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The use of diode lasers in non-surgical therapy of periodontitis
 
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Departament of Periodontology and Oral Disease, Medical University, Łódź, Poland
 
 
Corresponding author
Małgorzata Majka Kulińska - Michalska   

Departament of Periodontology and Oral Disease, Michalska Medical University, Pomorska 251, 92-213 Łódź, Poland
 
 
J Pre Clin Clin Res. 2020;14(4):169-173
 
KEYWORDS
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ABSTRACT
Introduction:
Periodontitis is a disease of multifactorial etiology and complex clinical manifestation. Removal of subgingival bacterial biofilm is a fundamental procedure in the treatment of periodontitis. Scaling and root planing (SRP) is currently the gold standard in the treatment of periodontitis, but in some cases such a procedure does not provide satisfactory results. The use of lasers in the treatment of periodontitis is one of the alternative adjunctive methods that has recently become more popular.

Objective:
The aim of the study was to evaluate the effectiveness of diode lasers in the treatment of periodontitis, based on the literature found in the Medline, Pubmed and Scopus databases published from June 2013 – June 2020. Results were based on a comparison of the effectiveness of SRP treatment in combination with photodynamic therapy or SRP in combination with laser irradiation of periodontal pockets.

Results:
The majority of studies confirmed the effectiveness of periodontal treatment combining SRP with photodynamic therapy or SRP with laser irradiation, compared to an SRP alone.

Conclusions:
Based on the recent literature, it can be concluded that SRP combined with photodynamic therapy or SRP in combination with a diode laser irradiation are effective methods to improve the outcomes of non-surgical periodontal treatment.

Kulińska-Michalska MM, Lewkowicz N, Ćwiklińska N, Lisiecka M, Czaplicka-Szydlik P. The use of diode lasers in non-surgical therapy of periodontitis. J Pre-Clin Clin Res. 2020; 14(4): 169–173. doi: 10.26444/jpccr/131040
 
REFERENCES (46)
1.
Mizutani K, Aoki A, Coluzzi D, et al. Lasers in minimally invasive periodontal and peri-implant therapy. J Periodontol 2000. 2016; 71: 185–212.
 
2.
Dahlen G. Low antibiotic resistance among anaerobic Gram-negative bacteria in periodontitis 5 years following metronidazole therapy. Preus HR. Anaerobe. 2017; 43: 94–98.
 
3.
Reis C, Pacheco JJ, Salazar F, et al. Full-mouth periodontal examination prior to and after nonsurgical treatment in chronic periodontitis patients. Biomed Res. 2016; 27: 406–12.
 
4.
Hill RW, Ramfjord SP, Morrison EC. Four types of periodontal treatment compared over two years. J Periodontol. 1981; 52: 655–62.
 
5.
Lindhe J, Nyman S. The effect of plaque control and surgical pocket elimination on the establishment and maintenance of periodontal health. A longitudinal study of periodontal therapy in cases of advanced disease. J Clin Periodontol. 1975; 2: 67–79.
 
6.
Umeda M, Takeuchi Y, Noguchi K, et al. Effects of nonsurgical periodontal therapy on the microbiota. J Periodontol 2000. 2004; 36: 98–120.
 
7.
Noiri Y, Ebisu S. Identification of periodontal disease associated bacteria in the plaque-free zone. J Periodontol. 2000; 71: 1319–1326.
 
8.
De Almeida JM, Theodoro LH, Bosco AF, et al. In vivo effect of photodynamic therapy on periodontal bone loss in dental furcations. J Clin Periodontol. 2008; 79(6): 1081–8.
 
9.
Samulak- Zielińska R, Dembowska E, Wiernicka-Menkiszak M. System FotoSan w terapii fotodynamicznej chorób przyzębia. Mag Stomatol. 2010; 20(7–8): 49–53.
 
10.
Grzech-Leśniak K, Gaspirc B, Sculean A. Clinical and Microbiological Effects of Multiple Applications of Antibacterial Photodynamic Therapy in Periodontal Maintenance Patients. A Randomized Controlled Clinical Study. Photodiagnosis and Photodynamic Therapy. doi: 10.1016/j.pdpdt.2019.05.028.
 
11.
Luan XL, Qin YL, Bi LJ, et al. Histological evaluation of the safety of toluidine bluemediated photosensitization to periodontal tissues in mice Lasers Med Sci. 2009; 24(2): 162–6.
 
12.
Meqa K, Disha M, Dragidella F, et al. Non-surgical periodontal treatment supplemented with photodynamic therapy. J Int Dent Med Res. 2016; 9(3): 139–143.
 
13.
Monzavi A, Chinipardaz Z, Mousavi M, et al. Antimicrobial photodynamic therapy using diode laser activated indocyanine green as an adjunct in the treatment of chronic periodontitis: A randomized clinical trial. Photodiagnosis Photodyn Ther. 2016; 14: 93–97.
 
