Abstract
The progress of laser application in dentistry is continuous. There are many debates between researchers, clinicians, and scientists who try to carry on research within and with respect to clinical everyday dental practice. The American Academy of Pediatric Dentistry acknowledges using lasers as scientifically documented, alternative, and/or adjunctive treatment provision methods of soft and hard tissue management for infants, children, adolescents, and persons with disabilities. The aim of this chapter is to describe the indications for their use in various therapeutic procedures in pediatric dentistry and to analyze the advantages and disadvantages compared to traditional techniques. Together with the appropriate child’s psychological management, proper presentation and approach with the laser is crucial. The technological evolution of dental lasers offers the possibility of completing several therapeutic procedures, such as removing carious dental tissue in permanent and deciduous teeth, usually with less or no anesthesia, performing laser-assisted pulpotomy and pulpectomy, soft tissue interventions, dental trauma, etc. Depending on the treatment procedure and the targeted chromophores, all laser wavelengths could be used (e.g., KTP, diodes, Nd:YAG, erbium family lasers, CO2).
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsReferences
Koch G, Poulsen S. Pediatric dentistry. A clinical approach. 1st ed. Copenhagen: Munksgaard; 2001.
AAPD. Oral health polices. Policy on the use of lasers for pediatric dental patients. (http://www.aapd.org/policies/quidelines) Reference manual 2015-16. Pediatr Dent. 2015;37(6):79–81.
AAPD. Clinical Practice Guidelines on Guideline on Behavior Guidance for the Pediatric Dental Patient. (http://www.aapd.org/policies/quidelines) Reference manual 2015-16. Pediatr Dent. 2015;37(6):180–93.
Poli R, Parker S. Achieving Dental Analgesia with the Erbium Chromium Yttrium Scandium Gallium Garnet Laser (2780 nm): a protocol for painless conservative treatment. Photomed Laser Surg. 2015;33(7):364–71.
Olivi G, Magnolis FS, Genovese MD. Treatment considerations, Chapter 4. In:Pediatric laser dentistry. A user’s guide. Chicago: Quintessence Publishing Co, Inc; 2011.
Moritz A. Oral laser application. Berlin: Quintessenz Verlags-GmbH; 2006.
Vitale MC, Caprioglio C. Lasers in dentistry. Practical text book. Bologna: Edizioni Martina s.r, l; 2010.
Kato J, Moriya K, Jayawardena JA. Clinical application of Er:YAG laser for cavity preparation in children. J Clin Laser Med Surg. 2003;21(3):151–5.
Genovese MD, Olivi G. Laser in paediatric dentistry: patient acceptance of hard and soft tissue therapy. Eur J Paediatr Dent. 2008;9:13–7.
Jacobsen T, Norlund A, Sandborgh Englund G, Tranaeus S. Application of laser technology for removal of caries: a systematic review of controlled clinical trials. Acta Odontol Scand. 2011;69:65–74.
Martens LC. Laser physics and a review of laser applications in dentistry for children. Eur Arch Paediatr Dent. 2011;12(2):61–7.
Monghini EM, Wanderley RL, Pecora JD, Palma-Dibb RG, Corona SAM, Borsatto MC. Shear bond strength to dentine of primary teeth irradiated with varying Er:YAG laser energies and SEM examination of the surface morphology. Lasers Surg Med. 2004;24:254–9.
Wanderley RL, Monghini EM, Pecora JD, Palma-Dibb RG, Borsatto MC. Shear bond strength to enamel of primary teeth irradiated with varying Er:YAG laser energies and SEM examination of the surface morphology: an in vitro study. Photomed Laser Surg. 2005;23(3):260–7.
Lessa FC, Mantovani CP, Barroso JM, Chinelatti MA, Palma-Dibb RG, Pécora JD, Borsatto MC. Shear bond strength to primary enamel: influence of Er:YAG laser irradiation distance. J Dent Child (Chic). 2007;74(1):26–9.
Scatena C, Torres CP, Gomes-Silva JM, Contente MM, Pécora JD, Palma- Dibb RG, Borsatto MC. Shear strength of the bond to primary dentin: influence of Er:YAG laser irradiation distance. Lasers Med Sci. 2011;26(3):293–7.
Flury S, Koch T, Peutzfeldt A, Lussi A. Micromorphology and adhesive performance of Er:YAG laser-treated dentin of primary teeth. Lasers Med Sci. 2012;27(3):529–35.
