Clinical Effectiveness of Diode Laser Therapy as an Adjunct to Non‐Surgical Periodontal Treatment: A Randomized Clinical Study

Dukić, Walter; Bago, Ivona; Aurer, Andrej; Roguljić, Marija

doi:10.1902/jop.2012.110708

Cited by 79 publications

(95 citation statements)

References 28 publications

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“…This result was controversial to studies conducted by Moritz A et al, Dukic et al, that showed a significant improvement [23,24]. This conflicting result may be due to the higher power settings and multiple radiations used in those studies.…”

Section: Discussionmentioning

confidence: 88%

Management of Chronic Periodontitis Using Chlorhexidine Chip and Diode Laser-A Clinical Study

Jose

Ambooken

Mathew

et al. 2016

JCDR

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Introduction: The use of adjuncts like chlorhexidine local delivery and diode laser decontamination have been found to improve the clinical outcomes of scaling and root planing in non-surgical periodontal therapy in patients with chronic periodontitis. Aim:To evaluate the effects of diode laser and chlorhexidine chip as adjuncts to scaling and root planing in the management of chronic periodontitis. The objective is to evaluate the outcome of chlorhexidine chip and diode laser as adjuncts to scaling and root planing on clinical parameters like Plaque Index, Gingival Index, probing pocket depth and clinical attachment level.Study and Design: Department of Periodontics. Randomized clinical trial with split mouth design. Materials and Methods:Fifteen chronic periodontitis patients having a probing pocket depth of 5mm-7mm on at least one interproximal site in each quadrant of the mouth were included in the study. After initial treatment, four sites in each patient were randomly subjected to scaling and root planing (control), chlorhexidine chip application (CHX chip group), diode laser (810 nm) decontamination (Diode laser group) or combination of both (Diode laser and chip group). Plaque Index (PI), Gingival Index (GI), probing pocket depth (PPD) and clinical attachment level (CAL) were assessed at baseline, one month and three months. Statistical analysis:Results were statistically analysed using paired T test, one-way ANOVA, Tukey's HSD test and repeated measure ANOVA.Results: Post-treatment, the test and control sites showed a statistically significant reduction in PI, GI, PPD, and CAL. After three months, a mean PPD reduction of 1.47±0.52 mm in control group, 1.40±0.83 mm in diode laser group, 2.67±0.62 mm in CHX group, and 2.80± 0.77 mm in combination group was seen. The mean gain in CAL were 1.47±0.52 mm in the control group, 1.40±0.83 mm in diode laser group, 2.67± 0.49 mm in CHX group and 2.67± 0.82 mm in combination group respectively. The differences in PPD reduction and CAL gain between control group and CHX chip and combination groups were statistically significant (p<0.05) at three months, whereas, the diode laser group did not show any significant difference from the control group. Conclusion:Chlorhexidine local delivery alone or in combination with diode laser decontamination is effective in reducing probing pocket depth and improving clinical attachment levels when used as adjuncts to scaling and root planing in non-surgical periodontal therapy of patients with chronic periodontitis. adjuncts to mechanical instrumentation in the management of periodontal diseases. Different antibiotics such as tetracycline, nitroimidazoles, fluoroquionolones and macrolides have been used as local drug delivery agents in various studies with promising clinical and microbiological results [5,6].Chlorhexidine, the most widely used topical antiseptic and antiplaque agent in periodontics, has also been used as an agent for local drug delivery. A recent meta analysis [7] on the effect of local drug delivery in chr...

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Section: Discussionmentioning

confidence: 88%

Management of Chronic Periodontitis Using Chlorhexidine Chip and Diode Laser-A Clinical Study

Jose

Ambooken

Mathew

et al. 2016

JCDR

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“…9 Group I showed statistically significant difference than group II on comparing moderate attachment loss at 7th day only, which may be due to greater retraction of periodontal tissues in the laser group and this achieved stability by 30th day. 28 In our study, diode laser led to significant improvement of clinical parameters (PD, RAL, BOP) after 30 days compared with that of SRP alone, Dukic 13 The beneficial effects of nonsurgical laser therapy to treat periodontal diseases have been discussed in many studies and reviews. 35,36 These could be due to better subgingival debridement of the pocket and eradication of periodontal microorganism within the subgingival area.…”

