Journal of Contemporary Dentistry

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VOLUME 9 , ISSUE 3 ( September-December, 2019 ) > List of Articles

ORIGINAL RESEARCH

Comparison of Effectiveness of Diode Laser as an Adjunct to Scaling and Root Planing and Scaling, Root Planing Alone in Treatment of Chronic Periodontitis—A Randomized Split-mouth Clinical Study

Manjunath Pooja, Rajesh S Kashyap, Shashikanth Hegde, Maiya A Kumar, Vinita Boloor

Keywords : Adult patient, Chronic periodontitis, Dental plaque, Flapless, Gingivitis, Intraoral, Randomized clinical study, Root planing, Ultrasonic scaling

Citation Information : Pooja M, Kashyap RS, Hegde S, Kumar MA, Boloor V. Comparison of Effectiveness of Diode Laser as an Adjunct to Scaling and Root Planing and Scaling, Root Planing Alone in Treatment of Chronic Periodontitis—A Randomized Split-mouth Clinical Study. J Contemp Dent 2019; 9 (3):117-123.

DOI: 10.5005/jp-journals-10031-1275

License: CC BY-NC 4.0

Published Online: 25-03-2021

Copyright Statement:  Copyright © 2019; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim and objective: To compare the clinical effects of diode laser (DL) as an adjunct to scaling and root planing (SRP) and SRP alone in the treatment of subjects with chronic periodontitis. Materials and methods: Thirty subjects aged 25–54 years participated in this randomized split-mouth clinical study. All subjects with 60 selected sites were randomly divided into 2 equal groups depending on the treatment provided. Group I (control site): only SRP was performed at baseline and group II (test site): SRP along with DL irradiation was performed on day 7, 14, and 21. Clinical parameters plaque index (PI), gingival index (GI), bleeding index (BI), probing pocket depth (PPD), and clinical attachment level (CAL) were recorded at baseline and the end of 3 months for both groups. Results: Mean values of PPD from baseline to 3 months between groups I and II on the mesial and distal aspect showed a high statistically significant difference (p < 0.02). Mean values of CAL from baseline to 3 months between two groups on distal and buccal aspect showed high statistically significant difference (p < 0.02). On intragroup comparison, there was a decrease in a mean difference of PI, GI, and BI individually for both the groups from baseline to 3 months with (p < 0.001). Conclusion: The adjunctive use of 810 nm DL with SRP provides moderate additional clinical benefit in moderate periodontal pockets 4–6 mm. Clinical significance: This study signifies that using noninvasive laser therapy, potential clinical benefits can be obtained in terms of reduction of periodontal parameters.


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  1. Periodontitis, a true infection. J Glob Infect Dis 2009;1(2):149–150. DOI: 10.4103/0974-777X.56251.
  2. Diagnostic biomarkers for oral and periodontal diseases. Dent Clin North Am 2005;49(3):551–571. DOI: 10.1016/j.cden.2005.03.009.
  3. The effect of various ultrasonic and hand instruments on the root surfaces of human single rooted teeth: a planimetric and profilometric study. J Indian Soc Periodontol 2014;18(6):710–717. DOI: 10.4103/0972-124X.147405.
  4. Diode laser as an established tool in periodontics—a review. Am J Oral Med Radiol 2015;2(2):54–60.
  5. Role of diode lasers (800–980 nM) as adjuncts to scaling and root planing in the treatment of chronic periodontitis: a systematic review. Photomed Laser Surg 2015;33(11):568–575. DOI: 10.1089/pho.2015.3914.
  6. Impact of local adjuncts to scaling and root planing in periodontal disease therapy: a systematic review. J Periodontol 2006;77(2):326–327. DOI: 10.1902/jop.2006.620003.
  7. Effect of the diode laser on bacteremia associated with dental ultrasonic scaling: a clinical and microbiological study. Photomed Laser Surg 2007;25(4):250–256. DOI: 10.1089/pho.2006.2067.
  8. Clinical effectiveness of diode laser therapy as an adjunct to non-surgical periodontal treatment: a randomized clinical study. J Periodontol 2013;84(8):1111–1117. DOI: 10.1902/jop.2012.110708.
  9. Clinical efficacy of semiconductor laser application as an adjunct to conventional scaling and root planing. Lasers Surg Med 2005;37(5):350–355. DOI: 10.1002/lsm.20252.
  10. The effect of diode laser (980 nM) treatment on aggressive periodontitis: evaluation of microbial and clinical parameters. Photomed Laser Surg 2009;27(1):11–19. DOI: 10.1089/pho.2007.2233.
  11. Use of diode laser 980 nM as adjunctive therapy in the treatment of chronic periodontitis. A randomized controlled clinical trial. New Microbiol 2008;31(4):513–518.
  12. Efficacy of high intensity diode laser as an adjunct to non-surgical periodontal treatment: a randomized controlled trial. Lasers Med Sci 2011;26(1):434–438.
  13. Evaluation of the effect of the GaAlAs laser on subgingival scaling and root planing. Photomed Laser Surg 2008;26(4):387–391. DOI: 10.1089/pho.2007.2152.
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