14.
Sreedhar A, Indranil S, Padma R, et al. Efficacy of Photodynamic Therapy and Lasers as an Adjunct to Scaling and Root Planing in the Treatment of Aggressive Periodontitis – A Clinical and Microbiologic Short Term Study. J Clin Diagn Res. 2016; 10(2): 8–12.
 
15.
Birang E, Reza M, Ardekani TN. Evaluation of Effectiveness of Photodynamic Therapy With Low-level Diode Laser in Nonsurgical Treatment of Peri-implantitis, Lasers Med Sci. 2017; 8(3): 136–142.
 
16.
Joshi K, Baiju C S, Khashu H, et al. Clinical effectiveness of indocyanine green mediated antimicrobial photodynamic therapy as an adjunct to scaling root planing in treatment of chronic periodontitis – A randomized controlled clinical trial. Photodiagnosis Photodyn Ther. 2020; 29. doi: 10.1016/j.pdpdt.2019.101591.
 
17.
Betsy J, Prasanth CS, Baiju KV, et al. Patients’ perceptions of antimicrobial photodynamic therapy in the management of chronic periodontitis. Photodiagnosis Photodyn Ther. 2016; 14: 84–90.
 
18.
Vohra F, Akram Z, Bukhan, et al. Short-term effects of adjunctive antimicrobial photodynamic therapy in obese patients with chronic periodontitis: A randomized controlled clinical trial. Photodiagnosis Photodyn Ther. 2018; 21; 10–15.
 
19.
Deumer J, Frentzen M, Meinke MC. Investigation of active matrix- metaloproteinase-8 (aMMP-8) as a reference parameter for path control in antimicrobial photothermal therapy (aPTT) using a split-mouth design. Heliyon. 2019; 5(5). doi: 10.1016/j.heliyon.2019.e01661.
 
20.
Al Habashneh R, Mashal MA, Khader Y, et al. Clinical and biological effects of adjunctive photodynamic therapy in refractory periodontitis. J Lasers Med Sci. 2019; 10(2): 139–145. doi: 10.15171/jlms.2019.22.
 
21.
Chitsazi, Shirmohammadi M, Shirmohammadi A, Kashefimehr M, et al. Efficacy of Photodynamic Therapy as an Adjunct to Full-mouth Root Planing in the Treatment of Periodontitis Assessed by Real-time PCR: A Microbiological and Clinical Study. Journal of Periodontology & Implant Dentistry. 2015; 7(1); 26–32.
 
22.
Balata ML, Andrade LP, Santos DBN, et al. Photodynamic therapy associated with full-mouth ultrasonic debridement in the treatment of severe chronic periodontitis: a randomized-controlled clinical trial J Appl Oral Sci. 2013; 21(2): 208–214.
 
23.
Sales de Melo Soares M, Borges C, Invernici M, et al. Antimicrobial photodynamic therapy as adjunct to non-surgical periodontal treatment in smokers: a randomized clinical trial. Clin Oral Investig. 2019; 23: 3173 –3182.
 
24.
Arweiler NB, Pietruska M, Skurska A, et al. Nonsurgical treatment of aggressive periodontitis with photodynamic therapy or systemic antibiotics. Three-month results of a randomized, prospective, controlled clinical study. Schweiz Monatsschr Zahnmed. 2013; 123(6): 532–44.
 
25.
Skurska A, Dolinska E, Pietruska M, et al. Effect of nonsurgical periodontal treatment in conjunction with either systemic administration of amoxicillin and metronidazole or additional photodynamic therapy on the concentration of matrix metalloproteinases 8 and 9 in gingival crevicular fluid in patients with aggressive periodontitis. BMC Oral Health. 2015; 15. doi: 10.1186/s12903-015-0048-0.
 
26.
Dörtbudak O, Haas R, Bernhart T, et al. Lethal photosensitization for decontamination of implant surfaces in the treatment of peri-implantitis. Clin Oral Implants Res. 2001; 12(2): 104–8.
 
27.
Shibli JA, Martins MC, Ribeiro FS, et al. Lethal photosensitization and guided bone regeneration in treatment of periimplantitis: an experimental study in dogs. Clin Oral Implants Res. 2006; 17(3): 273–81.
 
28.
Grzech-Leśniak K, Sculean A, Gašpirc B. Laser reduction of specific microorganisms in the periodontal pocket using Er:YAG and Nd:YAG lasers: a randomized controlled clinical study. https://doi.org/10.1007/s10103....
 
29.
Tang E, Arany P. Photobiomodulation and implants: implications for dentistry Periodontal Implant Sci. 2013 Dec; 43(6): 262–268. doi: 10.5051/jpis.2013.43.6.262.
 
