Clinical, microbiological and cytomorphometric evaluation of low‐level laser therapy as an adjunct to periodontal therapy in patients with chronic periodontitis
Objective A clinical prospective study was designed to evaluate microbiological, cytomorphometric and clinical efficacy of low‐level laser therapy (LLLT) as an adjunct to periodontal therapy in the treatment of chronic periodontitis. Methods Sixty subjects were included and randomly assigned into 2...
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| Veröffentlicht in: | International journal of dental hygiene 2018-05, Vol.16 (2), p.e120-e127 |
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| container_title | International journal of dental hygiene |
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| creator | Petrović, MS Kannosh, IY Milašin, JM Mihailović, DS Obradović, RR Bubanj, SR Kesić, LG |
| description | Objective
A clinical prospective study was designed to evaluate microbiological, cytomorphometric and clinical efficacy of low‐level laser therapy (LLLT) as an adjunct to periodontal therapy in the treatment of chronic periodontitis.
Methods
Sixty subjects were included and randomly assigned into 2 groups: SRP (scaling root planning) group (n = 30) and LLLT + SRP group (n = 30). Clinical parameters were measured before intervention, after the fifth treatment, and after a month. All subjects received oral hygiene instructions and full‐mouth conservative periodontal treatment (removal of dental plaque followed by SRP). Afterwards, in group II, Kavo LLLT (980 nm, 0.2 W, 6 J/cm2) was applied. Subgingival samples were collected at baseline and after the fifth treatment to quantify Aggregatibacter actinomycetemcomitans, Prevotella intermedia, Porphyromonas gingivalis, Tannerella forsythensis and Treponema denticola by polymerase chain reaction (PCR). Gingival swabs were taken, and direct smears were prepared on slides for cytomorphometric analysis.
Results
Evaluation using clinical parameters showed better results in LLLT group. A statistically significant decrease in the prevalence of bacteria after treatment in LLLT group was observed for the following: T. forsythensis and T. denticola (P |
| doi_str_mv | 10.1111/idh.12328 |
| format | Article |
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A clinical prospective study was designed to evaluate microbiological, cytomorphometric and clinical efficacy of low‐level laser therapy (LLLT) as an adjunct to periodontal therapy in the treatment of chronic periodontitis.
Methods
Sixty subjects were included and randomly assigned into 2 groups: SRP (scaling root planning) group (n = 30) and LLLT + SRP group (n = 30). Clinical parameters were measured before intervention, after the fifth treatment, and after a month. All subjects received oral hygiene instructions and full‐mouth conservative periodontal treatment (removal of dental plaque followed by SRP). Afterwards, in group II, Kavo LLLT (980 nm, 0.2 W, 6 J/cm2) was applied. Subgingival samples were collected at baseline and after the fifth treatment to quantify Aggregatibacter actinomycetemcomitans, Prevotella intermedia, Porphyromonas gingivalis, Tannerella forsythensis and Treponema denticola by polymerase chain reaction (PCR). Gingival swabs were taken, and direct smears were prepared on slides for cytomorphometric analysis.
Results
Evaluation using clinical parameters showed better results in LLLT group. A statistically significant decrease in the prevalence of bacteria after treatment in LLLT group was observed for the following: T. forsythensis and T. denticola (P < .001), P. gingivalis (P < .01), A. actinomycetemcomitans and P. intermedia (P < .05). The values of nuclear area, perimeter and Ferret's diameter were significantly lower in both studied groups after treatment, but statistical significance was higher in LLLT group (P < .001) than in the SRP therapy group (P < .05).
