A LOW-DOSE LASER (DIODE LASER) APPLICATION REDUCES POCKET PERIODONTAL DEPTH AND CLINICAL ATTACHMENT LOSS

  • Robert Lessang Department of Periodontology, Faculty of Dentistry, Universitas Indonesia, Jakarta, Indonesia
  • Yuniarti Soeroso Department of Periodontology, Faculty of Dentistry, Universitas Indonesia, Jakarta, Indonesia
  • Albert Juanda Department of Periodontology, Faculty of Dentistry, Universitas Indonesia, Jakarta, Indonesia
  • Sandra Olivia Kuswandani Department of Periodontology, Faculty of Dentistry, Universitas Indonesia, Jakarta, Indonesia

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.
Keywords: Periodontitis, A low-dose (diode) laser, Chronic periodontitis

References

1. Hujoel P, Zina LG, Cunha-Cruz J, Lopez R. Historical perspectives on theories of periodontal disease etiology. Periodontol 2000 2012;58:153-60.
2. Birang R, Shahaboui M, Kiani S, Shadmehr E, Naghsh N. Effect of Nonsurgical Periodontal Treatment Combined With Diode Laser or Photodynamic Therapy on Chronic Periodontitis: A Randomized Controlled Split-Mouth Clinical Trial. J Lasers Med Sci 2015;6:112-9.
3. Parker S. Lasers and soft tissue: Periodontal therapy. Br Dent J 2007;202:309-15.
4. Goel K, Baral D. A Comparison of impact of chronic periodontal diseases and nonsurgical periodontal therapy on oral health-related quality of life. Int J Dent 2017;2017:9352562.

6. American Academy of Periodontology statement in the efficacy of lasers in the non-surgical treatment of inflamatory periodontal disease. J Periodontol 2011;82:513-4.
7. Karlsson MR, Diogo Löfgren CI, Jansson HM. The effect of laser therapy as an adjunct to non-surgical periodontal treatment in subjects with chronic periodontitis: A systematic review. J Periodontol 2008;79:2021-8.
8. Lin J, Bi L, Wang L, Song Y, Ma W, Jensen S, et al. Gingival curettage study comparing a laser treatment to hand instruments. Lasers Med Sci 2011;26:7-11.
9. Lagdive S, Marawar P, Mani AM. Semiconductor diode lasers in periodontics: An innovative and safe. Int J Appl Basic Med Res 2011;1:66-70.
10. Prabhu A, Rajbhoj S, Anjankar J, Maknojia M. Clinical applications of diode laser in periodontal therapy-a case series. IOSR J Dent Med Sci 2016;15:12-6.
11. Aykol G, Baser U, Maden I, Kazak Z, Onan U, Tanrikulu-Kucuk S, et al. The effect of low-level laser therapy as an adjunct to non-surgical periodontal treatment. J Periodontol 2011;82:481-8.
12. Goldstep F, Freedman G. Diode lasers for periodontal treatment. Dent Asia 2011;???:20-3.
13. Rodrigues SV, Rane TS, Vijayakar HN, Mitra DK, Shah RA, Pathare PN. Use of 810 nm diode laser as an adjunctive therapy in chronic periodontitis: A randomized controlled clinical trial. J Indian Dent Assoc 2014;8:8-12.
14. Sharaf HM, Elkhodary AM, Saafan AE, Mostafa MI, El Hadidy SM, ElShenawy HM. Antibacterial effectiveness of low energy diode laser irradiation on management of periodontitis in down syndrome. Eur J Hum Mov 2012;47:226-37.
15. Gupta S, Sawhney A, Jain G, Dhar S, Gupta B, Singh R, et al. An evaluation of diode laser as an adjunct to scaling and root planning in the nonsurgical treatment of chronic periodontitis: A clinico-microbiological study. Dent Med Res 2016;4:44-9.
16. Pirnat S. Versality of an 810 nm diode laser in dentistry: An overview. J Laser Health Acad 2007;4:1-9.
Statistics
313 Views | 260 Downloads
How to Cite
Lessang, R., Soeroso, Y., Juanda, A., & Kuswandani, S. O. (2018). A LOW-DOSE LASER (DIODE LASER) APPLICATION REDUCES POCKET PERIODONTAL DEPTH AND CLINICAL ATTACHMENT LOSS. International Journal of Applied Pharmaceutics, 9, 121-124. https://doi.org/10.22159/ijap.2017.v9s2.30
Section
Original Article(s)