Stiesch-Scholz M, Hannig M. In vitro study of enamel and dentin marginal integrity of composite and compomer restorations placed in primary teeth after diamond or Er:YAG laser cavity preparation. J Adhes Dent. 2000;2(3):213–22.
Hossain M, Nakamura Y, Yamada Y, Murakami Y, Matsumoto K. Microleakage of composite resin restoration in cavities prepared by Er,Cr:YSGG laser irradiation and etched bur cavities in primary teeth. J Clin Pediatr Dent. 2002;26(3):263–8.
Yamada Y, Hossain M, Nakamura Y, Murakami Y, Matsumoto K. Microleakage of composite resin restoration in cavities prepared by Er:YAG laser irradiation in primary teeth. Eur J Paediatr Dent. 2002;3(1):39–45.
Kohara EK, Hossain M, Kimura Y, Matsumoto K, Inoue M, Sasa R. Morphological and microleakage studies of the cavities prepared by Er:YAG laser irradiation in primary teeth. J Clin Laser Med Surg. 2002;20(3):141–7.
Borsatto MC, Corona SA, Chinelatti MA, Ramos RP, de Sá Rocha RA, Pecora JD, Palma-Dibb RG. Comparison of marginal microleakage of flowable composite restorations in primary molars prepared by high-speed carbide bur, Er:YAG laser, and air abrasion. J Dent Child (Chic). 2006;73(2):122–6.
Baygin O, Korkmaz FM, Arslan I. Effects of different types of adhesive systems on the microleakage of compomer restorations in Class V cavities prepared by Er,Cr:YSGG laser in primary teeth. Dent Mater J. 2012;31(2):206–14.
Ghandehari M, Mighani G, Shahabi S, Chiniforush N, Shirmohammadi Z. Comparison of Microleakage of Glass Ionomer Restoration in Primary Teeth Prepared by Er: YAG Laser and the Conventional Method. J Dent, Tehran University of Medical Sciences, Tehran, Iran. 2012;9(3):215–20.
Baghalian A, Nakhjavani YB, Hooshmand T, Motahhary P, Bahramian H. Microleakage of Er:YAG laser and dental bur prepared cavities in primary teeth restored with different adhesive restorative materials. Lasers Med Sci. 2013;28:1453–60.
Bahrololoomi Z, Heydari E. Assessment of tooth preparation via Er:YAG laser and bur on microleakage of dentine adhesives. J Dent, Tehran University of medical Sciences. 2014;11(2):172–8.
Arapostathis KN. An in vitro study comparing cavity preparation by Er:YAG, Er,Cr:YSGG lasers and diamond bur on primary molars: effect on microleakage of three different restorative materials and scanning electron microscopy examination of the cavity preparation. Thesis of Master of Science in Lasers Dentistry, Genoa, Italy, 2014.
AAPD. Clinical Practice Guidelines on pulp therapy for primary and immature permanent teeth. (http://www.aapd.org/policies/quidelines) Reference manual 2015–16. Pediatr Dent. 2015;37(6):244–52.
AAPD. Oral health polices on Policy on Interim Therapeutic Restorations (ITR). (http://www.aapd.org/policies/quidelines) Reference manual 2015-16. Pediatr Dent. 2015;37(6):48–9.
AAPD. Oral health polices. Policy on the Use of Lasers for Pediatric Dental Patients. (http://www.aapd.org/policies/quidelines) Reference manual 2015–16. Pediatr Dent. 2015;37(6):79–81.
Farooq NS, Coll JA, Kuwabara A, Shelton P. Success rates of formocresol pulpotomy and indirect pupl therapy in the treatment of deep deantinal caries in primary teeth. Pediatr Dent. 2000;22(4):278–86.
Parisay I, Ghoddusi J, Forghani M. A review on vital pulp therapy in primary teeth. Iran Endod J. 2015;10(1):6–15.. Epub 2014 Dec 24. Review
Olivi G, Magnolis FS, Genovese MD. Endodontics, Chapter 8. In:Pediatric laser dentistry. A user’s guide. Chicago: Quintessence Publishing Co, Inc; 2011.
Kotsanos N, Arapostathis KN, Arhakis A, Menexes G. Direct pulp capping of carious primary molars. A specialty practice based study. J Clin Pediatr Dent. 2014;38(4):307–12.
