Diode laser therapy in the management of chronic periodontitis - A clinico-microbiological study.

Autor: Yadwad KJ; Department of Periodontology, KLE Society's Institute of Dental Sciences, Bangalore, India., Veena HR; Department of Periodontology, KLE Society's Institute of Dental Sciences, Bangalore, India., Patil SR; Department of Periodontology, KLE Society's Institute of Dental Sciences, Bangalore, India., Shivaprasad BM; Department of Periodontology, Rajarajeshwari Dental College and Hospital, Bangalore, India.
Jazyk: angličtina
Zdroj: Interventional medicine & applied science [Interv Med Appl Sci] 2017 Dec; Vol. 9 (4), pp. 191-198.
DOI: 10.1556/1646.9.2017.38
Abstrakt: Introduction: Chronic periodontitis (CP) is an infectious disease resulting in inflammation of the supporting tissues of the teeth with progressive attachment loss and bone loss. This study aimed to evaluate the effect of 980-nm diode laser, as an adjunct to scaling and root planing (SRP) in the management of CP.
Methodology: A total of 40 systemically healthy subjects diagnosed with CP were randomly assigned into two groups G1 (SRP and sham application of laser) and G2 (SRP and laser irradiation) with equal numbers in each. The levels of Porphyromonas gingivalis ( Pg ) were estimated from plaque samples using real-time polymerase chain reaction. Clinical and microbiological parameters were assessed at baseline, 4-6, and 12-14 weeks posttreatment in both groups.
Results: A gradual reduction in the levels of Pg and improvement in clinical parameters were observed from baseline to 4-6 and 12-14 weeks in both groups. However, the comparison between groups, although clinically relevant, was not found to be statistically significant.
Conclusion: Although a 980-nm diode laser may not have any added benefit compared with SRP, it may emerge as an effective non-surgical treatment option in advanced periodontitis with complex inaccessible subgingival niches where comprehensive periodontal care may not be feasible.
Databáze: MEDLINE