LASER in periodontal treatment: is it an effective treatment or science fiction?

Theodoro, Letícia Helena; Marcantonio, Rosemary Adriana Chiérici; Wainwright, Mark; Garcia, Valdir Gouveia

doi:10.1590/1807-3107bor-2021.vol35.0099

Cited by 34 publications

(28 citation statements)

References 123 publications

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“…Severe periodontitis is one of the difficult aspects of periodontal treatment due to the fact that severe periodontitis not only destroys the periodontal tissue [ 1 ], but it also leaves the pulp in a subclinical state through periodontal pulp traffic branches, and the presence of diseased pulp will prevent the healing of periodontal tissue after periodontal treatment [ 2 ]. Severe periodontitis is a common disease in dentistry, the onset of which is associated with multiple factors, and early patients have no obvious symptoms, mostly just secondary gingival bleeding or halitosis, with symptoms similar to gingival inflammation [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Efficacy of Periodontal Endodontics Combined with Diode Laser (DL) Therapy on Severe Periodontitis

Liu

Zhang

Zhou³

2022

Evidence-Based Complementary and Alternative Medicine

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Background. For a long time, the impact of severe periodontitis on the pulp has been the focus of periodontal clinical research. Whether the teeth with severe periodontitis should be treated with pulp has also become the focus of clinical research. Aims. To explore the effect of periodontal endodontic therapy combined with DL therapy on severe periodontitis. Materials and Methods. The clinical data of 100 patients with severe periodontitis from January 2020 to July 2022 were selected and included in the retrospective study. According to the different retrieval treatment methods, they were divided into the control group and the treatment group with 50 cases in each group. The control group received periodontal endodontic treatment, and the treatment group received DL treatment on the basis of the control group. The differences in periodontal probing depth (PD), toothache degree, bleeding index (BI), inflammatory factors, plaque index (PLI), and attachment loss (AL) between the two groups were compared and analyzed. Results. After 3 months of treatment, the bleeding index (BI), plaque index (PLI), and periodontal probing depth (PD) of the treatment group were significantly lower than those of the control group, and the difference was statistically significant ( P < 0.05 ). The attachment loss (AL) of the group was not significantly different from that of the control group ( P > 0.05 ). Before treatment, there was no significant difference in the levels of inflammatory factors between the two groups ( P > 0.05 ). After 3 months of treatment, the levels of IL-6 and CRP in the treatment group were significantly lower than those in the control group, and the difference was statistically significant ( P < 0.05 ). Before treatment, there was no significant difference in the levels of inflammatory factors between the two groups ( P > 0.05 ). After 3 days of treatment, the VAS score of the treatment group was significantly lower than that of the control group, and the difference was statistically significant ( P < 0.05 ).After treatment, there were no complications during follow-up in the two groups. Conclusion. The application of DL treatment has a significant effect, which can promote the healing of periodontal tissue, reduce the depth of periodontal pockets, and reduce the degree of toothache, thereby providing a reference for clinical treatment.

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Section: Introductionmentioning

confidence: 99%

Efficacy of Periodontal Endodontics Combined with Diode Laser (DL) Therapy on Severe Periodontitis

Liu

Zhang

Zhou³

2022

Evidence-Based Complementary and Alternative Medicine

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“…Like other types of electromagnetic radiation, laser causes warming at lower doses and injury at higher absorbed energies. Although low-energy lasers are used for the periodontal treatment, several systematic reviews have found no proven clinical benefits, while some studies have shown controversial results and questioned effectiveness [71]. Theoretically, a non-thermal photochemical antimicrobial effect of laser is possible; but studies with temperature measurements are needed to prevent thermal damage of atrophic tissues.…”

Section: Gingival Recession and Periodontal Diseasementioning

confidence: 99%

“…Other laser applications (photoablative, photodynamic therapy, removal of diseased pocket lining epithelium, etc.) are beyond the scope of this review [71][72][73]. Furthermore, the calculus removal (scaling and root planing) is often provided.…”

Section: Gingival Recession and Periodontal Diseasementioning

confidence: 99%

Dentistry in Russia: Past and Presence

Jargin¹

2022

J Oral Biol

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Objectives:The aim of this review was to analyze the development of dentistry in Russia since the 1970s with special reference to the diagnosis and treatment of caries. In this connection, the concept of minimally invasive dentistry is discussed.Study Design: This is a narrative review based on the Russian and international literature.Methods: The search of international literature was performed using PubMed. Russian-language publications were searched in the Internet, in libraries and the electronic database eLibrary.ru. Results:The motto of the Soviet healthcare was priority of prophylaxis, realized by medical checkups (so-called dispensarizations) at schools, factories and institutions. Initial and sometimes questionable caries was treated by dry cutting. The necessity to spare dental tissues has been undervalued. Early start of the restoration cycle, together with suboptimal quality of filling materials, caused enlargement of cavities and eventually led to fractures and extractions. Consent for the treatment was not always asked especially from children and adolescents or their parents. The overtreatment tendency of dental caries has been preserved until today. Besides, treatments potentially contributing to gingival recession are discussed. The large-scale privatization of dentistry since 1990 created new problems. Some practitioners avoid conservative treatment of advanced lesions in favor of prosthetics. Conclusion:Economical re-routing of dental practices is necessary, so that they could survive using preventive and minimallyinvasive methods more extensively. Improvements in ethical standards of healthcare providers and use of foreign expertise are needed.

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“…Laser treatment is promoted for patients who have difficulty with bleeding on surgical treatment or with use of anesthesia. Laser treatment of periodontal disease is classified into high power laser treatment (HPLT) and low-level laser treatment (LLLT), depending on the power of the laser used [ 160 ]. HPLT is mainly used for the removal of calculus and inflammatory substances on the root surface, the removal of granulation tissue during periodontal surgery, hemostasis, and gingivectomy.…”

Section: Next-generation Procedures In Periodontal Diseasementioning

confidence: 99%

Next-Generation Examination, Diagnosis, and Personalized Medicine in Periodontal Disease

Kikuchi

Hayashi

Mitani

2022

JPM

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Periodontal disease, a major cause of tooth loss, is an infectious disease caused by bacteria with the additional aspect of being a noncommunicable disease closely related to lifestyle. Tissue destruction based on chronic inflammation is influenced by host and environmental factors. The treatment of periodontal disease varies according to the condition of each individual patient. Although guidelines provide standardized treatment, optimization is difficult because of the wide range of treatment options and variations in the ideas and skills of the treating practitioner. The new medical concepts of “precision medicine” and “personalized medicine” can provide more predictive treatment than conventional methods by stratifying patients in detail and prescribing treatment methods accordingly. This requires a new diagnostic system that integrates information on individual patient backgrounds (biomarkers, genetics, environment, and lifestyle) with conventional medical examination information. Currently, various biomarkers and other new examination indices are being investigated, and studies on periodontal disease-related genes and the complexity of oral bacteria are underway. This review discusses the possibilities and future challenges of precision periodontics and describes the new generation of laboratory methods and advanced periodontal disease treatment approaches as the basis for this new field.

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LASER in periodontal treatment: is it an effective treatment or science fiction?

Cited by 34 publications

References 123 publications

Efficacy of Periodontal Endodontics Combined with Diode Laser (DL) Therapy on Severe Periodontitis

Efficacy of Periodontal Endodontics Combined with Diode Laser (DL) Therapy on Severe Periodontitis

Dentistry in Russia: Past and Presence

Next-Generation Examination, Diagnosis, and Personalized Medicine in Periodontal Disease

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