The efficacy of Er,Cr:YSGG laser supported periodontal therapy on the reduction of peridodontal disease related oral malodor: a randomized clinical study

Abstract

BackgroundThis study aims to evaluate the efficacy of Er,Cr:YSGG laser assisted periodontal therapy on the reduction of oral malodor and periodontal disease.MethodsSixty patients with chronic periodontitis were included in the study and allocated into two groups each containing 30 patients. The study was planned in a double blind fashion. Conventional periodontal therapy was performed in group 1 and conventional periodontal therapy was performed in association with Er,Cr:YSGG application in group 2. Periodontal parameters of probing depth, clinical attachment level, plaque index and bleeding on probing were measured with a periodontal probe. Quantitative analysis of volatile sulphure compunds (VSCs) were measured with a calibrated halimeter at baseline level and at post-treatment 1st, 3rd and 6th months. P values <0.05 were accepted as statistically significant.ResultsThere was a statistical significant reduction in VSC values in group 2 at post-treatment 3rd and 6th months (p < 0.05). Pocket depth values at post-treatment 1st month and bleeding on probing values at post-treatment 3rd and 6th months were significantly decreased in group 2 (p < 0.05). Intragroup statistical analysis revealed that there were statistically significant differences for all parameters (p < 0.01).ConclusionsEr,Cr:YSGG laser assisted conventional periodontal therapy is more effective in reducing oral malodor and improving periodontal healing compared to conventional periodontal therapy alone.

Comparison of Er,Cr:YSGG laser to minimally invasive surgical technique in the treatment of intrabony defects: Six‐month results of a multicenter, randomized, controlled study

“…A review of the eight previously published human clinical studies using the ERL in the treatment of chronic periodontal disease 10,11,13,14,[39][40][41][42] revealed only one used a surgical control. 11 Most of these studies compared the use of the laser to SRP 13,14,[39][40][41][42] while one did not have a control. 10 The majority of studies used the ERL as an adjunct to SRP while two studies used only the laser as the test therapy.…”

Adjunctive laser or antimicrobial photodynamic therapy to non‐surgical mechanical instrumentation in patients with untreated periodontitis: A systematic review and meta‐analysis

“…The characteristics of the 10 articles evaluating the adjunctive use of laser are summarized in Table 2 (Dereci, Hatipoglu, Sindel, Tozoglu, & Üstün, 2016;Dilsiz, Canakci, & Aydin, 2013;Eltas & Orbak, 2012a;Euzebio Alves et al, 2013;Hatipoglu et al, 2017;Kamma, Vasdekis, & Romanos, 2009;Kelbauskiene, Baseviciene, Goharkhay, Moritz, & Machiulskiene, 2011;Matarese, Ramaglia, Cicciu, Cordasco, & Isola, 2017;Rotundo et al, 2010;Üstün, Hatipoglu, Daltaban, Felek, & Firat, 2018).…”

“…Smokers were reported in 3 articles (Eltas & Orbak, 2012a;Kamma et al, 2009;Rotundo et al, 2010); smokers were excluded in 6 articles (Dilsiz et al, 2013;Euzebio Alves et al, 2013;Hatipoglu et al, 2017;Kelbauskiene et al, 2011;Matarese et al, 2017;Üstün et al, 2018). Two articles reported on patients diagnosed with aggressive periodontitis (Kamma et al, 2009;Matarese et al, 2017), 7 articles on patients diagnosed with chronic periodontitis (Dereci et al, 2016;Dilsiz et al, 2013;Eltas & Orbak, 2012a;Euzebio Alves et al, 2013;Hatipoglu et al, 2017;Rotundo et al, 2010;Üstün et al, 2018), and periodontal diagnosis was not reported in 1 article (Kelbauskiene et al, 2011).…”

Induction and inhibition of oral malodor

“…To date, few studies have evaluated the effects of tongue cleaning on oral malodor, although tongue debris is a major source of VSC generation. Periodontal treatments have been used along with antimicrobial mouthwash and/or tongue cleaning in most previous studies, and improvement of periodontal conditions has been reported to contribute to reduction of oral malodor (Dereci, Hatipoğlu, Sindel, Tozoğlu, & Üstün, ; Quirynen et al, ; Ren, Zhang, et al, ). The conventional scaling and root‐planing therapy used as a control treatment in those studies also led to significant reduction of oral malodor (Dereci et al, ; Ren, Zhang, et al, ).…”