{"title":"双波长二极管激光辅助非手术治疗牙周炎患者牙周袋的有效性:一项随机临床研究。","authors":"Fatima Kadhim Salman, Layla M H Al-Ameri","doi":"10.1007/s10103-025-04344-8","DOIUrl":null,"url":null,"abstract":"<p><p>Laser technology has affected the field of Periodontology in many ways. They help to manage periodontal disease. This investigation aimed to compare the clinical results of diode laser in conjunction with scaling and root planing (SRP) and SRP alone in treating periodontal pockets in Periodontitis patients. This randomized controlled clinical research utilized a split-mouth approach. It included 25 patients (11 females and 14 males, aged 20 to 65) presenting a moderate periodontal pocket with depths of 4-7 mm on both the right and left sides of the mouth. Two groups were utilized: the control group (SRP alone) on the right side of the mouth and the experimental group (SRP in conjunction with diode laser) on the left side of the mouth. The intervention comprised a single session of scaling and root planing (SRP) accompanied by 10-second administrations of a dual-wavelength diode laser Working within the wavelength range 810-980 nm on the left side. In contrast, the contralateral side received SRP only. Probing Pocket Depth, clinical attachment loss, Plaque Index, and Bleeding on Probing Index were assessed at baseline, 1.5 months, and 3 months post-treatment. The results indicate that both therapies enhanced periodontal parameters at 1.5 and 3 months compared to the baseline. SRP + diode laser, on the other hand, demonstrated a substantial enhancement in probing depth.(PD;4.92 ± 0.65-3.82 ± 0.87-3.55 ± 0.80 vs. 4.95 ± 0.67-4.14 ± 0.93-3.90 ± 0.93, p < 0.001) and BOP%(100.0%-43.2%-34.80% vs. 100.0%-54.8%-44.0%, P < 0.05) in contrast to SRP alone. No substantial differences were detected in CAL and plaque percentages between treatment groups (P > 0.05) at 1.5 and 3 months post-treatment. Conclusions indicate that within the limit of this study, the integration of scaling and root planing (SRP) with diode laser therapy resulted in a significant reduction in moderate periodontal pocket depth and bleeding on probing over the 3-month trial period in patients with Periodontitis.</p>","PeriodicalId":17978,"journal":{"name":"Lasers in Medical Science","volume":"40 1","pages":"82"},"PeriodicalIF":2.4000,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Effectiveness of the dual wavelength diode laser as an adjunct to non-surgical treatment in treating periodontal pocket in periodontitis patients: A randomized clinical study.\",\"authors\":\"Fatima Kadhim Salman, Layla M H Al-Ameri\",\"doi\":\"10.1007/s10103-025-04344-8\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Laser technology has affected the field of Periodontology in many ways. They help to manage periodontal disease. This investigation aimed to compare the clinical results of diode laser in conjunction with scaling and root planing (SRP) and SRP alone in treating periodontal pockets in Periodontitis patients. This randomized controlled clinical research utilized a split-mouth approach. It included 25 patients (11 females and 14 males, aged 20 to 65) presenting a moderate periodontal pocket with depths of 4-7 mm on both the right and left sides of the mouth. Two groups were utilized: the control group (SRP alone) on the right side of the mouth and the experimental group (SRP in conjunction with diode laser) on the left side of the mouth. The intervention comprised a single session of scaling and root planing (SRP) accompanied by 10-second administrations of a dual-wavelength diode laser Working within the wavelength range 810-980 nm on the left side. In contrast, the contralateral side received SRP only. Probing Pocket Depth, clinical attachment loss, Plaque Index, and Bleeding on Probing Index were assessed at baseline, 1.5 months, and 3 months post-treatment. The results indicate that both therapies enhanced periodontal parameters at 1.5 and 3 months compared to the baseline. SRP + diode laser, on the other hand, demonstrated a substantial enhancement in probing depth.(PD;4.92 ± 0.65-3.82 ± 0.87-3.55 ± 0.80 vs. 4.95 ± 0.67-4.14 ± 0.93-3.90 ± 0.93, p < 0.001) and BOP%(100.0%-43.2%-34.80% vs. 100.0%-54.8%-44.0%, P < 0.05) in contrast to SRP alone. No substantial differences were detected in CAL and plaque percentages between treatment groups (P > 0.05) at 1.5 and 3 months post-treatment. Conclusions indicate that within the limit of this study, the integration of scaling and root planing (SRP) with diode laser therapy resulted in a significant reduction in moderate periodontal pocket depth and bleeding on probing over the 3-month trial period in patients with Periodontitis.