Title

Er: YAG or diode laser versus traditional irrigation in combined periodontal-endodontic lesions and its impact on periodontal parameters

Authors

Keshav Tukaram Handge¹, Shweta V. Sagare²,*, Maheswari Eluru³, Gatha Mohanty⁴, Mokshada Badadare⁵ & Parul Jain⁶

Affiliation

¹Department of Dentistry, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Adgaon, Nashik, India; ²Department of Conservative Dentistry and Endodontics, Bharati Vidyapeeth (Deemed to be University) Dental College and Hospital, Sangli, Maharashtra, India; ³Department of Oral and Maxillofacial Surgery, Government Dental College and Hospital, Hyderabad, Telangana, India; ⁴Department of Periodontics and Oral Implantology, Institute of Dental Science, Siksha 'O' Anusandhan Deemed to be University, Bhubaneswar, Odisha, India; ⁵Department of Prosthodontics, Bharati Vidyapeeth Dental College and Hospital, Sangli, Maharashtra, India; ⁶Department of Periodontology, Government College of Dentistry, Indore, Madhya Pradesh, India; *Corresponding author

Email

Keshav Tukaram Handge - E-mail: handgek45@gmail.com
Shweta V. Sagare - E-mail: shweta.sagare@bharatividyapeeth.edu
Maheswari Eluru - E-mail: elurumaheswari24@gmail.com
Gatha Mohanty - E-mail: gathamohanty@soa.ac.in
Mokshada Badadare - E-mail: mmbadadare@gmail.com
Parul Jain - E-mail: paruljain191919@gmail.com

Article Type

Research Article

Date

Received September 1, 2026; Revised September 30, 2026; Accepted September 30, 2026, Published September 30, 2026

Abstract

Combined periodontal-endodontic lesions remain difficult to manage because conventional irrigation may not adequately eliminate microorganisms from complex root canal and periodontal environments. Sixty patients were randomly assigned to receive adjunctive Er: YAG laser therapy, diode laser therapy, or conventional irrigation and periodontal parameters were evaluated at baseline and after 1, 3 and 6 months. Both laser groups showed significantly greater reductions in probing pocket depth, clinical attachment loss, bleeding on probing and plaque index than the conventional irrigation group, with the Er: YAG laser producing the greatest improvements at 6 months. Adjunctive laser therapy, particularly Er: YAG provided superior clinical outcomes compared with conventional irrigation for the non-surgical management of combined periodontal-endodontic lesions. Thus, data shows the incorporation of Er: YAG laser therapy as an effective adjunctive treatment to enhance long-term periodontal healing and clinical outcomes.

Keywords

Combined periodontal-endodontic lesions, Er: YAG laser, diode laser, conventional irrigation, periodontal therapy, probing pocket depth, clinical attachment loss, bleeding on probing, plaque index, non-surgical periodontal treatment

Citation

Handge et al. Bioinformation 22(9): 5930-5933 (2026)

Edited by

Ritik Kashwani

ISSN

0973-2063

Publisher

Biomedical Informatics

License

This is an Open Access article which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. This is distributed under the terms of the Creative Commons Attribution License.