Clinical efficacy of photodynamic therapy adjunctive to scaling and root planing in the treatment of chronic periodontitis: A systematic review and meta-analysis

Xue, Dong; Tang, Lu; Bai, Yuhao; Qian, Dali; Wang, Pengcheng; Zhao, Ying

doi:10.1016/j.pdpdt.2017.01.183

Cited by 41 publications

(25 citation statements)

References 44 publications

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“…For the adjunctive use of SDD, adverse effects and cost–benefit ratio have to be considered. For the adjunctive use of PDT, a previous systematic review (Xue et al., 2017), which included 11 RCTs, found better results for PDT, but only after 3 months, with 0.13 mm of additional impact in PPD reduction. No increase in adverse events were reported.…”

Section: Clinical Recommendations: Supportive Periodontal Carementioning

confidence: 99%

Treatment of stage I–III periodontitis—The EFP S3 level clinical practice guideline

Sanz

Herrera

Kebschull

et al. 2020

J Clinic Periodontology

902

812

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Section: Clinical Recommendations: Supportive Periodontal Carementioning

confidence: 99%

Treatment of stage I–III periodontitis—The EFP S3 level clinical practice guideline

Sanz

Herrera

Kebschull

et al. 2020

J Clinic Periodontology

902

812

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“…The results of this study confirmed that PDT effectiveness on residual periodontal pockets with PPD > 5 mm reduction was influenced by local risk factors such as furcation involvement. Numerous studies on additional effects of PDT have been performed and their results may appear contrasting regarding recent meta-analysis and review reports [18,19,39,40]. However, the impact of local factors on PDT effectiveness has been rarely investigated [14,29,41] while these factors, such as initial PPD, tooth type, dental plaque accumulation, and furcation involvement, have been shown to modify SRP effectiveness in the short-term [2,6,42].…”

Section: Discussionmentioning

confidence: 99%

“…Amongst local antimicrobial treatments, PDT is a non-invasive anti-infectious approach without any risk of side effects [18,19]. A photoactivatable agent (or photosensitizer) exposed to a light of compatible wavelength produces reactive oxygen radicals with antimicrobial properties [20][21][22].…”

Section: Introductionmentioning

confidence: 99%

“…Many studies have shown that the use of PDT during active periodontal treatment improved clinical treatment outcomes [23][24][25][26][27][28][29]. Among these outcomes, mean PPD, CAL reductions, and gingival inflammation have been mainly investigated [19]. However, the persistence of pockets with PPD > 5 mm after active treatment has been rarely studied [6,16,[29][30][31].…”

Section: Introductionmentioning

confidence: 99%

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Impact of Molar Furcations on Photodynamic Therapy Outcomes: A 6-Month Split-Mouth Randomized Clinical Trial

Courval

Harmouche

Mathieu

et al. 2020

IJERPH

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The effectiveness of adjunctive photodynamic treatment (PDT) to non-surgical periodontal therapy has been shown to depend on initial periodontal status. As molar furcation involvement impairs healing response to non-surgical periodontal therapy, the aim of this study was to evaluate the impact of furcation involvement on PDT outcomes. Thirty-six patients suffering from severe chronic periodontitis were included in a 6-month split-mouth randomized clinical trial. PDT applications used the toluidine blue O and a light-emitting diode (LED) with a red spectrum. Repeated PDT applications were performed in addition to non-surgical periodontal treatment at baseline and at 3-months. Pocket probing depth (PPD), plaque index, bleeding on probing, and clinical attachment level were recorded at baseline, and again at 3- and 6-months. Furcation sites of molars were compared to other sites of molars and non-molars. Multilevel analysis showed no PDT effect in molar furcation sites while an additional significant reduction (odds ratio = 0.67) of pockets with PPD > 5 mm in other sites at 3-months was measured. PPD reduction appeared delayed in molar furcation sites treated with PDT. There is no additional apparent benefit to use PDT in molar furcation sites for the reduction of pockets with PPD > 5 mm contrary to other sites.

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“…Os resultados da análise de subgrupos de uma revisão sistemática relacionada aos efeitos clínicos da terapia fotodinâmica adjuvante a RAR revelaram impacto negativo do tabagismo sobre a eficácia clínica da terapia no tratamento da periodontite crônica(Xue et al, 2017). Comparações com outros estudos são difíceis de serem realizadas devido à alta…”

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Avaliação da terapia fotodinâmica antimicrobiana em aplicações múltiplas associada à raspagem e alisamento radicular no tratamento da periodontite crônica em fumantes

Soares¹

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Danilo e todos que compartilharam dessa caminhada ao meu lado, sempre com palavras de conforto para que eu continuasse seguindo em frente, e a todos os amigos de Ribeirão Preto, que me acolheram com carinho. Aos amigos de Maceió, que mesmo distante, sempre incentivaram o meu sucesso profissional. Às secretárias do Departamento de Cirurgia e Traumatologia Buco-Maxilo-Facial e Periodontia da FORP-USP, Dulce, Bel e Dani, pela atenção e disposição. Aos funcionários Dani, Joana, Zé, Verinha e Roberta, que sempre estavam disponíveis para colaboração nas disciplinas clínicas. Aos Pacientes, indispensáveis para realização do estudo, meu agradecimento pela paciência e disponibilidade. À Faculdade de Odontologia de Ribeirão Preto-USP, por proporcionar a estrutura necessária para minha formação profissional durante todos esses anos. A todos que, direta ou indiretamente, contribuíram para a realização deste trabalho. RESUMO SOARES, M.S.M. Avaliação da terapia fotodinâmica antimicrobiana com aplicações múltiplas associada à raspagem e alisamento radicular no tratamento da periodontite crônica em fumantes. 2018. 98p. Tese (Doutorado)

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Clinical efficacy of photodynamic therapy adjunctive to scaling and root planing in the treatment of chronic periodontitis: A systematic review and meta-analysis

Cited by 41 publications

References 44 publications

Treatment of stage I–III periodontitis—The EFP S3 level clinical practice guideline

Treatment of stage I–III periodontitis—The EFP S3 level clinical practice guideline

Impact of Molar Furcations on Photodynamic Therapy Outcomes: A 6-Month Split-Mouth Randomized Clinical Trial

Avaliação da terapia fotodinâmica antimicrobiana em aplicações múltiplas associada à raspagem e alisamento radicular no tratamento da periodontite crônica em fumantes

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