</p>\",\"PeriodicalId\":17978,\"journal\":{\"name\":\"Lasers in Medical Science\",\"volume\":\"40 1\",\"pages\":\"82\"},\"PeriodicalIF\":2.4000,\"publicationDate\":\"2025-02-11\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Lasers in Medical Science\",\"FirstCategoryId\":\"5\",\"ListUrlMain\":\"https://doi.org/10.1007/s10103-025-04344-8\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"ENGINEERING, BIOMEDICAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Lasers in Medical Science","FirstCategoryId":"5","ListUrlMain":"https://doi.org/10.1007/s10103-025-04344-8","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"ENGINEERING, BIOMEDICAL","Score":null,"Total":0}
引用次数: 0
摘要
激光技术在许多方面影响了牙周病领域。它们有助于控制牙周病。本研究旨在比较二极管激光联合刮治与单纯刮治治疗牙周炎患者牙周袋的临床效果。本随机对照临床研究采用裂口法。包括25例患者(11名女性和14名男性,年龄20至65岁),表现为口腔左右两侧深度为4- 7mm的中度牙周袋。采用两组:对照组(SRP)在口腔右侧,实验组(SRP联合二极管激光)在口腔左侧。干预包括单次修剪和根刨(SRP),同时在左侧进行10秒的双波长二极管激光治疗,波长范围为810-980 nm。相反,对侧仅接受SRP。在基线、治疗后1.5个月和3个月评估探诊袋深度、临床附着丧失、斑块指数和探诊指数出血。结果表明,与基线相比,两种治疗方法在1.5个月和3个月时均增强了牙周参数。另一方面,SRP +二极管激光器在治疗后1.5个月和3个月时,探测深度明显增强(PD: 4.92±0.65-3.82±0.87-3.55±0.80 vs 4.95±0.67-4.14±0.93-3.90±0.93,p 0.05)。结论表明,在本研究的范围内,在3个月的试验期间,牙周炎患者的中度牙周袋深度和探诊出血明显减少,牙周刮治和牙根规划(SRP)与二极管激光治疗相结合。
Effectiveness of the dual wavelength diode laser as an adjunct to non-surgical treatment in treating periodontal pocket in periodontitis patients: A randomized clinical study.
Laser technology has affected the field of Periodontology in many ways. They help to manage periodontal disease. This investigation aimed to compare the clinical results of diode laser in conjunction with scaling and root planing (SRP) and SRP alone in treating periodontal pockets in Periodontitis patients. This randomized controlled clinical research utilized a split-mouth approach. It included 25 patients (11 females and 14 males, aged 20 to 65) presenting a moderate periodontal pocket with depths of 4-7 mm on both the right and left sides of the mouth. Two groups were utilized: the control group (SRP alone) on the right side of the mouth and the experimental group (SRP in conjunction with diode laser) on the left side of the mouth. The intervention comprised a single session of scaling and root planing (SRP) accompanied by 10-second administrations of a dual-wavelength diode laser Working within the wavelength range 810-980 nm on the left side. In contrast, the contralateral side received SRP only. Probing Pocket Depth, clinical attachment loss, Plaque Index, and Bleeding on Probing Index were assessed at baseline, 1.5 months, and 3 months post-treatment. The results indicate that both therapies enhanced periodontal parameters at 1.5 and 3 months compared to the baseline. SRP + diode laser, on the other hand, demonstrated a substantial enhancement in probing depth.(PD;4.92 ± 0.65-3.82 ± 0.87-3.55 ± 0.80 vs. 4.95 ± 0.67-4.14 ± 0.93-3.90 ± 0.93, p < 0.001) and BOP%(100.0%-43.2%-34.80% vs. 100.0%-54.8%-44.0%, P < 0.05) in contrast to SRP alone. No substantial differences were detected in CAL and plaque percentages between treatment groups (P > 0.05) at 1.5 and 3 months post-treatment. Conclusions indicate that within the limit of this study, the integration of scaling and root planing (SRP) with diode laser therapy resulted in a significant reduction in moderate periodontal pocket depth and bleeding on probing over the 3-month trial period in patients with Periodontitis.
期刊介绍:
Lasers in Medical Science (LIMS) has established itself as the leading international journal in the rapidly expanding field of medical and dental applications of lasers and light. It provides a forum for the publication of papers on the technical, experimental, and clinical aspects of the use of medical lasers, including lasers in surgery, endoscopy, angioplasty, hyperthermia of tumors, and photodynamic therapy. In addition to medical laser applications, LIMS presents high-quality manuscripts on a wide range of dental topics, including aesthetic dentistry, endodontics, orthodontics, and prosthodontics.
The journal publishes articles on the medical and dental applications of novel laser technologies, light delivery systems, sensors to monitor laser effects, basic laser-tissue interactions, and the modeling of laser-tissue interactions. Beyond laser applications, LIMS features articles relating to the use of non-laser light-tissue interactions.