The Journal of Contemporary Dental Practice

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Volume  25 (2024)
Volume  24 (2023)
Volume  23 (2022)
Volume  22 (2021)
Volume  21 (2020)
Volume  20 (2019)
Volume  19 (2018)
Volume  18 (2017)
Volume  17 (2016)
Volume  16 (2015)
Volume  15 (2014)
Volume  14 (2013)
Volume  13 (2012)
Volume  12 (2011)
Volume  11 (2010)
Volume  10 (2009)
Volume  9 (2008)
Volume  8 (2007)
Volume  7 (2006)
Volume  6 (2005)
Volume  5 (2004)
Volume  4 (2003)
Volume  3 (2002)
Volume  2 (2001)
Volume  1 (1999)
Related articles

VOLUME 24 , ISSUE 12 ( December, 2023 ) > List of Articles

ORIGINAL RESEARCH

Effectiveness of Diode (810 nm) Laser in Periodontal Parameters and Reduction of Subgingival Bacterial Load in Periodontitis Patients

Luai A Abdullah, Nada Hashim, Muhammed M Rehman, Mohammed H Elhaj, Maowia M Mukhtar, Bakri G Gismalla

Keywords : Aggregatibacter actinomycetemcomitans, Diode laser, Non-surgical periodontal therapy, Periodontitis, Porphyromonas gingivalis, Prevotella intermedia

Citation Information : Abdullah LA, Hashim N, Rehman MM, Elhaj MH, Mukhtar MM, Gismalla BG. Effectiveness of Diode (810 nm) Laser in Periodontal Parameters and Reduction of Subgingival Bacterial Load in Periodontitis Patients. J Contemp Dent Pract 2023; 24 (12):1008-1015.

DOI: 10.5005/jp-journals-10024-3603

License: CC BY-NC 4.0

Published Online: 31-01-2024

Copyright Statement:  Copyright © 2023; The Author(s).


Abstract

Aim: This split-mouth randomized trial (RCT) aimed to assess the effect of diode laser on the clinical parameters in patients with periodontitis, compare the results with scaling and root planing (SRP) alone, and assess the implications of diode laser (DL) on plaque bacteria. Materials and methods: Seventeen periodontitis patients were randomly assigned into two equal groups based on the therapy delivered. Group I (control site) received just SRP at baseline, while group II (test site) received both SRP and DL irradiation. For both groups, the clinical periodontal parameters probing pocket depth (PPD), and clinical attachment level (CAL) were measured at baseline, 30 days, and 90 days. Microbiological amount was also measured at baseline, 30, and 90 days after periodontal treatment. The amounts of Aggregatibacter actinomycetemcomitans (A.a), Prevotella intermedia (Pr. intermedia), and Porphyromonas gingivalis (P. gingivalis) were determined using real-time PCR probing with specific bacterial primers. Results: In both groups, PPD and CAL showed statistically significant reductions at different time intervals (p < 0.05). No significant difference were observed in CAL values after 1 and 3 months in both test and control groups (p > 0.05). The mean values of the concentration of A.a, Pr. intermedia and P. gingivalis were lower in the case group as compared to the control group and the difference was statistically significant after 1 month (*p = 0.001). Clinical significance: According to this study, non-invasive laser treatment has the potential to improve clinical outcomes by lowering the quantity of A.a, Pr. intermedia and P. gingivalis. Conclusion: In both groups, a considerable decrease in the periodontal pathogens A.a, Pr. intermedia and P. gingivalis were discovered; however, the intergroup comparison was insignificant in relation to PD and CAL. The adjunctive treatment with diode laser showed better efficacy in ensuring a better periodontal treatment than SRP alone.

