 6: 45– 58.
    1. Kawashima H, Sato S, Kishida M, Ito K. A comparison of root surface instrumentation using two piezoelectric ultrasonic scalers and a hand scaler in vivo. J Periodontal Res. 2007. February; 42 (1): 90– 5.
    1. Chen SK, Vesley D, Brosseau LM, Vincent JH. Evaluation of single-use masks and respirators for protection of health care workers against mycobacterial aerosols. Am J Infect Control. 1994. April; 22 (2): 65– 74.
    1. Wilson JR. The use of ultrasonics in periodontal treatment. J Prosthet Dent. 1958. January; 8 (1): 161– 6.
    1. Dibart S, Capri D, Casavecchia P, Nunn M, Skobe Z. Comparison of the effectiveness scaling and root planning in vivo using hand vs rotary instruments. Int J Periodontics Restorative Dent. 2004. August; 24 (4): 370– 7.
    1. Lie T, Meyer K. Calculus removal and loss of tooth substance in response to different periodontal instruments. A scanning electron microscope study. J Clin Periodontol. 1977. November; 4 (4): 250– 62.
    1. Morlock BJ, Pippin DJ, Cobb CM, Killoy WJ, Rapley JW. The effect of Nd:YAG laser exposure on root surfaces when used as an adjunct to root planing: an in vitro study. J Periodontol. 1992. July; 63 (7): 637– 41.
    1. Hakki SS, Berk G, Dundar N, Saglam M, Berk N. Effects of root planing procedures with hand instrument or erbium, chromium: yttrium–scandium–gallium–garnet laser irradiation on the root surfaces: a comparative scanning electron microscopy study. Lasers Med Sci 2010. May; 25 (3): 345– 53.
    1. Derdilopoulou FV, Nonhoff J, Neumann K, Kielbassa AM. Microbiological findings after periodontal therapy using curettes, Er: YAG laser, sonic, and ultrasonic scalers. J Clin Periodontol. 2007. July; 34 (7): 588– 98.
    1. Lopes BM, Marcantonio RA, Thompson GM, Neves LH, Theodoro LH. Short-term clinical and immunologic effects of scaling and root planing with Er:YAG laser in chronic periodontitis. J Periodontol. 2008. July; 79 (7): 1158– 67.
    1. Crespi R, Barone A, Covani U. Er:YAG laser scaling of diseased root surfaces: a histologic study. J Periodontol. 2006. February; 77 (2): 218– 22.
    1. Yaneva B, Firkova E, Karaslavova E. Early Clinical Effectiveness of Er:Yag Laser in Association with the Red Complex of Bacteria in the Initial Treatment of Moderate Chronic Periodontitis. Acta Med Bulg 2014; 41 (1): 37– 44.
    1. Stock K, Hibst R, Keller U. Er: YAG removal of subgingival calculi: efficiency, temperature, and surface quality. InBiOS Europe'96 1996. December; 292 2: 98– 106.
    1. Araki AT, Ibraki Y, Kawakami T, Lage-Marques JL. Er:YAG laser irradiation of the microbiological apical biofilm. Braz Dent J. 2006; 17 (4): 296– 9.
    1. Casarin RC, Ribeiro FV, Sallum AW, Sallum EA, Nociti FH, Jr, Casati MZ. Root surface defect produced by hand instruments and ultrasonic scaler with different power settings: an in vitro study. Braz Dent J. 2009; 20 (1): 58– 63.
    1. Aoki A, Miura M, Akiyama F, Nakagawa N, Tanaka J, Oda S, et al. In vitro evaluation of Er:YAG laser scaling of subgingival calculus in comparison with ultrasonic scaling. J Periodontal Res. 2000. October; 35 (5): 266– 77.
    1. Crespi R, Romanos GE, Cassinelli C, Gherlone E. Effects of Er:YAG laser and ultrasonic treatment on fibroblast attachment to root surfaces: An in vitro study. J Periodontol. 2006. July; 77 (7): 1217– 22.
    1. Ota-Tsuzuki C, Martins FL, Giorgetti AP, de Freitas PM, Duarte PM. In vitro adhesion of Streptococcus sanguinis to dentine root surface after treatment with Er:YAG laser, ultrasonic system, or manual curette. Photomed Laser Surg. 2009. October; 27 (5): 735– 41.
