Clinical effects of photodynamic therapy as an adjunct to full-mouth ultrasonic scaling and root planing in treatment of chronic periodontitis

Bundidpun, Pitchanun; Srisuwantha, Rungtiwa; Laosrisin, Narongsak

doi:10.5978/islsm.18-or-03

Cited by 35 publications

(50 citation statements)

References 22 publications

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“…Interestingly, after SRP the number of sites with PD ≥5 mm was more reduced in the group without professional tooth cleaning before SRP, the reduction was 58% or 50%, respectively. This is lower than a reduction of about 80% due to adjunctive use of photodynamic therapy or solely SRP or after adjunctive use of systemic antibiotics . After SRP Eick et al.…”

Section: Discussionmentioning

confidence: 87%

“…This is lower than a reduction of about 80% due to adjunctive use of photodynamic therapy or solely SRP or after adjunctive use of systemic antibiotics. 7,27 After SRP Eick et al found a reduction of 79% or 40% of sites with PD ≥5 mm for high or low responder after SRP. 28 Professional tooth cleaning improves the PD before SRP, but does not further improve the general outcome of the combined therapy (SRP with prior professional mechanical T A B L E 2 Clinical variables (mean ± SD) of the test group (two appointments of professional tooth cleaning before SRP) and control group (without professional tooth cleaning before SRP) at baseline (T0), 6 weeks before SRP (T1) and three (T2) and 6 months (T3) tooth cleaning).…”

Section: Discussionmentioning

confidence: 99%

“…Significant improvements of clinical variables like probing depth (PD), clinical attachment level (CAL), and bleeding on probing (BOP) achieved by solely SRP have been described . Manual and ultrasonic instruments are the most common used instruments for SRP . ‒ The use of oscillating scalers and hand instruments improves not only clinical variables but also provokes microbial shifts to less periodontopathogens in the subgingival biofilm .…”

Section: Introductionmentioning

confidence: 99%

“…5,6 Manual and ultrasonic instruments are the most common used instruments for SRP. [7][8][9] The use of oscillating scalers and hand instruments improves not only clinical variables but also provokes microbial shifts to less periodontopathogens in the subgingival biofilm. 10 The combined use of hand and ultrasonic instruments is recommended and reduces disadvantages of each of both used types of instruments.…”

Section: Introductionmentioning

confidence: 99%

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Professional tooth cleaning prior to non‐surgical periodontal therapy: A randomized clinical trial

Jentsch

Heusinger²,

Weickert³

et al. 2019

Journal of Periodontology

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Background This study was aimed to investigate if professional oral prophylaxis before scaling and root planing (SRP) has an effect on the outcome of non‐surgical periodontal treatment in patients with chronic periodontitis. Methods Fifty‐two individuals with chronic periodontitis receiving non‐surgical periodontal therapy by SRP with (test) and without (control) two appointments of professional tooth cleaning but with motivation and instruction were monitored for clinical variables, four selected microorganisms and two biomarkers at baseline, before SRP as well as 3 and 6 months after SRP. Statistical analysis included non‐parametric tests for intra‐ and intergroup comparisons. Results Probing depth (PD), attachment level, bleeding on probing (BOP), and interproximal plaque index (API) were significantly improved in both groups 3 and 6 months after SRP. PD, BOP, API, and the number of sites with PD ≥5 mm were significantly lower in the test group than in the control group at the appointment immediately before SRP. Tannerella forsythia was significantly reduced in both groups at 3 and 6 months, Porphyromonas gingivalis only in the test group. Interleukin‐1β was significantly reduced in the control group 3 and 6 months after SRP, matrix metalloproteinase‐8 level decreased in the test group 3 months after SRP. There was no significant difference of any clinical and non‐clinical variable between both groups at 3 and 6 months after SRP. Conclusions Professional tooth cleaning before the SRP does not improve the clinical results of the SRP. It has no obvious long‐lasting effects on major periodontopathogens in the subgingival biofilm as well as on biomarkers in the gingival crevicular fluid after SRP.

