Investigation of low level laser effects in therapy of an inflamed gingiva

Pejčić, Ana; Mirković, Dimitrije

doi:10.4317/medoral.17643568

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“…Topical anti-inflammatory agents are usually successful in providing symptomatic relief. Recent reports in the literature indicate that chlorhexidine in addition to controlling dental plaque also helps control gingival inflammation [ 20 , 21 , 22 ]. The treatment aspects include: phase 1 therapy, substitution of the drug, surgical excision and maintenance and supportive therapy resulting in excellent clinical outcomes [ 23 , 24 ].…”

Section: Discussionmentioning

confidence: 99%

Effect of Periodontal Treatment in Renal Transplant Recipients

Pejčić

Djordjević²,

Kojović

et al. 2013

Med Princ Pract

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Objective: To evaluate the effect of periodontal treatment on gingival overgrowth in a group of renal transplant patients. Subjects and Methods: Twenty-five renal transplant recipients receiving immunosuppressive therapy with cyclosporine A (CsA) were randomly assigned to 2 groups. Group 1 (n = 15) included patients who had been specifically referred to a dental clinic to prevent gingival overgrowth and were given full periodontal therapy. Group 2 (n = 10) was comprised of patients who did not receive any professional periodontal cleaning. Patients from both groups were examined to determine their periodontal status before and after 3, 6 and 12 months in terms of their plaque index, gingival index and gingival overgrowth. During the examination, their overall health was stable. Results: For group 1, the scores were 1.89 (baseline), 0.98 (6 months) and 0.56 (12 months), and hence there were significant reductions (p = 0.0001). The gingival indices were 1.71 (baseline), 0.76 (6 months) and 0.35 (12 months), and the reductions were also significant (p = 0.0001). A significant association was observed between poor oral hygiene and the degree of gingival overgrowth. The 1-year post-treatment follow-up showed that patients in group 1 did not develop gingival overgrowth due to the use of CsA as group 2 did without prior periodontal therapy. Conclusion: Oral hygiene status was the most important variable related to the development and degree of gingival overgrowth due to the use of CsA.

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