Adjunctive non-surgical therapy of inflamed periodontal pockets during maintenance therapy using diode laser: A randomized clinical trial

Naomi Trang Nguyen, Matthew R Byarlay, Richard A Reinhardt, David B. Marx, Trudy A. Meinberg, Wayne Berwyn Kaldahl

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Background: Numerous studies have documented the clinical outcomes of laser therapy for untreated periodontitis, but very few have reported on lasers treating inflamed pockets during maintenance therapy. The aim of this study is to compare the effectiveness of scaling and root planing (SRP) plus the adjunctive use of diode laser therapy to SRP alone on changes in the clinical parameters of disease and on the gingival crevicular fluid (GCF) inflammatory mediator interleukin-1b (IL-1b) in patients receiving regular periodontal maintenance therapy. Methods: This single-masked and randomized, controlled, prospective study includes 22 patients receiving regular periodontal maintenance therapy who had one or more periodontal sites with a probing depth (PD) ≥5 mm with bleeding on probing (BOP). Fifty-six sites were treated with SRP and adjunctive laser therapy (SRP + L). Fifty-eight sites were treated with SRP alone. Clinical parameters, including PD, clinical attachment level (CAL), and BOP, and GCF IL-1b levels were measured immediately before treatment (baseline) and 3 months after treatment. Results: Sites treated with SRP + L and SRP alone resulted in statistically significant reductions in PD and BOP and gains in CAL. These changes were not significantly different between the two therapies. Similarly, differences in GCF IL- 1b levels between SRP + L and SRP alone were not statistically significant. Conclusion: In periodontal maintenance patients, SRP + L did not enhance clinical outcomes compared to SRP alone in the treatment of inflamed sites with ≥5 mm PD. J Periodontol 2015;86:1133-1140.

Original languageEnglish (US)
Pages (from-to)1133-1140
Number of pages8
JournalJournal of periodontology
Volume86
Issue number10
DOIs
StatePublished - Oct 1 2015

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Root Planing
Periodontal Pocket
Semiconductor Lasers
Randomized Controlled Trials
Gingival Crevicular Fluid
Laser Therapy
Dental Scaling
Therapeutics
Interleukins
Hemorrhage
Single-Blind Method
Periodontitis
Lasers

Keywords

  • Clinical trial
  • Lasers
  • Periodontitis
  • Recurrence
  • Root Planing
  • Therapeutics

ASJC Scopus subject areas

  • Periodontics

Cite this

Adjunctive non-surgical therapy of inflamed periodontal pockets during maintenance therapy using diode laser : A randomized clinical trial. / Nguyen, Naomi Trang; Byarlay, Matthew R; Reinhardt, Richard A; Marx, David B.; Meinberg, Trudy A.; Kaldahl, Wayne Berwyn.

In: Journal of periodontology, Vol. 86, No. 10, 01.10.2015, p. 1133-1140.

Research output: Contribution to journalArticle

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abstract = "Background: Numerous studies have documented the clinical outcomes of laser therapy for untreated periodontitis, but very few have reported on lasers treating inflamed pockets during maintenance therapy. The aim of this study is to compare the effectiveness of scaling and root planing (SRP) plus the adjunctive use of diode laser therapy to SRP alone on changes in the clinical parameters of disease and on the gingival crevicular fluid (GCF) inflammatory mediator interleukin-1b (IL-1b) in patients receiving regular periodontal maintenance therapy. Methods: This single-masked and randomized, controlled, prospective study includes 22 patients receiving regular periodontal maintenance therapy who had one or more periodontal sites with a probing depth (PD) ≥5 mm with bleeding on probing (BOP). Fifty-six sites were treated with SRP and adjunctive laser therapy (SRP + L). Fifty-eight sites were treated with SRP alone. Clinical parameters, including PD, clinical attachment level (CAL), and BOP, and GCF IL-1b levels were measured immediately before treatment (baseline) and 3 months after treatment. Results: Sites treated with SRP + L and SRP alone resulted in statistically significant reductions in PD and BOP and gains in CAL. These changes were not significantly different between the two therapies. Similarly, differences in GCF IL- 1b levels between SRP + L and SRP alone were not statistically significant. Conclusion: In periodontal maintenance patients, SRP + L did not enhance clinical outcomes compared to SRP alone in the treatment of inflamed sites with ≥5 mm PD. J Periodontol 2015;86:1133-1140.",
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