Effect of Nonsurgical Periodontal Treatment Combined With Diode Laser or Photodynamic Therapy on Chronic Periodontitis: A Randomized Controlled Split-Mouth Clinical Trial

Birang, Reza; Shahaboui, Mohammad; Kiani, Sima; Shadmehr, Elham; Naghsh, Narges

doi:10.15171/jlms.2015.04

Cited by 57 publications

(62 citation statements)

References 39 publications

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“…Moreover, the superiority of PDT combined with SRP over SRP alone also has been demonstrated by (Alwaeli et al, 2015). In the same vein, (Birang, Shahaboui, Kiani, Shadmehr, & Naghsh, 2015) described that using PDT in addition to SRP would improve the overall outcome of the treatment.…”

Section: Discussionmentioning

confidence: 85%

Assessment of the Effect of Photodynamic Therapy on Treatment of Moderate-to-Severe Periodontitis; a Randomized Clinical Trial Study

Amoian¹,

Mirzaee²,

Hosseini³

2016

GJHS

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Background and Aim: Photodynamic therapy is a localized non-invasive treatment modality for the periodontal disease. Some evidences have shown that this technique is effective in improving the treatment outcome. This study compared the effects of photodynamic therapy with and without scaling and root planing and scaling and root planing alone on the clinical parameters of the chronic periodontitis. Materials and Methods:In this single-blind, randomized clinical trial, 30 chronic periodontitis patients (10 for each modality) were selected and three different methods; photodynamic therapy alone (Group1) by FotoSan 630 system, scaling and root planning (SRP) alone (Group2), scaling and root planing combined with photodynamic therapy (Group3) were done for them randomly. Clinical parameters of probing pocket depth (PPD), bleeding on probing (BOP), and clinical attachment level (CAL) were measured at the baseline and 3, 6 and 12 weeks later. One-sided analysis of variance test was used to analyze PPD and CAL among the treatment groups in each time interval while the paired comparisons were carried out by employment of Dunnett's test. The treatment groups were statically analyzed by the chi-square test regarding BOP.Results: Before the treatment; no significant differences observed among treatment modalities regarding clinical parameters; while the differences were significant at three weeks (p<0.0001 for PPD and CAL; p<0.001 for BOP); six weeks (p<0.0001 for PPD and CAL, p<0.002 for BOP); and 12 weeks after the treatment (all: p<0.0001). The least PPD and CAL values and the most frequency of non-bleeding on probing status were measured for PDT+SRP modality at three, six, and twelve weeks after the treatment. Conclusion:Photodynamic therapy supported the clinical parameters of periodontitis similar to SRP; however, PDT combined with SRP demonstrated a better result than that of SRP alone. Therefore, PDT combined with SRP can be used to improve outcomes of clinical parameters of periodontitis as compared to SRP alone in the short-term.

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Section: Discussionmentioning

confidence: 85%

Assessment of the Effect of Photodynamic Therapy on Treatment of Moderate-to-Severe Periodontitis; a Randomized Clinical Trial Study

Amoian¹,

Mirzaee²,

Hosseini³

2016

GJHS

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“…The main bacteria in moderate and severe chronic periodontitis can be found through the bacterial cultures, such as Porphyromonas gingivalis, Prevotella intermedia, Tannerella forsythia, Treponema denticola, and Aggregobacter actinobacillus. The current new theory is that the specific bacteria, such as P. gingivalis, P. intermedia, T. forsythia, and T. denticola are closely related to an increase in probing pocket depth (PPD) and bleeding on probing (BOP) papilla bleeding index (PBI) [1,2].…”

Section: Introductionmentioning

confidence: 99%

“…Some studies have shown a good clinical outcome and microbial advantages. These include prevention against subgingival biofilm formation, a decrease in the number of bacteria, and the removal of plaque, calculus, and endotoxins [2,3]. According to the results, the clinical improvement following SRP is promising, but the bacteria remaining in the pocket can colonize and can be detected in a short time [2].…”

Section: Introductionmentioning

confidence: 99%

“…These include prevention against subgingival biofilm formation, a decrease in the number of bacteria, and the removal of plaque, calculus, and endotoxins [2,3]. According to the results, the clinical improvement following SRP is promising, but the bacteria remaining in the pocket can colonize and can be detected in a short time [2]. Clinical parameters for the successful periodontal treatment include oral hygiene score, plaque index, PBI, PPD, and clinical attachment loss (CAL) [4].…”

Section: Introductionmentioning

confidence: 99%

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A Low-Dose Laser (Diode Laser) Application Reduces Pocket Periodontal Depth and Clinical Attachment Loss

et al. 2018

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Methods:A split-mouth design of in 158 tooth surfaces divided into two groups. The first group was treated with a low-dose laser (diode laser) after SRP, while the second group was treated with SRP only. Bleeding on probing (BOP), probing pocket depth (PPD), and clinical attachment loss (CAL) were all examined at baseline and 35 days later. Results:The results were statistically significant differences between the two groups were indicated in terms of PPD (p=0.000) and CAL (p=0.040). No significant difference was identified in terms of BOP. Conclusion:The application of a low-dose laser (diode laser) is effective in reducing PPD and CAL as an adjunct therapy in chronic periodontitis treatment.

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“…Antibiotic resistance is increasing in recent decades that cause the orientation of research projects towards developing new anti-microbial strategies. Due to the periodontal bacteria resistance to antibiotics and insufficient concentration of drugs in GCF, more interest should be pain on photodynamic therapy in periodontics (15).…”

Section: Introductionmentioning

confidence: 99%

Photodynamic Therapy Effect on Colony Count of Porphyromonas Gingivalis (An In Vitro Study)

Jahangirnejad

Amirpour

Saatsaz

et al. 2017

Jentashapir J Helath Res

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Effect of Nonsurgical Periodontal Treatment Combined With Diode Laser or Photodynamic Therapy on Chronic Periodontitis: A Randomized Controlled Split-Mouth Clinical Trial

Cited by 57 publications

References 39 publications

Assessment of the Effect of Photodynamic Therapy on Treatment of Moderate-to-Severe Periodontitis; a Randomized Clinical Trial Study

Assessment of the Effect of Photodynamic Therapy on Treatment of Moderate-to-Severe Periodontitis; a Randomized Clinical Trial Study

A Low-Dose Laser (Diode Laser) Application Reduces Pocket Periodontal Depth and Clinical Attachment Loss

Photodynamic Therapy Effect on Colony Count of Porphyromonas Gingivalis (An In Vitro Study)

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