Comparison of the Effect of Er,Cr:YSGG Laser and Halita Mouthwash on Oral Malodor in Patients With Chronic Periodontitis: A Randomized Clinical Trial

Abstract

Introduction: Periodontal disease and tongue coatings are among the major factors associated with oral malodor. The present study, comparatively evaluated the effects of the Er,Cr:YSGG laser and Halita mouthwash as adjunctive treatments to nonsurgical periodontal debridement on oral malodor reduction in chronic periodontitis patients. Methods: Sixty patients with stage II and III chronic periodontitis and bad breath. The patients were randomly divided into two groups (n=30). After conventional scaling and root planing, patients in group 1 underwent Er,Cr:YSGG laser (Waterlase; Biolase, San Clemente, CA, USA) irradiation of the internal surface of the pockets ( 1.5 W, 30 Hz, 20% A, 40% W) and the dorsum of the tongue (1 W, 30 Hz, 20% A, 40% W) immediately after SRP and on the third and seventh days. Group 2 patients were asked to use Halita mouthwash twice daily for one week. Baseline, 1 and 3-month post-treatment measurements of plaque index (PI), probing pocket depth (PPD), clinical attachment level (CAL), gingival index (GI), bleeding on probing (BOP) and organoleptic assessment of Halitosis severity were performed. Results: Significant improvement in all parameters was noted in both groups after 1 and 3 months, compared with baseline (P<0.05). The two groups had significant reductions which occurred in PPD, CAL and BOP levels and the organoleptic score in 1 and 3 months after the intervention (P<0.05). Conclusion: Er,Cr:YSGG laser irradiation and Halita mouthwash as adjuncts to non-surgical periodontal therapy are both effective in the treatment of oral malodor and improvement of periodontal parameters.

[Retracted] Effect of Orthodontic Combined with Implant Repair on Aesthetic Effect and Gingival Crevicular Fluid Factor in Patients with Dentition Defect and Periodontitis

“…Therefore, a quantitative and effective evaluation of scar tissue can be used to measure the health of the tissue around the implant, as well as the treatment effect, which is beneficial to the protection and treatment of crops and flowering plants. Organization [ 13 ].…”

Evaluation of Er,Cr:YSGG LASER in flapless functional crown lengthening (A randomized controlled clinical trial with microbial analysis)

“…This effect is due to high absorption of the emitted light by lipopolysaccharides needed for bacterial growth. Furthermore, Er,Cr:YSGG laser has the ability to disinfect gingival sulcus and periodontal pockets without damaging blood vessels (32,33) . The significant reduction in bacterial load may be the cause of the significant better and faster soft tissue healing in group I.…”

Surgical Management for Foul-Smelling Wounds

“…In a prospective investigation of patients with halitosis, some trials have used laser tongue debridement. These studies investigated the potential use of Er,Cr:YSGG laser in the treatment of halitosis 7) . However, other invasive laser therapies for odorous wounds have not yet been developed.…”