Effect of Er:YAG Laser on Scaling and Root Planning and Usage of i-Platelet Rich Fibrin as a Biomodifier

Necib Fazıl Gün; Meltem Hendek; Ebru Olgun

doi:10.7126/cumudj.1636293

EN TR

Effect of Er:YAG Laser on Scaling and Root Planning and Usage of i-Platelet Rich Fibrin as a Biomodifier

Abstract

Objectives: The purpose of this study was to compare scaling and root planning (SRP) with Er:YAG laser and Gracey curettes and the effectiveness of using injectable platelet-rich fibrin (i-PRF) as a biomodifier was also investigated. Materials and Methods: There were 4 groups of extracted human teeth: Gracey Group (n=9): SRP with Gracey curettes; Gracey + i-PRF Group (n=9): SRP with Gracey curettes followed by application of i-PRF to the root surface; Er:YAG Group (n=9): SRP with Er:YAG laser; Er:YAG + i-PRF Group (n=9): SRP with Er:YAG laser followed by application of i-PRF to the root surface. The width of dentin tubules and the presence/absence of smear layer were examined using scanning electron microscopy (SEM). Results: There was significantly less smear layer in the Er:YAG group compared to the Gracey group (p=0.001). The width of dentin tubules was found to be significantly higher in the Er:YAG and Er:YAG+i-PRF groups compared to the Gracey group (respectively;p=0.015;p<0.001). The width of dentin tubules in the Er:YAG+i-PRF group was profoundly higher than in the Gracey+i-PRF group (p=0.026). Conclusions: Er:YAG laser was found to be more effective than Gracey curettes, which are the gold standard in root surface cleaning. Especially when combined with Er:YAG laser, i-PRF resulted in wider dentin tubules.

Keywords

Er:YAG Lazerin Diş Yüzeyi Temizliği ve Kök Yüzeyi Düzleştirme Üzerindeki Etkisi ve Biyomodifiye Edici Olarak e-Trombositten Zengin Fibrinin Kullanımı

Abstract

Amaç: Bu çalışmanın amacı, Er:YAG lazer ve Gracey küretleri ile diş yüzeyi temizliği ve kök yüzeyi düzleştirme (KYD) prosedürünü karşılaştırmak ve biyomodifiye edici olarak enjekte edilebilir-trombositten zengin fibrin (e-TZF) kullanımının etkinliğini araştırmaktır. Gereç ve Yöntemler: Çekilen insan dişleri 4 gruba ayrıldı: Gracey Grubu (n=9): Gracey küretleri ile KYD; Gracey + e-TZF Grubu (n=9): Gracey küretleri ile KYD ve ardından kök yüzeyine e-TZF uygulanması; Er:YAG Grubu (n=9): Er:YAG lazeri ile KYD; Er:YAG + e-TZF Grubu (n=9): Er:YAG lazeri ile KYD ve ardından kök yüzeyine e-TZF uygulanması. Dentin tübüllerinin genişliği ve smear tabakasının varlığı/yokluğu taramalı elektron mikroskobu kullanılarak incelendi. Bulgular: Er:YAG grubunda Gracey grubuna kıyasla önemli ölçüde daha az smear tabakası vardı (p=0,001). Dentin tübüllerinin genişliğinin Er:YAG ve Er:YAG+e-TZF gruplarında Gracey grubuna kıyasla önemli ölçüde daha yüksek olduğu bulundu (sırasıyla;p=0,015; p<0,001). Er:YAG+e-TZF grubundaki dentin tübüllerinin genişliği Gracey+e-TZF grubuna kıyasla belirgin şekilde daha yüksekti (p=0,026). Sonuçlar: Er:YAG lazerin, diş yüzeyi temizliğinde altın standart olan Gracey küretlerinden daha etkili olduğu bulundu. Özellikle Er:YAG lazerle birleştirildiğinde, e-TZF daha geniş dentin tübülleriyle sonuçlandı.

Keywords

Supporting Institution

This study was supported by the Kirikkale University Scientific Research Projects Unit with project number 2021/108

Project Number

2021/108.

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Details

Primary Language

English

Subjects

Periodontics

Journal Section

Research Article

Authors

Necib Fazıl Gün
0000-0002-7955-3497
Türkiye

Meltem Hendek ^*
0000-0003-1518-4159
Türkiye

Ebru Olgun
0000-0001-7298-8589
Türkiye

Publication Date

June 30, 2025

Submission Date

February 10, 2025

Acceptance Date

June 1, 2025

Published in Issue

Year 2025 Volume: 28 Number: 2

DOI

https://doi.org/10.7126/cumudj.1636293

IZ

https://izlik.org/JA33AY78LM

Cite

RIS / Bibtex

APA

Gün, N. F., Hendek, M., & Olgun, E. (2025). Effect of Er:YAG Laser on Scaling and Root Planning and Usage of i-Platelet Rich Fibrin as a Biomodifier. Cumhuriyet Dental Journal, 28(2), 246-252. https://doi.org/10.7126/cumudj.1636293

AMA

1.Gün NF, Hendek M, Olgun E. Effect of Er:YAG Laser on Scaling and Root Planning and Usage of i-Platelet Rich Fibrin as a Biomodifier. Cumhuriyet Dent J. 2025;28(2):246-252. doi:10.7126/cumudj.1636293

Chicago

Gün, Necib Fazıl, Meltem Hendek, and Ebru Olgun. 2025. “Effect of Er:YAG Laser on Scaling and Root Planning and Usage of I-Platelet Rich Fibrin As a Biomodifier”. Cumhuriyet Dental Journal 28 (2): 246-52. https://doi.org/10.7126/cumudj.1636293.

EndNote

Gün NF, Hendek M, Olgun E (June 1, 2025) Effect of Er:YAG Laser on Scaling and Root Planning and Usage of i-Platelet Rich Fibrin as a Biomodifier. Cumhuriyet Dental Journal 28 2 246–252.

IEEE

[1]N. F. Gün, M. Hendek, and E. Olgun, “Effect of Er:YAG Laser on Scaling and Root Planning and Usage of i-Platelet Rich Fibrin as a Biomodifier”, Cumhuriyet Dent J, vol. 28, no. 2, pp. 246–252, June 2025, doi: 10.7126/cumudj.1636293.

ISNAD

Gün, Necib Fazıl - Hendek, Meltem - Olgun, Ebru. “Effect of Er:YAG Laser on Scaling and Root Planning and Usage of I-Platelet Rich Fibrin As a Biomodifier”. Cumhuriyet Dental Journal 28/2 (June 1, 2025): 246-252. https://doi.org/10.7126/cumudj.1636293.

JAMA

1.Gün NF, Hendek M, Olgun E. Effect of Er:YAG Laser on Scaling and Root Planning and Usage of i-Platelet Rich Fibrin as a Biomodifier. Cumhuriyet Dent J. 2025;28:246–252.

MLA

Gün, Necib Fazıl, et al. “Effect of Er:YAG Laser on Scaling and Root Planning and Usage of I-Platelet Rich Fibrin As a Biomodifier”. Cumhuriyet Dental Journal, vol. 28, no. 2, June 2025, pp. 246-52, doi:10.7126/cumudj.1636293.

Vancouver

1.Necib Fazıl Gün, Meltem Hendek, Ebru Olgun. Effect of Er:YAG Laser on Scaling and Root Planning and Usage of i-Platelet Rich Fibrin as a Biomodifier. Cumhuriyet Dent J. 2025 Jun. 1;28(2):246-52. doi:10.7126/cumudj.1636293