Clinical Effectiveness of Laser Assisted New Attachment Procedure as an Adjunct to Nonsurgical Periodontal Treatment: A Randomized Clinical Study.

Autor: Katuri, Kishore Kumar, Bollepalli, Appaiah Chowdary, Reddy Sunkireddy, Hari Krishna, Babu Chilakalapudi, Hema Chandra, Kurapati, Sruthi, Vinnakota, Narayana Rao
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Zdroj: Journal of International Oral Health; 2015, Vol. 7 Issue 11, p57-62, 6p, 5 Charts
Abstrakt: Background: The aim of the present study is to evaluate the clinical effects of laser-assisted new attachment procedure (LANAP) as an adjunctive to non-surgical periodontal therapy in the treatment of moderate periodontal pockets. Materials and Methods: A total of 38 patients (22 males, 16 females; mean age 36 ± 10.1 years) diagnosed with generalized chronic periodontitis were included in this randomized, singleblind clinical study. All the sites were divided into two groups: Test group (TG) (n = 469), treated with laser along with scaling-rootplanning (SRP) and control group (n = 481), treated with SRP alone. Data collected at baseline and after 6 weeks and 24 weeks included sulcus bleeding index, plaque index (PI), probing depth, and clinical attachment level (CAL). Changes in probing depth and CAL were analyzed separately for moderate (4-6 mm) and deep (=7 mm) pockets. Results: The results obtained in both the groups showed that approximal PI and bleeding on probing after 6 weeks and 24 weeks was superior to the baseline (P < 0.0001). At 24 weeks postoperatively, a significant (P < 0.0001) improvement was seen in moderate and deep probing depth and CAL in both the groups. In between the groups, after 24 weeks, TG showed significant gain in CAL in moderate pockets (P < 0.0001) and decreased probing depth in deep periodontal pockets (P < 0.0017). Conclusion: The present study indicates that, LANAP using neodymium:yttrium-aluminum-garnet laser (1064 nm) with SRP as an effective non-surgical periodontal therapy in the treatment of moderate periodontal pockets. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index