Effect of adjunctive diode laser in the non-surgical periodontal treatment in patients with diabetes mellitus: a systematic review and meta-analysis

Zhao, Pengfei; Song, Xiuxiu; Wang, Qian; Zhang, Peng; Nie, Lulingxiao; Ding, Yi; Wang, Qi

doi:10.1007/s10103-020-03208-7

Cited by 13 publications

(11 citation statements)

References 45 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…11 Among them, compared with other lasers diode laser (L) is gaining popularity due to the properties such as low initial investment, running costs, small size, and ease of operation by dentists. 12 However, in literature there are controversial results on the effectiveness of laser applications in adjunctive therapy for the treatment of periodontal disease. There are studies demonstrating significant improvement in clinical and immunological parameters when compared with SRP up to 6 months after treatment, [13][14][15][16] while other studies didn't reveal any significant additional therapeutic benefit.…”

Section: Introductionmentioning

confidence: 99%

“…Lasers used in this purpose could be classified as CO 2 , neodymium:yttrium‐aluminum‐garnet, erbium:yttrium‐aluminum‐garnet, and diode lasers 11 . Among them, compared with other lasers diode laser (L) is gaining popularity due to the properties such as low initial investment, running costs, small size, and ease of operation by dentists 12 …”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Evaluation of GCF IL‐17, IL‐10, TWEAK, and sclerostin levels after scaling and root planing and adjunctive use of diode laser application in patients with periodontitis

Gur

Güncü

Akman

et al. 2022

Journal of Periodontology

View full text Add to dashboard Cite

Background The aim of the present study was to evaluate the clinical efficacy of the diode laser as an adjunct to scaling and root planing (SRP) and also determine the biochemical profile by evaluating the gingival crevicular fluid (GCF) levels of interleukin (IL)‐17, IL‐10, tumor necrosis factor‐related weak inducer of apoptosis (TWEAK), and sclerostin. Methods A total of 40 systemically healthy, patients with Stage III periodontitis were included in this randomized controlled study. Participants were randomly divided into two groups as SRP + diode laser (L) (0.80W power, 940 nm wavelength and 0.80J/s energy level) and only SRP group. Recording of periodontal parameters and collecting GCF samples were performed at baseline, first and 3rd months. Biomarker levels in GCF were measured with ELISA Results At baseline, no significant difference was detected between groups in terms of both clinical and biochemical parameters. All biochemical parameters (except for IL‐10 in control group), presented a statistically significant difference for 3 months study period in both groups. When laser and control groups were compared, significant differences were not observed, except the lower GCF IL‐17 levels (P = 0.025), bleeding on probing (P = 0.028), and clinical attachment level (CAL) (P = 0.0002) values in laser group at third, first, and third months, respectively. Statistically significant correlations were also noted between biochemical parameters and clinical parameters. Conclusions The GCF IL‐17, TWEAK, and sclerostin levels may be useful for monitoring response to SRP+L therapy. However, long‐term studies on higher populations are needed to evaluate the effectiveness of adjunctive use of diode laser application to SRP.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Evaluation of GCF IL‐17, IL‐10, TWEAK, and sclerostin levels after scaling and root planing and adjunctive use of diode laser application in patients with periodontitis

Gur

Güncü

Akman

et al. 2022

Journal of Periodontology

View full text Add to dashboard Cite

show abstract

“…An electronic search of Cochrane (120), Medline (363), and EMBASE (169) databases yielded 656 articles. Hand searching of six journals published in 2021 yielded four more articles [ 31 - 34 ]. After removing 155 duplicated articles, 501 articles remained.…”

Section: Resultsmentioning

confidence: 99%

“…www.bjbms.org SUPPLEMENTAL DATA APPENDIX S1. List of reasons for exclusion of articles in the stage of full-text assessment Excluded study Reasons Akram et al [23] Evaluated AgP and CP cases altogether Muzaheed et al [30] Evaluated AgP and CP cases altogether Pulikkotil et al [31] Evaluated AgP and CP cases altogether Sgolastra et al [32] Only evaluated CP patients Theodoro et al [33] Only evaluated CP patients Al-Hamoudi et al [34] Not assessing the clinical parameters Skurska et al [35] Having a control group not meeting the inclusion criteria Takasaki et al [36] Being a review article…”

mentioning

confidence: 99%

Clinical attachment loss in the use of adjunctive antimicrobial photodynamic therapy in Stages II-IV Grade C molar-incisor periodontitis: A systematic review and meta-analysis