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Section: Discussionmentioning

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Professional tooth cleaning prior to non‐surgical periodontal therapy: A randomized clinical trial

Jentsch

Heusinger²,

Weickert³

et al. 2019

Journal of Periodontology

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“…All articles but 1 (Raut et al, 2018) stated the laser manufacturer which differed among studies. The most commonly used laser tips were fibre optic tips (Betsy et al, 2014;Bundidpun et al, 2018;Dilsiz et al, 2013;Malgikar et al, 2016;Theodoro et al, 2012 Abbreviations: AlGaAs, aluminium gallium arsenide laser; BoP, bleeding on probing; ChP, chronic periodontitis; FM, full mouth; hand, hand instruments; GaAlAs, aluminium gallium arsenide laser; n, number; n.r., not reported; OHI, oral hygiene instruction; aPDT, antimicrobial photodynamic therapy; PPD, pocket probing depth; RCT; randomized controlled clinical trial; SRP, scaling and root planing.…”

Section: Intervention/comparisonmentioning

confidence: 99%

Adjunctive laser or antimicrobial photodynamic therapy to non‐surgical mechanical instrumentation in patients with untreated periodontitis: A systematic review and meta‐analysis

Salvi

Stähli

Schmidt

et al. 2020

J Clinic Periodontology

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Aim: To compare the adjunctive effects of lasers or antimicrobial photodynamic therapy (aPDT) to non-surgical mechanical instrumentation alone in untreated periodontitis patients. Materials and Methods: Two focused questions were addressed using the Population, Intervention, Comparison and Outcome criteria as follows: in patients with untreated periodontitis, (a) does laser application provide adjunctive effects on probing pocket depth (PPD) changes compared with non-surgical instrumentation alone? and (b) does application of aPDT provide adjunctive effects on PPD changes compared with non-surgical instrumentation alone? Both randomized controlled clinical trials (RCTs) and controlled clinical trials (CCTs) were included. Results of the meta-analysis are expressed as weighted mean differences (WMD) and reported according to the PRISMA guidelines. Results: Out of 1,202 records, 10 articles for adjunctive laser and 8 for adjunctive aPDT were included. With respect to PPD changes, 1 meta-analysis including 2 articles (total n = 42; split-mouth design) failed to identify a statistically significant difference (WMD = 0.35 mm; 95%CI: −0.04/0.73; p = .08) in favour of adjunctive aPDT (wavelength range 650-700 nm). In terms of adjunctive laser application, a high variability of clinical outcomes at 6 months was noted. Two articles included patient-reported outcomes and 10 reported on the presence/absence of harms/adverse effects. Conclusions: Available evidence on adjunctive therapy with lasers and aPDT is limited by (a) the low number of controlled studies and (b) the heterogeneity of study designs. Patient-reported benefits remain to be demonstrated.

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Adjunctive antimicrobial photodynamic therapy for treating periodontal and peri-implant diseases

Jervøe-Storm,

Bunke,

Worthington

et al. 2024

Cochrane Database of Systematic Reviews

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Clinical effects of photodynamic therapy as an adjunct to full-mouth ultrasonic scaling and root planing in treatment of chronic periodontitis

Abstract: One visit full-mouth ultrasonic SRP seems to have good enough effort for the periodontal status till 6 months. The adjunct treatment of PDT provided positive effect in term of GBI and GI.

Cited by 35 publications

References 22 publications

Professional tooth cleaning prior to non‐surgical periodontal therapy: A randomized clinical trial

Professional tooth cleaning prior to non‐surgical periodontal therapy: A randomized clinical trial

Adjunctive laser or antimicrobial photodynamic therapy to non‐surgical mechanical instrumentation in patients with untreated periodontitis: A systematic review and meta‐analysis

Adjunctive antimicrobial photodynamic therapy for treating periodontal and peri-implant diseases

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