Laser Bacterial Reduction (LBR)
Throughout the last decades, it has been well-recognized and understood that most periodontal diseases are infections caused by microorganisms, especially bacteria. These microorganisms (pathogens) colonize the tooth surface at or below the gingival margin and are organized in entities called biofilms. Clinically, the result of this chronic infection is the progressive destruction of the periodontium and tooth loss. In addition to the bacterial flora, inadequate oral hygiene habits allowing accumulation of plaque on the tooth surface, the genetic component of the individual, the use of tobacco (smokers), and some systemic diseases all are considered risk factors for periodontal disease and can have a detrimental effect on the treatment outcome or change the course of the disease for the worse. The diode laser can enhance the scaling and root planing effect by its antimicrobial properties, It does not have the specific lock-and-key chemical target. It acts directly on cellular structures, destroying bacterial cell walls, modifying metabolic processes, and ungluing the polysaccharide structure of the biofilm. In essence, the LBR protocol can be used with the traditional tooth scaling procedures to enhance and further support healing and optimal oral health.