De Coster P, Rajasekharan S, Martens L. Laser-assisted pulpotomy in primary teeth: a systematic review. Int J Paediatr Dent. 2013;23(6):389–99.. Epub 2012 Nov 22. Review
Uloopi KS, Vinay C, Ratnaditya A, Gopal AS, Mrudula KJ, Rao RC. Clinical evaluation of low level Diode Laser application for primary teeth pulpotomy. J Clin Diagn Res. 2016;10(1):ZC67–70.
Liu JF. Effects of Nd:YAG laser pulpotomy on human primary molars. J Endod. 2006;32:404–7.
Saltzman B, Sigal M, Clokie C, Rukavina J, Titley K, Kulkarni GV. Assessment of a novel alternative to conventional formocresol-zinc oxide eugenol pulpotomy for the treatment of pulpally involved human primary teeth: diode laser-mineral trioxide aggregate pulpotomy. Int J Paediatr Dent. 2005;15:437–47.
Gupta G, Rana V, Srivastava N, Chandna P. Laser pulpotomy–an effective alternative to conventional techniques: a 12 months clinicoradiographic study. Int J Clin Paediatr Dent. 2015;8(1):18–21.
Durmus B, Tanboga I. In vivo evaluation of the treatment outcome of pulpotomy in primary molars using Diode Laser, Formocresol, and Ferric Sulphate. Photomed Laser Surg. 2014;32(5):289–95.
Yadav P, Indushekar K, Saraf B, Sheoran N, Sardana D. Comparative evaluation of Ferric Sulfate, Electrosurgical and Diode Laser on human primary molars pulpotomy: an «in-vivo» study. Laser Ther. 2014;23(1):41–7.
Niranjani K, Prasad MG, Vasa AA, Divya G, Thakur MS, Saujanya K. Clinical evaluation of success of primary teeth pulpotomy using Mineral Trioxide Aggregate(®), Laser and Biodentine(TM)- an In Vivo Study. J Clin Diagn Res. 2015;9(4):ZC35–7.
Subbaiah R. Bacterial efficacy of Ca(oH)2 against E.faecalis compared with three dental lasers on root canal Dentin- an invitro study. J Clin Diagn Res: JCDR. 2014;8(11):ZC135–7.
Rebecca G, et al. Er:YAG 2,940-nm laser fiber in endodontic treatment: a help in removing smear layer. Lasers Med Sci. 2014;29(1):69–75.
Pedullà E, et al. Decontamination efficacy of photon-initiated photoacoustic streaming (PIPS) of irrigants using low-energy laser settings: an ex vivo study. Int Endod J. 2012;45:865–70.
Shoaib H. Bactericidal efficacy of photodynamic therapy against Enterococcus faecalis in infected root canals: a systematic literature review. Photodiagnosis Photodyn Ther. 2013;10(4):632–43.
Vahid Z. Antimicrobial efficacy of photodynamic therapy and sodium hypochlorite on monoculture biofilms of Enterococcus faecalis at different stages of development. Photomed Laser Surg. 2014;32(5):245–51.
Pinheiro SL, et al. Photodynamic therapy in endodontic treatment of deciduous teeth. Lasers Med Sci. 2009;24(4):521–6.
Pinheiro SL, et al. Manual and rotary instrumentation ability to reduce Enterococcus faecalis associated with photodynamic therapy in deciduous molars. Braz Dent J. 2014;25(6):502–7.
de Sant’Anna G. Photodynamic therapy for the endodontic treatment of a traumatic primary tooth in a diabetic pediatric patient. J Dent Res Dent Clin Dent Prospects. 2014;8(1):56–60.
da Silva Barbosa P, et al. Photodynamic therapy in pediatric dentistry. Case Rep Dent. 2014;2014:217172.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2017 Springer International Publishing AG
About this chapter
Cite this chapter
Arapostathis, K. (2017). Laser-Assisted Pediatric Dentistry. In: Coluzzi, D., Parker, S. (eds) Lasers in Dentistry—Current Concepts. Textbooks in Contemporary Dentistry. Springer, Cham. https://doi.org/10.1007/978-3-319-51944-9_11
Download citation
DOI: https://doi.org/10.1007/978-3-319-51944-9_11
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-51943-2
Online ISBN: 978-3-319-51944-9
eBook Packages: MedicineMedicine (R0)