LASERS IN PERIODONTOLOGY: A MINIMALLY INVASIVE APPROACH TO SUSTAINABLE RESULTS
DOI:
https://doi.org/10.35220/2523-420X/2026.1.5Keywords:
periodontal disease, surgery, laser technologies, modern methods of periodontitis treatment, laser biostimulationAbstract
The aim of the work is to determine the role of lasers in achieving stable results in periodontology. Materials and methods. When conducting a systematic analysis, the scientometric databases “PubMed”, “Scopus”, “Web of Science”, “SpringerLink” were used in the work, publications were selected over the past 10 years. Results. Analysis of modern literature data showed that laser technologies are minimally invasive methods of treating periodontal diseases. At the same time, their effectiveness depends on the type of laser system, as well as on the wavelength, radiation parameters, the method of integration into the treatment protocol and the morphological features of periodontal tissues. Scientists have shown that positive treatment results are established when using erbium lasers (Er:YAG and Er,Cr:YSGG). They help reduce the depth of periodontal pockets, increase clinical attachment, and reduce bleeding during probing. These results have a long-term effect. For Er:YAG lasers, the preservation of a positive clinical result for up to 3–5 years has been established. Er,Cr:YSGG systems have also demonstrated a positive effect in valveless and minimally invasive surgery. They helped to reduce pocket depth and improve treatment outcomes. Diode and Nd:YAG lasers have a mainly auxiliary effect. Namely, they provided better hemostasis, reduced postoperative bleeding, and short- and medium-term improvement in clinical parameters. Conclusions. The stability of the clinical effect when using lasers in periodontology is determined by the suitability of the laser system for a specific clinical situation. The most effective minimally invasive approach in periodontology is erbium lasers. Which combine controlled debridement, limitation of surgical trauma and longer preservation of positive clinical results.
References
Theodoro L. H., Marcantonio R. A. C., Wainwright M., Garcia V. G. LASER in periodontal treatment: is it an effective treatment or science fiction?
Brazilian oral research. 2021. Vol. 35(Supp 2). P. e099. https://doi.org/10.1590/1807-3107bor-2021.vol35.0099
Grzech-Leśniak K. Lasers in Dentistry - Overview Based on FDI Policy Statement. International dental journal. 2026. Vol. 76(2). P. 109369. https://doi.
org/10.1016/j.identj.2025.109369
Banday F., Hoskin E., Damodar A., Nachnani K. Lasers in Dentistry: Practical Implications; What Is the Evidence? Dental clinics of North America. 2026. Vol. 70(1). P. 31–44. https://doi.org/10.1016/j.cden.2025.07.004
Neophytou C., Neofytou A. M., Davidopoulou S., Kaklamanos E. G., Goulis D. G., Papadimitriou K. Erbium Laser-assisted Access Flap Periodontal Surgery: Advancing Personalized Periodontal Care through Minimally Invasive Technologies. The journal of contemporary dental practice. 2025. Vol. 26(11). P. 1025–1034. https://doi.org/10.5005/jp-journals-10024-3965
Aoki A., Mizutani K., Taniguchi Y., Lin T., Ohsugi Y., Mikami R., Katagiri S., Meinzer W., Iwata T. Current status of Er:YAG laser in periodontal surgery. The
Japanese dental science review. 2024. Vol. 60. P. 1–14. https://doi.org/10.1016/j.jdsr.2023.11.002
Sae-Ferrández O., Pecci-Lloret M. P., García-Ríos P., Pérez-Guzmán N. Efficacy of Er:YAG, Er,Cr:YSGG, and Nd:YAG lasers for caries removal: A systematic review. Journal of dentistry. 2026. Vol. 164. P. 106264. https://doi.org/10.1016/j.jdent.2025.106264
Aoki A., Mizutani K., Mikami R., Ohsugi Y., Kobayashi H., Akizuki T., Taniguchi Y., Takeuchi Y., Katagiri S., Sasaki Y., Komaki M., Meinzer W., Izumi Y.,
Iwata T. Er:YAG laser-assisted comprehensive periodontal pocket therapy for residual periodontal pocket treatment: A randomized controlled clinical trial. Journal of periodontology. 2023. Vol. 94(10). P. 1187–1199. https://doi.org/10.1002/JPER.22-0552
Safaee S., Moghanian A., Mehrdar M., Asadi P., Akbari M., Nesabi M., Nesabi M. A comprehensive review on advancements in laser-assisted dental treatments: focus on minimally invasive techniques and clinical outcomes. Lasers in medical science. 2025. Vol. 40(1). P. 382. https://
doi.org/10.1007/s10103-025-04624-3
