Clinical and Biochemical Evaluation of the Effect of Diode Laser Treatment Compared to the Non-surgical and Surgical Treatment of Periodontal Diseases

Abstract

Background: Periodontal therapy consists of eliminating the inflammation, treating periodontal pockets, motivating the patient for oral hygiene, and, if necessary, for surgical treatment. Recently, the application of a diode laser is widely being investigated for periodontal disease treatment. Objective: The analysis and evaluation of the clinical and biochemical impact of diode laser periodontal treatment, compared to either surgical or non-surgical, therapy, was the aim of this study. Methods: The study involved 80 patients older than 18 with at least 20 teeth. Evaluation of periodontal parameters was done conveniently on a single-rooted tooth (incisive, canine, premolar) on six surfaces, before the start of periodontal therapy, and after three, and six months. The laser used in the study was a diode laser with a wavelength of 980 nm. Digital X-rays were taken for bone level evaluation before and after the treatment. The presence of a bone destruction mediator (Matrix metalloproteinase-8 - MMP-8) was evaluated by the dipstick immunoassay test. Biochemical analysis and radiographic measurements were evaluated at the baseline and six months after the treatment. The statistical analysis included χ2-test and one-way ANOVA. Results: The results of this study showed that diode laser treatment was more effective in reducing periodontal clinical parameters, lowering MMP-8 levels and reducing the bone loss, compared to the group treated with scaling and root planning, or with a surgical approach. Conclusion: Diode laser may be considered as an effective alternative for periodontal treatment, with benefits in clinical and biochemical parameters.

Effectiveness of Diode Laser in Intraoral Soft Tissue Surgeries - An Evaluative Study

“…As healing occurs, regardless of device, physiologically, a zone of reversible oedema surrounds the surgical site. [ 24 28 ] In a study comparing wound healing after scalpel, electrosurgery and Nd: YAG laser surgery in beagle dogs, it was shown that surgical sites appeared to be clinically healed 14 days postoperatively. [ 24 29 ] However, histologically, the electrosurgery site continued to have a high degree of inflammatory infiltrate.…”

The Effect of Intra-Pocket Application of Diode Laser on the Mobility of Teeth With Grade C Periodontitis

“…After scaling and root planing (18), a 980nm diode laser (Medency Primo, Piazza della Libertà, 49, 36077 Altavilla Vicentina VI, Italy) was used in continuous contact focused mode at 2 Watt of power with a flexible glass fiberoptic of a 300-m spot diameter (16,25), The laser fiber was inserted one mm below the pocket depth to allow absorption of laser energy around its tip (16). From the base of the pocket upward, the laser fiber was inserted in light contact with a sweeping motion that covered the entire epithelial lining, parallel to the root surface toward the diseased soft tissue (16,17).…”

“…In patients with severe periodontitis (grade C), using the diode laser in addition to SRP was more successful in terms of clinical and microbiological characteristics (17). In addition, when compared to surgical procedures, diode laser periodontal treatment has shown improved clinical, biochemical, and radiological results (18). The antibacterial and detoxifying actions of lasers have been presented as a potential adjunctive treatment technique to promote non-surgical periodontal treatment with good outcomes using a 980 nm diode laser (19).…”

Grafted Microparticles Based on Glycidyl Methacrylate, Hydroxyethyl Methacrylate and Sodium Hyaluronate: Synthesis, Characterization, Adsorption and Release Studies of Metronidazole

“…In recent years, dentistry, a part of the medical field, has been seeking to solve a series of problems related to the prevention of dental caries, periodontal disease and the treatment of bone tissue loss [ 1 ]. It is known that periodontitis (periodontal disease) is a chronic inflammatory condition of the gingiva and the tissues supporting teeth on their arches (gingiva, periodontal ligament, alveolar bone) [ 2 , 3 ]. The World Health Organization considers periodontal disease as one of the most common diseases of the oral cavity, statistically affecting three quarters of the world’s population.…”

“…The treatment of periodontal disease is complex and generally aims to slow down the evolution of the disease. In the early stages of the disease, local treatment is instituted [ 3 ], which is generally antimicrobial and consists of: scaling, which helps remove tartar and bacteria from the tooth surface and under the gingiva; and the use of antibiotics.…”