Section: Discussionmentioning

confidence: 55%

“…26 Moderate pockets were reduced only in group I which was also found by various studies. 12,13,16,17,23,27 We observed that this reduction was more so at 30th day and was not seen at 7th day which may be indicative of healing period of the treated pocket. 28 The reduction in PD can be due to the availability of new site for the attachment of connective tissue.…”

Section: Discussionmentioning

confidence: 75%

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Diode Laser as an Adjunctive to Nonsurgical Periodontal Therapy during Maintenance Phase: A Randomized Controlled Clinical Trial

Suprith¹,

Setty²,

Thakur³

2016

International Journal of Laser Dentistry

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Aim:The aim of the study was to determine and compare the pocket depths (PD), relative attachment levels (RAL), bleeding on probing (BOP) and plaque indices (PI) in patients treated with scaling and root planning (SRP) alone and along with diode laser. Materials and methods:The study was carried out on 30 subjects who fulfill the inclusion and exclusion criteria. Group I: 15 patients treated with SRP along with diode laser irradiation. Group II: 15 patients treated only with SRP. The clinical parameters were probing PD, RAL, BOP and PI which were recorded at base line, 7 days and after 1 month. Statistical analysis was done using Kolmogorov-Smirnov, Shapiro-Wilk, t-test, chi-square test. Results:The use of diode lasers as an adjunct to SRP during maintenance phase showed better results when compared to SRP alone. Moderate periodontal pockets with moderate attachment loss showed significant improvement in group I than in group II. There was no change in deep pockets with severe attachment loss in both groups.Clinical significance: The study shows that the specified laser parameter and the modality of application of the same results in faster healing. This can be recommended as an appropriate treatment for moderate pockets.

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“…Laser can be classified according to its lasing medium (solid or gas), wavelength (390-700 nm) and tissue applicability (hard tissue and soft tissue). 2 Based on different characteristics, laser has a variety of indication in dentistry including non-surgical sulcular debridement, 3 hard tissue ablation, 4 soft tissue removal, 5 gingival depigmentation, 5,6 ablation of aphthous ulceration 7 and pain reduction. 8 Numerous studies have focused on laser as an adjunctive procedure in orthodontic practice.…”

Section: Introductionmentioning

confidence: 99%

Laser Surgery of Soft Tissue in Orthodontics: Review of the Clinical Trials

Seifi

Matini

2017

J Lasers Med Sci

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Introduction: Recently, a wide variety of procedures have been done by laser application in orthodontics. Apart from the mentioned range of various treatments, laser has become a tool for many soft tissue surgeries as an alternative to conventional scalpel-based technique during orthodontic treatments in the management of soft tissue. Due to scarce information in the latter subject, this study was designed in order to include clinical trials that included soft tissue ablation by laser in orthodontics. Methods: Literature was searched based on PubMed and Google Scholar databases in 5 years (2010)(2011)(2012)(2013)(2014)(2015) with English language restriction and clinical trial design. Studies that performed soft tissue application of laser during orthodontic treatment were extracted by the authors. Results: Only eight studies met the inclusion criteria. No significant difference was found between laser ablation and conventional scalpel technique in the matter of treatment outcome. However, few issues remained to clarify the differences in the mentioned procedures. Conclusion: Laser performance can be recommended in case of preceding less bleeding and discomfort during surgical procedure. There are still quandaries among clinical application of scalpel-based surgery in aesthetic region with bracket-bonded teeth. Precaution and knowledge regarding the characteristics of laser beam such as wavelength, frequency, power and timing is extremely needed.

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Clinical Effectiveness of Diode Laser Therapy as an Adjunct to Non‐Surgical Periodontal Treatment: A Randomized Clinical Study

Abstract: The present study indicates that, compared to SRP alone, multiple adjunctive applications of a 980-nm diode laser with SRP showed PD improvements only in moderate periodontal pockets (4 to 6 mm).

Cited by 79 publications

References 28 publications

Management of Chronic Periodontitis Using Chlorhexidine Chip and Diode Laser-A Clinical Study

Management of Chronic Periodontitis Using Chlorhexidine Chip and Diode Laser-A Clinical Study

Diode Laser as an Adjunctive to Nonsurgical Periodontal Therapy during Maintenance Phase: A Randomized Controlled Clinical Trial

Laser Surgery of Soft Tissue in Orthodontics: Review of the Clinical Trials

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