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Background: Diode laser is one of the most captivating technologies in dental practice. In periodontics, when used at appropriate settings, it possesses the best properties for selective surgical and nonsurgical procedures such as subgingival calculus removal without a thermal change of the root surface, and also provides tissue surface sterilization. However, lasers always produce a certain amount of thermal damage to the soft tissues. Therefore, this study aimed to comparatively evaluate the thermal impact of 980-nm diode laser incisions, when used with irrigation versus nonirrigation systems.
Materials And Methods: The study was conducted on 24 gingival tissue samples obtained from the goat's mandible and maxilla. The samples were divided into two groups of 12 samples each, and laser incisions were given in 4 power settings, using 980-nm diode laser in super short pulse mode, with and without saline irrigation. Martius Scarlet Blue staining technique was used to prepare the histological slides. Then, slides were examined under a research microscope (Olympus CX 21), and the pictures of the slides were taken by mounting the camera onto the microscope mobile mount. The microscopic images hence obtained were analyzed for the depth and width of the incisions, area of carbonization, necrosis, and reversible damage, using the Digimizer image analysis software.
Results: The results of this study demonstrated that the mean incision depth was higher (592.49 ± 180.97, < 0.05), with less carbonization (25.52 ± 29.21, = 0.00) and less necrosis (311.63 ± 156.441, < 0.05) in the laser incisions with irrigation, as compared to the laser incisions given without irrigation system.
Conclusion: Within the limitations of this study, it can be concluded that using an irrigation system causes less collateral damage while maintaining the incising efficiency of the diode laser. Further studies with a higher sample size, controlled irrigation systems, and incision techniques are needed to evaluate the efficiency of diode lasers for the clinical explanation of the results.
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http://dx.doi.org/10.4103/jisp.jisp_218_23 | DOI Listing |
Cureus
August 2025
Laser Laboratory, Oral Surgery Department, Wroclaw Medical University, Wroclaw, POL.
Peri-implantitis (PI) is a progressive inflammatory condition characterized by the destruction of peri-implant tissues and alveolar bone loss around dental implants. Despite its rising prevalence, there are still no effective treatment protocols for the condition. This case report presents a relatively novel non-surgical approach for managing PI.
View Article and Find Full Text PDFJ Photochem Photobiol B
August 2025
Unit of Oral Medicine and Radiology, Faculty of Dental Sciences, Institute of Medical Sciences, Banaras Hindu University, Varanasi 221005, Uttar Pradesh, India.
Background: Trigeminal neuralgia (TN) is a debilitating orofacial pain disorder. Pharmacotherapy with carbamazepine is the mainstay of treatment, but adverse effects and tolerance often limit its long-term use. Low-level laser therapy (LLLT) has shown promise in managing various neuropathic pains, yet no study has assessed its efficacy as an adjunct in TN treatment within an Indian population.
View Article and Find Full Text PDFPLoS One
September 2025
School of Physics and Astronomy, Yunnan University, Kunming, China.
Using tunable in-band laser diode (LD) pumping (791.1-798.2 nm), an orthogonally polarized dual-wavelength (OPDW) Nd:LaMgAl11O19/Nd:SrAl12O19 (Nd:LMA/Nd:SA) operation at 1297 nm and 1306 nm for the 4F3/2 → 4I13/2 transition is demonstrated for the first time.
View Article and Find Full Text PDFJ Dent
September 2025
Lake Erie College of Osteopathic Medicine School of Dental Medicine, Bradenton, FL.
Introduction/objectives: The treatment of peri-implantitis remains one of the most challenging areas in implant dentistry, with no universally accepted gold standards for long-term disease resolution. As the prevalence of peri-implantitis continues to rise with increased implant placement, the need for predictable and effective therapies becomes increasingly critical. Laser-assisted treatment has emerged as a promising modality in surgical and non-surgical management of peri-implant diseases due to its ability to decontaminate the implant surface, reduce the bacterial load, and debride bone defects.
View Article and Find Full Text PDFJ Dent (Shiraz)
September 2025
Postgraduate Student, Dept. of Endodontics, School of Dentistry, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran.
Background: The elimination of pathogenic microorganisms is crucial in endodontic treatments, as is involved in the majority of endodontic failures. This bacterium is known for its resilience and ability to persist within the root canal system, often leading to treatment complications.
Purpose: The aim of this study was to compare the antibacterial efficiency of three different irrigation methods including passive ultrasonic, XP Endofinisher file, and Laser Diode 810 nm in infected roots with () biofilm.