Baghani

Shabestari

Karrabi

2022

Bosn J of Basic Med Sci

View full text Add to dashboard Cite

This systematic review and meta-analysis aimed to assess the extent of clinical attachment loss (CAL) as a clinical parameter in the efficacy of antimicrobial photodynamic therapy (aPDT) in non-surgical management of stage II-IV grade C molar-incisor pattern Periodontitis. This review protocol was conducted in accordance with PRISMA statements and is registered in PROSPERO (CRD42022321211). An electronic and manual search was conducted for relevant articles comparing the efficacy of aPDT versus scaling and root planning (SRP) alone or with amoxicillin/metronidazole (AMX/MET) published up until December 2021. The mean clinical attachment loss (CAL), probing depth (PD) reduction, and bleeding on probing (BOP) with a 95% confidence interval (CI) were pooled and compared between the two groups with CAL < and > 7 mm using a random-effect model after 3 and 6 months. To assess the heterogeneity of the findings, the I2 test was applied and Publication bias was evaluated by visual examination of the funnel plot symmetry. Analysis of 9 studies indicated a significant difference in clinical attachment gain in patients with CAL > 7 mm between the aPDT group and the SRP alone (mean difference=0.92, 95% CI=0.01-1.84, P=0.05) and SRP + AMX/MET (mean difference=0.91, 95% CI=-0.14-1.68, P=0.02) control groups. However, this difference was not significant in patients with CAL < 7 mm. Despite the limitations of the included studies, aPDT can be suggested for the improvement of clinical parameters in grade C molar-incisor pattern Periodontitis with CAL > 7 mm. However, its application in milder cases requires further investigation.

show abstract

“…The combination of a 980 nm diode laser that can present a high penetration and H 2 O 2 can theoretically disinfect out of the range of root surface instrumentation when compared to mechanical debridement and might interact with the periodontal pathogens residing in depth of the periodontium [ 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 ]. However, there is still a need to assess the total bacterial count inside the periodontal pocket before and after different protocols combining the use of 3% H 2 O 2 and a 980 nm diode laser in the critical probing depth of periodontal pockets and within a six-month follow-up.…”

Section: Introductionmentioning

confidence: 99%

Disinfection Potential of 980 nm Diode Laser and Hydrogen Peroxide (3%) in “Critical Probing Depths” Periodontal Pockets: Retrospective Study

Mobadder

Namour

et al. 2022

Life

View full text Add to dashboard Cite

A successful treatment of periodontitis depends largely on the successful elimination of the periodontopathogens during non-surgical and surgical mechanical debridement. In this retrospective study, data collection was conducted from 2017 to 2021. The retrospective study included 128 patients with 128 sites of localized periodontitis with pocket depths > 5 mm. The included data were based on sites that received conventional mechanical debridement followed by different adjunctive approaches. In total, 30 patients did not receive any additional treatment (SRP group), 30 patients received SRP + 980 nm diode laser irradiation only (SRP + laser), 30 patients received SRP + 3% hydrogen peroxide irrigation (SRP + H2O2) only and 30 patients received a combined treatment of 3% hydrogen peroxide and 980 nm diode laser irradiation (SRP + H2O2 + laser). Total bacterial counts (TBC) in the periodontal pocket collected for all participants before treatment, immediately after treatment, 6 weeks after treatment, 12 weeks after treatment and 6 months after treatment were statistically analyzed and compared. When the laser was used, irradiation parameters were 10 μsec/pulse duration, 10 kHz, pick power of 10 W, average power of 1 W, irradiation time of one minute with inward and outward movements, and fiber diameter of 320 μm. The irradiation was repeated 3 times/pocket. When hydrogen peroxide was used, the irrigation was conducted for one minute and repeated 3 times. The maximum reduction in TBC was obtained when SRP was coupled with 3% H2O2 irrigation followed by 980 nm diode laser irradiation. After six months of follow-up, a significant reduction in TBC was obtained for the group of SRP + H2O2 + laser when compared to all the other groups, from 7.27 × 107 before intervention to 3.21 × 107 after six months. All three approaches to SRP showed a significant reduction in TBC immediately after treatment. Values were 3.52 × 107, 4.01 × 106, 9.58 × 106, 1.98 × 106 for SRP alone, SRP + diode, SRP + H2O2 and SRP + H2O2 + diode laser, respectively. At 6 months, we saw no significant difference between SRP + laser and SRP + H2O2 with 4.01 × 107 and 4.32 × 107, respectively. This retrospective study reveals that after SRP, irrigation with 3% hydrogen peroxide and irradiation with a 980 nm diode laser within specific treatment protocol can be used as an additional approach to conventional SRP to increase the disinfection of the periodontal pockets > 5 mm.

show abstract

Effect of adjunctive diode laser in the non-surgical periodontal treatment in patients with diabetes mellitus: a systematic review and meta-analysis

Cited by 13 publications

References 45 publications

Evaluation of GCF IL‐17, IL‐10, TWEAK, and sclerostin levels after scaling and root planing and adjunctive use of diode laser application in patients with periodontitis

Evaluation of GCF IL‐17, IL‐10, TWEAK, and sclerostin levels after scaling and root planing and adjunctive use of diode laser application in patients with periodontitis

Clinical attachment loss in the use of adjunctive antimicrobial photodynamic therapy in Stages II-IV Grade C molar-incisor periodontitis: A systematic review and meta-analysis

Disinfection Potential of 980 nm Diode Laser and Hydrogen Peroxide (3%) in “Critical Probing Depths” Periodontal Pockets: Retrospective Study

Contact Info

Product

Resources

About