Periodontal treatment with an Er: YAG laser compared to scaling and root planing. A controlled clinical study

Journal of Periodontology
F SchwarzE Reich

Abstract

The aim of the present study was to compare the effectiveness of an Er:YAG laser to that of scaling and root planing for non-surgical periodontal treatment. Twenty patients with moderate to advanced periodontal destruction were treated under local anesthesia and the quadrants were randomly allocated in a split-mouth design to either Er:YAG laser using an energy level of 160 mJ/pulse and 10 Hz or scaling and root planing (SRP) using hand instruments. Clinical assessments of plaque index (PI), gingival index (GI), bleeding on probing (BOP), probing depth (PD), gingival recession (GR), and clinical attachment level (CAL) were made prior to and at 3 and 6 months after treatment. Subgingival plaque samples were taken at each appointment and analyzed using darkfield microscopy for the presence of cocci, non-motile rods, motile rods, and spirochetes. Differences in clinical parameters and prevalence of bacterial species were analyzed using the paired t-test. The PI remained nearly unchanged while a significant reduction of the GI occurred in both groups after 6 months (P < or =0.001, P< or =0.001, respectively). The mean value of BOP decreased in the laser group from 56% at baseline to 13% after 6 months (P < or =0.001) and in the SRP...Continue Reading

References

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Citations

Sep 5, 2002·Lasers in Surgery and Medicine·Katia M SasakiIsao Ishikawa
Nov 14, 2002·Lasers in Surgery and Medicine·Katia M SasakiIsao Ishikawa
Nov 23, 2006·Lasers in Medical Science·A Moghare AbedM Mir
Sep 4, 2007·Lasers in Medical Science·Zohre Tabibzadeh NooriMaziar Mir
Oct 1, 2009·Lasers in Medical Science·Jiang LinDensen Cao
May 10, 2011·Lasers in Medical Science·Fabrizio SgolastraAnnalisa Monaco
May 15, 2012·Lasers in Medical Science·Aslam AlmehdiYuichi Izumi
Nov 19, 2013·Lasers in Medical Science·Masanori SawabeYuichi Izumi
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Aug 19, 2004·Photomedicine and Laser Surgery·George E RomanosGeorge-Hubertus Nentwig
Aug 19, 2004·Photomedicine and Laser Surgery·Davide ZaffeAnnibale R Botticelli
Feb 3, 2005·Photomedicine and Laser Surgery·J L Leyes BorrajoM Gallas Torreira
Feb 7, 2009·Photomedicine and Laser Surgery·Clara GómezJuan Antonio García
Nov 6, 2002·Journal of Periodontology·UNKNOWN Research, Science and Therapy Committee of the American Academy of Periodontology
Jul 31, 2003·Journal of Periodontology·Letícia H TheodoroCarlos de P Eduardo
Sep 3, 2004·Journal of Periodontology·Anton SculeanJürgen Becker
Apr 6, 2006·Journal of Periodontology·Charles M Cobb
Dec 7, 2007·Journal of Periodontology·Boris Gaspirc, Uros Skaleric
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May 1, 2010·Journal of Periodontology·Beatriz Maria Valério LopesRosemary Adriana Chiérici Marcantonio
May 6, 2011·Lasers in Medical Science·Livia Rodrigues PerussiRosemary Adriana Chierici Marcantonio
Mar 27, 2007·British Dental Journal·S Parker
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Jul 20, 2004·Journal of Clinical Periodontology·Anton SculeanGeorg E Romanos
Mar 16, 2005·Journal of Clinical Periodontology·Grit MeissnerThomas Kocher

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