Efecto bactericida del laser Nd Yap. Estudio in vitro

The use of laser in the odontological field is every day more spread thanks to the fact that it manages to reach a high standard of comfort for the patient in the therapeutic efficiency. The goal of this study is to test the efficiency of a protocol that foresees the associated use of laser irradiation and hydrogen peroxide to reduce the bacterial charge of stocks commonly present in active periodontal pockets. The five bacterial stocks studied are: Haemophilus actinomycetemcomitans, Bacteroides forsytus, Porphyromonas gingivalis, Micromonas micron, Fusobacterium nucleatem. The laboratory method used foresees the following protocol: 30ml of each bacterial suspension has been exposed to hydrogen peroxide at diverse concentrations at 0.5% or at 3% and it has been irradiated separately with laser for 5 seconds or 10 seconds, using sterile 1.5 ml Eppendorf tubes. It has been compared thus the bacterial activity of the hydrogen peroxide alone at the concentrations of 0.5% and 3%, the bacterial activity of the laser irradiation alone and of the two associated treatments. In every bacterial cultivation examined the use of hydrogen peroxide at 3% concentration associated with the 10 second laser irradiation exposure led to the absence or a marked decrease of the number of bacterial colonies, while the decrease has been less evident or absent in the case of the two treatments used separately. The results confirm the higher bactericide effectiveness of the combined action of hydrogen peroxide and laser.