Comparative evaluation of the efficacy of diode laser as an adjunct to modified Widman flap surgery for the treatment of chronic periodontitis: A randomized split-mouth clinical trial
| Autor: | Nikhil Sharma, Eiti Agrawal, Farheen Khan, Rahul Chopra, Preeti Sharma, Maydina Achom |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Periodontitis
medicine.medical_specialty modified widman flap Visual analogue scale business.industry chronic periodontitis RK1-715 Periodontology medicine.disease Chronic periodontitis Surgery Clinical trial diode laser Modified Widman flap Hemostasis Dentistry microbiological analysis Periodontics Medicine Original Article Anaerobic bacteria business |
| Zdroj: | Journal of Indian Society of Periodontology, Vol 25, Iss 3, Pp 213-219 (2021) Journal of Indian Society of Periodontology |
| Popis: | Background: Periodontitis is a chronic inflammatory disease that is mainly initiated by plaque biofilm which may require treatment using periodontal flap surgery. Recently, diode lasers have become popular in the field of periodontology owing to advantages such as antibacterial effect, promoting angiogenesis, and providing hemostasis. However, scientific data on application of diode laser in periodontal flap surgery and its benefits are limited. Hence, the aim of the study was to investigate the adjunctive effect of removal of remnant pocket epithelium by 980 nm diode laser and biostimulation in modified Widman flap (MWF) surgery for the treatment of chronic periodontitis. Materials and Methods: A total of 20 patients with generalized chronic periodontitis with pocket probing depth (PPD) ≥5mm post Phase I therapy were selected for this split-mouth study. MWF surgery was performed in Group 1, and in Group 2, MWF surgery with adjunctive diode laser de-epithelization and biostimulation was done. Clinical parameters including PPD, clinical attachment level, plaque index, and gingival index were recorded at baseline and 3 months following treatment, and postprocedural pain (Visual Analog Scale [VAS] score) was assessed 1-week posttreatment. In addition, colony-forming units/milliliter (CFU/ml) of anaerobic bacteria at baseline and 3 months were microbiologically examined. Results: MWF surgery along with diode laser led to a significant improvement in Group 2 compared to Group 1 in clinical parameters such as PPD, relative clinical attachment level, VAS score as well as microbial parameter CFU/ml after 3 months. Conclusion: Diode laser as an adjunct to MWF in chronic periodontitis can provide enhanced clinical attachment gain with little postoperative discomfort. |
| Databáze: | OpenAIRE |
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