Aim. The aim of our paper was identify the latest literature data regarding the minimally invasive periodontal management during the orthodontic treatment in order to establish a predictible clinical protocol. Materials and methods. We have searched the main international data bases in order to identify the most representative publications related to the use of laser as a prophylactic (through biostimulation) but also as an interceptive method in modulating inflammation and in maintaining periodontal health during fixed orthodontic treatments. Results and discussion. The orthodontic treatment with brackets does not cause gingival inflammation per se, however, it may induce a both qualitative and quantitative change in the intraoral environment as to the oral microbiota, leading to an increased amount of microorganisms not only in saliva, but also in the dental plaque. Orthodontic brackets might impede a proper oral hygiene, thus contributing to the initiation of an inflammatory process by plaque accumulation and favoring gingivitis, gingival enlargement, increase in pocket probing depth, and bleeding on probing. Furthermore, elastomers are among the ligatures that accumulate bacteria and, although producers have manufactured elastic ligatures that release fluoride, their positive effect is questionable at best.Conclusions. Diode laser has remarcable properties that offer many benefits such as stimulation/inhibition of the physiological, biochemical, or proliferative activities at the periodontal level.
Keywords:- gingivitis
- laser therapy
- orthodontic treatment