30.
Grzech-Leśniak K, Belvin Lewis JP, et al. Treatment with Nd: YAG Laser Irradiation Combined with Sodium Hypochlorite or Hydrogen Peroxide Irrigation on Periodontal Pathogens: An In Vitro Study. doi: 10.1089/photob.2019.4775.
 
31.
Aoki A, Mizutani K, Schwarz F, et al. Periodontal and peri-implant wound healing following laser therapy. Periodontology 2000; 68(1) 217–269. ht t ps://doi.org /10.1111/prd.12080.
 
32.
Grzech-Leśniak K, Nowicka J, Pajączkowska M, et al. Effects of Nd:YAG laser irradiation on the growth of Candida albicans and Streptococcus mutans: in vitro study. doi: 10.1007/s10103-018-2622-6.
 
33.
Gojkov-Vukelic M, Hadzic S, Dedic A, et al. Application of a Diode Laser in the Reduction of Targeted Periodontal Pathogens. Acta Inform Med. 2013; 21(4): 237–240.
 
34.
Matys J, Jaszczak E, Flieger R, et al. Effect of ozone and diode laser (635 nm) in reducing orthodontic pain in the maxillary arch—a randomized clinical controlled trial. doi: 10.1007/s10103-019-02896-0.
 
35.
Petrovic MS, Kannosh IY, Milasin JM, et al. Clinical, microbiological and cytomorphometric evaluation of low-level laser therapy as an adjunct to periodontal therapy in patients with chronic periodontitis. J Dent Hyg. 2018; 16(2): 120–127.
 
36.
Manjunath S, Singla D, Singh R. Clinical and microbiological evaluation of the synergistic effects of diode laser with nonsurgical periodontal therapy: A randomized clinical trial. J Indian Soc Periodontol 2020; 24: 145–9.
 
37.
Malgikar S, Reddy H, Sagar V, et al. Clinical effects of photodynamic and low-level laser therapies as an adjunct to scaling and root planing of chronic periodontitis: A split-mouth randomized controlled clinical trial. Indian J Dent Res. 2016; 27(2): 121–126.
 
38.
Kachapilly AJ, Majo A, Jayan JM, et al. Management of Chronic Periodontitis Using Chlorhexidine Chip and Diode Laser-A Clinical Study. Journal Clin Diagn Res. 2016; 10(4): 76–80.
 
39.
Meseli SE, Kuru B, Kuru L. Effects of 810-nanometer diode laser as an adjunct to mechanical periodontal treatment on clinical periodontal parameters and gingival crevicular fluid volume of residual periodontal pockets. Nig J Clin Pract. 2017; 20(4): 427–432.
 
40.
Üstün K, Erciyas K, Sezer U, et al. Clinical and biochemical effects of 810 nm diode laser as an adjunct to periodontal therapy: a randomized split-mouth clinical trial. Photomed Laser Surg. 2014; 32(2): 61–6.
 
41.
Chandra S, Shashikumar P. Diode laser – a novel therapeutic approach in the treatment of chronic periodontitis in type 2 diabetes mellitus patients: a prospective randomized controlled clinical trial. J Lasers Med Sci. 2019; 10(1): 56–63. doi: 10.15171/jlms.2019.09.
 
42.
Talmac AC, Calisir M, Regale EG, et al. Effects of Er, Cr: YSGG and Diode Lasers on Clinical Parameters and Gingival Crevicular Fluid IL-1β and IL-37 Levels in Generalized Aggressive Periodontitis. Mediators Inflamm. 2019; 2019: 1–9. doi: 10.1155/2019/2780794.
 
43.
Al-Falaki R, Francis J. Hughes, Wadia R. Minimally Invasive Treatment of Infrabony Periodontal Defects Using Dual-Wavelength Laser Therapy International Scholarly Research Notices. 2016; 2016. https://doi.org/10.1155/2016/7.
 
44.
Demirturk-Gocgun O, Baser U, Aykol-Sahin G, et al, Issever H, Yalcin F. Role of Low-Level Laser Therapy as an Adjunct to Initial Periodontal Treatment in Type 2 Diabetic Patients: A Split-Mouth, Randomized, Controlled Clinical Trial. Photomed Laser Surg. 2017; 35(2): 111–1.
 
45.
Odor AA, Bechir ES, Forna DA. Effect of Hydrogen Peroxide Photoactivated Decontamination Using 940 nm Diode Laser in Periodontal Treatment: A Pilot Study. Photobiomodulation, Photomedicine, and Laser Surgery. 2020; 38(10). https://doi.org/10.1089/photob.
 
46.
Sanz M, Herrera D, Kebschull M, et al on behalf of the EFP Workshop participants and methodological consultants. Treatment of stage I-III periodontitis – The EFP S3 – level clinical practice guideline. J Clin Periodontol. 2020; 47(S22); 4–60.
 
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