Diode laser as an adjunctive treatment for periodontitis: Arandomized controlled trial.

Autor: Alghafri M; Mohammed Bin Rashid University of Medicine and Health Sciences, Hamdan Bin Mohammed College of Dental Medicine, Dubai Healthcare City, Dubai, United Arab Emirates., Fadhul I; Department of Health, Abu Dhabi, United Arab Emirates., Shah M; Mohammed Bin Rashid University of Medicine and Health Sciences, Hamdan Bin Mohammed College of Dental Medicine, Dubai Healthcare City, Dubai, United Arab Emirates., Hakam A; Mohammed Bin Rashid University of Medicine and Health Sciences, Hamdan Bin Mohammed College of Dental Medicine, Dubai Healthcare City, Dubai, United Arab Emirates., Tawse-Smith A; Sir John Walsh Research Institute, Faculty of Dentistry, University of Otago, Dunedin, New Zealand., Alsabeeha NHM; Department of Dental Services, Emirates Health Services, Dubai, United Arab Emirates., Atieh MA; Mohammed Bin Rashid University of Medicine and Health Sciences, Hamdan Bin Mohammed College of Dental Medicine, Dubai Healthcare City, Dubai, United Arab Emirates.; Sir John Walsh Research Institute, Faculty of Dentistry, University of Otago, Dunedin, New Zealand.; School of Dentistry, University of Jordan, Amman, Jordan.
Jazyk: angličtina
Zdroj: International journal of dental hygiene [Int J Dent Hyg] 2024 Nov; Vol. 22 (4), pp. 959-970. Date of Electronic Publication: 2024 Apr 24.
DOI: 10.1111/idh.12809
Abstrakt: Objective: The aim of this randomized controlled trial was to assess clinical and patient reported outcomes of subgingival instrumentation (SI) with adjunctive use of diode laser (DL) versus SI alone in the treatment of periodontitis.
Methods: Participants requiring non-surgical periodontal treatment were randomly allocated into two treatment groups: SI with DL or SI alone. Clinical parameters [full mouth bleeding and plaque scores (FMBS and FMPS), probing pocket depth and clinical attachment level] were recorded at baseline, three and 6 months post-treatment. Visual analogue scale was used to evaluate postoperative participants' perception of pain, swelling, bleeding, bruising and root sensitivity. The impact of periodontal treatment on quality of life was assessed using the General Oral Health Assessment Index (GOHAI) at 6 months.
Results: A total of 22 participants with stage III/IV periodontitis completed the 6-month follow-up. SI with or without DL resulted in statistically significant reduction in FMBS, FMPS, PPDs, and percentage of PPDs of ≥5 mm at 3- and 6-month follow-up visits (p = 0.001 to <0.001). The participants in SI/DL group had a greater reduction in the percentage of deep PPDs (≥5 mm) compared to those receiving SI alone, but statistically significant differences between the two groups were not observed (16.40 ± 9.57 vs. 32.50 ± 38.76 at 3 months and 7.20 ± 6.86 vs. 19.50 ± 35.06 at 6 months). The difference in the mean total GOHAI scores was not statistically significant at 6 months with total GOHAI scores of 7.25 ± 2.45 and 5.40 ± 3.06 for SI and SI/DL groups, respectively.
Conclusion: Within the limitations of this study, the use of DL as an adjunct to SI in the treatment of stage III/IV periodontitis did not produce significant additional improvement in clinical parameters or patient reported outcomes in the 6-month observation period.
(© 2024 The Authors. International Journal of Dental Hygiene published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
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