Lesniewski A., Estrin N., Romanos G. E. Comparing the Use of Diode Lasers to Light-Emitting Diode Phototherapy in Oral Soft and Hard Tissue Procedures: A Literature Review. Photobiomodulation, photomedicine, and laser surgery. 2022. Vol. 40(8). P. 522–531. https://doi.org/10.1089/photob.2021.0171
Santonocito S., Polizzi A., Cavalcanti R., Ronsivalle V., Chaurasia A., Spagnuolo G., Isola G. Impact of Laser Therapy on Periodontal and Peri-Implant Diseases. Photobiomodulation, photomedicine, and laser surgery. 2022. Vol. 40(7). P. 454–462. https://doi.org/10.1089/photob.2021.0191
Paschoal M. A. B., Belém F. V., Clementino L. C., Martins-Júnior P. A. Application of lasers in dentistry: a bibliometric study of the top 100 most-cited papers. Brazilian oral research. 2022. Vol. 36. P. e104. https://doi. org/10.1590/1807-3107bor-2022.vol36.0104
Radu C. M., Radu C. C., Arbănaşi E. M., Hogea T., Murvai V. R., Chiș I. A., Zaha D. C. Exploring the Efficacy of Novel Therapeutic Strategies for Periodontitis: A Literature Review. Life (Basel, Switzerland). 2024. Vol. 14(4). P. 468. https://doi.org/10.3390/life14040468
Behniafar B., Noori F., Chiniforoush N., Raee A. The effect of lasers in occlusion of dentinal tubules and reducing dentinal hypersensitivity, a scoping review. BMC oral health. 2024. Vol. 24(1). P. 1407. https://doi.org/10.1186/s12903-024-05182-w
Lin T., Ng M. Y., Mizutani K., Aoki A. Er:YAG laser-assisted periodontal regeneration with modified minimally invasive surgical technique (M-MIST) under
microscope in an advanced periodontitis case with severe attachment loss beyond the root apex. Journal of dental sciences. 2024. Vol. 19(1). P. 707–709. https://doi. org/10.1016/j.jds.2023.08.027
Maboudi A., Fekrazad R., Shiva A., Salehabadi N., Moosazadeh M., Ehsani H., Yazdani O. Gingivectomy with Diode Laser Versus the Conventional Scalpel Surgery and Nonsurgical Periodontal Therapy in Treatment of Orthodontic Treatment-Induced Gingival Enlargement: A Systematic Review. Photobiomodulation, photomedicine, and laser surgery. 2023. Vol. 41(9). P. 449–459. https://doi.org/10.1089/photob.2023.0060
Jia L., Jia J., Wu M., Li T., Zhao C., Shi H., Zhang X. Probing depth reduction of laser application in periodontal therapy: a network meta-analysis. Lasers in
medical science. 2022. Vol. 37(2). P. 1217–1226. https://doi.org/10.1007/s10103-021-03376-0
Chambrone L., Ramos U. D., Reynolds M. A. Infrared lasers for the treatment of moderate to severe periodontitis: An American Academy of Periodontology best evidence review. Journal of periodontology. 2028. Vol. 89(7). P. 743–765. https://doi.org/10.1902/jop.2017.160504
Sayar F., Hashemi S., Chiniforush N., Seyed Jafari E., Jandaghi A. Effects of diode and erbium lasers as an adjunct to scaling and root planing on clinical and immunological parameters in non-surgical periodontal treatment: a split-mouth randomized controlled clinical trial-”effects of lasers on immunological parameters”. Lasers in medical science. 2022. Vol. 37(7). P. 3021–3030. https://doi.org/10.1007/s10103-022-03596-y
Lazăr L., Dako T., Mârțu M. A., Bica C. I., Bud A., Suciu M., Păcurar M., Lazăr A. P. Effects of Laser Therapy on Periodontal Status in Adult Patients Undergoing Orthodontic Treatment. Diagnostics (Basel, Switzerland). 2022. Vol. 12(11). P. 2672. https://doi.org/10.3390/diagnostics12112672
Sant’Anna E. F., Araújo M. T. S., Nojima L. I., Cunha A. C. D., Silveir B. L. D., Marquezan M. Highintensity laser application in Orthodontics. Dental press
journal of orthodontics. 2017. Vol. 22(6). P. 99–109. https://doi.org/10.1590/2177-6709.22.6.099-109.sar
Neophytou C., Vlachodimou E., Kaklamanos E. G., SakellariD., Papadimitriou K. Microbiological Effects of Laser-Assisted Non-Surgical Treatment of Peri-Implantitis: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Dentistry journal. 2026. Vol. 14(1). P. 49. https://doi.org/10.3390/dj14010049
Fornaini C., Fekrazad R., Rocca J. P., Zhang S., Merigo E. Use of Blue and Blue-Violet Lasers in Dentistry: A Narrative Review. Journal of lasers in medical
sciences. 2021. Vol. 12. P. e31. https://doi.org/10.34172/jlms.2021.31
Nammour S., Brugnera Junior A., Zeinoun T., Matys J., Bordin-Aykroyd S., Nahas P., El Mobadder M., Sattayut S., Todea D. C., Aoki A., Grzech-Leśniak K. Global consensus report of the World Federation for Laser Dentistry (WFLD) on laser-assisted caries treatment and prevention. Dental and medical problems. 2025. Vol. 62(5). P. 783–800. https://doi.org/10.17219/dmp/211449
