Objective: To evaluate the clinical outcomes 2 years after the adjunctive use of an InGaAsP diode and Er,Cr:YSGG laser for nonsurgical treatment of severe periodontitis. Method and materials: Forty-two patients (45.31 ± 9.78 years old, n = 22 females, n = 23 smokers) with stage III or IV grade B periodontitis were randomly treated either with laser (InGaAsP + Er,Cr:YSGG) adjunctive to subgingival debridement (test group, n = 21) or with subgingival debridement alone (control group, n = 21). Subjects in the test group received a second laser treatment in residual sites 2 months after the initial laser therapy. At baseline, and at 12 and 24 months after therapy, periodontal clinical parameters were evaluated. The primary outcome variable was the number of residual deep sites at 12 months (probing depth [PD] ≥ 6 mm). Results: One and two years after nonsurgical periodontal treatment, both groups yielded statistically significant clinical improvements. The adjunctive use of InGaAsP and Er,Cr:YSGG laser to mechanical debridement resulted in statistically significantly higher clinical (PD, clinical attachment level, bleeding on probing, number of sites with PD ≥ 5 mm, PD ≥ 6 mm, PD ≥ 7 mm) improvements (P < .05) compared to subgingival debridement alone both at 12 and 24 months after therapy. Conclusion: In patients with stage III or IV grade B periodontitis, InGaAsP and Er,Cr:YSGG used adjunctively to subgingival debridement may additionally improve the clinical outcomes compared to mechanical debridement alone over a period of 24 months. Palabras clave: YSGG, InGaAsP, periodontal laser therapy, periodontal treatment, periodontitis

Objective: To evaluate clinically and microbiologically the outcomes following the combined application of InGaAsP diode laser and Er,Cr:YSGG laser for nonsurgical treatment of chronic periodontitis (ChP). Method and materials: Forty-two patients (age 45.31 ± 9.78 years, 22 female, 23 smokers) with ChP were randomly treated with subgingival debridement (SD) by means of ultrasonic and hand instruments (control group, n = 21) or with InGaAsP followed 1 week later by InGaAsP + SD + Er,Cr:YSGG (test group, n = 21). In the test group, a second laser treatment was performed for all residual sites (bleeding sites with probing depth [PD] ≥ 4 mm) 2 months after the first laser therapy. At baseline and 6 months after therapy, periodontal clinical and microbiologic parameters were evaluated. Results: Six months after therapy, statistically significant clinical and microbiologic improvements (PD reduction, clinical attachment level [CAL] gain, quantitative reduction of periopathogens) were observed in both groups compared to baseline. However, the use of InGaAsP followed by SD and the adjunctive use of an Er,Cr:YSGG laser, yielded statistically significantly higher clinical (PD, CAL, bleeding on probing, number of sites with PD ≥ 5 mm, PD ≥ 6 mm, PD ≥ 7 mm) and microbiologic (Porphyromonas gingivalis, Treponema denticola, Tannerella forsythia, Prevotella intermedia, Peptostreptococcus micros, Fusobacterium nucleatum) improvements (P .05) compared to SD alone. Conclusions: In patients with ChP, the adjunctive use of InGaAsP and Er,Cr:YSGG to SD may additionally improve the clinical and microbiologic parameters obtained with SD alone, thus representing a valuable approach in nonsurgical periodontal therapy. Palabras clave: chronic periodontitis, diode laser, Er, Cr:YSGG, InGaAsP, laser treatment, nonsurgical periodontal therapy

Objective: This study wants to evaluate the bond strength of a self-adhesive flowable composite, in dentin surfaces prepared with Er,Cr:YSGG laser with two different settings. Methods: Fifteen healthy teeth were distributed in 3 groups. The dentin samples of the Control Group didn't have any laser treatment, the samples of the Group 2 were treated with Er,Cr:YSGG laser, with the settings 4,5W, 50 Hz, 50 ms, 70% air, 90% water, and the ones from Group 3 were treated with the same laser with a different laser frequency, 4,5W, 75 Hz, 50 ms, 70% air, 90% water. The samples were restored with VertiseTM Flow following the manufacturer instructions. The Shear Bond Strength (SBS) test and morphological analysis with Scanning Electron Microscopy (SEM) were performed. Results: The high mean of the SBS was from Group 2 (4,76 ± 3,99 MPa), followed by the Control Group (1,87 ± 1,61 MPa), and the lowest was from the Group 3 (0,81 ± 0,93 MPa). The means of SBS were not statistically different between each other. (p>0,05). Conclusion: Although the bond strength was influenced by the type of dentin surface and the laser parameters, there was not statistically differences between each group (p>0,05). The increase of the laser frequency resulted in lower SBS. Additional studies should be carried on. Palabras clave: laser, erbium, Er, Cr:YSGG, adhesion, self-adhesive flowable composite, dentin

Seit einigen Jahren wird das Bleichen von Zähnen als kosmetisch orientierte Leistung vom Zahnarzt zunehmend abgefordert. Ästhetische Einbußen durch zu "dunkle" Zähne, verursacht durch extrinsische bzw. intrinsische Verfärbungen, lassen sich mit abrasiv wirkenden Zahnpflegemitteln nicht wirkungsvoll beheben. Unter Einsatz einer wirkungsverstärkenden Plasmalampe können Aufhellungsbehandlungen der Zähne "chairside" in ein bis zwei Behandlungssitzungen mit einem sehr zufrieden stellenden Ergebnis abgeschlossen werden. Anhand von drei Fallbeispielen wird exemplarisch dargestellt, welche Möglichkeiten ein "all in one"-Produkt zum Aufhellen von vitalen und avitalen Zähnen bietet. Diese Methode ist eine schnelle und auch wirtschaftlich interessante Alternative zu anderen Bleichverfahren. Palabras clave: Ästhetik, Zahnfarbe, Bleichtherapie, Vitalbleichen, Avitalbleichen, Wasserstoffperoxid, Plasmalampe