Clinical Efficacy Of 810 Nanometer Diode Laser As An Adjunct To Mechanical Periodontal Treatment Of Residual Periodontal Pockets

Marmara University11 enrolled

Overview

Background: Aim of this randomized controlled parallel-designed study was to evaluate the effects of diode laser as an adjunct to mechanical periodontal treatment on clinical parameters and gingival crevicular fluid (GCF) volume of the residual pockets diagnosed following initial periodontal treatment in chronic periodontitis (CP) patients. Methods: A total of 84 residual pockets on single-rooted teeth in 11 CP patients were included and randomly assigned into 3 groups. Residual pockets were treated either only by mechanical treatment (Group M) (n=28), only by diode laser disinfection (Group L) (n=28) or by combination of these techniques (Group M+L) (n=28). Plaque index, gingival index (GI), bleeding on probing (BoP), probing depth (PD), clinical attachment level and gingival recession were assessed at baseline and 8 weeks after treatment of residual pockets. GCF samples were collected at baseline, 1 and 8 weeks after treatment.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Chronic Periodontitis

Interventions

Eligibility

Sex: ALLMin age: 35 YearsMax age: 65 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Systemically healthy, * Non-smoker, * Chronic periodontitis diagnosed according to Armitage 1, * Aged between 35 and 65, * Not received any periodontal treatment within the last 3 months, * Have horizontal bone loss radiographically, * Presence at least 20 natural teeth except third molars * Consent to participate in the study. Exclusion Criteria: * Any systemic disease that might interfere with the prognosis of periodontal disease (i.e. diabetes mellitus, HIV infection), * Smoking, * Antibiotics, anti-inflammatory drugs or any other medication taken within the previous 6 months that may affect the outcome of the study, * Any physical limitations or restrictions that might preclude normal oral hygiene procedures.

Outcomes

Primary Outcomes

Probing depth

Probing depth is defined as the distance from the free gingival margin to the bottom of the periodontal pocket.

Time frame: 8 week

Secondary Outcomes

Plaque index

Time frame: 8 week

Gingival index

Time frame: 8 week

Clinical attachment level

Clinical attachment level is defined as the distance from the cementoenamel junction to the bottom of the periodontal pocket

Time frame: 8 week

Bleeding on probing via periodontal probe

Bleeding on probing is defined as presence of bleeding from gingival sulcus during the probing of this area via periodontal probe.

Time frame: 8 week

Change of gingival crevicular fluid volume

Gingival crevicular fluid is a blood-originated fluid playing important determinanat role in the ecology of the gingival sulcus and periodontal pocket

Time frame: Baseline, 8 weeks

Clinical Efficacy Of 810 Nanometer Diode Laser As An Adjunct To Mechanical Periodontal Treatment Of Residual Periodontal Pockets

Overview

Conditions

Interventions

Eligibility

Locations (1)

Outcomes

Primary Outcomes

Secondary Outcomes