Lasers and the Treatment of Chronic Periodontitis

Cobb, Charles M.; Low, Samuel B.; Coluzzi, Donald J.

doi:10.1016/j.cden.2009.08.007

Cited by 93 publications

(119 citation statements)

References 64 publications

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“…However, more than half of the dentists in this study were not prescribing antibiotic prophylaxis for laser periodontal therapy that could be considered invasive. 34 Some dentists may not provide this form of periodontal therapy; therefore, they may be unaware of the possible bacteremia that can occur during treatment. Our study found that the dentists who graduated from approximately 1990 to 2014 were more likely to follow the 2007 AHA antibiotic prophylaxis protocols (Table 3).…”

Section: Discussionmentioning

confidence: 99%

Current prescribing Practices for Antibiotic Prophylaxis: A Survey of Dental Practitioners

Spittle¹,

Muzzin²,

Campbell³

et al. 2017

The Journal of Contemporary Dental Practice

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Aim: Antibiotic prophylaxis guidelines have been developed for health care and dentistry. The authors examined whether dentists were following the 2007 American Heart Association (AHA) and the 2012 American Association of Orthopaedic Surgeons (AAOS) recommendations for antibiotic prophylaxis. Materials and methods:A survey was sent to 600 dentists in the south-central region of the United States. The survey examined dentists' prescribing practices for patients with cardiac and prosthetic joint replacements, antibiotic regimen prescribed, confidence in their prescription decisions, and dentistry's contribution to antibiotic resistance. Results:The response rate was 28.7% (n = 172). Dentists followed the 2007 AHA guidelines for patients with a history of infective endocarditis (95%), and cardiac valves repaired with prosthetic materials (76%) or animal/donor tissue (61%). For prosthetic joint replacement, 72% prescribed antibiotic prophylaxis within the first 2 years after placement and 58% continued to prescribe after 2 years. Amoxicillin was the most frequently prescribed antibiotic for cardiac conditions (92%) and prosthetic joint replacements (77%). No significant differences were found in relation to dentists' gender (p = 0.75), year of graduation (p = 0.71), scope of practice (p = 0.30), and their confidence in their prescription decisions; 73% believed taking multiple doses of antibiotics leads to antibiotic resistance. Conclusion:The majority of dentists were following the 2007 AHA guidelines. Confusion regarding the 2012 AAOS guidelines for prosthetic joint replacement was evident.Clinical significance: Keeping current with changing antibiotic prophylaxis guidelines ensures dentists are providing the best evidence-based dentistry for their patients.

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Section: Discussionmentioning

confidence: 99%

Current prescribing Practices for Antibiotic Prophylaxis: A Survey of Dental Practitioners

Spittle¹,

Muzzin²,

Campbell³

et al. 2017

The Journal of Contemporary Dental Practice

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“…Evidence of the effectiveness of lasers as an adjunct measure to nonsurgical periodontal treatment in the management of gingival enlargement among patients receiving FOAT remains uncertain. [20][21][22][23] The aim of this randomized controlled clinical trial was to evaluate the effectiveness of diode laser gingivectomy as an adjunct to nonsurgical periodontal treatment in the management of periodontal health among patients receiving FOAT.…”

Section: Introductionmentioning

confidence: 99%

The adjunct effectiveness of diode laser gingivectomy in maintaining periodontal health during orthodontic treatment

Rabie

Wong

et al. 2012

The Angle Orthodontist

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Objective: To evaluate the effectiveness of diode laser gingivectomy as an adjunct to nonsurgical periodontal treatment in the management of periodontal health among patients receiving fixed orthodontic appliance therapy (FOAT). Materials and Methods: Thirty patients undergoing FOAT with gingival enlargement were block randomized into two treatment groups. The test group received diode laser gingivectomy (940-nm diode laser, ezlase, Biolase Technology Inc) as an adjunct to nonsurgical periodontal treatment. The control group received nonsurgical periodontal treatment only. For both groups, five periodontal parameters were assessed at baseline, 1 month, 3 months, and 6 months: Plaque Index, Gingival Index, bleeding on probing, probing pocket depth, and Gingival Overgrowth Index. Intra- and intergroup variations in the periodontal parameters were determined over time. Results: Both groups showed statistically significant improvements in periodontal health over the study period (P < .05). However, significant improvements in periodontal health were evident earlier among the test group subjects (P < .05). The magnitude of improvement in periodontal health compared to baseline was greater in the test group than in the control group for Gingival Overgrowth Index at 1 month (P < .001) and 3 months (P < .05), Gingival Index at 3 months (P < .05) and 6 months (P < .05), and probing pocket depth at 1 month (P < .05). Conclusions: Nonsurgical periodontal management with or without the adjunct use of lasers can be effective in the management of gingival health problems among patients receiving FOAT. The adjunctive use of lasers can produce an earlier and greater improvement in gingival health.

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“…They reported that diode laser was ineffective in removing calculus and altered the root in an unfavourable way. However, given the recommended parameters, the possibility of inducing root surface damages is virtually absent (Cobb et al 2010). …”

Section: Periodontal Applications Of Diode Lasersmentioning

confidence: 99%