Conclusion
Low‐level laser therapy as an adjunct to periodontal therapy demonstrates short‐term additional bacteriological, cytological and clinical benefits.</description><identifier>ISSN: 1601-5029</identifier><identifier>EISSN: 1601-5037</identifier><identifier>DOI: 10.1111/idh.12328</identifier><identifier>PMID: 29327449</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>dental biofilm ; Dental plaque ; Dentistry ; gingival ; Gum disease ; index ; laser ; Lasers ; micro‐organism ; Oral hygiene ; periodontal ; Periodontitis ; Polymerase chain reaction ; Scaling ; Statistical analysis</subject><ispartof>International journal of dental hygiene, 2018-05, Vol.16 (2), p.e120-e127</ispartof><rights>2018 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd</rights><rights>2018 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3538-2173ca1e677d30dc0bc1540bce257cd02a083f132a7aae6957804ea5cd4b2cc53</citedby><cites>FETCH-LOGICAL-c3538-2173ca1e677d30dc0bc1540bce257cd02a083f132a7aae6957804ea5cd4b2cc53</cites><orcidid>0000-0001-6564-5131</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fidh.12328$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fidh.12328$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29327449$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Petrović, MS</creatorcontrib><creatorcontrib>Kannosh, IY</creatorcontrib><creatorcontrib>Milašin, JM</creatorcontrib><creatorcontrib>Mihailović, DS</creatorcontrib><creatorcontrib>Obradović, RR</creatorcontrib><creatorcontrib>Bubanj, SR</creatorcontrib><creatorcontrib>Kesić, LG</creatorcontrib><title>Clinical, microbiological and cytomorphometric evaluation of low‐level laser therapy as an adjunct to periodontal therapy in patients with chronic periodontitis</title><title>International journal of dental hygiene</title><addtitle>Int J Dent Hyg</addtitle><description>Objective
A clinical prospective study was designed to evaluate microbiological, cytomorphometric and clinical efficacy of low‐level laser therapy (LLLT) as an adjunct to periodontal therapy in the treatment of chronic periodontitis.
Methods
Sixty subjects were included and randomly assigned into 2 groups: SRP (scaling root planning) group (n = 30) and LLLT + SRP group (n = 30). Clinical parameters were measured before intervention, after the fifth treatment, and after a month. All subjects received oral hygiene instructions and full‐mouth conservative periodontal treatment (removal of dental plaque followed by SRP). Afterwards, in group II, Kavo LLLT (980 nm, 0.2 W, 6 J/cm2) was applied. Subgingival samples were collected at baseline and after the fifth treatment to quantify Aggregatibacter actinomycetemcomitans, Prevotella intermedia, Porphyromonas gingivalis, Tannerella forsythensis and Treponema denticola by polymerase chain reaction (PCR). Gingival swabs were taken, and direct smears were prepared on slides for cytomorphometric analysis.
Results
Evaluation using clinical parameters showed better results in LLLT group. A statistically significant decrease in the prevalence of bacteria after treatment in LLLT group was observed for the following: T. forsythensis and T. denticola (P < .001), P. gingivalis (P < .01), A. actinomycetemcomitans and P. intermedia (P < .05). The values of nuclear area, perimeter and Ferret's diameter were significantly lower in both studied groups after treatment, but statistical significance was higher in LLLT group (P < .001) than in the SRP therapy group (P < .05).
Conclusion
Low‐level laser therapy as an adjunct to periodontal therapy demonstrates short‐term additional bacteriological, cytological and clinical benefits.</description><subject>dental biofilm</subject><subject>Dental plaque</subject><subject>Dentistry</subject><subject>gingival</subject><subject>Gum disease</subject><subject>index</subject><subject>laser</subject><subject>Lasers</subject><subject>micro‐organism</subject><subject>Oral hygiene</subject><subject>periodontal</subject><subject>Periodontitis</subject><subject>Polymerase chain reaction</subject><subject>Scaling</subject><subject>Statistical analysis</subject><issn>1601-5029</issn><issn>1601-5037</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNp1kd9qFDEUh4MotlYvfAEJeKPgtvkz2Zm5lK3aQsEbvQ7Z5KyTJZOMSabL3vkIPkMfzSfx1G0rCCaQhPCdj8P5EfKSs1OO68y74ZQLKbpH5JgvGV8oJtvHD2_RH5FnpWwZE7jVU3IkeinapumPyc0q-OitCe_o6G1Oa59C-nb7QU101O5rGlOehjRCzd5SuDZhNtWnSNOGhrT79eNngGsINJgCmdYBspn21BSsp8Zt52grrYlOkH1yKVY030M-0gldEGuhO18HaoecsJu_sK--PCdPNiYUeHF3n5CvHz98WV0srj5_uly9v1pYqWS3ELyV1nBYtq2TzFm2tlw1eIJQrXVMGNbJDZfCtMbAsldtxxowyrpmLaxV8oS8OXinnL7PUKoefbEQgomQ5qJ53_U40E4IRF__g27TnCN2p3HEqmeYRoPU2wOFcy0lw0ZP2Y8m7zVn-jY4jcHpP8Eh--rOOK9HcA_kfVIInB2AnQ-w_79JX55fHJS_AUtEprI</recordid><startdate>201805</startdate><enddate>201805</enddate><creator>Petrović, MS</creator><creator>Kannosh, IY</creator><creator>Milašin, JM</creator><creator>Mihailović, DS</creator><creator>Obradović, RR</creator><creator>Bubanj, SR</creator><creator>Kesić, LG</creator><general>Blackwell