HTML PDF Share
  1. Papapanou PN, Sanz M, Buduneli N, et al. Periodontitis: Consensus report of workgroup 2 of the 2017 world workshop on the classification of periodontal and peri-implant diseases and conditions: Classification and case definitions for periodontitis. J Periodontol 2018;89Suppl 1:S173–S182. DOI: 10.1002/JPER.17-0721.
  2. Tonetti MS, Greenwell H, Kornman KS. Staging and grading of periodontitis: Framework and proposal of a new classification and case definition. J Periodontol 2018;89:S159–S172. DOI: 10.1002/JPER.18-0006.
  3. Eke PI, Dye BA, Wei L, et al. Update on prevalence of periodontitis in adults in the United States: NHANES 2009 to 2012. J Periodontol 2015;86(5):611–622. DOI: 10.1902/jop.2015.140520.
  4. Nazir MA. Prevalence of periodontal disease, its association with systemic diseases and prevention. Int J Health Sci (Qassim) 2017;11(2):72–80. PMID: 28539867.
  5. Saglam. M KA, Kantarci A, Dundar. N, et al. Clinical and biochemical effects of diode laser as an adjunct to nonsurgical treatment of chronic periodontitis, a randomized controlled clinical trial. Lasers Med Sci Lasers Med Sci 2014;29(1):37–46. DOI 10.1007/s10103-012-1230-0.
  6. Hashim NT, Linden GJ, Winning L, et al. Putative periodontal pathogens in the sub gingival plaque of Sudanese subjects with aggressive periodontitis. Arch Oral Biol 2017;81:97–102. DOI: 10.1016/j.archoralbio.2017.04.027.
  7. Doungudomdacha S, Rawlinson A, Douglas CW. Enumeration of porphyromonas gingivalis, prevotella intermedia and actinobacillus actinomycetemcomitans in subgingival plaque samples by a quantitative-competitive PCR method. J Med Microbiol 2000;49(10):861–874. DOI: 10.1099/0022-1317-49-10-861.
  8. Frisken KW, Higgins T, Palmer JM. The incidence of periodontopathic microorganisms in young children. Oral Microbiol Immunol 1990;5(1):43–45. DOI: 10.1111/j.1399-302x.1990.tb00225.x.
  9. Yilmaz S KB, Kuru L, Noyan U, et al. Effect of galium arsenide diode laser on human periodontal disease: A microbiological and clinical study. Lasers Surg Med 2002;30(1):60–66. DOI: 10.1002/lsm.10010.
  10. Pooja M, Kashyap RS, Hegde S, et al. 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 20199(3):117–123. DOI: https://doi.org/10.5005/jp-journals-10031-1275.
  11. Ghanbarzadeh M, Ahrari F, Akbari M, et al. Microhardness of demineralized enamel following home bleaching and laser-assisted in office bleaching. J Clin Exp Dent 2015;7(3):e405–e409. DOI: 10.4317/jced.51705.
  12. Mokhtari MR, Ahrari F, Dokouhaki S, et al. Effectiveness of an 810-nm diode laser in addition to non-surgical periodontal therapy in patients with chronic periodontitis: A randomized single-blind clinical trial. J Lasers Med Sci 2021;12:e37. DOI: 10.34172/jlms.2021.37.
  13. Kreisler M, Al Haj H, d'Hoedt B. 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.
  14. Pyo J, Lee M, Ock M, et al. Quality of life and health in patients with chronic periodontitis: A qualitative study. Int J Environ Res Public Health 2020;17(13):4895. DOI: 10.3390/ijerph17134895.
  15. Sharaf HM. Antibacterial effectiveness of low energy diode laser irradiation on management of periodontitis in down syndrome. The Egyptian Journal of Hospital Medicine 2012;47(1):226–237. DOI: 10.21608/EJHM.2012.16293.
  16. Freedman G, Goldstep F. Diode lasers for periodontal treatment. Dental Asia. 2011. pp. 20–23.
  17. Loe H. The gingival index, the plaque index and the retention index systems. J Periodontal 1967;38(6):610–616. DOI: 10.1902/jop.1967.38.6.610.
  18. Loe H, Silness J. Periodontal disease in pregnancy. I. Prevalence and severity. Acta Odontol Scand 1963;21:533–551. DOI: 10.3109/00016356309011240.
  19. Glavind L, Loe H. Errors in the clinical assessment of periodontal destruction. J Periodontal Res 1967;2(3):180–184. DOI: 10.1111/j.1600-0765.1967.tb01887.x.
  20. Ramfjord SP. Indices for prevalence and incidenceof periodontal disease. J Periodontol. 1992;30(1):51–59. DOI: 10.1902/jop.1959.30.1.51.
  21. Jiang Y, Feng J, Du J, et al. Clinical and biochemical effect of laser as an adjunct to non-surgical treatment of chronic periodontitis. Oral Dis 2022;28(4):1042–1057. DOI: 10.1111/odi.13847.
  22. Mei JV, Alexander JR, Adam BW, et al. Use of filter paper for the collection and analysis of human whole blood specimens. J Nutr 2001;131(5):1631S–1636S. DOI: 10.1093/jn/131.5.1631S.
  23. Clayman L KP. Lasers in Maxillofacial Surgery and Dentistry. New York. 1997;2:1–9.
  24. Sbordone L, Ramaglia L, Gulletta E, et al. Recolonization of subgingival microflora after scaling and root planing in human periodontitis. J Periodontol 1990;61(9):579–584. DOI: 10.1902/jop.1990.61.9.579.
  25. Rydén H, Persson L, Preber H, et al. Effect of low level energy laser irradiation on gingival inflammation. Swed Dent J 1994;18(1–2):35–41. PMID: 8052950.
  26. Coluzzi DJ. An overview of laser wavelengths used in dentistry. Dent Clin North Am 2000;44(4):753–765. PMID: 11048269.
  27. Qadri T, Miranda L, Tuner J, et al. The short-term effects of low-level lasers as adjunct therapy in the treatment of periodontal inflammation. J Clin Periodontol 2005;32(7):714–719. DOI: 10.1111/j.1600-051X.2005.00749.x.
  28. Coluzzi D. Laser and ST curettage. Cornpend Contin Edu Dent 2002;23:1104–1111.
  29. Schaffer M, Bonel H, Sroka R, et al. Effects of 780 nm diode laser irradiation on blood microcirculation: Preliminary findings on time-dependent Tl-weighted contrast- enhanced magnetic resonance imaging (MRI). J Photochem Photobiol B 2000;54(1):55–60. DOI: 10.1016/s1011-1344(99)00155-4.
  30. Kreisler M, Al Haj H, Daubländer M, et al. Effect of diode laser irradiation on root surfaces in vitro. Clin Laser Med Surg 2002;20(2):63–69. DOI: 10.1089/104454702753768034.
  31. Gutknecht N, FranzenR, Schippers M, et al. Bactericidal effect of a 980-nrn diode laser in the root canal wall dentin of bovine teeth. J Clin Laser Med Surg 2004;22(1):9–13. DOI: 10.1089/104454704773660912.
  32. Crispino A, Figliuzzi MM, Iovane C, et al. Effectiveness of a diode laser in addition to non-surgical periodontal therapy: Study of intervention. Ann Stomatol 2015;6(1):15–20. PMID: 26161248.
  33. Gupta S, Chhina S, Sharma E, et al. Comparative evaluation of laser biostimulation as an adjunct to NSPT and ITS effects on AST levels in the management of chronic periodontitis: A randomized controlled trial. J Int Oral Health 2021;13:227–233.
  34. Igor J, Olivia, Aida CB, et al. Increased detection rate of prevotella intermedia among pregnant periodontitis patients in Romania. Biomed J Sci Tech Res 2018;2(1):2150–2154. DOI: 10.26717/BJSTR.2018.02.000646.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.