Abstract
Objective: The initial therapy for chronic periodontitis is scaling and root planing (SRP), followed by non-surgical and surgical therapy. Recently, low-dose laser therapy was mentioned as an adjunctive therapy for periodontitis. This study aims to analyze the effect of degranulation using a low-dose laser (diode laser) after SRP for chronic periodontitis treatment with an attachment loss of ≤5 mm compared to SRP alone.Methods: A split-mouth design of in 158 tooth surfaces divided into two groups. The first group was treated with a low-dose laser (diode laser) after SRP, while the second group was treated with SRP only. Bleeding on probing (BOP), probing pocket depth (PPD), and clinical attachment loss (CAL) were all examined at baseline and 35 days later.Results: The results were statistically significant differences between the two groups were indicated in terms of PPD (p=0.000) and CAL (p=0.040). No significant difference was identified in terms of BOP.Conclusion: The application of a low-dose laser (diode laser) is effective in reducing PPD and CAL as an adjunct therapy in chronic periodontitis treatment.
Highlights
Chronic periodontitis is a bacterial infection that causes inflammation of the periodontium, causing bone destruction and leading to tooth loss
The current new theory is that the specific bacteria, such as P. gingivalis, P. intermedia, T. forsythia, and T. denticola are closely related to an increase in probing pocket depth (PPD) and bleeding on probing (BOP) papilla bleeding index (PBI) [1,2]
The first group was a trial group including patients with chronic periodontitis localized on one tooth surface, a clinical attachment loss (CAL) of ≤5 mm, and PBI, and they were treated with scaling and root planing (SRP) and laser therapy
Summary
Chronic periodontitis is a bacterial infection that causes inflammation of the periodontium, causing bone destruction and leading to tooth loss. The current new theory is that the specific bacteria, such as P. gingivalis, P. intermedia, T. forsythia, and T. denticola are closely related to an increase in probing pocket depth (PPD) and bleeding on probing (BOP) papilla bleeding index (PBI) [1,2]. Some studies have shown a good clinical outcome and microbial advantages. These include prevention against subgingival biofilm formation, a decrease in the number of bacteria, and the removal of plaque, calculus, and endotoxins [2,3]. Clinical parameters for the successful periodontal treatment include oral hygiene score, plaque index, PBI, PPD, and clinical attachment loss (CAL) [4]
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