Publishing Ltd</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-6564-5131</orcidid></search><sort><creationdate>201805</creationdate><title>Clinical, microbiological and cytomorphometric evaluation of low‐level laser therapy as an adjunct to periodontal therapy in patients with chronic periodontitis</title><author>Petrović, MS ; Kannosh, IY ; Milašin, JM ; Mihailović, DS ; Obradović, RR ; Bubanj, SR ; Kesić, LG</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3538-2173ca1e677d30dc0bc1540bce257cd02a083f132a7aae6957804ea5cd4b2cc53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>dental biofilm</topic><topic>Dental plaque</topic><topic>Dentistry</topic><topic>gingival</topic><topic>Gum disease</topic><topic>index</topic><topic>laser</topic><topic>Lasers</topic><topic>micro‐organism</topic><topic>Oral hygiene</topic><topic>periodontal</topic><topic>Periodontitis</topic><topic>Polymerase chain reaction</topic><topic>Scaling</topic><topic>Statistical analysis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Petrović, MS</creatorcontrib><creatorcontrib>Kannosh, IY</creatorcontrib><creatorcontrib>Milašin, JM</creatorcontrib><creatorcontrib>Mihailović, DS</creatorcontrib><creatorcontrib>Obradović, RR</creatorcontrib><creatorcontrib>Bubanj, SR</creatorcontrib><creatorcontrib>Kesić, LG</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of dental hygiene</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Petrović, MS</au><au>Kannosh, IY</au><au>Milašin, JM</au><au>Mihailović, DS</au><au>Obradović, RR</au><au>Bubanj, SR</au><au>Kesić, LG</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical, microbiological and cytomorphometric evaluation of low‐level laser therapy as an adjunct to periodontal therapy in patients with chronic periodontitis</atitle><jtitle>International journal of dental hygiene</jtitle><addtitle>Int J Dent Hyg</addtitle><date>2018-05</date><risdate>2018</risdate><volume>16</volume><issue>2</issue><spage>e120</spage><epage>e127</epage><pages>e120-e127</pages><issn>1601-5029</issn><eissn>1601-5037</eissn><abstract>Objective
A clinical prospective study was designed to evaluate microbiological, cytomorphometric and clinical efficacy of low‐level laser therapy (LLLT) as an adjunct to periodontal therapy in the treatment of chronic periodontitis.
Methods
Sixty subjects were included and randomly assigned into 2 groups: SRP (scaling root planning) group (n = 30) and LLLT + SRP group (n = 30). Clinical parameters were measured before intervention, after the fifth treatment, and after a month. All subjects received oral hygiene instructions and full‐mouth conservative periodontal treatment (removal of dental plaque followed by SRP). Afterwards, in group II, Kavo LLLT (980 nm, 0.2 W, 6 J/cm2) was applied. Subgingival samples were collected at baseline and after the fifth treatment to quantify Aggregatibacter actinomycetemcomitans, Prevotella intermedia, Porphyromonas gingivalis, Tannerella forsythensis and Treponema denticola by polymerase chain reaction (PCR). Gingival swabs were taken, and direct smears were prepared on slides for cytomorphometric analysis.
Results
Evaluation using clinical parameters showed better results in LLLT group. A statistically significant decrease in the prevalence of bacteria after treatment in LLLT group was observed for the following: T. forsythensis and T. denticola (P < .001), P. gingivalis (P < .01), A. actinomycetemcomitans and P. intermedia (P < .05). The values of nuclear area, perimeter and Ferret's diameter were significantly lower in both studied groups after treatment, but statistical significance was higher in LLLT group (P < .001) than in the SRP therapy group (P < .05).
Conclusion
Low‐level laser therapy as an adjunct to periodontal therapy demonstrates short‐term additional bacteriological, cytological and clinical benefits.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>29327449</pmid><doi>10.1111/idh.12328</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0001-6564-5131</orcidid></addata></record> |
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| source | Wiley Online Library Journals Frontfile Complete |
| subjects | dental biofilm Dental plaque Dentistry gingival Gum disease index laser Lasers micro‐organism Oral hygiene periodontal Periodontitis Polymerase chain reaction Scaling Statistical analysis |
| title | Clinical, microbiological and cytomorphometric evaluation of low‐level laser therapy as an adjunct to periodontal therapy in patients with chronic periodontitis |
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