    1. de Mendonça AC, Máximo MB, Rodrigues JA, Arrais CA, de Freitas PM, Duarte PM. Er:YAG laser, ultrasonic system, and curette produce different profiles on dentine root surfaces: an in vitro study. Photomed Laser Surg. 2008. April; 26 (2): 91– 7
    1. Frentzen M, Braun A, Aniol D. Er:YAG laser scaling of diseased root surfaces. J Periodontol. 2002. May; 73 (5): 524– 30.
    1. Solís Moreno C, Santos A, Nart J, Levi P, Velásquez A, Sanz Moliner J. Evaluation of root surface microtopography following the use of four instrumentation systems by confocal microscopy and scanning electron microscopy: an in vitro study. J Periodontal Res. 2012. October; 47 (5): 608– 15.
    1. Schwarz F, Pütz N, Georg T, Reich E. Effect of an Er:YAG laser on periodontally involved root surfaces: an in vivo and in vitro SEM comparison. Lasers Surg Med. 2001; 29 (4): 328– 35.
    1. Folwaczny M, Mehl A, Aggstaller H, Hickel R. Antimicrobial effects of 2.94 microm Er:YAG laser radiation on root surfaces: an in vitro study. J Clin Periodontol. 2002. January; 29 (1): 73– 8.
    1. Hakki SS, Berk G, Dundar N, Saglam M, Berk N. Effects of root planing procedures with hand instrument or erbium, chromium:yttriumscandium-gallium-garnet laser irradiation on the root surfaces: a comparative scanning electron microscopy study. Lasers Med Sci. 2010. May; 25 (3): 345– 53.
    1. Hakki SS, Korkusuz P, Berk G, Dundar N, Saglam M, Bozkurt B, et al. Comparison of Er,Cr:YSGG laser and hand instrumentation on the attachment of periodontal ligament fibroblasts to periodontally diseased root surfaces: an in vitro study. J Periodontol. 2010. August; 81 (8): 1216– 25.
    1. Marda P, Prakash S, Devaraj CG, Vastardis S. A comparison of root surface instrumentation using manual, ultrasonic and rotary instruments: An in vitro study using scanning electron microscopy. Indian J Dent Res. 2012. Mar-Apr; 23 (2): 164– 70.
    1. Quirynen M, van der Mei HC, Bollen CM, Schotte A, Marechal M, Doornbusch GI, et al. An in vivo study of the influence of the surface roughness of implants on the microbiology of supra-and subgingival plaque. J Dent Res. 1993. September; 72 (9): 1304– 9.
    1. Quirynen M, Marechal M, Busscher HJ, Weerkamp AH, Darius PL, van Steenberghe D. The influence of surface free energy and surface roughness on early plaque formation. J Clin Periodontol. 1990. March; 17 (3): 138– 44.
    1. Schwarz F, Sculean A, Berakdar M, Georg T, Reich E, Becker J. Periodontal treatment with an Er:YAG laser or scaling and root planing. A 2-year follow-up split-mouth study. J Periodontol. 2003. May; 74 (5): 590– 6.
    1. Etemadi A, Sadeghi M, Abbas FM, Razavi F, Aoki A, Azad RF, et al. Comparing efficiency and root surface morphology after scaling with Er:YAG and Er,Cr:YSGG lasers. Int J Periodontics Restorative Dent. 2013. Nov-Dec; 33 (6): e140– 4.
    1. Schwarz F, Aoki A, Sculean A, Georg T, Scherbaum W, Becker J. In vivo effects of an Er:YAG laser, an ultrasonic system and scaling and root planing on the biocompatibility of periodontally diseased root surfaces in cultures of human PDL fibroblasts. Lasers Surg Med. 2003; 33 (2): 140– 7.
    1. Lopes BM, Theodoro LH, Melo RF, Thompson GM, Marcantonio RA. Clinical and microbiologic follow up evaluation after non-surgical periodontal treatment with Erbium:YAG laser and scaling and root planning. J Periodontol. 2010. May; 81 (5): 682– 91.

Source: PubMed

3
S'abonner