A report of laser-assisted modified Widman flap for periodontal regeneration: Clinical and radiographic evaluation

Salaria, Sanjeev Kumar; Madaan, Veenu; Bala, Deepak

doi:10.4103/0976-237x.68594

Cited by 2 publications

(3 citation statements)

References 7 publications

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“…One of the primary advantages of this therapy over conventional scalpel surgery is its superior hemostasis. 4 It helps in delaying the epithelial migration on root surface and thereby offering good postsurgical adaptation of healthy connective tissue to the root surface. This is how it enhances the potential for new attachment.…”

Section: Discussionmentioning

confidence: 99%

“…Although more clinical and histologic trials using large population are needed to assess the role of lasers along with surgeries like modified Widman flap, but they seem to be quite promising for the future. 4 Currently there is less evidence to support the use of lasers alone or with scaling and root planing to treat adult chronic periodontitis. In fact, of the 10 clinical trails articles published only two showed positive result in the reduction of subgingival microbes, four did not measure any reductions and other four reported no difference.…”

Section: Discussionmentioning

confidence: 99%

“…Over the years, various modes of therapy have been suggested to avoid this, which includes soft tissue curettage, various types of flap procedures including modified Widman flap, guided tissue regeneration and more recently lasers. 4 Due to the lack of an effective tool for soft tissue debridement, gingival curettage has no super-added benefit over the normal scaling and root planning procedure. 1 Also, the healing after modified Widman flap with excision of sulcular lining is not by means of connective tissue attachment but it heals by the long junctional epithelium.…”

Section: Introductionmentioning

confidence: 99%

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Use of Lasers in Nonsurgical Periodontal Therapy

Uttamani¹,

Shaikh²,

Kulkarni³

2013

International Journal of Experimental Dental Science

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The use of dental lasers for treatment of periodontal diseases has been the area of interest in the recent years. Current evidence indicates that the use of lasers for the treatment of adult chronic periodontitis—either used solely or as an adjunct to traditional scaling and root planning therapy—offers minimal benefit. This article which is a peer review of various articles provides a brief explanation of the mechanism behind soft tissue lasers. The use of laser therapy in addition to traditional nonsurgical periodontal treatment in the management of periodontal diseases is reviewed. Lasers have been applied for hard and soft tissue debridement, as also for the bacterial load reduction from the periodontal pocket. Although, subgingival application of few of them during nonsurgical periodontal therapy can result in undesired outcomes, even when using manufacturer-recommended parameters. Over the past 20 years the research conducted regarding the clinical application of lasers is very limited. This article tries to fill in the void by reviewing the current and potential application of laser therapy. It has in turn proven to be a promising field in nonsurgical periodontal treatment of diseases. How to cite this article Uttamani J, Shaikh I, Kulkarni V. Use of Lasers in Nonsurgical Periodontal Therapy. Int J Experiment Dent Sci 2013;2(1):29-32.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Use of Lasers in Nonsurgical Periodontal Therapy

Uttamani¹,

Shaikh²,

Kulkarni³

2013

International Journal of Experimental Dental Science

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ENAP vs LANAP: assessment of revascularization using ultrasound Doppler flowmetry—a split-mouth randomized controlled clinical trial

Sameera

Kumar

et al. 2018

Lasers Med Sci

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Laser-assisted new attachment procedure (LANAP) is a new protocol that has been proposed for the treatment of periodontitis. However, there is little evidence regarding the rate of revascularization and the clinical efficacy of LANAP over conventional periodontal therapies. Hence, this study is done to evaluate and compare the clinical efficacy of LANAP vs Excisional new attachment procedure (ENAP) and also to assess the blood flow in both the techniques using ultrasound Doppler flowmetry. A split-mouth double-blinded controlled clinical trial was carried out in 15 subjects with chronic periodontitis. In every patient, 2 quadrants were treated with ENAP and the other 2 quadrants with LANAP. Clinical parameters like plaque index (PI), gingival index (GI), pocket depth (PD), clinical attachment level (CAL), and radiographic measurements (RBL) were recorded at baseline and 6, 9, and 12 months, postoperatively. Gingival blood flow assessment was done at baseline and on the ninth day postoperatively. Both the groups showed statistically significant reduction in all the clinical parameters when compared from baseline to subsequent follow-up visits. There was greater reduction in all the parameters in LANAP group than that of ENAP group. The rate of revascularization was higher in ENAP group than that of LANAP group when compared from baseline to the ninth day postoperatively. Although there is a delay in the rate of revascularization in the LANAP group, there was significant improvement in all the clinical and radiographic parameters than that of the ENAP group when compared from baseline to follow-up visits.

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A report of laser-assisted modified Widman flap for periodontal regeneration: Clinical and radiographic evaluation

Cited by 2 publications

References 7 publications

Use of Lasers in Nonsurgical Periodontal Therapy

Use of Lasers in Nonsurgical Periodontal Therapy

ENAP vs LANAP: assessment of revascularization using ultrasound Doppler flowmetry—a split-mouth randomized controlled clinical trial

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